单冠状动脉的动脉调转手术：自体移植概念

Arterial switch operation with a single coronary artery: the autograft concept.

作者信息

Macé Loïc, Vanhuyse Fabrice, Jellimann Jean-Marc, Youssef Dany, Moulin-Zinsch Anne, Lethor Jean-Paul, Marçon François

机构信息

Department of Cardiovascular and Pediatric Cardiac Surgery, Nancy Hospital, Henri Poincaré University, Nancy, France.

出版信息

Ann Thorac Surg. 2009 Jun;87(6):1967-8. doi: 10.1016/j.athoracsur.2008.09.044.

DOI:10.1016/j.athoracsur.2008.09.044

PMID:19463646

Abstract

A single coronary artery, especially if associated with anterior looping, remains a risk factor when performing an arterial switch operation for transposition of the great arteries. In such a situation, to avoid the risk of overstretching, we used a modification of the aortic autograft concept to transfer the single coronary artery, resulting in a tension-free relocation.

摘要

单支冠状动脉，尤其是合并有心脏左前位扭转时，在行大动脉转位的动脉调转术时仍是一个危险因素。在这种情况下，为避免过度拉伸的风险，我们采用了改良的主动脉自体移植概念来转移单支冠状动脉，从而实现无张力重新定位。