Ebert P A, Gay W A, Engle M A
Ann Surg. 1974 Oct;180(4):433-8. doi: 10.1097/00000658-197410000-00008.
Between 1967 and 1973, 86 patients underwent total correction of transposition of the great arteries. There were 6 hospital deaths for an in-hospital survival of 93% with three late deaths. Seventy-two patients had repair with standard cardiopulmonary bypass and 14 infants were corrected with profound hypothermia and circulatory arrest. The incidence of postoperative dysrhythmia was less in the group in whom the coronary sinus was not incised but yet placed into the systemic venous return. Postoperative rhythm disturbance was greatest when the coronary sinus was widely opened and placed with the venous return. This observed decrease in incidence of atrial dysrhythmia may be related to not incising the coronary sinus and placing the sutures very superficial in the area between the sinus and the tricuspid valve.
1967年至1973年间，86例患者接受了大动脉转位的完全矫正手术。有6例患者在医院死亡，住院生存率为93%，另有3例晚期死亡。72例患者采用标准体外循环进行修复，14例婴儿采用深低温停循环进行矫正。在未切开冠状窦但将其纳入体静脉回流的组中，术后心律失常的发生率较低。当冠状窦广泛开放并与静脉回流一起放置时，术后节律紊乱最为严重。观察到的房性心律失常发生率的降低可能与未切开冠状窦以及在冠状窦和三尖瓣之间的区域将缝线放置得非常表浅有关。
