PMID: 9436571Jan 22, 1998Paper

Single-stage arterial switch with aortic arch enlargement for transposition complexes with aortic arch obstruction

The Annals of Thoracic Surgery
C I TchervenkovM J Béland

Abstract

Patients with transposition complexes and aortic arch obstruction are a surgical challenge with significant mortality. We have adopted an aggressive approach of concurrent aortic arch repair and arterial switch operation with excellent results. Since 1989, 12 of 13 patients with aortic arch obstruction and transposition of the great arteries or double-outlet right ventricle with subpulmonary ventricular septal defect have undergone complete single-stage repair. One patient underwent a two-stage repair because of hemodynamic instability. The median age of repair was 27 days and the median weight was 3.5 kg. Surgical technique involved the arterial switch operation and ventricular septal defect closure when present in 12 patients. One patient with severe subaortic stenosis underwent a modified Damus-Kaye-Stansel operation with concomitant aortic arch enlargement. The aortic arch was enlarged in 12 of 13 patients with a pulmonary homograft patch. There have been no early deaths and only one late death at 39 months postoperatively from hepatoblastoma. The mean follow-up is 42 months. There have been no reoperations for recurrent aortic arch obstruction. All survivors are currently well from a cardiac point of view. Concomitant sing...Continue Reading

References

Jun 1, 1984·The American Journal of Cardiology·M VogelR D Rowe
Dec 1, 1982·British Heart Journal·O MilanesiP A Pellegrino
Apr 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·S ConteC Planché
Feb 15, 1995·The American Journal of Cardiology·S K SandhuE L Bove
Dec 1, 1995·The Annals of Thoracic Surgery·C I TchervenkovA R Dobell

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Citations

Jun 29, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Christoph HuberVictor Tsang
Feb 6, 2004·The Journal of Thoracic and Cardiovascular Surgery·Kozo IshinoShunji Sano
Jan 17, 2004·The Annals of Thoracic Surgery·Jutta WetterAndreas E Urban
Jan 17, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Yoshimichi KosakaYorikazu Harada
Dec 11, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Wendy WhitesideAimee Armstrong
Nov 28, 2001·The Annals of Thoracic Surgery·C I TchervenkovJ Lavoie
Apr 28, 2004·The Annals of Thoracic Surgery·Brian W DuncanLarry A Latson
Dec 2, 1998·The Journal of Thoracic and Cardiovascular Surgery·C I TchervenkovM J Béland
Jun 3, 2014·Asian Cardiovascular & Thoracic Annals·Ly Thinh Truong NguyenThanh Liem Nguyen
Aug 30, 2000·Current Opinion in Cardiology·L J Dacey
Mar 25, 2020·Journal of Cardiac Surgery·Ahmed A ElassalOsman O Al-Radi

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