| 改良Nikaidoh手术治疗合并肺动脉瓣狭窄的右室双出口 |
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| 引用本文： | 刘仕强,张桂敏,刘琪琳,汪华,明波,陈旭.改良Nikaidoh手术治疗合并肺动脉瓣狭窄的右室双出口[J].生物磁学,2011(18):3488-3490. |
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| 作者姓名： | 刘仕强 张桂敏 刘琪琳 汪华 明波 陈旭 |
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| 作者单位： | [1]南充市中心医院心胸外科,四川南充637000 [2]昆明医学院第一附属医院心脏外科,云南昆明650032 [3]四川省南充市川北医学院附属医院麻醉科,637000 |
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| 摘 要： | 目的：总结改良Nikaidoh手术治疗右心室双出口（DORV）患者的临床经验，以提高手术疗效。方法：2例先天性心脏病右心室双出口伴肺动脉瓣狭窄行改良Nikaidoh手术，游离主动脉根部及冠状动脉，重建左心室流出道，以带单瓣牛心包片补片重建肺动脉及右心室流出道。结果：术后患者紫绀消失，复查心脏彩超仅有轻度肺动脉瓣关闭不全，未发现左、右心室流出道梗阻，康复出院。结论：采用改良Nikaidoh手术治疗伴肺动脉瓣狭窄的右室双出口，术后可获得良好的血流动力学效果，早期临床结果满意。
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| 关 键 词： | Nikaidoh手术 右心室双出口 |
The Application of Modified Nikaidoh Surgery to Treat Double Outlet Right Ventricle Combined with Pulmonary Valve Stenosis |
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| Institution: | LIU Shi-qian, ZHANG Gui-min, LIU Qi-lin, WANG Hua, CHENG Xu, MING Bo (1 Department of Cardiothoracie Surgery, Nanchong Central Hospital 637000; 2 Department of Heart Surgery, First Affiliated Hospital of Kunming Medical College, 650032; 3 Department of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, 637000) |
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| Abstract: | Objective： To summarize the better clinical experience of the surgical treatment of modified Nikaidoh in patients with double outlet right ventricle （DORV）. Methods： Two cases of congenital heart disease, double outlet right ventricle with pulmonary valve stenosis with modified Nikaidoh surgery was accomplished. Aortic root and coronary artery was free and left ventricular outflow tract was reconstructed. Pulmonary artery and right ventricular outflow tract was also rebuilt with bovine pericardium patch. Results： The patients＇ cyanosis was disappeared and only mild pulmonary valve was insufficiency. Right and left ventricular outflow tract obstruction was not found. Conclusions： The modified Nikaidoh surgery with pulmonary valve stenosis in double outlet right ventricle provided postoperative hemodynamics stability and satisfactory clinical results. |
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| Keywords: | Nikaidoh surgery Double outlet right ventricle |
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