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动脉调转术联合冠状动脉成袢术后新主动脉瓣关闭不全的双瓣化

Bicuspidization of Insufficient Neoaortic Valve After Arterial Switch With Looping Coronary Anatomy.

作者信息

Schultz Megan L, Van Arsdell Glen S, Si Ming-Sing

机构信息

Division of Cardiac Surgery, Department of Surgery, University of California Los Angeles, Los Angeles, California.

出版信息

Ann Thorac Surg Short Rep. 2023 Mar 25;1(3):441-443. doi: 10.1016/j.atssr.2023.03.005. eCollection 2023 Sep.

Abstract

Neoaortic root dilation is inevitable in the years after an arterial switch operation, not uncommonly leading to neoaortic valve insufficiency that requires reoperation. Here we present a bicuspidization repair technique for addressing such neoaortic valve insufficiency in a child with the 1L 2RCx coronary pattern who underwent the arterial switch operation as a neonate for dextro-transposition of the great arteries that has good short-term outcomes thus far.

摘要

在动脉调转手术多年后,新主动脉根部扩张不可避免,常常导致需要再次手术的新主动脉瓣关闭不全。在此,我们介绍一种双瓣化修复技术,用于治疗一名具有1L 2RCx冠状动脉模式的儿童的新主动脉瓣关闭不全,该患儿在新生儿期因大动脉右位转位接受了动脉调转手术,迄今为止短期效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c9d/11708270/e6f7489360cd/gr1.jpg

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