Double Switch术治疗先天性矫正性大动脉转位二例

目的 介绍解剖矫治先天性矫正性大动脉转位的手术特点。方法 2例矫正性大动脉转位患者,1例9个月,合并室间隔缺损、肺动脉高压,行Senning加动脉调转术;1例23岁,合并室间隔缺损、肺动脉狭窄、三尖瓣关闭不全,行Rastelli加Senning术。结果 2例患者全部成活,其中1例术前出现Ⅲ度房室传导阻滞,安装永久起搏器,术后超声检查心室功能正常,心内隧道和心外管道通畅。无三尖瓣反流。结论 Double Switch手术是一种理想的治疗先天性矫正性大动脉转位的方法。

Anatomic repair of congenitally corrected transposition of the great artery by double switch operation: two cases report

Objective To report two patients with congenitally corrected transposition of the great artery were performed double switch operation. Methods Two patients with corrected transposition of the great artery underwent double switch operation. One was 9 month years old boy,associated with ventricular septal defect (VSD),pulmonary artery hypertension. He had senning procedure and artery switch operation (ASO). The other was a 23 years old man,associated with VSD,tricuspid valve regurgitation,and pulmonary stenosis. He had senning procedure and Rastelli operation. Results There was no operation death,one got heart block before operation requiring pacemaker.The echo of postoperation showed the patients had normal ventricle function and there were no stenosis of tunnel and conduit,no tricuspid valve regurgitation. Conclusion Double switch operation is a good option for congenitally corrected transposition of the great artery.