SU407555A1 - METHOD OF SURGICAL CORRECTION OF DEFECT OF VENOUS HEART SINUS - Google Patents
METHOD OF SURGICAL CORRECTION OF DEFECT OF VENOUS HEART SINUSInfo
- Publication number
- SU407555A1 SU407555A1 SU1783807A SU1783807A SU407555A1 SU 407555 A1 SU407555 A1 SU 407555A1 SU 1783807 A SU1783807 A SU 1783807A SU 1783807 A SU1783807 A SU 1783807A SU 407555 A1 SU407555 A1 SU 407555A1
- Authority
- SU
- USSR - Soviet Union
- Prior art keywords
- defect
- vena cava
- superior vena
- surgical correction
- incision
- Prior art date
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- Surgical Instruments (AREA)
Description
II
Изобретение относитс к медицине, точнее к области хирургии.The invention relates to medicine, more specifically to the field of surgery.
Известен способ хирургической коррекции венозного синуса, заключающийс в том, что доступ к дефекту венозного синуса сердца осуществл ют путем разреза правого предсерди с переходом на стенку верхней полой вены , дефект венозпого сипуса закрывают заплатой из аутоперикарда, разрез верхней полой вены и правого предсерди ушивают.The known method of surgical correction of the venous sinus is that access to the venous sinus defect is done by cutting the right atrium to the wall of the superior vena cava, the defect of the venous sipus is closed with an autopericardium patch, the incision of the superior vena cava and the right atrium is sutured.
Однако после ушивани разреза на вене заплата, создающа канал дл оттока крови из легочных вен в левое предсердие, сужает просвет вены, так как давление артериальной крови всегда выше давлени крови из верхией полой вены, что .может привести к застою в системе верхней полой вены и отеку мозга.However, after suturing the incision in the vein, a patch that creates a channel for the outflow of blood from the pulmonary veins into the left atrium narrows the lumen of the vein, since the pressure of arterial blood is always higher than the pressure of the blood from the superior vena cava, which can lead to stagnation in the superior vena cava and swelling of the brain.
Целью изобретени вл етс предотвращение гипертензии в системе верхней полой вены.The aim of the invention is to prevent hypertension in the superior vena cava system.
Поставленна цель достигаетс тем, что разрез верхней полой вены закрывают лоскутом из аутоперикарда.The goal is achieved by covering the incision of the superior vena cava with an autopericardium flap.
Предлагаемый способ осуществл ют следующим образом.The proposed method is carried out as follows.
Разрезаютправое предсердие и часть верхпей полой вены снизу вверх. Через образовавшийс разрез накладывают (подшивают) на устье легочных вен и дефект межпредсердной перегородки большую заплату, вырезанную из аутоперикарда больного. Внизу заплатуCut the right atrium and part of the tops of the vena cava from the bottom up. Through the formed incision, a large patch cut from the patient's autopericardium is applied (hemmed) to the mouth of the pulmonary veins and atrial septal defect. Downstairs patch
соедин ют с краем дефекта встык обвивными швами, а далее подшивают вокруг усть аномальных легочных вен П-образными швами. Таким образом, создают искусственное русло дл оттока крови из легочных вен непосредственно в левое предсердие. Затем вшивают в разрез, сделанный на верхней нолой вене и правом предсердии, другую заплату, тоже выкроенную из аутоперикарда больпого. Заплату начинают пришивать сверху обвивным швом. В нижней части в месте окончани заплаты разрез предсерди ушивают тоже обвивным швом.The end-to-end defect is connected with circumferential stitches, and then hem around the mouth of the abnormal pulmonary veins with U-shaped stitches. Thus, an artificial channel is created for the outflow of blood from the pulmonary veins directly into the left atrium. Then, another patch, also cut from the autopericardium, is inserted into the incision made on the upper zero vein and the right atrium. The patch begins to sew on top of the blanket stitch. At the bottom of the patch patch, the atrial incision is also sutured with a blanket stitch.
Пришита заплата увеличивает просвет верхней полой вены, что улучшает отток венозной крови и предупреждает тем самы, гипертензию в системе верхней полой вены.A sewn patch increases the lumen of the superior vena cava, which improves venous blood outflow and warns, by itself, hypertension in the superior vena cava system.
Предмет изобретени Subject invention
Способ хирургической коррекции дефекта венозного синуса сердца, заключающийс в доступе к дефекту венозпого синуса путем разреза правого предсерди с переходом на стенку верхней полой вены, в закрытии дефекта венозного синуса занлатой из аутоперикарда и закрытии разреза верхней полой вены, отличающийс тем, что, с целью предотвращени гипертензии верхней полой вены, разрез верхней полой вены закрывают лоскутом из аутоперикарда.The method of surgical correction of the venous sinus defect of the heart, which involves accessing the venous sinus defect by cutting the right atrium to the wall of the superior vena cava, closing the venous sinus defect with an autopericardial incision and closing the incision of the superior vena cava, in order to prevent hypertension of the superior vena cava, incision of the superior vena cava is covered with an autopericardial flap.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU1783807A SU407555A1 (en) | 1972-05-22 | 1972-05-22 | METHOD OF SURGICAL CORRECTION OF DEFECT OF VENOUS HEART SINUS |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU1783807A SU407555A1 (en) | 1972-05-22 | 1972-05-22 | METHOD OF SURGICAL CORRECTION OF DEFECT OF VENOUS HEART SINUS |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU407555A1 true SU407555A1 (en) | 1973-12-10 |
Family
ID=20513986
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU1783807A SU407555A1 (en) | 1972-05-22 | 1972-05-22 | METHOD OF SURGICAL CORRECTION OF DEFECT OF VENOUS HEART SINUS |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU407555A1 (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10531867B2 (en) | 2017-02-13 | 2020-01-14 | Muath Alanbaei | Sinus venosus atrial septal defect treatment device |
| US11395644B2 (en) | 2017-02-13 | 2022-07-26 | Gulf Medical Technologies | Sinus venosus atrial septal defect treatment device |
-
1972
- 1972-05-22 SU SU1783807A patent/SU407555A1/en active
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10531867B2 (en) | 2017-02-13 | 2020-01-14 | Muath Alanbaei | Sinus venosus atrial septal defect treatment device |
| US11395644B2 (en) | 2017-02-13 | 2022-07-26 | Gulf Medical Technologies | Sinus venosus atrial septal defect treatment device |
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