不进行冠状动脉转移的大动脉转位的动脉水平修复。

Arterial-level repair of transposition of great arteries without coronary artery transfer.

作者信息

Elassal Ahmed A, Abdelmohsen Gaser A, Elhudairy Mohamed S, Al-Radi Osman O

机构信息

Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.

Department of Cardiothoracic Surgery, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.

出版信息

J Card Surg. 2020 May;35(5):1085-1089. doi: 10.1111/jocs.14521. Epub 2020 Mar 24.

DOI:10.1111/jocs.14521

PMID:32207192

Abstract

Hypoplastic ascending aorta and interrupted aortic arch (IAA) are rarely associated with dextro-transposition of the great arteries (D-TGA). Severe hypoplastic ascending aorta may preclude coronary artery transfer making arterial switch operation problematic. We report a case of D-TGA with a large subpulmonic ventricular septal defect, IAA, and hypoplastic ascending aorta that underwent successful biventricular surgical repair without coronary artery transfer.

摘要

升主动脉发育不全和主动脉弓中断（IAA）很少与大动脉右位转位（D-TGA）相关。严重的升主动脉发育不全可能会妨碍冠状动脉转移，使动脉调转手术存在问题。我们报告一例患有大型肺动脉下室间隔缺损、IAA和升主动脉发育不全的D-TGA病例，该病例在未进行冠状动脉转移的情况下成功接受了双心室手术修复。