FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to cardio-vascular surgery. Excision of inferior vena cava from right auricle in the region of its orifice is performed. Through orifice of inferior vena cave interatrial septum is excised. Proximal anastomosis of "end-to-end" type is applied between inferior vena cava and linear prosthesis "Gore-tex". Right pulmonary artery is longitudinally cut from below, opposite earlier applied bidirectional cavapulmonary anastomosis, for 2-3 cm. Anastomosis of "end-to-side" type is applied between linear prosthesis Gore-tex" and right pulmonary artery. Fenestration with diameter 4-5 mm is formed in lateral side of prosthesis "Gore-tex", 1.5 cm above proximal anastomosis from the side adjacent to right atrium. External envelope of extracardial prosthesis is removed to the line of anastomosis between "ПП" and lateral wall of prosthesis "Gore-tex" in the region of fenestration. Anastomosis of "side-to-side" type is applied between right atrium and lateral wall of linear prosthesis "Gore-tex".
EFFECT: method makes it possible to reduce probability of stenosis of coronary sinus orifice, reduce probability of bleeding, reduce probability of thromboembolic complications.
1 ex, 1 dwg
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Authors
Dates
2012-08-10—Published
2011-02-28—Filed