国产牛颈静脉带瓣管道重建右室流出道.pdfVIP

李 炳等．国产牛颈静脉带瓣管道重建右室流出道 ·39· 国产牛颈静脉带瓣管道重建右室流出道 李 炳， 江 海， 阮 鹏， 陈予民， 况 军， 刘传泉， 魏远福 (郧阳医学院附属人民医院心胸外科，湖北十堰 442OOO) 【摘 要】目的：探讨国产牛颈静脉带瓣管道 BJV)在右室流出道重建术中的应用和术后早期Il缶床疗效。方法：6 例病人使用了完整牛颈静脉带瓣管道重建右室流出道。记录术后并发症，术后3个月用心脏超声对移植的牛颈静 脉进行功能评价，检查新建肺动脉瓣跨瓣压、移植牛颈静脉管道直径和有无瘤样扩张远端吻合口压差等。结杲： 所有患者住院期间均无栓塞等带瓣管道相关并发症发生，恢复顺利出院。术后3个月超声检查均提示移植的管道 通畅，2例新建的肺动脉瓣轻度反流。结论：国产牛颈静脉带瓣管道易于获取，型号较齐全，移植后早期临床疗 效满意，可作为～种右室流出道重建的替代材料。 [关键词】牛颈静脉带瓣管道；右室流出道；重建 [中图法分类号】R541．1 【文献标识码】A [文章编号】1006—9674(2008)01—0039-02 Reconstruction of Right Ventricular Outflow Tract with Valved Bovine Jugular Vein U Bing，JIANG Hai，RU- AN Peng，CHEN Yu-ming，KUANG Jan，LIU Chuan-quan，WEI Yuan-fu (Department of Cardiothoracic Surgery,Ren- min Hospital，Yunyang Medical College，Shiyan，Hubei 442000,China) Abstract：Objective To explore the clinical efficacy of the valved bovine jugular vein in fight ventrieular oukflow tract (RVOT)reconstrction．Methods Totally 6 patients was performed ROVT reconstruction from December 2006 to March 2007 and complications were recorded，and the function of the im~anted valved bovine jugular vein was evaluated by Doppler eehoeardlography three monills after operation．Results There was no pefioperative embolism related to the valved bovine jugular vein Six patients were discharged well three months after operation．Eehoeardiography showed that reeonstrue~d ROVT was patent，and two implanted conduits had mild regurgitation．Conclusion The valved bovine jugu— lar vein provides the favorable hemodynamie performance and thus could be an excellent substitute in the reconstruction 0fR0vT． Key words：Valved bovine jugular vein；Right ventrieular oukflow tract；Reconstruction 许多复杂性先天性心脏病需要重建右室流出 (PA)2例，存 室双出口(DORV)2例(其中1例合并 道(fight ventricular outflow tract，RVOT)，常用的材料 左冠状动脉起源于右冠状动脉畸形)。全部病