دورية أكاديمية
Surgical Outcomes in Patients Undergoing a Double Switch Operation for Corrected Transposition.
العنوان: | Surgical Outcomes in Patients Undergoing a Double Switch Operation for Corrected Transposition. |
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المؤلفون: | Mainwaring RD; Division of Pediatric Cardiac Surgery, Stanford Children's Hospital, Stanford, California. Electronic address: mainwaring@stanford.edu., Felmly LM; Division of Pediatric Cardiac Surgery, Stanford Children's Hospital, Stanford, California., Ho DY; Division of Pediatric Cardiology, Stanford Children's Hospital, Stanford, California., Arunamata A; Division of Pediatric Cardiology, Stanford Children's Hospital, Stanford, California., Algaze C; Division of Pediatric Cardiology, Stanford Children's Hospital, Stanford, California., Ma M; Division of Pediatric Cardiac Surgery, Stanford Children's Hospital, Stanford, California., Hanley FL; Division of Pediatric Cardiac Surgery, Stanford Children's Hospital, Stanford, California. |
المصدر: | The Annals of thoracic surgery [Ann Thorac Surg] 2024 Sep; Vol. 118 (3), pp. 634-642. Date of Electronic Publication: 2024 May 14. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 15030100R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6259 (Electronic) Linking ISSN: 00034975 NLM ISO Abbreviation: Ann Thorac Surg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Amsterdam : Elsevier Original Publication: Boston. |
مواضيع طبية MeSH: | Transposition of Great Vessels*/surgery , Transposition of Great Vessels*/mortality , Arterial Switch Operation*/methods, Humans ; Retrospective Studies ; Male ; Female ; Treatment Outcome ; Child, Preschool ; Infant ; Congenitally Corrected Transposition of the Great Arteries ; Child ; Hospital Mortality/trends ; Follow-Up Studies |
مستخلص: | Background: Congenitally corrected transposition of the great arteries (CC-TGA) is a rare and complex form of congenital heart disease. Results of physiologic repair proved disappointing due to late right ventricular dysfunction and/or tricuspid regurgitation. The current study was performed to evaluate surgical outcomes in patients undergoing a double switch for CC-TGA. Methods: This was a retrospective review of 121 patients who underwent a double switch over a 2-decade time frame (2002-2023). Patients were a median age of 32 months. Before the double switch, 49 of 121 patients (40%) had undergone left ventricular retraining. Results: Sixty-seven patients underwent an arterial switch, and 54 underwent a Rastelli procedure. There were 4 in-hospital deaths (3.3%), including 3 who had a Rastelli procedure (5.6%) and 1 who had an arterial switch (1.5%). At a median follow-up of 30 months, there were 4 late deaths (2 Rastelli and 2 arterial switch). Combined early and late mortality was 9.3% for the Rastelli and 4.5% for arterial switch. Combined mortality was 2.0% for patients who required left ventricular retraining vs 9.7% for those who did not. For the 117 patients discharged from the hospital, 93% have normal or low-normal left ventricular function, and 96% have mild or less neoaortic insufficiency. Conclusions: Surgical outcomes in patients undergoing a double switch procedure have been excellent both in the short- and midterm. However, the Rastelli procedure was associated with a more than 2-fold increase in mortality risk compared with the arterial switch. Competing Interests: Disclosures The authors have no conflicts of interest to disclose. (Copyright © 2024 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.) |
تواريخ الأحداث: | Date Created: 20240516 Date Completed: 20240825 Latest Revision: 20240825 |
رمز التحديث: | 20240826 |
DOI: | 10.1016/j.athoracsur.2024.04.022 |
PMID: | 38750683 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1552-6259 |
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DOI: | 10.1016/j.athoracsur.2024.04.022 |