Machida Daisuke, Isomatsu Yukihisa, Goda Masami, Suzuki Shinichi, Asou Toshihide, Masuda Munetaka
Department of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
Department of Cardiovascular Surgery, Kanagawa Children's Medical Center, Yokohama, Japan.
Gen Thorac Cardiovasc Surg. 2018 Aug;66(8):476-479. doi: 10.1007/s11748-017-0859-9. Epub 2017 Nov 8.
We experienced an arterial switch operation in a patient with d-transposition of the great arteries associated with bilateral intramural coronary arteries from a single coronary ostium. In performing the coronary transfer, intramural course of bilateral coronary arteries was unroofed and coronary ostium was separated into two coronary buttons. The two coronary buttons were translocated to the neo-aorta using modified trap-door technique. The angiogram performed 6 years after the operation revealed well-developed coronary arteries without stenosis, and the patient is doing well 8 years after the operation.
我们对一名患有大动脉d型转位且单冠状动脉开口伴有双侧壁内冠状动脉的患者进行了动脉调转手术。在进行冠状动脉转移时，双侧冠状动脉的壁内走行被“揭顶”，冠状动脉开口被分离成两个冠状动脉纽扣。使用改良的活板门技术将这两个冠状动脉纽扣转移至新主动脉。术后6年进行的血管造影显示冠状动脉发育良好且无狭窄，该患者术后8年情况良好。
