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[大动脉转位矫正术经双调转术的解剖修复:两例报告]

[Anatomic repair of congenitally corrected transposition of the great artery by double switch operation: two cases report].

作者信息

Wu Qing-yu, Wang Xiao-qi, Guo Yan, Guo Shao-xian, Yang Xiu-bin

机构信息

Department of Surgery, Cardiocvascular Institute and Fu Wai Cardiovascular Disease Hospital, China Medical Sciences and Peking Unine Medical College, Beijing 100037, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2003 Aug;41(8):604-6.

Abstract

OBJECTIVE

To report two patients with congenitally corrected transposition of the great artery were performed double switch operation.

METHODS

Two patients with corrected transposition of the great artery underwent double switch operation. One was 9-month years old boy, associated with ventricular septal defect (VSD), pulmonary artery hypertension. He had senning procedure and artery switch operation (ASO). The other was a 23 years old man, associated with VSD, tricuspid valve regurgitation, and pulmonary stenosis. He had senning procedure and Rastelli operation.

RESULTS

There was no operation death, one got heart block before operation requiring pacemaker. The echo of postoperation showed the patients had normal ventricle function and there were no stenosis of tunnel and conduit, no tricuspid valve regurgitation.

CONCLUSION

Double switch operation is a good option for congenitally corrected transposition of the great artery.

摘要

目的

报告2例先天性矫正型大动脉转位患者接受双调转手术。

方法

2例先天性矫正型大动脉转位患者接受双调转手术。1例为9个月大男孩,合并室间隔缺损(VSD)、肺动脉高压。他接受了森宁手术和动脉调转手术(ASO)。另1例为23岁男性,合并VSD、三尖瓣反流和肺动脉狭窄。他接受了森宁手术和罗斯蒂利手术。

结果

无手术死亡,1例术前出现心脏传导阻滞,需要安装起搏器。术后超声心动图显示患者心室功能正常,管道无狭窄,无三尖瓣反流。

结论

双调转手术是先天性矫正型大动脉转位的一个良好选择。

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