Arterial Switch Operation for Taussig-Bing Anomaly.
10.4326/jjcvs.25.300
- VernacularTitle:Ｔａｕｓｓｉｇ‐Ｂｉｎｇ奇形に対するＪａｔｅｎｅ手術の経験
- Author:
Yoshihiro Oshima
;
Masahiro Yamaguchi
;
Hidetaka Ohashi
;
Masanao Imai
;
Takayuki Kumamoto
;
Nobuchika Ozaki
;
Yuhei Hosokawa
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1996;25(5):300-306
- CountryJapan
- Language:Japanese
-
Abstract:
From 1985 through 1994, 12 consecutive patients with Taussig-Bing anomaly underwent an arterial switch. Age at operation varied from 8 to 42 months (mean 21 months). Coarctation of the aorta was present in 6 patients (including 4 with hypoplasia of the aortic arch), interruption of the aortic arch in one, straddling mitral valve in one and subaortic stenosis in two. The relationship of the great arteries was D-transposition in 11 patients (oblique in 6 and anteroposterior in 5) and side-by-side in one. Eleven patients had previous palliative surgery. Pulmonary artery banding was done in 11 patients, Blalock-Hanlon in 3, carotid flap aortoplasty in 3, subclavian flap aortoplasty in 2, extended aortic arch anastomosis in 2 and ligation of PDA in 1. The Lecompte maneuver was adopted in all but one patient with side-by-side great vessels. Intraventricular reconstruction was done through the right ventricle in 11 patients and through the right atrium in one who underwent one-stage repair. There was one early death, which was related to thrombosis of the superior mesenteric artery. One patient with side-by-side great vessels died at home 6 months after the arterial switch operation. The suspected cause of death was myocardial infarction due to compression of the left coronary artery by the pulmonary artery. In the follow-up of 10 patients ranging from 1.8 to 9.4 years (average 6.3 years), one required reoperation for pulmonary stenosis. We conclude that two-staged arterial switch operation of Taussig-Bing anomaly with D-transposition can be performed with low mortality, but there seems to be some risk of the compression of the left coronary artery in the original Jatene method for Taussig-Bing anomaly with side-by-side great vessels.
