Simon Bartholomew V, Swartz Michael F, Alfieris George M
Department of Surgery, University of Rochester Medical Center, Rochester, New York.
J Card Surg. 2018 Nov;33(11):756-758. doi: 10.1111/jocs.13937. Epub 2018 Oct 25.
Although all coronary anatomy in D-transposition of the great arteries may be "switchable," there are reports in the literature of early and late coronary obstruction following the arterial switch operation. The Damus-Kaye-Stansel procedure does not risk injury to the coronary arteries, and unlike the atrial switch, commits the left ventricle to the systemic circulation. We present a series of four neonates over 22 years with D-transposition of the great arteries and a concomitant coronary artery anomaly precluding arterial switch that were repaired using a Damus-Kaye-Stansel procedure and right ventricle to pulmonary artery conduit.
尽管大动脉D型转位时所有冠状动脉解剖结构可能均可“转换”，但文献中有关于动脉调转术后早期和晚期冠状动脉梗阻的报道。达穆斯-凯-斯坦塞尔手术不存在冠状动脉损伤风险，且与心房调转术不同，该手术使左心室参与体循环。我们报告了22年间采用达穆斯-凯-斯坦塞尔手术及右心室至肺动脉管道修复的4例患有大动脉D型转位且伴有冠状动脉异常从而无法进行动脉调转术的新生儿病例。
