Mahima Jayaranganath, Shivanna Devananda Nijagal, Subramanian Anand
Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bannerghatta Road, Bangalore, India.
Cardiol Young. 2012 Feb;22(1):113-5. doi: 10.1017/S1047951111001004. Epub 2011 Jul 21.
Arterial switch surgery for d-transposition of great arteries is usually performed in the first 2 weeks of life before the left ventricle regresses. The arterial switch surgery that helps achieve anatomic and physiologic correction of this condition has better long-term outcomes than other surgical approaches. The procedure may still be attempted at an older age where the left ventricle has not regressed. We report a rare case of a 12-year-old child with d-transposition of great arteries, a remote muscular ventricular septal defect and isolated valvar pulmonic stenosis, which was corrected by an arterial switch surgery.
大动脉d型转位的动脉调转手术通常在出生后2周内进行，此时左心室尚未退化。有助于实现该病症解剖和生理矫正的动脉调转手术比其他手术方法具有更好的长期效果。在左心室尚未退化的较大年龄患者中仍可尝试该手术。我们报告了一例罕见病例，一名12岁儿童患有大动脉d型转位、陈旧性肌部室间隔缺损和孤立性肺动脉瓣狭窄，通过动脉调转手术得到了矫正。
