How long can total cavopulmonary connection survive
summary
Recently, a friend of mine always felt his chest pain. He bought some anti-inflammatory drugs and found it useless. So he quickly went to the hospital for examination. The doctor said that he needed to have a total vena cava and pulmonary artery connection operation. Today, I'd like to talk about how long the total cavopulmonary connection can live.
How long can total cavopulmonary connection survive
First: under normal circumstances, after the total cava and pulmonary artery connection operation, can live for a long time, the specific situation or according to the specific patient analysis. Location: chest Department: cardiothoracic surgery anesthesia: inhalation anesthesia, intravenous anesthesia, general anesthesia, compound anesthesia. Total cavopulmonary connection: tricuspid atresia. Severe ebstan malformation. Single ventricle. All above should be normal pulmonary vascular resistance.
Second: the whole vena cava and pulmonary artery connection operation procedure detailed explanation: chest median incision. The diagnosis was verified by pericardiotomy. The right angle vena cava cannula was inserted above the azygos vein. The pulmonary trunk and bilateral pulmonary arteries were dissociated to the pericardial outlet. A right atrial incision was made. Part of the atrial septum was removed to enlarge the ASD to 2. About 5cm. The atrial wall was sutured around the opening of superior and inferior vena cava to form a conduit.
Third, the left edge of the right atrial incision was sutured to the right atrial wall near the atrial sulcus, or a patch was added to expand the cardiac cavity. The distal end of the superior vena cava was anastomosed with the right pulmonary artery. The root of pulmonary artery was cut off and the proximal end of pulmonary artery was sutured. The proximal end of the superior vena cava can be anastomosed with the pulmonary artery, and the expanded polytetrafluoroethylene artificial blood vessel can also be used as the atrial tunnel between the inferior vena cava and the proximal part of the superior vena cava.
matters needing attention
In fact, total vena cava and pulmonary artery connection surgery is a relatively high-risk surgery, although many patients successfully survived the operation process, but the recovery after the operation is not good enough, some even caused other complications. Therefore, we must take good care of our body after the operation.













