El-Zein Chawki, Subramanian Sujata, Ilbawi Michel
Division of Pediatric Cardiovascular Surgery, Advocate Children's Hospital, and the Department of Surgery, University of Illinois, Chicago, IL.
Division of Pediatric Cardiovascular Surgery, Advocate Children's Hospital, and the Department of Surgery, University of Illinois, Chicago, IL.
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2015;18(1):25-33. doi: 10.1053/j.pcsu.2014.12.003.
The traditional surgical approach (physiologic repair) of congenitally corrected transposition of the great arteries (ccTGA) attempts at restoring normal physiology by repairing the associated lesions. It fails to address the most serious anatomic abnormality, mainly ventriculoarterial discordance, and results in less than optimal long-term outcomes. Anatomic repair was introduced to incorporate the left ventricle into the systemic circulation. The excellent short-term and intermediate results of the double switch operation and its modifications make it the procedure of choice for the treatment of ccTGA.
先天性矫正型大动脉转位（ccTGA）的传统手术方法（生理性修复）试图通过修复相关病变来恢复正常生理功能。它未能解决最严重的解剖学异常，主要是心室动脉不一致，导致长期效果不尽人意。解剖学修复被引入以将左心室纳入体循环。双调转手术及其改良术式出色的短期和中期效果使其成为治疗ccTGA的首选术式。
