Nagase Takashi, Oda Shinichiro, Maeda Yoshinobu, Ikarashi Jin, Fujita Shuhei, Goto Yasutaka, Yamagishi Masaaki
Department of Pediatric Cardiovascular Surgery, Children's Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ann Thorac Surg Short Rep. 2024 Feb 29;2(3):397-399. doi: 10.1016/j.atssr.2024.01.017. eCollection 2024 Sep.
The conventional Damus-Kaye-Stansel procedure may cause coronary artery compression when the coronary arteries are situated between the great arteries. We have performed a modified Damus-Kaye-Stansel procedure utilizing a "flap-bridging technique," in which an inverted U-shaped flap incised from the aorta is bridged to the main pulmonary trunk, creating sufficient space between the great arteries, in an 8-month-old boy who was a Fontan candidate with congenitally corrected transposition of the great arteries. This modified approach yielded favorable outcomes without coronary events and can effectively prevent coronary obstruction in cases where the coronary arteries run between the great arteries.
当冠状动脉位于大动脉之间时，传统的达穆斯-凯-斯坦塞尔手术可能会导致冠状动脉受压。我们对一名8个月大、患有先天性矫正型大动脉转位且符合Fontan手术指征的男童，采用了一种改良的达穆斯-凯-斯坦塞尔手术，即“皮瓣搭桥技术”，从主动脉切取一个倒U形皮瓣并将其搭桥至主肺动脉干，在大动脉之间创造足够的空间。这种改良方法取得了良好的效果，未发生冠状动脉相关事件，并且在冠状动脉走行于大动脉之间的病例中能有效预防冠状动脉梗阻。
