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目的 回顾总结完全性大动脉错位 (D TGA)的手术治疗。方法 1999年 11月至 2 0 0 1年 8月 ,采用大动脉转换术 (Switch)手术方法纠治新生儿D TGA 16例 ,其中室间隔完整型大动脉错位(D TGA IVS) 6例 ,大动脉错位伴室间隔缺损 (D TGA VSD) 10例。所有病例都在深低温低流量和深低温停循环下行Switch纠治术。结果 Switch手术治疗TGA共 16例 ,其中TGA IVS 6例 ,无死亡 ;TGA VSD 10例 ,死亡 2例 ,均为伴有冠状动脉畸形者。 14例随访 2～ 2 0个月 ,VSD残余漏 1例 ,肺动脉轻度残余梗阻2例 ,14例心功能均良好。结论 Switch手术是D TGA纠治的首选方法 ,但必须早期手术。
Objective To summarize the surgical treatment of complete aortic dislocation (D TGA). Methods From November 1999 to August 2001, 16 cases of neonatal D TGA were treated with the method of transsection, including 6 cases of D TGA IVS, 2 cases of malposition of aorta Ventricular septal defect (D TGA VSD) in 10 cases. All cases were underwent deep hypothermia, low flow and deep hypothermic circulatory arrest to switch the mastectomy. Results TGA was performed in 16 cases of TGA with TGA IVS. There were 10 cases of TGA VSD and 2 cases died of TGA. All of them were patients with coronary artery deformity. 14 cases were followed up for 2 ~ 20 months, 1 case of VSD residual leak, 2 cases of mild residual pulmonary embolism, 14 cases of cardiac function were good. Conclusion Switch surgery is the preferred method of D TGA correction, but early surgery is required.