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动脉转位术治疗65例新生儿完全性大动脉错位
引用本文:何德沛 Hall,DG. 动脉转位术治疗65例新生儿完全性大动脉错位[J]. 中国胸心血管外科临床杂志, 1997, 4(3): 136-138
作者姓名:何德沛 Hall  DG
作者单位:重庆市外科医院心外科,美国西雅图儿童医院
摘    要:
目的报告美国西雅图儿童医院1989年10月~1992年10月,为完全性大动脉错位新生儿作动脉转位术65例,其中伴室间隔完整型41例,伴室间隔缺损型24例。方法36例使用深低温停循环方法,29例使用深低温低流量方法。结果手术死亡4例(6.15%),死亡原因均与冠状动脉解剖变异有关。结论动脉转位术是矫正新生儿期室间隔完整型和伴室间隔缺损型完全性大动脉错位最好的手术方法。

关 键 词:完全性大动脉错位  大动脉转位术

Arterial Switch Operation for Transposition of the Great Arteries: Report of 65 Cases in Neonates
He Depei. Arterial Switch Operation for Transposition of the Great Arteries: Report of 65 Cases in Neonates[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 1997, 4(3): 136-138
Authors:He Depei
Affiliation:He Depei. Department of Cardiovascular Surgery,Chongqing Surgical Hospital 630013,P.R.China. Dale G Hall. Seattle Children's Hospital and Medical Center U.S.A
Abstract:
Objective From October, 1989 to October, 1992, 65 cases neonates of arterial switch operation for transposition of the great arterias were performed in Seattle Children's Hospital of U.S.A. There were 41 cases with intact ventricular septum(IVS) and 24 cases with ventricular septal defect (VSD). Methods 36 cases used method of deep hypothermia and total circulatory arrest. 29 cases used method of deep circulatory and low flow perfusion. Results There were four operative deaths (6.15%). All four deaths were due to problem with coronary artery implanted because of variation in coronary artery anatomy that we were not able to correct adequately.Conclusion arterial switch operation is the best for neonates transposition of the great arteries with IVS and VSD.
Keywords:Transposition of the great arteries Arterial switch operation  
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