Outcomes of the arterial switch operation in complete transposition of the great arteries / 소아과
Korean Journal of Pediatrics
;
: 910-916, 2009.
Artículo
en Coreano
| WPRIM
| ID: wpr-167066
ABSTRACT
PURPOSE:
The arterial switch operation (ASO) has become the preferred procedure for the surgical management of transposition of the great arteries (TGA). We conducted a retrospective evaluation of our experience in 30 patients seen from January 2003 to July 2008, in order to determine outcomes and related risk factors after the arterial switch operation.METHODS:
Patients charts, surgical reports, and echocardiograms were retrospectively reviewed. And they were analyzed in 2 different groups complex (n=16) versus simple TGAs (n=14). Complex TGAs are TGAs with VSD or the Taussig-Bing anomaly with or without aortic arch anomalies. Simple TGAs are defined as TGAs with intact ventricular septum having no such anomalies. Median follow-up time was 44 months (3-63 months).RESULTS:
Hospital mortality was 0%. However, follow-up echocardiographies revealed potential complications, including stenosis of the branch pulmonary arteries, neo-aortic and/or neo-pulmonary valvar regurgitation, and right or left ventricular outflow tract obstructions. Great arterial relationship (side-by-side), association of aortic arch anomalies, and the existence of the Taussig-Bing anomaly were assessed as significant risk factors of neo-aortic and/or neo-pulmonary valvar regurgitation in this series. On the other hand, right or left ventricular outflow tract obstructions were more frequently found in patients demonstrating VSD, side-by-side positioned great arteries, or associated coronary anomalies.CONCLUSION:
The ASO is the procedure of choice in the treatment of TGA. However, special attention and follow-ups are needed to detect residual problems like the stenosis of the branch pulmonary arteries, neo-aortic and/or neo-pulmonary valvar regurgitation, as well as ventricular outflow tract obstructions.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Aorta Torácica
/
Complicaciones Posoperatorias
/
Arterias
/
Arteria Pulmonar
/
Transposición de los Grandes Vasos
/
Ventrículo Derecho con Doble Salida
/
Estudios Retrospectivos
/
Factores de Riesgo
/
Estudios de Seguimiento
/
Mortalidad Hospitalaria
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Pediatrics
Año:
2009
Tipo del documento:
Artículo
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