Estratégia cirúrgica na transposição das grandes artérias associada à obstrução do arco aórtico

Filho, Bayard Gontijo; Fantini, Fernando Antônio; Lopes, Roberto Max; Martins, Cristiane Nunes; Heyden, Eliana Guimarães; Vrandecic, Erika Correa; Peredo, Mario Osvaldo Vrandecic

doi:10.1590/s0102-76382007000200005

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…Although the presence of a VSD or aortic arch obstruction in complete TGA has been described as a significant risk factor10,17), we showed favorable outcome in spite of different types of TGA anatomy.…”

Section: Discussionmentioning

confidence: 44%

Clinical features and surgical outcomes of complete transposition of the great arteries

et al. 2012

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PurposeThis single-center study aimed to assess the clinical features and surgical approaches and outcomes of complete transposition of the great arteries (TGA).MethodsTGA patients who had undergone surgical correction at the Kyungpook National University Hospital from January 2000 to December 2010, were retrospectively evaluated for patient characteristics, clinical manifestation, preoperative management, intraoperative findings, postoperative progress, and follow-up status.ResultsTwenty-eight patients (17 boys and 11 girls, mean age=10.6±21.5 days) were included and were categorized as follows: group I, TGA with intact ventricular septum (n=13); group II, TGA with ventricular septal defect (VSD, n=12); and group III, TGA/VSD with pulmonary stenosis (n=3). Group I underwent the most intensive preoperative management (balloon atrial septostomy and prostaglandin E1 medication). Group II showed the highest incidence of heart failure (P<0.05). Usual and unusual coronary anatomy patterns were observed in 20 (71%) and 8 patients, respectively. Arterial and half-turned truncal switch operations were performed in 25 and 3 patients (Group III), respectively. Postoperative complications included cardiac arrhythmias (8 patients), central nervous system complications (3 patients), acute renal failure (1 patient), infections (3 patients), and cardiac tamponade (1 patient), and no statistically significant difference was observed between the groups. Group II showed the mildest aortic regurgitation on follow-up echocardiograms (P<0.05). One patient underwent reoperation, and 1 died. The overall mortality rate was 4%.ConclusionOur study showed favorable results in all the groups and no significant difference in postoperative complication, reoperation, and mortality among the groups. However, our results were inadequate to evaluate the risk factors for reoperation and mortality owing to the small number of patients and short follow-up duration.

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Section: Discussionmentioning

confidence: 44%

Clinical features and surgical outcomes of complete transposition of the great arteries

et al. 2012

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Late Complications Following the Arterial Switch Operation

Vargo

Mavroudis

Stewart

et al. 2010

World J Pediatr Congenit Heart Surg

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The arterial switch operation has been the principal treatment for transposition of the great arteries and its variants for the last 25 years. Early mortality has decreased significantly over time, but long-term complications include pulmonary artery stenosis, coronary artery obstruction, neoaortic valvar insufficiency, arrhythmia, and aortic arch obstruction. This article provides an overview of the history, anatomic patterns, surgical results, and possible operative solutions discussed in the literature for patients with transposition of the great arteries who undergo arterial switch operations that result in late complications. Published journal articles were identified through PubMed literature search. The authors selected 72 articles for analysis. It is concluded that modifications can be made to the arterial switch operation in an effort to meet the challenges presented by late complications.

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Lactato sérico como marcador de morbimortalidade no pós-operatório de operação de Jatene em lactentes

Rocha¹,

Silveira²,

Botta³

et al. 2010

Rev Bras Cir Cardiovasc

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Estratégia cirúrgica na transposição das grandes artérias associada à obstrução do arco aórtico

Cited by 3 publications

References 12 publications

Clinical features and surgical outcomes of complete transposition of the great arteries

Clinical features and surgical outcomes of complete transposition of the great arteries

Late Complications Following the Arterial Switch Operation

Lactato sérico como marcador de morbimortalidade no pós-operatório de operação de Jatene em lactentes

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