Restoration of Transposed Great Arteries to Nature

被引:4
作者
Chiu, Ing-Sh [1 ,2 ]
Chen, Ming-Ren [3 ]
Huang, Shu-Chien [1 ,2 ]
Lee, Meng-Luen [4 ]
Tsai, Hsiao-En [1 ,2 ]
Chen, Shyh-Jye [2 ,5 ]
Lue, Hung-Chi [2 ,6 ]
机构
[1] Natl Taiwan Univ Hosp, Dept Surg, 7 Chung Shan S Rd, Taipei 100, Taiwan
[2] Natl Taiwan Univ, Coll Med, Taipei, Taiwan
[3] Mackay Mem Hosp, Nursing & Management Coll, Mackay Med, Dept Pediat, Taipei, Taiwan
[4] Changhua Christian Hosp, Dept Pediat, Changhua, Taiwan
[5] Natl Taiwan Univ Hosp, Dept Med Imaging, Taipei, Taiwan
[6] Natl Taiwan Univ Hosp, Dept Pediat, Taipei, Taiwan
关键词
congenital heart surgery; arterial switch operation; cardiac anatomy/pathology; Rastelli procedure;
D O I
10.1177/2150135110395787
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Surgical correction of transposition of the great arteries was proposed by many in the past half-century and was claimed as the anatomical correction, but the treatment of choice was ever changing. The current technique usually includes the Lecompte maneuver to bring the pulmonary bifurcation in front of the aorta. Although the ventricular-arterial connection is corrected, it is not "normal.'' This review describes an innovative technique to reconstruct the great arteries in spiral fashion, which is the natural relationship of the aorta and pulmonary artery. The surgical principles of nature and even distribution using autologous tissues are emphasized. The structural and functional studies of the spiral great arteries in the last 2 decades are also presented.
引用
收藏
页码:287 / 295
页数:9
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