Abstract | OBJECTIVE: METHODS: From 1992 to 2012, 106 patients (median age at surgery, 1.2 years; range, 2 months to 43 years) with ccTGA had anatomic repair. A retrospective review of preoperative variables, surgical procedures, and postoperative outcomes was performed. RESULTS: In-hospital deaths occurred in 5.7% (n = 6), and there were 3 postdischarge deaths during a mean follow-up period of 5.2 years (range, 7 days to 18.2 years). Twelve patients (12%) developed moderate or severe left ventricular dysfunction. Thirty-eight patients (38%) were being paced at latest follow-up evaluation. Seventeen patients had resynchronization therapy, 9 as an upgrade from a prior dual-chamber system (8.5%) and 8 as a primary pacemaker (7.5%). Factors associated with left ventricular dysfunction were age at repair older than 10 years, weight greater than 20 kg, pacemaker implantation, and severe neo- aortic regurgitation. Eight of 9 patients undergoing secondary cardiac resynchronization therapy (upgrade) improved left ventricular function. None of the 8 patients undergoing primary resynchronization developed left ventricular dysfunction. CONCLUSIONS:
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Authors | Victor Bautista-Hernandez, Patrick O Myers, Frank Cecchin, Gerald R Marx, Pedro J Del Nido |
Journal | The Journal of thoracic and cardiovascular surgery
(J Thorac Cardiovasc Surg)
Vol. 148
Issue 1
Pg. 254-8
(Jul 2014)
ISSN: 1097-685X [Electronic] United States |
PMID | 24100093
(Publication Type: Journal Article)
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Copyright | Copyright © 2014 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved. |
Topics |
- Adolescent
- Adult
- Age Factors
- Cardiac Pacing, Artificial
- Cardiac Surgical Procedures
(adverse effects, mortality)
- Child
- Child, Preschool
- Congenitally Corrected Transposition of the Great Arteries
- Disease-Free Survival
- Hospital Mortality
- Humans
- Infant
- Retrospective Studies
- Risk Factors
- Time Factors
- Transposition of Great Vessels
(diagnosis, mortality, surgery)
- Treatment Outcome
- Ventricular Dysfunction, Left
(diagnosis, etiology, mortality, physiopathology, therapy)
- Ventricular Function, Left
- Young Adult
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