Risk factors affecting in-hospital mortality of the arterial switch operation for transposition of the great arteries / 中华心血管病杂志

ABSTRACT

<p><b>OBJECTIVE</b>To analyze the in-hospital mortality and factors affecting in-hospital mortality for patients with transposition of the great arteries (TGA) undergoing arterial switch operation (ASO).</p><p><b>METHODS</b>Between January 2004 and December 2007, ASO was performed in 169 patients [129 male, 40 female; mean age (11.71 ± 26.3) months] with TGA. The patients were divided in intact ventricular septum group (n = 56) TGA with intact ventricular septum and ventricular septal defect group (n = 113) TGA with ventricular septal defect. Multiple logistic regression analysis was performed to identify the risk factors of in-hospital mortality.</p><p><b>RESULTS</b>The overall in-hospital mortality was 11.24% (19/169). The yearly in-hospital mortality was similar between intact ventricular septum group and ventricular septal defect group. With the improvement of perioperative treatment, the in-hospital mortality decreased from 16.67% in 2004 to 3.92% in 2007. The multivariate analysis revealed that body weight ≤ 3 kg (OR 4.571, P = 0.0409), complicating ventricular septal defect (OR 4.444, P = 0.0406), complex TGA (OR 4.321, P = 0.0140), coronary anomalies (OR 4.867, P = 0.0104) and non-type A coronary arteries (OR 3.045, P = 0.0243) were independent predictors for poor early postoperative survival.</p><p><b>CONCLUSION</b>Body weight ≤ 3 kg, complicating ventricular septal defect, complex TGA, coronary anomalies are independent predictors for increased in-hospital mortality in patients with transposition of TGA and undergoing arterial switch operation.</p>