Taussig-Bing 奇型に対する二期的 Arterial Switch 手術の経験

概要

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Two-stage arterial switch operation was successfully performed in a 14-month-old patient with Taussig Bing anomaly complicated with coarctation of the aorta. Preductal coarctation with hypoplastic distal portion of aortic arch was reconstructed using end to end anastmosis and with carotid flap aortoplasty. Pulmonary artery was banded 27mm in circumference at the age of 18 days. Definitive operation was carried out at the age of 14 months due to the progression of heart failure and cyanosis. D-shaped intraventricular buffle was applied between subpulmonic VSD and the origin of pulmonary artery through right ventriculotomy and great atreries were switched according to Lecompte's maneuver. Cardiac catherization and angiography on the 38th postoperative day showed neither evidence of aortic regurgitation nor stenosis at the site of anastmosis. The patient is doing quite well and shows excellent weight gain 29 months postoperatively.
日本小児外科学会の論文
1988-02-20