摘要
目的 :报告应用解剖矫正术治疗合并心室间隔缺损和肺动脉狭窄的完全性大动脉转位。 方法 :9例完全性大动脉转位合并心室间隔缺损和肺动脉狭窄 ,年龄 6~ 14岁。应用 Rastelli术对其进行解剖矫正。其中心内补片 5例 ,心内隧道 2例 ,心内管道 2例 ;心外管道 9例。 结果 :术后早期死亡 1例 ( 1/9) ,存活 8例。随访 6个月至 5年 ,手术效果满意 ,无晚期死亡。 结论 :Rastelli术解剖矫正完全性大动脉转位合并心室间隔缺损和肺动脉狭窄 ,可获得满意的效果。
Objective:To report anatomic correction of the transposition of great artery with ventricular septal defect and pulmonary stenosis. Method:There were 9 patients with transposition of great arteries with ventricular septal defect and pulmonary stenosis.The mean age was 10.8±4.6 years(range 6 to 14).All patients received Rastelli procedure. The patches, tunnel patches and intracardiac conduits were used in 2, 2 and 5 cases, respectively, and the extracardiac valved conduits in all 9. Result:There was one operation death(1/9).Eight survivors were followed up for a period of 6 months to 5 years(mean 2.1 years)and there was not late death. Conclusion:Using Rastelli procedure to correct transposition of great artery with ventricular septal defect and pulmonary stenosis could get satisfying operative results.
出处
《中国循环杂志》
CSCD
北大核心
2000年第1期46-47,共2页
Chinese Circulation Journal