The clinical research of operative technique strategies and results for congenitally corrected transposition of the great arteries
10.3760/cma.j.issn.1001-4497.2016.10.004
- VernacularTitle:小儿矫正型大动脉错位个体化手术方案及预后
- Author:
Jinghao ZHENG
;
Zhiwei XU
;
Jinfen LIU
;
Zhaokang SU
;
Wenxiang DING
- Keywords:
Congenitally corrected transposition of the great arteries;
Operative technique strategies
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2016;32(10):595-598
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review and compare various types of operations for congenitally corrected transposition of the great arteries (ccTGA),to provide more suitable surgical procedure and improve surgical results.Methods Analysing 203 patients with ccTGA between June 1999 and June 2014,there were thirten patients who had undergone palliative procedure.Thirty-nine patients had received conventional repair operation.Eighty-eight patients had received double switch operation in which there were three patients of Double Switch With Hemi-Mustard and Bidirectional Glenn Procedure.Sixty-three patients had received other surgical treatments including functional univentricular repair operation.Results There were 13 hospital deaths in all patients,consisted of 2 by conventional repair operation,9 by double switch operation and 2 by other procedure.Conclusion The operative procedure depend on the anatomy and physiology in ccTGA.The double switch operation have relatively higher mortality,more complication,the indication of Double Switch With Hemi-Mustard and Bidirectional Glenn Procedure should be more acceptable,but the long-term outcomes will be followed-up.
