Further experience with the two-stage anatomic correction of simple transposition of the great arteries

The Thoracic and Cardiovascular Surgeon
A BernhardP H Heintzen

Abstract

Between May 1976 and January 1981 a two-stage anatomic correction was performed in 25 patients with simple transposition of the great arteries, ranging in age from 41/2 to 46 1/2 months (mean 14.8). A first-stage operation, consisting of banding of the pulmonary artery to redevelop the left ventricle, including a Blalock-Taussig-anastomosis in 4 patients was performed prior to anatomic correction. Of 33 patients, who underwent first-stage correction there were 3 early deaths (9%). The interval between the first and second stages was 5 weeks to 9 months (mean 4.3 months). After the first-stage operation, the peak systolic left ventricular pressure rose from 34 +/- 11 mmHg to 80 +/- 16 mmHg with no significant change in enddiastolic pressure. After anatomic correction there were 5 early deaths (20%) of whom 4 were due to left heart failure. There was no correlation between death and the age of the patients at the time of anatomic correction. By our current criteria the ventricles were not adequately prepared for correction in these four patients. The coronary arteries, with different types of origin, could be reimplanted to the posterior vessels without kinking, tension or torsion in all cases. After correction, the ECG and vecto...Continue Reading

Citations

Sep 1, 1989·International Journal of Cardiology·L V FongA W Venables
Jan 1, 1997·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·S DäbritzB J Messmer
Feb 1, 1987·British Heart Journal·S A QureshiO D Jones
Jul 1, 1985·Basic Research in Cardiology·P E LangeP H Heintzen
Jul 1, 1985·Basic Research in Cardiology·P E LangeP H Heintzen
Jun 1, 1988·International Journal of Cardiology·L V FongA W Venables
Apr 9, 2005·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Viktor Hraska
Sep 29, 2011·The Annals of Thoracic Surgery·Constantine MavroudisMarshall L Jacobs
Mar 3, 2017·Cardiology in the Young·UNKNOWN Authors/Task Force Members:Pascal R Vouhé
Sep 6, 2002·Asian Cardiovascular & Thoracic Annals·Howaida O Al QethamyYahya Al Faraidi
Jan 13, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·George E SarrisPascal R Vouhé

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