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目的 :报告应用解剖矫正术治疗合并心室间隔缺损和肺动脉狭窄的完全性大动脉转位。 方法 :9例完全性大动脉转位合并心室间隔缺损和肺动脉狭窄 ,年龄 6～ 14岁。应用 Rastelli术对其进行解剖矫正。其中心内补片 5例 ,心内隧道 2例 ,心内管道 2例 ;心外管道 9例。 结果 :术后早期死亡 1例 ( 1/9) ,存活 8例。随访 6个月至 5年 ,手术效果满意 ,无晚期死亡。 结论 :Rastelli术解剖矫正完全性大动脉转位合并心室间隔缺损和肺动脉狭窄 ,可获得满意的效果。
OBJECTIVE: To report the application of anatomic correction in the treatment of complete aortic transposition with ventricular septal defect and pulmonary stenosis. Methods: Nine cases of complete aortic transposition with ventricular septal defect and pulmonary stenosis, aged 6 to 14 years. Anatomical correction was performed using Rastelli technique. The center of the patch in 5 cases, intracardiac tunnel in 2 cases, 2 cases of intracardiac catheter; 9 cases of extracardiac catheterization. Results: 1 case died early (1/9) and survived 8 cases. Follow-up 6 months to 5 years, satisfactory results, no late death. Conclusion: Rastelli technique can achieve satisfactory results in anatomic correction of complete aortic transposition combined with ventricular septal defect and pulmonary stenosis.