摘要
对３３例完全性大动脉转位施行了手术治疗，其中全腔静脉肺动脉连接３例、改良Ｆｏｎｔａｎ手术２例、Ｍｕｓｔａｒｄ及大动脉调转术各１例，Ｒａｓｔｅｌｉ手术２６例，包括１５例心内隧道和心外管道，１１例心内、外双管道。这２６例心外管道中，除４例采用同种主动脉管道外，其余为经处理的猪肺动脉人工管道。全组手术死亡１０例，晚期死亡１例。结论：完全性大动脉转位病理解剖变异性大。
Aim:To evaluate the experience of surgical management for complete transposition of the great arteries.Clinical material and method:From December 1983 to May 1995,33 patients with complete transposition of the great arteries,18 males and 25 females with a mean age of 10 years,underwent open heart surgery.28 patients associate with VSD and 32 with pulmonary stenosis.26 patients received Rastelli operation,the tunnel patchs and the valved conduits were used in 15 cases and intracardial and extracardiac valved conduits were used in 11.Other surgical procedures performed included total cavopulmonary connection in 3,modified Fontan operation in 2,Mustard operation in 1 and anatomical correction in 1.Results:There were 10 operative deaths giving hospital mortality of 30.3 %.The causes of death were low cardiac output and III° atrioventricular block.One late death occurred.22 patients survived and followed up for a period of 5 months to 10 years.Clinical condition were significantly improved for survivors.Conclusion:The results of this study demonstrated that it is very important to choose appropriate surgical procedure for different type of TGA.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1998年第3期136-138,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
大动脉转位
外科手术
TGA
Transposition of the great artery Surgery
