Abstract | BACKGROUND: METHODS AND RESULTS: A retrospective study was performed, and 43 patients with Taussig-Bing anomaly were identified between 1990 and 2011. Median age at arterial switch operation was 7 (range, 2-192) days, and median operative weight was 3.2 (1.4-6.2) kg. Aortic arch obstruction was present in 30 patients (70%). Hospital mortality was 7% (n=3). Follow-up was available for 37 hospital survivors at a mean of 8.1 (± 6.3) years. Late mortality was 2% (n=1). At follow-up, all patients were in New York Heart Association functional class I. Freedom from transcatheter or surgical reintervention was 73% at 1 year, 64% at 5 years, and 60% at 10 years. Eleven patients underwent 13 catheter reinterventions on the pulmonary arteries (n=8) or aortic arch (n=5). Seven patients underwent 11 reoperations, including relief of right ventricular outflow tract obstruction (n=5), pulmonary arterioplasty (n=3), recoarctation repair (n=2), and tricuspid valve repair (n=1). By multivariate analysis, a preoperative aortic valve annulus z score of ≤-2.5 was associated with reintervention (hazard ratio, 7.66 [95% confidence interval, 1.29-45.6], P=0.03). CONCLUSIONS:
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Authors | Denise A Hayes, Sophie Jones, Jan M Quaegebeur, Marc E Richmond, Howard F Andrews, Julie S Glickstein, Jonathan M Chen, Emile Bacha, Leonardo Liberman |
Journal | Circulation
(Circulation)
Vol. 128
Issue 11 Suppl 1
Pg. S194-8
(Sep 10 2013)
ISSN: 1524-4539 [Electronic] United States |
PMID | 24030406
(Publication Type: Journal Article)
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Topics |
- Child
- Child, Preschool
- Double Outlet Right Ventricle
(diagnosis, surgery)
- Female
- Follow-Up Studies
- Humans
- Infant
- Infant, Newborn
- Male
- Reoperation
(methods, trends)
- Retrospective Studies
- Transposition of Great Vessels
(diagnosis, surgery)
- Treatment Outcome
- Vascular Surgical Procedures
(methods, trends)
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