Abstract | OBJECTIVE: METHODS: RESULTS: Group 1 had 5 early deaths (17%) but no late deaths. Three patients underwent conduit revision at a mean follow-up of 62 months. Group 2 had 5 early deaths (13.5%). There were 4 late reoperations (2 pulmonary baffle revisions, 1 mitral valve replacement, and 1 permanent pacemaker implantation) and 4 late deaths (1 secondary to progressive left ventricular dysfunction, 2 secondary to uncontrolled atrial tachyarrhythmia, and 1 secondary to pulmonary hypertension and right ventricular failure). In group 2, 4 patients have a left ventricular ejection fraction less than 40%, 5 patients have moderate aortic incompetence, 5 patients have symptomatic tricuspid incompetence, 1 patient has tricuspid stenosis, 1 patient has superior cava obstruction, and 3 patients are receiving antiarrhythmic therapy. CONCLUSION: The occurrence of left ventricular dysfunction indicate that anatomic repair in the arterial switch group is still fraught with imperfections. The Rastelli group required conduit revisions but has otherwise performed well.
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Authors | Rajesh Sharma, Sachin Talwar, Ashutosh Marwah, Sejal Shah, Sunita Maheshwari, Pujari Suresh, Rajnish Garg, Bijender Singh Bali, Rajnish Juneja, Anita Saxena, Shyam Sunder Kothari |
Journal | The Journal of thoracic and cardiovascular surgery
(J Thorac Cardiovasc Surg)
Vol. 137
Issue 2
Pg. 404-412.e4
(Feb 2009)
ISSN: 1097-685X [Electronic] United States |
PMID | 19185160
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Cardiac Surgical Procedures
- Child
- Child, Preschool
- Humans
- Infant
- Postoperative Complications
(epidemiology, etiology)
- Reoperation
- Stroke Volume
- Transposition of Great Vessels
(surgery)
- Treatment Outcome
- Ventricular Dysfunction, Left
(epidemiology, etiology)
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