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动脉转换术(Arterial Switch Opera-tion,ASO)治疗大动脉转位(TGA)伴室缺的手术风险比单纯 TGA要高。为了估价可能影响这类病人手术结果的因素,作者回顾了1983年2月至1990年4月间118例TGA伴室缺婴幼儿病例,着重于与单纯TGA病人的解剖和手术情况的差别。 118例病例中,男75例,女43例,手术年龄 3.5±8.8个月,37例小于1个月。100例为TGA 伴室缺,18例右室双出口(DORV)伴肺动脉瓣下室缺(Tauasig-Bing
Arterial Switch Opera- tion (ASO) is associated with a higher surgical risk of transposition of the aorta (TGA) than with TGA alone. To assess the factors that may affect the surgical outcome of such patients, the authors reviewed 118 cases of TGA with infants and young children between February 1983 and April 1990, focusing on differences from the anatomy and surgery of TGA alone. In 118 cases, there were 75 males and 43 females. The operative age was 3.5 ± 8.8 months and 37 cases were less than 1 month. 100 cases of TGA with ventricular septal defect, 18 cases of right ventricular double outlet (DORV) with pulmonary inferior ventricular septal defect (Tauasig-Bing