Delius R E, Stark J
Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust, London, UK.
Eur J Cardiothorac Surg. 1996;10(7):551-5. doi: 10.1016/s1010-7940(96)80423-4.
To evaluate our early experience with the combined Rastelli and atrial switch operation for repair of discordant atrioventricular connection associated with ventricular septal defect and left ventricular outflow tract obstruction.
Detailed study of the first three cases including preoperative assessment, operative procedure, postoperative progress and follow-up.
All three patients survived and remained in sinus rhythm. Postoperative ITU/hospital stay was 2/8, 5/10 and 33/45 days. The third patient developed a venous pathway obstruction and required balloon dilatation with stenting on the 25th postoperative day. All three patients were well at follow-up examination 21, 6 and 5 months after operation.
We believe that this operation is likely to become the operation of choice for this combination of lesions. More experience and longer follow-up is needed.
评估我们采用Rastelli手术与心房调转术联合修复房室连接不一致合并室间隔缺损及左心室流出道梗阻的早期经验。
对前三例病例进行详细研究，包括术前评估、手术过程、术后进展及随访。
所有三名患者均存活且维持窦性心律。术后重症监护病房/住院时间分别为2/8天、5/10天和33/45天。第三名患者出现静脉通路梗阻，于术后第25天需要球囊扩张并置入支架。所有三名患者在术后21个月、6个月和5个月的随访检查时情况良好。
我们认为该手术可能会成为这种联合病变的首选手术方式。需要更多经验及更长时间的随访。
