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[采用Mustard技术进行单纯大动脉转位的连续50例首次手术的长期(5年)结果]

[Long term results (5 years) of the first 50 consecutive operations following Mustard's technique for simple transposition of the great vessels].

作者信息

Bex J P, Baillot F, Pilichovski P, Lemoine G

出版信息

Arch Mal Coeur Vaiss. 1977 Apr;70(4):385-90.

PMID:405947
Abstract

The long-term results of Mustard's operation for simple transposition of the great vessels have been studied in a homogenous series of the first 50 consecutive cases operated on by G. Lemoine. The overall mortality was 20% over the 5 year follow-up period. Serious arrhythmias or conduction defects can usually be picked up immediately postoperatively; on the other hand, stenosis of the venae cavae or of the pulmonary venous channels may come on very late and unexpectedly as growth takes place. Reoperation must be carried out to remove these stenoses when they are troublesome.

摘要

对由G. 勒莫因连续施行的首批50例单纯性大动脉转位Mustard手术的长期结果进行了研究。在5年的随访期内,总死亡率为20%。严重心律失常或传导缺陷通常在术后立即就能发现;另一方面,腔静脉或肺静脉通道狭窄可能在生长发育过程中很晚且意外地出现。当这些狭窄造成困扰时,必须进行再次手术以解除狭窄。

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