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完全性大动脉转位是一种婴幼儿常见的发绀型先心病,目前大动脉调转术已成为完全性大动脉转位的首选治疗方案。术中冠状动脉移植是手术成功的关键,特别是复杂冠状动脉畸形的移植,成功的处理可明显降低手术病死率及术后冠状动脉事件发生率。由于冠状动脉畸形的类型繁多,采用的手术方法也多样化,相同的冠状动脉畸形可采用不同的移植方法。如何更好地完成畸形冠状动脉的移植以及降低术后冠状动脉事件的发生率仍在不断地摸索中。
Complete transposition of the great arteries is a common cyanotic congenital heart disease in infants and young children. At present, transposition of aorta has become the treatment of choice for complete aortic transposition. Intraoperative coronary artery transplantation is the key to successful operation, especially the transplantation of complex coronary artery disease, successful treatment can significantly reduce the operative mortality and postoperative incidence of coronary events. Due to various types of coronary artery deformities, surgical methods used are also diverse, the same coronary artery deformity can be used in different methods of transplantation. How to better complete the deformity of coronary artery transplantation and reduce the incidence of postoperative coronary events are still constantly exploring.