هدف العمليات الملطفة في رباعي فالو مع شـرايين رئويـة صغيرة إلى تخفيف الزرقة و تحسين الوضع السريري للمريض، كما تهـدف إلـى توسـيع الشرايين الرئوية إِذْ تحضر المريض لعملية الإصلاح الكامل. نقارن في هذه الدراسـة بـين نوعين من العمليات التلطيفية و نقدم ما يدعم قناعتنا بتفوق عملية بروك المفتـوح علـى عملية بلالوك توسيغ المعدلَة.
Palliative procedures in TOF patients with
small-caliber pulmonary arteries aim at alleviating cyanosis and improving
the overall clinical condition, as well as progressively enlarging the small
pulmonary arteries, a step preceding the total surgical correction of TOF.
The present study compares between two types of palliative procedures, i.e.
Modified Blalock’s vs. Open Brock’s.
References used
Blalock A and Taussig H: The surgical treatment of malformations of the heart in which there is pulmonary stenosis or pulmonary atresia. JAMA 128: 189,1945
De Leval MR, McKay R, Jones M, Stark J and Macartney FJ: Modified Blalock-Taussig shunt. Use of subclavian artery orifice as flow regulator in prosthetic systemic-pulmonary artery shunts. J Thorac Cardiovasc Surg 81: 112, 1981
Potts W, Smith S and Gibson S: Anastomosis of aorta to pulmonary artery. Certain types in congenital heart disease. JAMA 132: 627, 1946
we have started applying assisted thoracoscopic surgery (VATS) in AL-ASSAD
University hospital in Damascus in 1992 and we achieved in a period past 332
different operations, most of them were done under general anesthesia, only 48
cases were done
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