Analysis surgical results of 113 patients with complete transposition of the great arteries

To review and analysis the surgical results of 113 arteries Switch operations. One hundred and thirteen patients had been repaired by arterial Switch operation from January 2001 to December 2005. There were 60 patients with transposition of the great arteries and intact ventricular septum (TGA/IVS),...

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Veröffentlicht in:Chung-hua wai kʿo tsa chih 2007-06, Vol.45 (12), p.801-804
Hauptverfasser: Xu, Zhi-wei, Liu, Jin-fen, Zhang, Hai-bo, Zheng, Jing-hao, Yan, Qin, Qiu, Li-sheng, Wang, Shun-ming, Su, Zhao-kang, Ding, Wen-xiang
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container_issue 12
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container_title Chung-hua wai kʿo tsa chih
container_volume 45
creator Xu, Zhi-wei
Liu, Jin-fen
Zhang, Hai-bo
Zheng, Jing-hao
Yan, Qin
Qiu, Li-sheng
Wang, Shun-ming
Su, Zhao-kang
Ding, Wen-xiang
description To review and analysis the surgical results of 113 arteries Switch operations. One hundred and thirteen patients had been repaired by arterial Switch operation from January 2001 to December 2005. There were 60 patients with transposition of the great arteries and intact ventricular septum (TGA/IVS), 53 patients with transposition of great arteries and ventricular septal defect (TGA/VSD). The lowest body weight was 2.3 kg, and the youngest operative age was 6 h. The arteries Switch operation was performed underwent deep hypothermic circulation arrest and low-flow perfusion. The total mortality was 9.7%. There were 5 deaths among TGA/IVS (8.3%), 6 deaths among TGA/VSD (11.3%). Following improvement of surgical technique, post-operative management and cardiopulmonary bypass, the operative mortality was decreased from 16.6% to 5.5%. The main reason for operative mortality was abnormal coronary arteries. The incidence of abnormal coronary arteries was high at TGA/VSD. The surgical results was not infected by the p
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One hundred and thirteen patients had been repaired by arterial Switch operation from January 2001 to December 2005. There were 60 patients with transposition of the great arteries and intact ventricular septum (TGA/IVS), 53 patients with transposition of great arteries and ventricular septal defect (TGA/VSD). The lowest body weight was 2.3 kg, and the youngest operative age was 6 h. The arteries Switch operation was performed underwent deep hypothermic circulation arrest and low-flow perfusion. The total mortality was 9.7%. There were 5 deaths among TGA/IVS (8.3%), 6 deaths among TGA/VSD (11.3%). Following improvement of surgical technique, post-operative management and cardiopulmonary bypass, the operative mortality was decreased from 16.6% to 5.5%. The main reason for operative mortality was abnormal coronary arteries. The incidence of abnormal coronary arteries was high at TGA/VSD. 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One hundred and thirteen patients had been repaired by arterial Switch operation from January 2001 to December 2005. There were 60 patients with transposition of the great arteries and intact ventricular septum (TGA/IVS), 53 patients with transposition of great arteries and ventricular septal defect (TGA/VSD). The lowest body weight was 2.3 kg, and the youngest operative age was 6 h. The arteries Switch operation was performed underwent deep hypothermic circulation arrest and low-flow perfusion. The total mortality was 9.7%. There were 5 deaths among TGA/IVS (8.3%), 6 deaths among TGA/VSD (11.3%). Following improvement of surgical technique, post-operative management and cardiopulmonary bypass, the operative mortality was decreased from 16.6% to 5.5%. The main reason for operative mortality was abnormal coronary arteries. The incidence of abnormal coronary arteries was high at TGA/VSD. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Circulatory Arrest, Deep Hypothermia Induced
Female
Follow-Up Studies
Heart Septal Defects, Ventricular - complications
Heart Septal Defects, Ventricular - pathology
Heart Septal Defects, Ventricular - surgery
Humans
Infant
Infant, Newborn
Male
Retrospective Studies
Transposition of Great Vessels - complications
Transposition of Great Vessels - pathology
Transposition of Great Vessels - surgery
Treatment Outcome
title Analysis surgical results of 113 patients with complete transposition of the great arteries
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