Ortega J L, Neira F, García-Perla J L, Gutiérrez J M
Servicio de Anestesiología y Reanimación, Hospital Infantil del Hospital Universitario Virgen del Rocío, Sevilla.
Rev Esp Anestesiol Reanim. 1994 Jul-Aug;41(4):231-6.
We present a retrospective morbi-mortality study in 12 patients undergoing Jatene's arterial repair for transposition of the great vessels between 1988 and 1992. Half of the patients were boys ranging in age from 4 days to 35 months. In 34% heart failure was grade III, while in 65.6% it was grade IV (NYHA). Anesthetic induction was with ketamine in 11 patients and with halothane in 1. Maintenance was with pancuronium and fentanyl supplemented with N2O in 2 and with isoflurane in 1. The overall intra- and perioperative death rate was 16.6%. Nine cases have undergone surgical repair since 1988 with no mortality. We conclude that Jatene's technique is the best alternative for repair of transposition of the great vessels when there is no hypoplasia of the right cavity.
我们对1988年至1992年间接受贾特内动脉修复术治疗大动脉转位的12例患者进行了回顾性病死率研究。其中一半患者为男孩，年龄从4天至35个月不等。34%的患者心力衰竭为Ⅲ级，65.6%为Ⅳ级（纽约心脏协会分级）。11例患者麻醉诱导用氯胺酮，1例用氟烷。维持麻醉2例用泮库溴铵和芬太尼并辅以氧化亚氮，1例用异氟烷。围手术期总死亡率为16.6%。自1988年以来，9例患者接受了手术修复，无死亡病例。我们得出结论，当右心室无发育不全时，贾特内技术是修复大动脉转位的最佳选择。
