PMID: 9525564Apr 3, 1998Paper

Primary arterial switch operation for transposition of the great arteries with intact ventricular septum in infants older than 21 days

Journal of the American College of Cardiology
John ForanMarc R de Leval

Abstract

The aim of this study was to assess the surgical outcome of the primary arterial switch operation (ASO) in infants 3 weeks to 2 months old. The surgical management of transposition of the great arteries and intact ventricular septum (TGA/IVS) beyond 2 to 3 weeks of age is controversial. Concern that regression of the left ventricular (LV) myocardial mass will render the left ventricle incapable of coping with the acutely increased work of systemic perfusion has been considered a contraindication to a primary ASO. We used retrospective analysis of 37 patients 3 weeks to 2 months old and 156 patients <3 weeks old who underwent primary ASO with TGA/IVS to determine the surgical outcomes. Between January 1990 and December 1996, primary ASO was performed in 37 patients 21 to 61 days old (late ASO group) and 156 patients <21 days old (early ASO group) with TGA/IVS. One (2.7%, 95% confidence interval [CI] 0.07% to 14.2%) of 37 patients and 13 (8.3%, 95% CI 4.5% to 13.8%) of 156 patients died. One late death occurred in each group. Mechanical LV support was required in 1 (2.7%, 95% CI 0.07% to 14.2%) of 37 late ASO and 6 (3.8%, 95% CI 1.4% to 8.2%) of 156 early ASO group patients postoperatively. Neither death nor the need for mechanic...Continue Reading

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Citations

Mar 10, 2010·Pediatric Cardiology·Sameh R IsmailMahmoud Elbarbary
Jan 31, 2004·The Journal of Thoracic and Cardiovascular Surgery·Tom R KarlDavid Glidden
May 4, 2005·The Journal of Thoracic and Cardiovascular Surgery·Nicolas BorensteinEmmanuel Le Bret
Jan 1, 1997·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·S DäbritzB J Messmer
Apr 1, 2008·Radiology·Ana Maria GacaGeorge S Bisset
Mar 9, 2010·Current Problems in Surgery·Avihu Z GazitA Thomas Pezzella
Oct 25, 2006·The Journal of Thoracic and Cardiovascular Surgery·Kothandam SivakumarJagdish Shahani
Jun 17, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Arun GopalakrishnanJaganmohan Tharakan
Jul 20, 2016·Interactive Cardiovascular and Thoracic Surgery·Sachin TalwarBalram Airan
Apr 28, 2006·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Heather A Dickerson, Anthony C Chang
Mar 3, 2017·Cardiology in the Young·UNKNOWN Authors/Task Force Members:Pascal R Vouhé
Nov 5, 1999·Radiologic Clinics of North America·J L Strife, R W Sze
Mar 29, 2014·World Journal for Pediatric & Congenital Heart Surgery·Meena Nathan
Mar 29, 2014·World Journal for Pediatric & Congenital Heart Surgery·Akshay Kumar BisoiNagendra S Boopathy
Mar 29, 2014·World Journal for Pediatric & Congenital Heart Surgery·Michael T CainRonald K Woods
Apr 1, 2011·World Journal for Pediatric & Congenital Heart Surgery·Frank EdwinPeter Colsen
Sep 25, 2010·Interactive Cardiovascular and Thoracic Surgery·Akshay Kumar BisoiPrasenjit Das
Dec 15, 2019·World Journal for Pediatric & Congenital Heart Surgery·Dhananjay P MalankarSwati Garekar
Apr 15, 2003·Cardiology in the Young·Antonio E CornoLudwig K von Segesser
Jan 13, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·George E SarrisPascal R Vouhé
Jun 19, 2018·Interactive Cardiovascular and Thoracic Surgery·Tornike SologashviliPatrick O Myers
Nov 26, 2020·Asian Cardiovascular & Thoracic Annals·Dicky FakhriArdiansyah Ardiansyah
May 22, 2021·The Annals of Thoracic Surgery·Yabing DuanJun Yan

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