完全大血管転位II群に対する1期的根治手術としてのRastelli手術

概要

論文の詳細を見る
Rastelli operation has been exclusively performed for the patient over 3 years of age with transposition of the great arteries(TGA), ventricular septal defect(VSD), and left ventricular outflow obstruction(LVOTO). We have adopted successfully this operative method as one stage correction using the left ventricule as the systemic ventricle for 3 infants with TGA and VSD, without LVOTO(TGA group II), considering the finding that the right ventricular function after Mustard operation for such a infant was known to be seriously decreased. In all of them, VSD was enlarged by excising conus septum to avoid obstruction of interventricular tunnel and Dacron coduit of 18 mm in diameter with modified Hancock porcine valve was used for the reconstruction of pulmonary artery. As far as our knowledge, this report will be the first successful cases in Rastelli operation for such young infant with TGA and VSD. Their postoperative left ventricular functions were proved to be better than the right ventricular function after Mustard procedure for TGA groupII
日本小児外科学会の論文
1981-12-20