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目的:探讨小儿先天性冠状动脉瘘的外科治疗。方法:18例先天性冠状动脉瘘患儿中,右冠状动脉瘘13例(72.2%),最常见的瘘入心腔为右心室(55.6%)。除1例施行冠状动脉瘘支直接结扎手术,均在体外循环下施行手术矫治。结果:全组无手术死亡和严重术后并发症。结论:冠状动脉瘘在诊断明确后,应及时手术治疗;体外循环下直视修复术是安全、可靠的治疗方法。
Objective: To investigate the surgical treatment of congenital coronary fistula in children. Methods: Thirteen cases (72.2%) of right coronary fistula were found in 18 cases of congenital coronary fistula. The most common fistula was right ventricle (55.6%). In addition to 1 case of coronary artery fistula direct ligation surgery, were underwent surgery under cardiopulmonary bypass. Results: There was no operative mortality and severe postoperative complications in the whole group. Conclusion: Coronary fistula should be promptly surgically treated after it is diagnosed clearly. It is a safe and reliable treatment for open surgery under cardiopulmonary bypass.