Taussig-Bing anomaly: Arterial switch versus Kawashima intraventricular repair

Mavroudis, Constantine; Backer, Carl L.; Muster, Alexander J.; Rocchini, Albert P.; Rees, Allan H.; Gevitz, Melanie

doi:10.1016/0003-4975(96)00079-3

Cited by 62 publications

(21 citation statements)

References 19 publications

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“…While intraventricular tunnel (Kawashima) repair can be accomplished without coronary transfer or extracardiac conduit placement, the DKS can be applied to all great vessel relationships without creating pulmonary outflow obstruction. 6 Additionally, we feel that the morbidity of RV-PA conduit exchange 7 is preferable to that of myocardial ischemia following ASO, 2 a stenotic or leaking intraventricular baffle, or a systemic RV following atrial switch. 8 Though repair with the ASO is the appropriate operative strategy for the vast majority of patients with complex D-TGA, the DKS remains an important alternative technique for children whose coronary artery anatomy confers a high risk of coronary obstruction following transfer.…”

Section: Discussionmentioning

confidence: 99%

Damus-Kaye-Stansel procedure avoids coronary obstruction in complex D-transposition

2018

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Although all coronary anatomy in D‐transposition of the great arteries may be “switchable,” there are reports in the literature of early and late coronary obstruction following the arterial switch operation. The Damus‐Kaye‐Stansel procedure does not risk injury to the coronary arteries, and unlike the atrial switch, commits the left ventricle to the systemic circulation. We present a series of four neonates over 22 years with D‐transposition of the great arteries and a concomitant coronary artery anomaly precluding arterial switch that were repaired using a Damus‐Kaye‐Stansel procedure and right ventricle to pulmonary artery conduit.

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Section: Discussionmentioning

confidence: 99%

Damus-Kaye-Stansel procedure avoids coronary obstruction in complex D-transposition

2018

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“…Other mechanisms for pulmonary stenosis include abnormal coronary artery anatomy requiring unusual reconstructive techniques used to avoid compression of the coronary artery during translocation, a rapid somatic growth and remnant ductal tissue causing left PA coarctation 36,37 . Nowadays, RVOt obstruction after AsO is observed more frequently in patients with taussig-Bing anomaly and coarctation, which are associated with small RVOts 38 .…”

Section: Mechanismsmentioning

confidence: 99%

Arterial switch operation for transposition of great arteries: late results in adult patients

Scognamiglio

Li²

2015

ICFJ

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Complete transposition of the great arteries (TGA) accountsfor 5% to 7% of congenital cardiac anomalies, and representsthe second most common cyanotic heart defect. Successfulsurgery, allowing the majority of patients to survive toadulthood, can either involve a physiologic or anatomic“correction”. The former (i.e. atrial switch), introduced in1958 by Senning and later modified by Mustard, corrects thephysiologic abnormality of the TGA by creating an atrial baffleto direct the venous return to the contralateral atrioventricularvalve and ventricle. Although mid-term clinical resultsare excellent, this procedure leaves the RV supporting thesystemic circulation. Hence, complications such as progressiveRV dysfunction, ensuing tricuspid regurgitation, frequentarrhythmias, heart failure and early mortality may arise in thelong-term5.

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“…Per modern nomenclature, TBA is a DORV with subpulmonary VSD [7]. Morphological variability of TBA is guided by the relationship between the great arteries [8,9]. Moreover, TBA may be accompanied by intraand extracardiac malformations that influence the parameters of the growing heart as well as natural history of the disease [10].…”

Section: Introductionmentioning

confidence: 99%

Quantitative Anatomy of Taussig-Bing Anomaly

Bockeria¹

2014

Anat Physiol

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Background: Taussig-Bing is one of the variants of the double outlet right ventricle. The characteristic feature of the Taussig-Bing anomaly (TBA) that makes it different from partial transposition of the great arteries is sub pulmonary ventricular septal defect. Morphometric studies of hearts with TBA are limited and in the majority of cases do not contain quantitative assessment of intracardiac structures. The aim of this study was to measure intracardiac structures (e.g. cardiac mass, diameter of valves, thickness of the myocardium), to assess their deviation from the individual norm, as well to determine how these parameters are influenced by anatomical variant of the lesion, anthropometric variability or pulmonary hypertension.Methods: Thirty pediatric hearts with TBA underwent morphometric assessment. The median age at the moment of death was 0.4 years. All patients had pulmonary hypertension of grade I-II (n=24) or grade III-IV (n=6) per HeathEdwards. Morphometric assessment included the measurement of the following parameters: cardiac mass, diameter of the fibrous annulus of all cardiac valves (mitral, tricuspid, aortic, and pulmonary), myocardial thickness of the both right and left ventricle. Results of valvular morphometry were compared with individual normative data presented by Schulz DM and Giordano DA, and Z-score index was calculated.Results: Cardiac mass, right ventricular myocardial thickness and the diameter of pulmonary valve significantly exceeded normal values in TBA hearts. Cardiac mass median Z-score in TBA hearts with pulmonary hypertension of III-IV grade was significantly higher if compared to pulmonary hypertension of I-II grade. Diameters of tricuspid and pulmonary valve were significantly bigger in TBA hearts without aortic obstruction. Conclusions:There is an increase in cardiac mass, right ventricular myocardial thickness as well as pulmonary valve diameter in TBA hearts if compared to age adjusted normal values. The degree of pulmonary hypertension may contribute to the increase in cardiac mass. Quantitative Anatomy of Taussig-Bing Anomaly

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Taussig-Bing anomaly: Arterial switch versus Kawashima intraventricular repair

Cited by 62 publications

References 19 publications

Damus-Kaye-Stansel procedure avoids coronary obstruction in complex D-transposition

Damus-Kaye-Stansel procedure avoids coronary obstruction in complex D-transposition

Arterial switch operation for transposition of great arteries: late results in adult patients

Quantitative Anatomy of Taussig-Bing Anomaly

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