ID 111831
タイトル別表記
Pulmonary artery banding for cyanotic congenital heart defects in early infancy
チアノーゼ性心疾患に対する肺動脈絞扼術
著者
加藤, 逸夫 徳島大学
堀, 隆樹 徳島大学
増田, 裕 徳島大学
筑後, 文雄 徳島大学
下江, 安司 徳島大学
川人, 智久 徳島大学
福田, 靖 徳島大学
松岡, 優 徳島大学
キーワード
cyanotic congenital heart defect
pulmonary artery banding
early infancy
anatomical repair
Fontan type repair
資料タイプ
学術雑誌論文
抄録
The early and late results of pulmonary artery banding (PAB) for cyanotic heart defects in early infancy were reviewed. Nine patients were divided into two groups : Group F (five patiens) in which Fontan type repairs were expected as definitive repair in the near future ; Group A (four patients) in which anatomical repairs were programmed in the near future. Six patients had a good early postoperative course, and then consisted of three patients of Group A and three patients of Group F. The band circumference, intraoperative pulmonary-to-systemic systolic pressure ratio and arterial oxygen tension after PAB in the good cases of Group A were 20.0±1.7 mm + 1 mm for each kilogram of the infant's weight, 0.52±0.07 and 46.4±11.3 mmHg respectively. These indices in the good cases of Group F were 21.1±1.7 mm + 1 mm for each kilogram of the infant's weight, 0.55±0.02 and 38.8±1.0 mmHg respectively. The standard deviations of every index for PAB in Group F were small. Three patients of Group A have undergone successful total correction. Intraoperative pulmonary-to-systemic systolic pressure ratio of 0.5 as the index of PAB is preferable to Group A. However, only two patient of Group F were waiting for Fontan type definitive repair. For the patient especially in Group F, careful observation and well-timed staged repair with regard to subaortic stenosis and restrictive atrial septal defect and ventricular septal defect are necessary after accurate PAB as mentioned above.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
51
2-4
開始ページ
64
終了ページ
74
並び順
64
発行日
1995-08-25
EDB ID
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
医学系