矫正性大动脉转位合并室间隔缺损或(和)肺动脉狭窄的外科治疗  

SURGICAL TREATMENT OF THE CORRECTED TRANSPOSITION OF THE GREAT ARTERIES COMPLICATED WITH VENTRICULAR SEPTAL DEFECT AND/OR PULMONARY STENOSIS

作　　者：徐平[1] 高洪波[1] 战晓春[1] 迟照 李贞福[1] 

机构地区：[1]青岛医学院附属医院心胸外科

出　　处：《青岛医学院学报》1998年第1期34-36,共3页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：①目的探讨矫正性大动脉转位（ＣＴＧＡ）合并心内畸形的病理解剖学特点及外科手术要点。②方法手术治疗３例ＣＴＧＡ合并室间隔缺损和（或）肺动脉狭窄的病人。其中２例术前根据心脏超声及心室造影诊断为ＣＴＧＡ合并室间隔缺损和肺动脉狭窄，１例术前仅诊断为室间隔缺损。２例行室间隔缺损修补及人工血管右室流出道－肺动脉外通道建立，１例行单纯室建隔缺损修补术。③结果３例均手术治愈。随访９０ｄ～１年，２例心功能恢复Ｉ级，１例Ⅱ级。④结论ＣＴＧＡ合并心内畸形应手术治疗。Objective The corrected transposition of the great arteries (CTGA) complicated with other cardiac anomaly is rare. The speciality of the pathology and the keys to srugical treatment are described here. Methods Three cases of CTGA complicated with ventricular septal defects and /or pulmonary stenosis were treated srugically in our department. Two cases were diagnosed by echocardiography and cineangiocardiography, one was found ventricular septal defect preopatively by echocardiography. All of them were confirmed during operations. Two cases were performed with repair of VSD and placement of the extracardial conduit between right side left ventricle and main pulmonary artery. Results All of the 3 patiens were cured. A follow up study of 3￣12 months found that 2 patients obtained grade I cardiac function and 1 patient having grade II cardiac function. Conclusion CTGA patients complicated with other cardiac annomaly should be treated surgically. It can be diagnosed by echocardiography and cineangiocardiography. Well understanding of the pathological characteristics of CTGA is very important for successfully surgical treatment.

关 键 词：大动脉转位 并发症 室间隔缺损 肺动脉狭窄 

分 类 号：R654.2[医药卫生—外科学]