Phẫu thuật Glenn hai hướng ở bệnh nhân có hai tĩnh mạch chủ trên: có gì mới về kỹ thuật làm miệng nối
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Abstract
We propose a new surgical technique to manage the presence of bilateral superior vena cava in single ventricle patients, a recognized risk factor for both bidirectional Glenn anastomosis and Fontan completion. The idea is to convert two small, peripheral and competing bilateral bidirectional cavopulmonary anastomoses into a single, larger, and centrally located cavopulmonary connection. This technique, used in 2 patients in our institution, provides a symmetrical distribution of pulmonary blood flow and may, in fact, yield growth of the central pulmonary arteries as well as prevent thrombus formation.
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References
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2. Keisuke Nakanishi et al. A new technique for venous unifocalization of the bilateral superior vena cava with the Glenn procedure J Thorac Cardiovasc Surg 2014;148:356-8
3. Amodeo and Di Donato The Unifocal Bilateral Bidirectional Cavopulmonary Anastomosis. Ann Thorac Surg 2007;84: 2134 –5.
4. Vida VL, Leon-Wyss J, Garcia F, Castañeda AR. A Gore-Tex “new-innominate” vein: a surgical option for complicated bilateral cavopulmonary shunts. Eur J Cardiothorac Surg 2006;29:112–3
5. Chakraborty et al. Use of Aortic Homograft Conduit in Bidirectional Glenn Shunt. Heart, Lung and Circulation. 2007;16:52–54
Amodeo A et al. The beneficial vortex and best spatial arrangement in total cavopulmonary connection. J Thorac Cardiovasc Surg,2002;124:471-478
2. Keisuke Nakanishi et al. A new technique for venous unifocalization of the bilateral superior vena cava with the Glenn procedure J Thorac Cardiovasc Surg 2014;148:356-8
3. Amodeo and Di Donato The Unifocal Bilateral Bidirectional Cavopulmonary Anastomosis. Ann Thorac Surg 2007;84: 2134 –5.
4. Vida VL, Leon-Wyss J, Garcia F, Castañeda AR. A Gore-Tex “new-innominate” vein: a surgical option for complicated bilateral cavopulmonary shunts. Eur J Cardiothorac Surg 2006;29:112–3
5. Chakraborty et al. Use of Aortic Homograft Conduit in Bidirectional Glenn Shunt. Heart, Lung and Circulation. 2007;16:52–54
Amodeo A et al. The beneficial vortex and best spatial arrangement in total cavopulmonary connection. J Thorac Cardiovasc Surg,2002;124:471-478