To explore the method of body-pulmonary artery bypass, to further reduce its surgical risk and increase its safety, while facilitating subsequent radical surgery; METHODS: From March 1, 2007 to May 31, 2013, 36 patients with cyanotic congenital heart disease underwent a body-pulmonary artery bypass done through a straight right axillary incision in our hospital. The operation was performed under general anesthesia with a fourth intercostal approach to the chest, and the right pulmonary artery was coupled to the right side of the ascending aorta with a 4 or 5 mm diameter artificial vessel. There were 18 male
There were 18 male and 18 female cases. The age was <1 year old in 3 cases, 1-3 years old in 21 cases, and >3 years old in 12 cases. Weight (11.5±3.5) Kg. 8 cases of pulmonary atresia, 20 cases of tetralogy of Fallot, and 8 cases of right ventricular double outlet combined with pulmonary artery stenosis. The patients were treated with heparin within 3 days after surgery and discharged with oral enteric aspirin anticoagulation. RESULTS: The operations were all completed successfully, and no postoperative deaths occurred. There was one case of intravascular thrombosis on the postoperative day, which was cured by timely thoracotomy of the artificial vessel, aspiration of the thrombus and strengthening of anticoagulation. The postoperative transcutaneous oxygen saturation increased from 0.66±0.12 to 0.85±0.08. 15 children had already undergone radical surgery. Conclusion: Body-pulmonary artery shunt through a straight right axillary incision is easy to operate and the shunt flow is easy to control; the small incision located in the axilla looks aesthetically pleasing; open chest is easy to do during secondary radical surgery and reduces the risk.