Abstract：Objective To summarize the results of surgical management of different types of transposition of great arteries with different procedures.Methods Two hundred and seventy-five patients with transposition of great arteries and other congenital heart defects (ventricular septal defect, pulmonary artery stenosis, atrial septal defect, patent ductus arteriosus, interrupted inferior vana cava, persistent left superior vena cava, coronary artery anomalies and coarctation of the aortic arch) were surgically corrected. Different procedures, such as arterial switch operation, bidirectional cavo-pulmonary anastomosis, Rastelli procedure, Fontan operation and Senning operation, were adopted according to different malformations. Clinical data was reviewed and postoperative survival was evaluated.Results There were 14 cases of early deaths (5.09%) in this group with 10 cases occurred after arterial switch operation (10/243, 4.12%) and 4 cases following other procedures (4/32, 12.50%). Surviving patients following Glenn /modified Fontan procedures had significant improvement in oxygen saturation. Patients who undertook arterial switch operation and Senning operations could grow and develop normally.Conclusions Complete transposition of great arteries can be treated with a variety of procedures according to the combined anomalies. Satisfactory results can be achieved in neonates with arterial switch operation.
齐建川,张泽伟,郏蓁,高展,应力阳,李建华. 完全性大动脉转位275例的外科治疗[J]. 中华解剖与临床杂志, 2014, 19(3): 183-186.
Qi Jianchuan, Zhang Zewei, Jia Zhen, Gao Zhan, Ying Liyang, Li Jianhua. Surgical treatment of 275 cases with complete transposition of the great arteries. Chinese Journal of Anatomy and Clinics, 2014, 19(3): 183-186.
Wemovsky G, Mayer JE, Jonas RA, et al. Factors influencing early and late outcome of the arterial switch operation for transposition of the great arteries[J]. J Thorae Cardlovasc Surg, 1995, 109(2): 289-302.
Wetter J, Belli E, Sinzobahamvya N, et al. Transposition of the great arteries associated with ventricular septal defect: surgical results and longterm outcome[J]. Eur J Cardiothorac Surg, 200l,20: 816-823.
Raisky O, Bergoend E, AgnolettiI G, et al. Late coronary artery lesions after neonatal arterial switch operation:results of surgical coronary revascularization[J]. Eur J Cardiothorac Surg, 2007, 31(5): 894-898.
[9]
Rhodes LA, Wemovsky G, Keane JF, et al. Arrhythmias and intracardiac conduction alter the aterial switch operation[J].J Thorac Cardiovasc Surg, 1995, 109(2): 303-310.
[10]
Nikaidoh H. Aortic translocation and biventricular outflow tract reconstruction. A new surgical repair for transposition of the great arteries associated with ventricular septal defect andpulmonary stenosis[J]. J Thorac Cardiovasc Surg, 1984, 88(3): 365-372.
[11]
Hu SS,Li SJ, Wang X, et al. Pulmonary and aortic root translocation in the management of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction[J]. J Thorac Cardiovasc Surg , 2007, 133(4): 1090-1092.
[12]
Rastelli GC, Wallace RB, Ongley PA. Complete repair of transposition of the great arteries with pulmonary stenosis:A review and report of a case corrected by using a new surgical technique[J]. Circulation, 1969, 39(1): 83-95.
2014, Vol. 19 
