合并肺血管阻塞性疾病的室间隔缺损型大动脉转位的治疗选择。
Treatment options for transposition of the great arteries with ventricular septal defect complicated by pulmonary vascular obstructive disease.
作者信息
Alakhfash Ali A, Tamimi Omar R, Al-Khattabi Abdu M, Najm Hani K
机构信息
Cardiac Sciences Department, Section of Pediatric Cardiology, King Abdulaziz Cardiac Center, National Guard Health Affairs, Riyadh, Saudi Arabia.
出版信息
J Saudi Heart Assoc. 2009 Jul;21(3):187-90. doi: 10.1016/j.jsha.2009.06.008. Epub 2009 Aug 5.
The arterial switch operation is the procedure of choice for patients with isolated transposition of the great arteries or those with associated atrial and/or ventricular septal defects. After the development of pulmonary arterial hypertension, the surgical options for patients with a late presentation include either retraining the left ventricle by pulmonary artery banding followed by an arterial switch operation or palliative atrial or arterial switch, with or without medical management of pulmonary hypertension. We present a case with D-transposition of the great arteries with ventricular septal defects and irreversible pulmonary arterial hypertension who improved after a palliative atrial switch operation.
动脉调转术是单纯性大动脉转位或合并房间隔和/或室间隔缺损患者的首选手术方法。在发生肺动脉高压后，晚期就诊患者的手术选择包括通过肺动脉环扎术训练左心室，随后进行动脉调转术，或进行姑息性心房或动脉调转术，同时进行或不进行肺动脉高压的药物治疗。我们报告一例患有室间隔缺损和不可逆肺动脉高压的D型大动脉转位患者，在接受姑息性心房调转术后病情有所改善。
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