Mavroudis Constantine, Stewart Robert D, Prieto Lourdes R, Zahka Kenneth, Jacobs Marshall L
Department of Pediatric and Adult Congenital Heart Surgery, Center for Pediatric and Adult Congenital Heart Diseases, Cleveland Clinic, The Children's Hospital, Cleveland, OH, USA.
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2011;14(1):29-34. doi: 10.1053/j.pcsu.2011.01.012.
Management of the ventricular septal defect at the time of the double switch operation can be challenging and deserves careful attention to the anatomic details of ventricular septal defect location, alignment with the appropriate subtended ventricles and their respective atrioventricular valves, and the disposition of the specialized conduction tissue. These anatomic details can differ considerably from hearts with concordant atrioventricular alignments, and further variations of right-left geometry and septal alignment can be exhibited. A case is described that underscores some of the particular challenges associated with management of the ventricular septal defect during double switch operation for hearts with discordant atrioventricular connections and either transposition of the great arteries or double outlet right ventricle.
在双调转手术时处理室间隔缺损可能具有挑战性，值得仔细关注室间隔缺损位置的解剖细节、与相应供血心室及其各自房室瓣的对齐情况，以及特殊传导组织的分布。这些解剖细节与房室连接一致的心脏可能有很大不同，并且可能表现出左右几何结构和间隔对齐的进一步变化。本文描述了一个病例，该病例强调了在对房室连接不一致且合并大动脉转位或右心室双出口的心脏进行双调转手术时，处理室间隔缺损所面临的一些特殊挑战。
