臨床 総肺静脈環流異常症(TAPVR)再手術症例の検討 根治術後PVOを中心として
教室では,1965年より21例の総肺静脈還流異常症(TAPVR)を経験し,13例の手術生存例が得られ,そのうち3例に対して,遠隔期に再手術を経験し,2例を救命しえた. 再手術症例の内訳は,PVO(pulmonary venous obstruction)2例,SVCO(superior vena cava obstruction)1例であり,PVOの原因は,共通肺静脈開口部の狭窄,glutaraldehyde処理豚心膜の肥厚による右PVLA吻合部の閉塞であった.また,SVCOの原因は,SVC拡大に用いた自家心膜ゐ収縮であった.TAPVR根治術後の経過は,遠隔死亡の原因はPVOによることが多く,...
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| Published in | 心臓 Vol. 14; no. 7; pp. 878 - 886 |
|---|---|
| Main Authors | , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
公益財団法人 日本心臓財団
25.07.1982
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0586-4488 2186-3016 |
| DOI | 10.11281/shinzo1969.14.7_878 |
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| Abstract | 教室では,1965年より21例の総肺静脈還流異常症(TAPVR)を経験し,13例の手術生存例が得られ,そのうち3例に対して,遠隔期に再手術を経験し,2例を救命しえた. 再手術症例の内訳は,PVO(pulmonary venous obstruction)2例,SVCO(superior vena cava obstruction)1例であり,PVOの原因は,共通肺静脈開口部の狭窄,glutaraldehyde処理豚心膜の肥厚による右PVLA吻合部の閉塞であった.また,SVCOの原因は,SVC拡大に用いた自家心膜ゐ収縮であった.TAPVR根治術後の経過は,遠隔死亡の原因はPVOによることが多く,PVOの存在しない症例については,良好な経過をとると考えられ,PVOは,本症の遠隔期に最も留意すべき合併症と考えられる.今回,TAPVR根治術後に発生したPVOを中心として,自験例に,若干の文献的考察を加えて報告する. |
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| AbstractList | 教室では,1965年より21例の総肺静脈還流異常症(TAPVR)を経験し,13例の手術生存例が得られ,そのうち3例に対して,遠隔期に再手術を経験し,2例を救命しえた. 再手術症例の内訳は,PVO(pulmonary venous obstruction)2例,SVCO(superior vena cava obstruction)1例であり,PVOの原因は,共通肺静脈開口部の狭窄,glutaraldehyde処理豚心膜の肥厚による右PVLA吻合部の閉塞であった.また,SVCOの原因は,SVC拡大に用いた自家心膜ゐ収縮であった.TAPVR根治術後の経過は,遠隔死亡の原因はPVOによることが多く,PVOの存在しない症例については,良好な経過をとると考えられ,PVOは,本症の遠隔期に最も留意すべき合併症と考えられる.今回,TAPVR根治術後に発生したPVOを中心として,自験例に,若干の文献的考察を加えて報告する. |
| Author | 坂本, 照夫 田代, 忠 後藤, 俊介 横倉, 義武 藤堂, 景茂 古賀, 道弘 深水, 良 古賀, 義行 小須賀, 健一 坂田, 高 篠原, 康之 相良, 泰至 大石, 喜六 今村, 博仁 |
| Author_xml | – sequence: 1 fullname: 横倉, 義武 organization: 久留米大学医学部第2外科 – sequence: 1 fullname: 大石, 喜六 organization: 久留米大学医学部第2外科 – sequence: 1 fullname: 後藤, 俊介 organization: 久留米大学医学部第2外科 – sequence: 1 fullname: 藤堂, 景茂 organization: 聖マリア病院心臓外科心 – sequence: 1 fullname: 坂田, 高 organization: 久留米大学医学部第2外科 – sequence: 1 fullname: 田代, 忠 organization: 久留米大学医学部第2外科 – sequence: 1 fullname: 古賀, 義行 organization: 久留米大学医学部第2外科 – sequence: 1 fullname: 坂本, 照夫 organization: 久留米大学医学部第2外科 – sequence: 1 fullname: 今村, 博仁 organization: 久留米大学医学部第2外科 – sequence: 1 fullname: 相良, 泰至 organization: 久留米大学医学部第2外科 – sequence: 1 fullname: 古賀, 道弘 organization: 久留米大学医学部第2外科 – sequence: 1 fullname: 小須賀, 健一 organization: 久留米大学医学部第2外科 – sequence: 1 fullname: 深水, 良 organization: 久留米大学医学部第2外科 – sequence: 1 fullname: 篠原, 康之 organization: 久留米大学医学部第琴病理 |
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| References | 1) John W. Hammon, Harvey W. Bender, Thomas P. Graham, Robert J. Boucek, Clyde W. Smith, Harold G. Erath.: Total anomalous pulmo nary venous connection in infancy. J. Thorac. Cardiovasc. Surg., 80: 544, 1980. 2) Christopher M. Whight, Brain G. Barratt Boyes, A. Louise Calder, Jhon M. Neutze, Peter W. T. Brandt.: Total anomalous pulmonary ven ous connection. J. Thorac. Cardiovasc. Surg., 75: 52, 1978. 13)西山祥行, 貝塚秀樹, 高梨吉則, 北村信夫, 和田寿郎, Glutaraldehyde処理豚心膜の臨床応用-臨床使用48例の検討-. 胸部外科, 33: 755, 1980. 8) Kevin Turley, Wiliam Y. Tucker, Daniel J. Ullyot, Paul A. Ebert.: Total anomalous pulmonary venous connection in infancy: Influe nce of age and type of lesion, The American Journal of Cardiology, 45: 92, 1980. 5) D. M. Behrendt, E. Aberdeen, D. J. Waterson, R. E. Bondham-Carter.: Total anomalous pulmonary venous drainage in infants: 1. Clinical and hemodynamic findings, methods, and results of operation in 37 cases. Circulation, 46: 347, 1972. 9) Richard Van Praagh, Alden H. Harken, Georges Delisle, Masahiko Ando, Robert E. Gross.: Total anomalous pulmonary venous drainage to the coronary sinous: A revised procedure for its correction. J. Thorac. Cardiovasc. Surg., 64: 132, 1972. 10) K. Ornvold, H. Jensen, E. Heljelms, P. Lauridsen, I. Rygg.: Structual changes of stabilized porcine pericardium after experimental and clinical implantation. Polystan News and Information, 1979. 11)川島康生, 田野迫昭, 森護, 岡本重一, 堀口泰範, 森透, 野村望, 内藤泰顕, 宮本魏, 藤田毅, 曲直部寿夫: 自家心膜による心室中隔欠損閉鎖の検討一術後心室中隔瘤の発生について-. 畠日胸部外会誌19: 65, 1971. 14) Lynn M. Kutsche, Philip Oyer, Norman Shumway, David Baum.: An important complication of Hancock mitral replacement in children. Circulation, 30: Suppl 1: 98, 1979. 7) Nevin M. Katz, John W. Kirklin, Albert D. Pacifico.: Concepts and practices in surgery for total anomalous pulmonary venous connection. The Annals of Thoracic Surgery, 25: 479, 1978. 3) William H. Flemming, Edward B. Clark, Kenneth J. Dooley, Philip J. Hoschire, Roger N. Ru ckman, Alan R. Hopeman, Lynne Sarafian, Paul K. Mooring.: Late complication following surgic alrepair of total anomalous pulmonary venous return below the diaphragm. The Anna ls of Thoracic Surgery, 27: 435, 1979. 12) Todd M. Grehl, Norman E. Shumway: Transposition of the great arteries, Reoperation- for dysfunctional intra-atrial bale, J. Thorac. Cardiovasc. Surg., 67: 863, 1974. 6) Azai Appelbaum, Jhon W. Kirklin, Albert D. Pacifico, L. M. Bargeron.: The surgical treatment of total anomalous pulmonary venous connection. Israel J. Med. Sci., 11: 89, 1975. 15) Alexander S. Geha, Hillel Laks, Horace S. Stansel Jr., J. Eredrick Corrhill, James W. Kilman, Mortimer J. Buckley, William C. Robert s. Late failure of porcine valve heterografts in children. J. T. C. S., 78: 351, 1979. 4) Denton A. Cooley, Grady L. Hallman, Robert D: Leachman.: Total anomalous pulm onary venous drainage. J. Thorac. Cardiovas c. Surg., 51: 88, 1966. |
| References_xml | – reference: 6) Azai Appelbaum, Jhon W. Kirklin, Albert D. Pacifico, L. M. Bargeron.: The surgical treatment of total anomalous pulmonary venous connection. Israel J. Med. Sci., 11: 89, 1975. – reference: 2) Christopher M. Whight, Brain G. Barratt Boyes, A. Louise Calder, Jhon M. Neutze, Peter W. T. Brandt.: Total anomalous pulmonary ven ous connection. J. Thorac. Cardiovasc. Surg., 75: 52, 1978. – reference: 15) Alexander S. Geha, Hillel Laks, Horace S. Stansel Jr., J. Eredrick Corrhill, James W. Kilman, Mortimer J. Buckley, William C. Robert s. Late failure of porcine valve heterografts in children. J. T. C. S., 78: 351, 1979. – reference: 4) Denton A. Cooley, Grady L. Hallman, Robert D: Leachman.: Total anomalous pulm onary venous drainage. J. Thorac. Cardiovas c. Surg., 51: 88, 1966. – reference: 10) K. Ornvold, H. Jensen, E. Heljelms, P. Lauridsen, I. Rygg.: Structual changes of stabilized porcine pericardium after experimental and clinical implantation. Polystan News and Information, 1979. – reference: 1) John W. Hammon, Harvey W. Bender, Thomas P. Graham, Robert J. Boucek, Clyde W. Smith, Harold G. Erath.: Total anomalous pulmo nary venous connection in infancy. J. Thorac. Cardiovasc. Surg., 80: 544, 1980. – reference: 8) Kevin Turley, Wiliam Y. Tucker, Daniel J. Ullyot, Paul A. Ebert.: Total anomalous pulmonary venous connection in infancy: Influe nce of age and type of lesion, The American Journal of Cardiology, 45: 92, 1980. – reference: 12) Todd M. Grehl, Norman E. Shumway: Transposition of the great arteries, Reoperation- for dysfunctional intra-atrial bale, J. Thorac. Cardiovasc. Surg., 67: 863, 1974. – reference: 3) William H. Flemming, Edward B. Clark, Kenneth J. Dooley, Philip J. Hoschire, Roger N. Ru ckman, Alan R. Hopeman, Lynne Sarafian, Paul K. Mooring.: Late complication following surgic alrepair of total anomalous pulmonary venous return below the diaphragm. The Anna ls of Thoracic Surgery, 27: 435, 1979. – reference: 5) D. M. Behrendt, E. Aberdeen, D. J. Waterson, R. E. Bondham-Carter.: Total anomalous pulmonary venous drainage in infants: 1. Clinical and hemodynamic findings, methods, and results of operation in 37 cases. Circulation, 46: 347, 1972. – reference: 11)川島康生, 田野迫昭, 森護, 岡本重一, 堀口泰範, 森透, 野村望, 内藤泰顕, 宮本魏, 藤田毅, 曲直部寿夫: 自家心膜による心室中隔欠損閉鎖の検討一術後心室中隔瘤の発生について-. 畠日胸部外会誌19: 65, 1971. – reference: 14) Lynn M. Kutsche, Philip Oyer, Norman Shumway, David Baum.: An important complication of Hancock mitral replacement in children. Circulation, 30: Suppl 1: 98, 1979. – reference: 7) Nevin M. Katz, John W. Kirklin, Albert D. Pacifico.: Concepts and practices in surgery for total anomalous pulmonary venous connection. The Annals of Thoracic Surgery, 25: 479, 1978. – reference: 9) Richard Van Praagh, Alden H. Harken, Georges Delisle, Masahiko Ando, Robert E. Gross.: Total anomalous pulmonary venous drainage to the coronary sinous: A revised procedure for its correction. J. Thorac. Cardiovasc. Surg., 64: 132, 1972. – reference: 13)西山祥行, 貝塚秀樹, 高梨吉則, 北村信夫, 和田寿郎, Glutaraldehyde処理豚心膜の臨床応用-臨床使用48例の検討-. 胸部外科, 33: 755, 1980. |
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| Snippet | 教室では,1965年より21例の総肺静脈還流異常症(TAPVR)を経験し,13例の手術生存例が得られ,そのうち3例に対して,遠隔期に再手術を経験し,2例を救命しえた. 再手術症例の内訳は,PVO(pulmonary venous obstruction)2例,SVCO(superior vena cava... |
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| StartPage | 878 |
| SubjectTerms | glutaraldehyde処理豚心膜 Pulmonary venous obstruction(PVO) Superior vena cava obstruction(SVCO) 再手術症例 総肺静脈還流異常症(TAPVR) |
| Subtitle | 根治術後PVOを中心として |
| Title | 臨床 総肺静脈環流異常症(TAPVR)再手術症例の検討 |
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