Suán C, Cerro J, Ojeda R, García-Perla J L
Servicio de Anestesiología y Reanimación, Hospital Infantil Virgen del Rocío, Sevilla.
Rev Esp Anestesiol Reanim. 1996 Nov;43(9):333-7.
Any patient with congenital heart disease is at high risk for anesthesia no matter what surgical procedure is performed. Children undergoing D-transposition of the great arteries using Jatene's technique present stenosis of the pulmonary artery in 10-20% of cases and may require surgery to correct that or some other surgically caused anomally. In either case the children must be managed as patients with heart disease, with special attention to cardiovascular depression and rhythm abnormalities. We report the cases of two children who underwent D-transposition of the great arteries in the neonatal period using Jatene's anatomical technique. They were later anesthetized at ages 5 and 6 years to correct pulmonary suture stenosis. Recovery was good.
任何患有先天性心脏病的患者，无论接受何种外科手术，麻醉风险都很高。采用贾滕技术进行大动脉D型转位的儿童，10%至20%的病例会出现肺动脉狭窄，可能需要手术纠正，或纠正其他手术引起的异常情况。在这两种情况下，这些儿童都必须作为心脏病患者进行管理，尤其要注意心血管抑制和节律异常。我们报告了两名新生儿期采用贾滕解剖技术进行大动脉D型转位的儿童病例。他们后来在5岁和6岁时接受麻醉，以纠正肺动脉缝合处狭窄。恢复情况良好。
