D-Transposition of the Great Arteries:A New Era in Cardiology
作者机构：Adult Congenital Heart Disease ProgramLillie Frank Abercrombie Section of CardiologyBaylor College of Medicine and Texas Children’s HospitalHoustonTXUSA
出 版 物：《Cardiovascular Innovations and Applications》 (心血管创新与应用（英文）)
年 卷 期：2018年第3卷第B5期
页 面：85-92页
主 题：transposition of the great arteries Mustard procedure Senning procedure atrial switch operation adult congenital heart disease
摘 要：Before the 1950s,D-transposition of the great arteries was associated with nearly 90% mortality within the first year of *** Mustard and Senning procedures resulted in a signifi cant increase in the lifespan of these patients but with notable long-term complications,including arrhythmias,sinus node dysfunction,chronotropic incompetence,and right ventricular systolic *** arterial switch operation(first described by Adib Jatene)initially resulted in nearly universal ***,the use of coronary buttons for coronary artery translocation has improved operative survival *** is now considered the treatment of choice in patients amendable to the arterial switch *** an anatomic repair,resulting in concordant ventriculoarterial connections and a systemic left ventricle,the arterial switch operation reduces the incidence of ventricular ***,it is also associated with long-term complications,including aortic root dilatation,aortic valve regurgitation,right ventricular outfl ow tract obstructions,coronary artery stenosis/compression,and branch pulmonary artery stenosis.
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