東京女子医科大学心臓病センター心臓血管外科Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women’s Medical University ◇ 〒162-8666 東京都新宿区河田町8-18-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan
先天心疾患の外科治療成績は急性期，遠隔期ともにこの20年間に更なる飛躍を遂げた．これは術前診断能力の向上のみならず，手術手技の進歩，体外循環技術，周術期管理の発展に寄与することが多い．本稿では，小児循環器専門医が知っておくべき手術法，注意すべき術後合併症等に関して心臓外科医の立場から解説する．
Short- and long-term results of surgical treatment for congenital heart disease have further improved during the past 2 decades. This is associated with advance in preoperative diagnosis, surgical techniques, cardiopulmonary bypass machine, and perioperative management. In this review, representative surgical methods and related pitfalls are described to young pediatric cardiologists from the view point of a cardiac surgeon.
Key words: cardiopulmonary bypass; surgical technique; perioperative complication; congenital heart disease
© 2015 特定非営利活動法人日本小児循環器学会© 2015 Japanese Society of Pediatric Cardiology and Cardiac Surgery
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