Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Changes of the Biventricular Outflow Tract after a Half Turned Truncal Switch Operation in Patients with Transposition of the Great Arteries, a Ventricular Septal Defect and Pulmonary Stenosis - 2 case reports -

반회전 동맥간 전환술 후 양심실 유출로의 중단기 변화 - 2예 보고 -

  • Kim, Jeong Won (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital) ;
  • Cho, Joon-Yong (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital) ;
  • Kim, Gun-Jik (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital) ;
  • Lee, Jong-Tae (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital) ;
  • Kim, Kyu-Tae (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital)
  • 김정원 (경북대학교병원 흉부외과) ;
  • 조준용 (경북대학교병원 흉부외과) ;
  • 김근직 (경북대학교병원 흉부외과) ;
  • 이종태 (경북대학교병원 흉부외과) ;
  • 김규태 (경북대학교병원 흉부외과)
  • Received : 2009.08.27
  • Accepted : 2009.10.20
  • Published : 2010.02.05
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Abstract

Rastelli repair has been considered the procedure of choice for surgically repairing transposition of the great arteries combined with ventricular septal defect and pulmonary stenosis. However, the long term results have been less than optimal and these patients who ungo this procedure can eventually display conduit obstruction, left ventricular outflow tract obstruction and arrhythmias. Many new procedures are now available and they are technically challenging for making a more normal anatomic repair. In our hospital, two patients who had a TGA with VSD and PS have been repaired with a Half Turned Truncal Switch Operation and a Lecompte maneuver in 2003 and 2006, respectively. We report on our two experiences with performing a Half Turned Truncal Switch Operation, and we discuss the changes of the biventricular outflow tract.

심실 중격 결손과 폐동맥 협착을 가지고 있는 대혈관 전위 환자의 수술적 치료방법으로 Rastelli 수술법이 보편화되어 왔으나, 추적 관찰 중에 심장외 도관의 폐쇄, 좌심실 유출로의 폐쇄, 부정맥이 높은 확률로 발생하는 등의 장기 성적이 만족스럽지 못하였다. 이와 같은 문제점을 해결하기 위해 본원에서 2003년과 2006년에 심실 중격 결손과 폐동맥 협착을 가지고 있는 대혈관 전위 환자 2명을 반회전 동맥간 회전술 및 Lecompte 술식을 이용하여 수술하였고, 추적 관찰을 통해 양심실 유출로의 중기 변화에 대한 경험을 보고한다.

Keywords

References

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  1. Half-turned truncal switch operation after single ventricle palliation in a patient with borderline left heart hypoplasia vol.15, pp.1, 2010, https://doi.org/10.1186/s13019-020-01357-y