دورية أكاديمية
أعرض في EDS

Surgical Outcomes in Patients Undergoing a Double Switch Operation for Corrected Transposition.

التفاصيل البيبلوغرافية
العنوان: Surgical Outcomes in Patients Undergoing a Double Switch Operation for Corrected Transposition.
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
الوصف
تدمد:1552-6259
DOI:10.1016/j.athoracsur.2024.04.022