Lao T T, Sermer M, Colman J M
Special Pregnancy Unit, Toronto Hospital, University of Toronto, Ontario, Canada.
Obstet Gynecol. 1994 May;83(5 Pt 1):665-8.
To determine the maternal and fetal outcomes in pregnant patients with prior surgical correction of dextro-transposition of the great arteries.
A retrospective review was conducted of seven pregnancies managed from 1986-1992 in four women who had surgical correction for dextro-transposition of the great arteries.
Three of the four patients had had the Mustard operation and the other had had the Rastelli operation. There were no maternal deaths. One patient who received the Mustard operation experienced functional deterioration in the last of three pregnancies, so it was terminated. Three of the remaining six pregnancies resulted in preterm deliveries, but there was no perinatal mortality and no infants had congenital heart disease.
Maternal outcome can be satisfactory and the perinatal outcome good in patients with surgically corrected dextro-transposition of the great arteries.
确定大动脉右转位既往手术矫正的孕妇的母儿结局。
对1986年至1992年期间4例因大动脉右转位接受手术矫正的女性所经历的7次妊娠进行回顾性研究。
4例患者中3例接受了Mustard手术，另1例接受了Rastelli手术。无孕产妇死亡。1例接受Mustard手术的患者在第三次妊娠末期出现功能恶化，因此终止妊娠。其余6次妊娠中有3次早产，但无围产儿死亡，且无婴儿患先天性心脏病。
大动脉右转位手术矫正患者的孕产妇结局可以令人满意，围产儿结局良好。
