Abstract |
We report on 10 patients who underwent two-stage repair of transposition of the great arteries (TGA) with interruption (IAA) or coarctation (CoA) of the aorta. First, an operation for aortic arch reconstruction was performed: Blalock-Park with pulmonary artery banding (PAB) for IAA (5 patients), subclavian flap with PAB for CoA (4 patients) and end-to-end anastomosis without PAB (1 patient). All survived the first operation and had no significant pressure gradient with good growth of the ascending aorta, except for the 1 case without PAB. Half of the 8 patients who underwent PAB developed migration of the PAB. The arterial switch operation (ASO) was performed 0.7-12.6 (5.6+/-4.7) months after the first surgery. One patient with an abnormal coronary artery tract was lost after ASO. Five developed pulmonary artery stenosis and 1 developed supra-aortic stenosis late after ASO. Two patients need reoperation, 1 for supra-aortic stenosis, and the other for reCoA. Two-stage repair for TGA with IAA/CoA is still a useful method with a good operative result. However, strict follow-up is necessary because of the high frequency of late morbidity.
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Authors | Fumio Fukumura, A Sese, Y Ueno, Y Imoto, M Sakamoto, Y Ochiai, T Iwai, K Joho |
Journal | Kyobu geka. The Japanese journal of thoracic surgery
(Kyobu Geka)
Vol. 58
Issue 1
Pg. 66-70
(Jan 2005)
ISSN: 0021-5252 [Print] Japan |
PMID | 15678969
(Publication Type: English Abstract, Journal Article)
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Topics |
- Aorta, Thoracic
(abnormalities, surgery)
- Aortic Coarctation
(complications, surgery)
- Cardiac Surgical Procedures
(methods)
- Double Outlet Right Ventricle
(complications, surgery)
- Humans
- Infant
- Infant, Newborn
- Transposition of Great Vessels
(complications, surgery)
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