室间隔完整型大动脉错位的手术治疗

Surgical repair of transposition of great arteries with intact ventricular septum

目的 探讨室间隔完整型大动脉错位 (TGA/IVS)的手术治疗方法。 方法 回顾性总结 1999年 8月～ 2 0 0 1年 12月 ,手术纠治TGA/IVS 12例的临床资料。 3例年龄 >2个月的患儿行Senning手术 ,9例年龄 <1个月的采用大动脉转换术 (switch)。 结果 本组采用switch手术治疗者 1例死亡 ,死亡原因为单根冠状动脉。 11例存活患者 ,随访 2个月～ 2年 ,平均 (12± 7)个月 ,效果良好。结论 室间隔完整型大动脉错位必须早期做出诊断 ,以便及时得到治疗。switch手术的最佳手术年龄应在婴儿 2周内 ,最好不超过

Objective To study the surgical management of transposition of the great arteries with intact ventricular septum (TGA/IVS). Methods Twelve patients with TGA/IVS were underwent repair during August 1999-December 2001. Senning procedure was used for age more than 2 months and switch operation for less than 1 month. Results Three patients with TGA/IVS underwent repair by Senning procedure. Nine patients received switch operation and one died of single coronary artery. All patients were followed up about 2 months to 2 years and the result was satisfactory. Conclusions TGA/IVS must be diagnosed and repaired as early as possible. The best age for switch operation is less than 2 weeks or at best less than 1 month.