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首页> 外文期刊>Circulation journal >Indication of Takeuchi technique for patients with anomalous origin of the left coronary artery from the pulmonary artery
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Indication of Takeuchi technique for patients with anomalous origin of the left coronary artery from the pulmonary artery

机译：Takeuchi技术对左冠状动脉异常起源于肺动脉的患者的适应症

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Background: Intrapulmonary tunnel repair, called the Takeuchi technique, is a unique procedure for repairing anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). Since 1986, we have clearly defined the indication for the Takeuchi technique based on the location of the left coronary artery (LCA) orifice. Methods and Results: From 1986 to 2011, 19 consecutive patients with ALCAPA underwent surgical repair; the dual-coronary system was reconstructed in 16 of these patients with either Takeuchi (n=9: 1 male; median age 14.7 years; median weight 42.7 kg) or a translocation procedure (n=7, 3 males; 0.4 years old, 5.6 kg). Takeuchi was performed in patients whose LCA arose far from the aorta (middle of posterior facing sinus in 3 patients, left side of posterior facing sinus in 2, non-facing sinus in 4). The mean postoperative follow-up period was 7.4±6.1 years in the Takeuchi group and 9.3±8.5 years in the Translocation group. Actuarial survival rate at 10 years was 87.5% and 71.4%, respectively, and the freedom from either reoperation or re-intervention rate at 10 years was 67.7% and 85.7%, respectively. All the patients who died had a preoperative left ventricular ejection fraction ≤30%. Conclusions: The long-term outcome of the Takeuchi technique was acceptable. Although late reoperation and/or re-intervention cannot be disregarded, Takeuchi can be recommended when the LCA arises far from the aorta.
机译：背景：肺内隧道修复（称为Takeuchi技术）是一种从肺动脉（ALCAPA）修复左冠状动脉异常起源的独特方法。自1986年以来，我们已经根据左冠状动脉（LCA）孔的位置明确定义了Takeuchi技术的适应症。方法和结果：1986年至2011年，连续19例ALCAPA患者接受了外科手术修复。其中16例患者采用Takeuchi（n = 9：1男性;中位年龄14.7岁;中位体重42.7 kg）或易位手术（n = 7，3男性; 0.4岁，5.6）重建了双冠状动脉系统公斤）。 Takeuchi用于LCA远离主动脉的患者（3例面向后鼻窦，2例为面向后鼻窦的左侧，4例为面向后鼻窦的患者）。竹内组的平均术后随访时间为7.4±6.1年，而移位组的平均随访时间为9.3±8.5年。 10年的精算生存率分别为87.5％和71.4％，而10年不受再次手术或再次干预的自由度分别为67.7％和85.7％。所有死亡患者的术前左室射血分数≤30％。结论：Takeuchi技术的长期结果是可以接受的。尽管不能忽视后期再手术和/或再次介入，但当LCA远离主动脉升起时，建议使用Takeuchi。

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