[Primary, single-stage arterial switch operations at a newly-established, comprehensive congenital cardiac center performed in the neonatal age and beyond].

Abstract:

INTRODUCTION:Outcome of arterial switch operation for transposition of the great arteries with/without ventricular septal defect is a service key-performance-indicator. AIM:The aim of the authors was to assess patient characteristics and parameters in the perioperative course. METHOD:In the setting of a newly-established, comprehensive tertiary-care center, primary complete repair was performed including associated anomalies, e.g. transverse arch repairs. Patients with d-transposition were grouped according to coexistence of ventricular septal defect. RESULTS:118 arterial switch operations were performed between 2007 and 2014 with 96.62% survival (114/118). Ventricular septal defect and repair of associated anomalies did not yield worse outcome. Left ventricular re-training with late presentation necessitated mechanical circulatory support for 4.5±1.5 days. CONCLUSIONS:D-transposition is suitable for standardization of clinical algorithm and surgical technique. Quality standards contribute to excellent outcomes, minimize complications, and serve as blueprint for other neonatal open-heart procedures. Availability of mechanical circulatory support is key for single-stage left ventricular re-training beyond the neonatal period.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Király L,Tamás C

doi

10.1556/650.2015.30176

subject

Has Abstract

pub_date

2015-06-21 00:00:00

pages

1014-9

issue

25

eissn

0030-6002

issn

1788-6120

journal_volume

156

pub_type

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