Current expectations of the arterial switch operation in a small volume center: a 20-year, single-center experience

Journal of Cardiothoracic Surgery
Man-shik ShimJin Young Song

Abstract

We reviewed our 20-year experience with arterial switch operation (ASO) for transposition of the great arteries (TGA) or double outlet right ventricle with subpulmonary ventricular septal defect (Taussig-Bing anomaly) to assess the early and long-term outcomes. Between January 1995 and December 2014, 139 consecutive patients who underwent ASO for TGA or Taussig-Bing anomaly were included in this retrospective study. The median age at the operation was 9 (0-485) days, and 97 patients (70 %) underwent ASO less than 2 weeks. The median weight was 3.3 (2.1-10.3) kg. The patients were divided into three groups; simple TGA (n = 78) included patients with TGA with intact ventricular septum, complex TGA (n = 46) included those who had TGA with ventricular septal defect or other anomalies, and Taussig-Bing anomaly (n = 15). Median follow-up duration was 72.5 (0.4-230) months. There were 3(2.2 %) in-hospital deaths. One patient (0.7 %) underwent early reoperation due to coronary insufficiency. Late deaths occurred in 3 (2.2 %) of 136 survivors. The Kaplan-Meier's survival rate was 97.6 ± 1.4 % at 15 years. Twenty-three patients (16.9 %) required 26 reintervention. The freedom from reintervention rates were 82.5 ± 3.7 % at 5 years and 75....Continue Reading

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Citations

Jun 28, 2018·Current Cardiology Reports·Jared KirznerHarsimran S Singh
Mar 14, 2018·Interactive Cardiovascular and Thoracic Surgery·Joon Chul JungWoong-Han Kim
May 29, 2020·Heart·Iris van BroekhovenRoel L F van der Palen
Jan 25, 2017·Heart·Willemijn Mh ZijlstraRolf Mf Berger
Jan 25, 2019·Journal of Cardiothoracic Surgery·Susie YoonHo Geol Ryu
Oct 30, 2020·Asian Cardiovascular & Thoracic Annals·Tai FuchigamiNobuhiro Nagata
May 1, 2021·Medicina·Karolis JonasVirgilijus Tarutis

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Methods Mentioned

BETA
dissection
homograft
pulmonary artery angioplasty
coronary artery transfer

Software Mentioned

SPSS Statistics
SPSS

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