PMID: 9436572Jan 22, 1998Paper

Mid- to long-term results of the two-stage approach for type B interrupted aortic arch and ventricular septal defect

The Annals of Thoracic Surgery
R D Mainwaring, J J Lamberti

Abstract

Type B interrupted aortic arch with ventricular septal defect is a complex congenital heart defect that may have associated left ventricular outflow tract obstruction. Surgical management has evolved from a two-stage approach to the currently favored single-stage approach. The following data summarize our experience with the two-stage approach over a 15-year period. Between 1980 and 1995, 27 consecutive patients with type B interrupted aortic arch and ventricular septal defect underwent surgical management using the two-stage approach. There were 15 girls and 12 boys; 21 patients had the DiGeorge syndrome. Stage I was performed at a median age of 4 days. Twenty-six (96%) of 27 patients survived first-stage palliation. One patient survived stage I palliation but died before undergoing stage II. Twenty-five patients underwent second-stage repair at a median age of 6 weeks (range, 1 to 46 weeks). There were 2 early deaths and 1 late death. Actuarial analysis demonstrates 1- and 5-year survival rates of 85% and 81%, respectively. Twenty-two survivors have been followed up for an average of 8 +/- 2 years. Freedom from reoperation for arch graft enlargement has been 86% at 3 years and 55% at 5 years. Freedom from reoperation for left...Continue Reading

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Citations

Mar 5, 2004·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Shin TakabayashiIsao Yada
Jul 3, 2002·Current Treatment Options in Cardiovascular Medicine·Satinder K. Sandhu, Timothy W. Pettitt
Oct 31, 2008·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Meng-Lin LeeMei-Hwan Wu
Oct 19, 2010·The Journal of Thoracic and Cardiovascular Surgery·Anusha JegatheeswaranWilliam M DeCampli
Dec 22, 2015·Seminars in Thoracic and Cardiovascular Surgery·Richard A Jonas
Jan 28, 2010·The Annals of Thoracic Surgery·Julia D FlintA Kirsten Finucane
Oct 10, 2012·The Journal of Thoracic and Cardiovascular Surgery·Steven H TodmanJohn P Breinholt
Jan 29, 2005·The Journal of Thoracic and Cardiovascular Surgery·Brian W McCrindleUNKNOWN Congenital Heart Surgeons Society
May 19, 2018·Seminars in Cardiothoracic and Vascular Anesthesia·Damien J LaPar, Christopher W Baird
Jun 17, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F HaasE L Bove

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