Results of arterial switch operation for primary total correction of the Taussig-Bing anomaly

Wetter, Jutta; Sinzobahamvya, Nicodème; Blaschczok, Hedwig C.; Cho, Mi Young; Brecher, Anne Marie; Grävinghoff, L.; Urban, Andreas

doi:10.1016/s0003-4975(03)01134-2

Cited by 46 publications

(33 citation statements)

References 21 publications

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“…Consistent with our results, right ventricular outflow tract obstruction has been the most common reason for reintervention. [9,12] Although LeCompte maneuver, inadequate mobilization of pulmonary arteries, and mismatch in size of great arteries have been accused previously, [12] we were unable to find any risk factors in this cohort.…”

Section: Discussionmentioning

confidence: 57%

“…[7,8,10,12,14,16,17] Staged repair and higher weight, and coronary abnormalities were reported to be main risk factors for mortality. [13,17] Soszyn et al [8] attributed their decreased mortality to complete resection of sub-neoaortic obstruction and overall improvement of perioperative care.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9]13,17] Reintervention was observed mostly within the first one or two years, as in this cohort. [9,12,21] Right ventricular outflow tract obstruction was observed up to 9 to 10 years after arterial switch operation for transposition of the great arteries. [22,23] The number of patients under follow-up up to 9 to 10 years after arterial switch operation for Taussig-Bing anomaly is limited both in this cohort and in the literature; therefore, whether a higher number of reintervention is to be expected in the years to come still remains unknown.…”

Section: Discussionmentioning

confidence: 99%

“…[11] The recent literature has addressed into the debate on whether the arch obstruction can be managed on the same stage as the Taussig-Bing repair or whether a staged approach is more suitable in selected cases. [12][13][14] Of note, favorable results with a single-stage approach have been described in the recent cohorts. [8,9] However, with the focus shifting to the follow-up of patients undergoing single-stage primary arterial switch operation and VSD closure with or without arch reconstruction, late mortality and re-interventions have become other subjects of concern.…”

mentioning

confidence: 95%

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Clinical outcomes of primary arterial switch operation in treatment of Taussig-Bing anomaly

Korun¹

2017

Turk Gogus Kalp Dama

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Background:This study aims to present the outcomes of primary single-stage arterial switch and ventricular septal defect closure operation in patients with Taussig-Bing anomaly. Methods: Between November 2004 and November 2015, a total of 41 patients (33 males, 8 females; median age 38 days; range 4 to 1,239 days) who underwent primary arterial switch procedure with the diagnosis of Taussig-Bing anomaly were retrospectively analyzed using the hospital database. Demographic data, echocardiograms, cardiac catheterization reports and operative notes were reviewed. Results: In-hospital mortality occurred in six patients (14.3%). Risk factors associated with in-hospital mortality were cardiopulmonary bypass time (p=0.047; Exp (B)=1.0222) and aortic arch obstruction (p=0.023; RR=NA). The mean follow-up was 3.5 (range 0.1-10.9) years. A total of 27 (77%) of 35 survivors were followed. Late mortality was seen in three patients (11.1%). Freedom from reoperation was 96% at one year and 84% at five and 10 years. The only factor associated with late mortality was the coronary pattern 1LAD-2R, Cx (p=0.025; RR=16; %95 CI= 2-128). Conclusion:Primary arterial switch operation is safe and effective in the repair of Taussig-Bing anomaly. Despite an increased risk in patients with aortic arch obstruction, single-stage approach seems to be preferable.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 95%

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Clinical outcomes of primary arterial switch operation in treatment of Taussig-Bing anomaly

Korun¹

2017

Turk Gogus Kalp Dama

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“…The position of the great arteries guides to the best surgical technique to be employed, requiring or not the anteriorization of the neopulmonary (Lecompte maneuver). The aortic arch hypoplasia, sometimes associated, should be treated according to need and with the same techniques used for correction of interrupted aortic arch [1,2].…”

Section: Diagnosismentioning

confidence: 99%