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Rev. méd. Chile ; 148(6): 868-874, jun. 2020. graf
Article in Spanish | LILACS | ID: biblio-1139383


Congenitally corrected transposition of the great arteries is a rare congenital anomaly that can remain asymptomatic until adulthood, especially when there are no other associated congenital anomalies. We report two patients in their sixth decade of life with corrected transposition of the great arteries incidentally diagnosed by transthoracic echocardiography in a preventive medical check-up. The complementary use of cardiac computed tomography confirmed the diagnosis.

Humans , Congenitally Corrected Transposition of the Great Arteries , Arteries , Transposition of Great Vessels/diagnostic imaging , Echocardiography
Rev. bras. cir. cardiovasc ; 35(3): 329-338, May-June 2020. tab, graf
Article in English | LILACS, SES-SP | ID: biblio-1137264


Abstract Objective: To compare the early and long-term results of patients in whom was performed modified closed coronary transfer with the results of patients in whom was performed trap-door transfer techniques by utilizing propensity-matching analysis to provide optimal identical patient matching for the groups. Methods: From August 2015 to December 2017, 127 consecutive patients underwent arterial switch operation due to simple and complex transposition of the great arteries, with or without additional arch and complex coronary pattern, by a single surgical team included into the study. Of these, in 70 patients it was performed modified closed coronary transfer technique and in 57 patients it was performed trap-door style coronary transfer technique. The patients were divided into two groups in terms of coronary transfer method. In the final model, after propensity matching, 47 patients from each group having similar propensity score were included into the study. Results: There was no significant difference between the groups regarding patient characteristics. Cross-clamp time and operation time were significantly lower in the modified technique group compared with the other group (P=0.03 and P=0.05, respectively). When compared the early and late postoperative outcomes, there was no significant difference between the groups. Postoperative echocardiographic findings were mostly similar between the groups. Conclusion: The patients in whom was performed our modified technique demonstrate overall good outcomes and the current technique ensures shorter arterial cross-clamp and operation times. It may be an alternative method to the trap-door technique for the coronary transfer during the arterial switch operation.

Humans , Male , Female , Infant, Newborn , Transposition of Great Vessels/surgery , Transposition of Great Vessels/diagnostic imaging , Arterial Switch Operation , Echocardiography , Retrospective Studies , Coronary Vessels , Heart
Indian J Pediatr ; 2009 Nov; 76(11): 1158-1160
Article in English | IMSEAR | ID: sea-142429


We describe the case of a child suffering from congenital cyanotic heart disease — double outlet right ventricle (DORV) with transposition of great vessels (TOGV). She underwent a left Blalock-Tausig (BT) shunt at one month of age followed by a Glen procedure with left pulmonary artery augmentation at six months. Following the second procedure she developed extensive cyst formation in the upper lobe of the left lung and pneumothorax. She was managed by intercostal drainage of the pneumothorax. The cysts were observed and on a CT scan X-rays taken at one month and six months no cysts were seen. This case illustrates the occurrence of pneumatoceles after pulmonary artery manipulation, their proclivity for causing pneumothoraces and involution on follow-up. Cysts noted in such a setting should be monitored carefully and followed up to resolution.

Cysts/diagnosis , Cysts/etiology , Cysts/therapy , Female , Humans , Infant, Newborn , Lung Diseases/diagnosis , Lung Diseases/etiology , Lung Diseases/therapy , Postoperative Complications , Pulmonary Artery/surgery , Tomography, X-Ray Computed , Transposition of Great Vessels/diagnostic imaging , Transposition of Great Vessels/surgery