摘要
完全性大动脉错位是一种常见的紫绀型先天性心脏畸形,如不治疗婴儿早期即死亡。目前临床上对无肺动脉瓣狭窄的完全性大动脉错位患者采用动脉转位术纠治,但如合并冠状动脉畸形,手术的难度和死亡率就会增高。因此,处理好合并的冠状动脉畸形是手术成功的关键。现就冠状动脉畸形的分类、手术方法及处理结果进行综述。
The complete transposition of the great arteries (TGA) is one of the commonest congenital cardiac anomalies in cyanosis. In untreated patients, death occurs early in infancy. Nowadays arterial switch operation (ASO) has been widely proposed to treat TGA without pulmonary valve stenosis. Meanwhile, surgical risks and mortality will be increased if TGA is accompanied by coronary arterial anomalies. So proper surgical management of abnormal coronary artery has a significant influence on the outcome of ASO. The classification, operation methods and surgical results were reviewed in this article.
出处
《中国胸心血管外科临床杂志》
CAS
2008年第2期130-133,共4页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
完全性大动脉错位
冠状动脉畸形
动脉转位术
Complete transposition of the great artery
Coronary arterial anomaly
Arterial switch operation