Yasui H, Sumi H, Yonenaga K, Nakamura Y, Nakamura K, Yamamoto T, Miyamoto K, Iwao H, Souzaki N, Mizoguchi Y
Kyobu Geka. 1989 Jul;42(8 Suppl):603-8.
The current status of Jatene's operation for transposition of the great arteries was described by showing the analysis of our results of an arterial switch operation addition to the review of the literatures. The arterial switch operation recently has become the operation of first choice because of its low surgical mortality (4.5% in author's series) and low incidence of postoperative complication. Surgical techniques to avoid complications such as postoperative bleeding, kinking of the transplanted coronary arteries, aortic valve insufficiency and pulmonary arterial stenosis were presented. One-stage anatomic correction has been performed with low mortality less than 10% in centers dealing high volumes of neonatal surgery (7% in author's series). One-stage correction in the neonate is advocated in views of its low surgical mortality and excellent postoperative left ventricular function.
通过展示我们动脉调转手术结果的分析以及文献综述，描述了贾特内大动脉调转手术的现状。由于其较低的手术死亡率（作者系列中为4.5%）和术后并发症发生率，动脉调转手术最近已成为首选手术。介绍了避免术后出血、移植冠状动脉扭结、主动脉瓣关闭不全和肺动脉狭窄等并发症的手术技术。在进行大量新生儿手术的中心，一期解剖矫正的死亡率低于10%（作者系列中为7%）。鉴于其较低的手术死亡率和出色的术后左心室功能，提倡对新生儿进行一期矫正。
