Uchida Hiroaki, Nemoto Shintaro, Ozawa Hideki, Sasaki Tomoyasu, Motohashi Yoshikazu, Katsumata Takahiro, Inoue Nao, Kishi Kanta, Okumura Kenichi, Mori Yasuhiko
Department of Cardiovascular Surgery, Osaka Medical College, Takatsuki, Japan.
Kyobu Geka. 2012 Sep;65(10):872-5.
We report a successful arterial switch operation for complete transposition of great arteries with atrial and visceral situs inversus totalis and mirror image dextrocardia in a 12-day-old infant girl. The aorta was located left side-by-side to the pulmonary trunk with a single coronary artery (mirror image of 1RLCx). After French maneuver, the posterior circumference of the neo-aorta was reconstructed. Then the coronary button was transplanted into the neo-aorta with a trap door technique carefully avoiding any twist and over-stretch. The neo-pulmonary trunk was reconstructed with an autologous pericardial patch and sutured to the longitudinal incision made into the left central pulmonary artery. The baby was discharged from hospital and has been doing well without any morbidity relating myocardial ischemia.
我们报告了一例成功的动脉调转手术，手术对象是一名12日龄女婴，她患有大动脉完全转位、心房和内脏全反位以及镜像右位心。主动脉与肺动脉干并列位于左侧，有一条单一冠状动脉（1RLCx的镜像）。经法国式操作后，重建了新主动脉的后周长。然后，采用活板门技术将冠状动脉纽扣小心地移植到新主动脉中，避免任何扭曲和过度拉伸。用自体心包补片重建新肺动脉干，并缝合到在左中央肺动脉上做的纵行切口处。婴儿出院，目前情况良好，未出现任何与心肌缺血相关的病症。
