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 Hetiljournal_title
Orvosi hetilapauthors
Király L,Tamás Cdoi
10.1556/650.2015.30176subject
Has Abstractpub_date
2015-06-21 00:00:00pages
1014-9issue
25eissn
0030-6002issn
1788-6120journal_volume
156pub_type
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