大动脉右位转位：心房和动脉调转术的长期后遗症
Dextro-Transposition of the Great Arteries: Long-term Sequelae of Atrial and Arterial Switch.
作者信息
Haeffele Christiane, Lui George K
机构信息
Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94304, USA.
Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94304, USA; Division of Pediatric Cardiology, Department of Pediatrics, Stanford University School of Medicine, 725 Welch Road, Palo Alto, Stanford, CA 94304, USA.
出版信息
Cardiol Clin. 2015 Nov;33(4):543-58, viii. doi: 10.1016/j.ccl.2015.07.012.
Over the last 50 years, improved surgical techniques and progressive medical management have allowed patients with complete or dextro-transposition of the great arteries (D-TGA) to survive into adulthood. Older adult patients underwent an atrial switch procedure (Mustard or Senning operation), whereas the younger cohort of patients with TGA has undergone the arterial switch operation (ASO). The Mustard/Senning maintains the right ventricle as the systemic ventricle, whereas the more recently adopted ASO attempts to restore normal physiologic and anatomic relationships. Neither operation is without consequence. Neither is without consequence and require long term follow up.
在过去50年里，外科技术的改进和逐步的医疗管理使患有完全性或右型大动脉转位（D-TGA）的患者能够存活至成年。老年成年患者接受了心房调转手术（Mustard或Senning手术），而较年轻的TGA患者队列则接受了动脉调转手术（ASO）。Mustard/Senning手术维持右心室作为体循环心室，而最近采用的ASO则试图恢复正常的生理和解剖关系。这两种手术都并非没有后果。两者都有后果，并且需要长期随访。
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