Long-term prognosis of double-switch operation for congenitally corrected transposition of the great arteries

Hiramatsu, Takeshi; Matsumura, Goki; Konuma, Takeshi; Yamazaki, Kenji; Kurosawa, Hiromi; Imai, Yasuharu

doi:10.1093/ejcts/ezs118

Cited by 58 publications

(32 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One-and-a-half modification of anatomic repair using hemi-Mustard procedure can reduce technical demands. With accumulated experience and modification of procedures, the outcome of anatomic repair has improved 5)6)7)8). We have modified the Mustard procedure by adding a bidirectional cavopulmonary shunt (BCPS) in the atrial switch procedure (hemi-Mustard procedure) of anatomic repair in selected patients, as reported previously 9)10)…”

Section: Introductionmentioning

confidence: 94%

Clinical Outcomes after Anatomic Repair Including Hemi-Mustard Operation in Patients with Congenitally Corrected Transposition of the Great Arteries

et al. 2017

View full text Add to dashboard Cite

Background and ObjectivesThe aims of this study were to determine the early and late outcomes of anatomic repair of congenitally corrected transposition of the great arteries (ccTGA) and to evaluate effectiveness of the hemi-Mustard procedure.Subjects and MethodsWe conducted a retrospective, single-center study of patients who underwent anatomic repair for ccTGA between July 1996 and December 2013. Sixteen patients were included in the study. The median age at the time of the operation was 3.5 years (range: 0.5-29.7), and the median body weight was 13.3 kg (range: 5.8-54). The median follow-up duration was 7.7 years (range: 0.2-17.4).ResultsAtrial switch was achieved using the Mustard procedure in 12 patients (hemi-Mustard procedure in 11) or the Senning procedure in four patients. The ventriculoarterial procedure was performed using the Rastelli procedure in 11 patients and arterial switch in five patients. Six patients underwent tricuspid valvuloplasty. The survival rate was 93.8±6.1%. The rate of freedom from reoperation at 5 years was 92.3±7.4% in the Rastelli group. All patients except one were New York Heart Association class I. All patients except one had mild tricuspid regurgitation.ConclusionAnatomic repair can be performed with a low risk of in-hospital mortality. The hemi-Mustard strategy for selected patients is one solution for reducing early mortality and morbidity, and long-term complications such as venous pathway stenosis or sinus node dysfunction.

show abstract

Section: Introductionmentioning

confidence: 94%

Clinical Outcomes after Anatomic Repair Including Hemi-Mustard Operation in Patients with Congenitally Corrected Transposition of the Great Arteries

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Anatomic correction involves an atrial switch (Mustard or Senning procedure) coupled with the arterial switch, or a Rastelli procedure in those with a VSD and pulmonary atresia. Although no prospective comparative study will ever be performed, overall there seems to be no major benefit from an anatomic surgical approach in relation to long‐term survival of the intrinsic AV conduction system 25, 26…”

Section: Cardiac Conduction Disorders In Cctgamentioning

confidence: 99%

“…Although no prospective comparative study will ever be performed, overall there seems to be no major benefit from an anatomic surgical approach in relation to long-term survival of the intrinsic AV conduction system. 25,26…”

Section: Clinical Description and Natural Historymentioning

confidence: 99%

Cardiac Conduction System in Congenitally Corrected Transposition of the Great Arteries and Its Clinical Relevance

Baruteau

Abrams

et al. 2017

JAHA

View full text Add to dashboard Cite

“…This procedure is not feasible in patients with significant LV dysfunction, pulmonary valve abnormalities precluding its use as a neo-aortic valve, or uncontrollable arrhythmias. Although no randomized clinical trials exist, amongst the few case studies described, anatomic correction has been shown to have good long-term outcomes with 10 and 20 yearsurvival reported as 75% and 85%, respectively [22][23][24][25][26][27]. In patients without pulmonary hypertension or LV outflow tract obstruction, the LV may not have the ability to support systemic pressures after anatomic correction.…”

Section: Surgical Repairmentioning

confidence: 99%

Ventricular Assist Devices in Patients with Systemic Right Ventricular Failure due to Congenitally Corrected Transposition of the Great Arteries

Sehgal¹,

Ahluwalia²

2017

J Clin Exp Cardiolog

View full text Add to dashboard Cite

Congenitally corrected transposition of the great arteries is increasingly recognized as an adult congenital heart problem. Although early atrial switch surgical repairs resulted in improved overall survival, these patients are further predisposed to systemic ventricular failure in their fourth and fifth decades of life. Early diagnosis and management of systemic ventricular dysfunction are often challenging. Ventricular assist devices may become a mainstay endstage treatment option for these patients as a destination therapy or a bridge to heart transplantation.

show abstract

Long-term prognosis of double-switch operation for congenitally corrected transposition of the great arteries

Abstract: The long-term prognosis of the double-switch operation for congenitally corrected transposition of the great arteries was acceptable. In particular, an atrial switch plus arterial switch could be performed with low morbidity, and it should be considered as the optimal procedure.

Cited by 58 publications

References 15 publications

Clinical Outcomes after Anatomic Repair Including Hemi-Mustard Operation in Patients with Congenitally Corrected Transposition of the Great Arteries

Clinical Outcomes after Anatomic Repair Including Hemi-Mustard Operation in Patients with Congenitally Corrected Transposition of the Great Arteries

Cardiac Conduction System in Congenitally Corrected Transposition of the Great Arteries and Its Clinical Relevance

Ventricular Assist Devices in Patients with Systemic Right Ventricular Failure due to Congenitally Corrected Transposition of the Great Arteries

Contact Info

Product

Resources

About