Komai H, Naito Y, Fujiwara K, Noguchi Y, Nishimura Y, Mori T, Iwasaki Y
Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College, Japan.
Kyobu Geka. 1998 Jun;51(6):492-5.
A 32-year-old woman with transposition of the great arteries was referred to us for corrective surgery. She had severe cyanosis, dyspnea, and hemoptysis. The cardiac catheter study and echocardiography revealed that she had transposition of the great arteries, associated with atrial septal defect, ventricular septal defect, patent ductus arteriosus, and pulmonary stenosis. Rastelli operation was performed using equine pericardial roll with three valves made from autologous pericardium. After the operation she gave birth to two children without any symptom. Ventricular tachycardia occurred several times but was controlled by the drug. Eight years after the operation she underwent catheter study. Although the right ventricular pressure was 80 mmHg and the pressure gradient through the conduit was 38 mmHg, her general clinical condition was fairly good. We think the late postoperative result of this patient is satisfactory as an adult case of transposition of the great arteries.
一名32岁的大动脉转位女性被转诊至我院接受矫正手术。她有严重的紫绀、呼吸困难和咯血症状。心脏导管检查和超声心动图显示她患有大动脉转位，合并房间隔缺损、室间隔缺损、动脉导管未闭和肺动脉狭窄。使用马心包卷并采用自体心包制成的三个瓣膜进行了Rastelli手术。术后她生育了两个孩子，无任何症状。室性心动过速发作过几次，但通过药物得到了控制。术后八年她接受了导管检查。尽管右心室压力为80 mmHg，通过管道的压力梯度为38 mmHg，但她的总体临床状况相当良好。作为大动脉转位的成人病例，我们认为该患者的术后远期结果令人满意。
