动脉调转术后新主动脉瓣反流及根部扩张成因、转归及预防

doi:10.12372/jcp.2024.24e0215

摘要/Abstract

摘要：

动脉调转术（ASO）是治疗完全性大动脉转位（TGA）及Taussig-Bing畸形（TBA）的首选术式。ASO手术发展至今，大量术后患儿已至成年，因此ASO的晚期并发症逐渐引起关注。新主动脉瓣反流（NAVR）和新主动脉根部扩张（NARD）是ASO术后再次手术的第二大原因。本文拟对现有研究进行回顾，总结ASO术后NAVR及NARD的原因和预后，为临床实践提供参考。

关键词: 动脉调转术, 完全性大动脉转位, 新主动脉根部扩张, 新主动脉瓣反流

Abstract:

Arterial switch operation (ASO) is the preferred procedure for the treatment of transposition of great arteries (TGA) and Taussig-Bing anomaly (TBA). A large number of patients who received surgery during childhood have reached adulthood, thus the late complications have attracted more attentions. Neo-aortic valve regurgitation and neo-aortic root dilation are second common causes for reoperation lately after ASO. This article intends to review the existing research, hoping to summarize the etiologies and prognosis of NAVR and NARD and to provide references for clinical practice.

Key words: arterial switch operation, transposition of great arteries, neo-aorta root dilatation, neo-aortic valve regurgitation

戴捷铭, 鲁亚南. 动脉调转术后新主动脉瓣反流及根部扩张成因、转归及预防[J]. 临床儿科杂志, 2024, 42(6): 558-565.

DAI Jieming, LU Yanan. Causes, outcomes and prevention measurements of neo-aortic valve regurgitation and root dilation after arterial switch operation[J]. Journal of Clinical Pediatrics, 2024, 42(6): 558-565.

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参考文献 71

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