Department of Pediatric and Congenital Heart Sciences, Fortis Escorts Heart Institute, New Delhi, Delhi, India.
Department of Cardiac Sciences, BM Birla Heart Research Centre, Kolkata, West Bengal, India.
World J Pediatr Congenit Heart Surg. 2020 Jul;11(4):NP190-NP194. doi: 10.1177/2150135118769320. Epub 2018 Oct 10.
The surgical management of d-transposition of great arteries (d-TGAs) with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO) is ever evolving and still remains a challenge because of wide anatomic variability, age of presentation, surgical options available, and their variable long-term results in different series. We describe a patient with d-TGA, VSD, and LVOTO who presented to us at 13 years of age and underwent an arterial switch operation along with neoaortic valve replacement with a mechanical prosthesis. The postoperative course was uneventful, and at hospital discharge, the echocardiogram was satisfactory. We present the pros and cons of this hitherto undescribed treatment option.
法洛四联症（d-TGAs）合并室间隔缺损（VSD）和左心室流出道梗阻（LVOTO）的手术治疗不断发展，但由于解剖结构变异广泛、就诊年龄、手术选择以及不同系列中不同的长期结果，仍然是一个挑战。我们描述了一名 13 岁的 d-TGA、VSD 和 LVOTO 患者，他接受了动脉切换手术，并同时进行了机械假体的新主动脉瓣置换。术后过程顺利，出院时超声心动图结果满意。我们提出了这种迄今为止尚未描述的治疗选择的优缺点。
