Agematsu Kota, Nagashima Mitsugi, Nishimura Yoshiharu, Higaki Takashi
Department of Cardiovascular Surgery, Wakayama Medical University, Wakayama, Japan.
Department of Pediatrics, Ehime University, Ehime, Japan.
Asian Cardiovasc Thorac Ann. 2020 Jul;28(6):333-335. doi: 10.1177/0218492320937506. Epub 2020 Jun 19.
The introduction of the arterial switch operation has improved the surgical outcome of transposition of the great arteries. However, coronary anomalies such as intramural coronary arteries, single coronary artery, or coronary arteries originating from a single arterial sinus have been reported as independent risk factors for early mortality and late morbidity after an arterial switch operation. We performed an arterial switch operation using a unique technique for translocation of the coronary arteries originating from a single left-side arterial sinus, to prevent coronary artery distortion and subsequent coronary malperfusion.
动脉调转术的引入改善了大动脉转位的手术效果。然而，诸如壁内冠状动脉、单支冠状动脉或起源于单一动脉窦的冠状动脉等冠状动脉异常，已被报道为动脉调转术后早期死亡和晚期发病的独立危险因素。我们采用一种独特的技术对起源于单一左侧动脉窦的冠状动脉进行移位，实施了动脉调转术，以防止冠状动脉扭曲及随后的冠状动脉灌注不良。
