【摘要】 目的研究十字交叉心的形态学特点与外科手术方式的选择。方法 :回顾分析1996年5月～2009年10月收治的9例十字交叉心手术治疗的临床病例。其中男6例,女3例。年龄0.4岁~7岁,体重6kg~25kg。研究其解剖形态学特点及手术方式的选择。结果本组十字交叉心的形态学特点为心房正位,心室右袢,大动脉心室连接正常2例;心房正位,心室右袢,大动脉心室连接异常5例;心房正位,心室左袢,大动脉心室连接异常1例;心房反位,心室右袢,大动脉心室连接异常1例。4例患者伴有房室瓣畸形;8例患者伴有肺动脉瓣或瓣下狭窄;所有患者伴有大的室间隔缺损。手术方式包括双向Glenn术4例;全腔肺动脉吻合术4例;室间隔缺损修补术1例。无手术死亡。全腔肺动脉吻合术者,1例术后乳糜胸,1例反复胸腔积液,均治愈出院。结论十字交叉心的形态学多种多样,临床上可根据不同的形态学特点,选择不同的手术方式。我们认为目前腔静脉肺动脉连接术对十字交叉心是一较为简便可行的手术方式。更多还原

【Abstract】 Objective:To study the relationship between the morphological features of criss cross heart and the surgical procedures Methods:Review the clinical data of nine patients with criss cross heart,including their morphological features and their surgical procedures.They were operated on from May.1996 to Oct.2009.There were 6 males and 3 females.Their age ranged from 0.4y to 7y and their body weight ranged from 6kg to 25kg.Results:The visceroatrial situs was solitus in 8 patients and was inversus in 1.The atrioventricular connections were concordant in 7 patients and discordant in 2.Ventriculoarterial connections were discordant in 6 patients and cordant in 3.Atrioventricular valve malformation was found in 4 patients,pulmonary valve stenosis or subpulmonary valve stenosis was found in 8 and a large ventricular septal defect was fond in all patients.The surgical procedures were included VSD repair in 1 patient,bidirectional One patient was complicated with chylothorax and one patient was complicated with pleural effusion after total cavopulmonary connection.Both of chylothorax and pleural effusion were cured.Conclusions:There were a variety of morphological features in criss cross heart.The surgical procedures should be decided depending on their morphological features.Bidirectional Glenn or total cavopulmonary connection is an alterative procedure for criss cross heart.更多还原