CAJ | 학술논문

目的回顾总结我院完成4例完全性大动脉转位的复杂先天性心脏病(先心病)的临床治疗经验.方法 2004年11月～2008年1月.采用大动脉转换术(Switch手术)及心房内调转术(Senning手术)治疗完全性大动脉错位(TGA)复杂先心病4例.包括室间隔完整型(TGA-IVS)1例,伴室间隔缺损(TGA-VSD)3例,2例合并轻度肺动脉瓣狭窄.结果无手术及术后死亡.术后随访5个月～3年,所有病例发绀症状均消失,活动能力明显增强,增长发育明显加快,体重明显增加.2例术前二尖瓣轻一中度反流,1例术后仍为轻度反流,另1例反流消失.术后无主动脉和肺动脉瓣上狭窄,1例因年龄较大术后带呼吸机62天,4例均治愈出院.结论大动脉转换术及心房内调转术应用于完全性大动脉错位的纠治,手术效果满意.对于年龄较大患儿左室发育尚可的亦可选择大动脉转换术的手术方式.
목적 회고총결아원완성4례완전성대동맥전위적복잡선천성심장병(선심병)적림상치료경험.방법 2004년11월～2008년1월.채용대동맥전환술(Switch수술)급심방내조전술(Senning수술)치료완전성대동맥착위(TGA)복잡선심병4례.포괄실간격완정형(TGA-IVS)1례,반실간격결손(TGA-VSD)3례,2례합병경도폐동맥판협착.결과 무수술급술후사망.술후수방5개월～3년,소유병례발감증상균소실,활동능력명현증강,증장발육명현가쾌,체중명현증가.2례술전이첨판경일중도반류,1례술후잉위경도반류,령1례반류소실.술후무주동맥화폐동맥판상협착,1례인년령교대술후대호흡궤62천,4례균치유출원.결론 대동맥전환술급심방내조전술응용우완전성대동맥착위적규치,수술효과만의.대우년령교대환인좌실발육상가적역가선택대동맥전환술적수술방식.
Objective To report the experience of surgical treatment of 4 patients with complete transposition of great areteries (TGA). Methods 4 cases received arterial switch operation and senning operation from November 2004 to January 2008, including 1 case of TGA without VSD(TGA - IVS), 3 TGA with VSD (TGA -VSD), 2 TGA with Mild pulmonary valve stenosis. Results There no death during the operation or postoperation. Patients were followed up from 5 months to 3years. All the patients got better ,grew faster and cyanosis relieved apparently. 2 patients had mild to moderate mitral regurgitation preoperatively. I patient had mild mitral regurgitation post-operatively and 1 patient had no mitral regurgitation. There was no aortic stenosis or pulmonary valve stenosis after operation. I patient assis-ted respiration for 62 days after operation because of old age. All the patients recovered smoothly after operation. Conclusion Using arte-rial switch operation and senning operation to correct complete transposition of great artery could get satisfying operative results, and the ar-terial switch operation will also get good effect in older children with better left ventricular development.