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矫正型大动脉转位的手术纠治 被引量:1

Surgical Repair of Corrected Transposition of Great Arteries
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摘要 目的回顾性分析17例矫正型大动脉转位的手术纠治,通过两种不同方法的比较,以提高手术成功率,防止完全性房室传导阻滞的发生。方法室间隔缺损修补:10例经右心房二尖瓣或解剖左心室切口,缝针经室间隔缺损置于室间隔左侧面;7例经解剖右心室切口缝针直接缝于室间隔左侧面。结果经解剖左心室修补的完全性房室传导阻滞发生率为40%,而经解剖右心室的发生率为14%。14例伴不同程度的肺动脉流出道梗阻,除1例作瓣交界切开,余13例均采用同种带瓣主动脉管道连接。手术死亡2例,死亡率11.76%。结论矫正型大动脉转位的室间隔缺损修补经解剖右心室修补为好。 Objective Surgical repair of seventeen patients with corrected transposition of great arteries was reviewed.In order to increase the rate of successful operation and to prevent the occurrence of complete atrioventricular block(CAVB),two different surgical procedures were compared. [WTHZ〗Methods The CAVB was 40% in group 1 and 14% in group 2.Of the 17 patients operated there were 14 with pulmonary outflow tract obstruction which repaired by pulmonary valvotomy in one patient and the other 13 patients were repaired by connecting the right ventricle to pulmonary artery with homograft aortic tube. Conclusion The repair of VSD through right ventricle in corrected transposition of great arteries might be a better procedure of choice.The main cause of operative death is pulmonary hypertension.
出处 《中国胸心血管外科临床杂志》 CAS 1998年第2期84-86,共3页 Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词 矫正型 大动脉转位 房室传导阻滞 肺动脉高压 Corrected transposition of great arteries Complete atrioventricular block Pulmonary hypertension
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