Right ventricular outflow tract obstruction after arterial switch operation for the Taussig–Bing heart☆

Sinzobahamvya, Nicodème; Blaschczok, Hedwig C.; Asfour, Boulos; Arenz, Claudia; Jussli, Marka J.; Schindler, Ehrenfried; Photiadis, Joachim; Urban, Andreas

doi:10.1016/j.ejcts.2007.02.004

Cited by 36 publications

(23 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the literature, several preoperative anatomic indicators have been identified as risk factors for reinterventions, such as aortic arch obstruction, preoperative subaortic RVOTO, side-by-side arteries, and PA to aorta mismatch. 12,21 In our experience, similar to that of Comas and colleagues, 22 the reintervention rate was higher in patients with arch obstruction.…”

Section: Risk Factors For Reinterventionsupporting

confidence: 84%

Late outcomes after arterial switch operation for Taussig-Bing anomaly

Vergnat

Baruteau

Houyel

et al. 2015

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

In the largest series to date of ASO for TBA, mortality is confined to the first postoperative year, and related to coronary artery pattern. Beyond the first year, needed reinterventions are frequent, but with sustained functional status and no mortality over >10 years follow-up. Aortic arch obstruction is the main predictor for reintervention. Despite a significant rate of early events, favorable long-term outcomes argue for use of the ASO in TBA patients.

show abstract

Section: Risk Factors For Reinterventionsupporting

confidence: 84%

Late outcomes after arterial switch operation for Taussig-Bing anomaly

Vergnat

Baruteau

Houyel

et al. 2015

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

show abstract

“…This situation can produce postoperative neopulmonary valvar stenosis and right ventricular outflow obstruction [ 6 , 12 ]. Moreover, the anatomic factors that have previously been reported to be related to the occurrence of subneopulmonary stenosis are associated with AAO, coronary anomalies, side-by-side great artery relationships and the preoperative presence of organic subaortic stenosis [ 15 ]. However, Soszyn et al [ 16 ] reported that there were no significant risk factors in their study.…”

Section: Discussionmentioning

confidence: 99%

Transposition Complex with Aortic Arch Obstruction: Outcomes of One-Stage Repair Over 10 Years

et al. 2015

View full text Add to dashboard Cite

The surgical management of transposition complex with aortic arch obstruction remains technically demanding due to anatomic complexity. Even in the recent surgical era, there are centers that address this anomaly with a staged strategy. This report presents our experiences with a one-stage repair of transposition complexes with aortic arch obstructions more than the last 10 years. Since 2003, 19 patients with a transposition of the great arteries (TGA, 2 patients) or a double outlet of the right ventricle (DORV, 17 patients) and aortic arch obstruction have undergone one-stage repair of their anomalies. The mean age was 6.7 ± 2.3 days, and the mean body weight was 3.4 ± 0.3 kg. The 2 patients with TGA exhibited coarctation of the aorta. The 17 patients with DORV all exhibited the Taussig–Bing type. The great artery relationships were anteroposterior in 4 patients (21.1 %). The coronary artery anatomies were usual (1LCx; 2R) in 8 patients (42.1 %). There were 2 early deaths (10.5 %). Seven patients (36.8 %) required percutaneous interventions. One patient required re-operation for pulmonary valvar stenosis and left pulmonary artery patch angioplasty. The overall survival was 84.2 %. The freedom from mortality was 83.5 % at 5 years, and the freedom from intervention was 54.4 % at 5 years. The one-stage repair of transposition complexes with aortic arch obstructions resulted in an acceptable survival rate and a relatively high incidence of postoperative catheter interventions. Postoperative catheter interventions are highly effective. Transposition complexes combined with aortic arch obstructions can be managed by one-stage repair with good early and midterm results.

show abstract

“…[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%

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

Korun¹

2017

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

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.

show abstract

Right ventricular outflow tract obstruction after arterial switch operation for the Taussig–Bing heart☆

Abstract: Postoperative right-sided obstruction occurs more frequently after ASO repair of Taussig-Bing heart than after TGA arterial switching, leading to higher reintervention rate. Resection of the commonly associated subaortic stenosis often prevents RVOTO development.

Cited by 36 publications

References 11 publications

Late outcomes after arterial switch operation for Taussig-Bing anomaly

Late outcomes after arterial switch operation for Taussig-Bing anomaly

Transposition Complex with Aortic Arch Obstruction: Outcomes of One-Stage Repair Over 10 Years

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

Contact Info

Product

Resources

About