先心病病人非心外手术的麻醉幻灯片课件.pptVIP

TGA – Arterial Switch Anatomical repair Early hospital mortality 3% 5-10 survivals 97-98% Arterial switch operation the preferred procedure in most centers TGA – Arterial Switch Complication Small incidence of supravalvar pulmonary arterial and aortic stenosis at the anastomotic sites Can frequently be addressed by balloon dilatation. Neoaortic valve (the anatomic pulmonary valve) regurgitation (25-30%) Coronary ostial lesions (3-5%) No evidence of myocardial ischemia Anesthesia and Fontan Physiology Fontan operation(1968) Indication: patient of severe tricuspid atresia, hypoplastic l