LATE RE-INTERVENTIONS FOLLOWING ARTERIAL SWITCH OPERATIONS IN TRANSPOSITION OF THE GREAT-ARTERIES - INCIDENCE AND SURGICAL-TREATMENT OF POSTOPERATIVE PULMONARY STENOSIS

被引：28

作者：

SPIEGELENBERG, SR ^{[1
]}

HUTTER, PA ^{[1
]}

VANDEWAL, HJCM ^{[1
]}

HITCHCOCK, JF ^{[1
]}

MEIJBOOM, EJ ^{[1
]}

HARINCK, E ^{[1
]}

机构：

[1] UNIV HOSP UTRECHT,WILHELMINA CHILDRENS HOSP,CTR PEDIAT HEART,3501 CA UTRECHT,NETHERLANDS

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1995年 / 9卷 / 01期

关键词：

REINTERVENTION; ARTERIAL SWITCH OPERATION; PULMONARY ARTERY STENOSIS;

D O I：

10.1016/S1010-7940(05)80041-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Seventy-six patients were studied after arterial switch operation (ASO) between May 1977 and February 1992. Pulmonary artery reconstruction was initially performed by: conduit interposition in 5 patients, direct main pulmonary artery anastomosis and button patches in 60 patients, and pantaloon-like patch repair in 11 patients. Pulmonary stenosis developed in 17 patients (22%), requiring a total of 26 late re-interventions. Re-intervention was required in four out of five patients operated with pulmonary artery conduits, 11 out of 60 with a button patch repair and 2 out of 11 following pantaloon-type repair. In this series pulmonary artery stenosis (PS) involving the pulmonary valve occurred in 9/17 patients. Involvement of the pulmonary valve was related to the technique of pulmonary artery reconstruction. In these patients surgery is necessary. Balloon angioplasty can be a valuable tool when the stenosis is more distal. The incidence of PS was not influenced by the type of reconstruction or the use of Lecompte's maneuver.

引用

页码：7 / 11

页数：5

共 12 条

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