JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2009, Vol. 47 ›› Issue (11): 121-123.

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Surgical treatment of aortopulmonary septal defect

LI Jindong, WANG Anbiao, ZHANG Wenlong, ZHANG Haizhou, WANG Zhengjun,  ZI Jie, FAN Quanxin   

  1. Department of Cardiac Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, China
  • Received:2009-06-05 Published:2009-11-16

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Abstract:

To summarize experience in surgical treatment of aortopulmonary septal defect(APSD). Methods15 patients with APSD were operated from October 2000 to January 2009. They were divided based on the Richardson′s classification: typeⅠ 8 cases, typeⅡ 5 cases, and type Ⅲ 2 cases. Among typeⅠ, 2 cases received Dacron repair across of the frontal septal defect. Among type Ⅲ, 1 case underwent the treatment with an artificial conduit connecting the RPA with MPA, another received the treatment of connecting the RPA directly with MPA. Others received Dacron repair across of the aorta. ResultsIn the whole group,there was no operative death. 8 patients had clinical improvement at a followup of 5 months to 3 years. There was no shunting, aorta and pulmonary artery stenosis. Pulmonary artery pressure obviously decreased. ConclusionThis operation is suitable for young infants so as to avoid pulmonary vascular disease, and preoperative accurate diagnosis and full understanding of pathophysiology and clinical anatomy are the keys for success.

Key words: Aortopulmonary septal defect; Heart surgery; Surgical treatment, operative

CLC Number: 

  • R654.2
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