Transposition of the Great Arteries

Freedom, Robert M.; Smallhorn, Jeffrey; Trusler, George A.

doi:10.1007/978-1-4471-1814-5_14

Cited by 3 publications

(4 citation statements)

References 220 publications

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“…Because this catheter has to use at least a 6 Fr sheath, vascular injury is the most common complication, especially in small infants. Embolization of balloon fragments and failure of balloon deflation have also been reported in some cases [6,8,9].…”

Section: Discussionmentioning

confidence: 95%

“…Because the conventional Rashkind catheter has no end-hole, the position of the catheter tip may be misjudged. Rupture of the atrial appendage immediately after balloon inflation is known as the most serious complication, especially in patients having left juxtaposition of the right atrial appendage [8]. Because this catheter has to use at least a 6 Fr sheath, vascular injury is the most common complication, especially in small infants.…”

Section: Discussionmentioning

confidence: 99%

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Torn‐off balloon tip of Z‐5 atrial septostomy catheter

Akagi

Tananari

Maeno

et al. 2001

Cathet Cardio Intervent

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Torn‐off balloon tip of Z‐5 atrial septostomy catheter

Akagi

Tananari

Maeno

et al. 2001

Cathet Cardio Intervent

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“…Subvalvar obstruction can be caused by posterior deviation of the outlet septum, fibrous membrane, fibromuscular tunnel, accessory atrioventricular valve tissue, abnormal attachment of atrioventricular valve apparatus to the ventricular septum, or protrusion of tricuspid valve leaflet through an essentially intact septum. 1,12 ASO provides an anatomical repair that results in concordant ventriculoarterial connections, a systemic morphologically left ventricle, and correct pressures within the ventricles. 13 Other major benefits of ASO include the absence of prosthetic conduits and the associated need for conduit reinterventions.…”

Section: Discussionmentioning

confidence: 99%

“…According to Freedom and colleagues, its incidence comprises 5% of the total cases of d-TGA. 1 In another series by the Congenital Heart Surgeons' Society of 829 patients with d-TGA, only one patient (0.1%) had TGA þ IVS þ LVOTO. 2 Many surgical options can be used to manage patients with TGA þ IVS þ LVOTO.…”

mentioning

confidence: 96%

TGA + IVS + LVOTO: patterns of practice and outcomes

et al. 2023

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Purpose: Transposition of great arteries with intact ventricular septum and left ventricular outflow tract obstruction (TGA + IVS + LVOTO) is uncommon. We reviewed operations performed in patients with TGA + IVS + LVOTO in the European Congenital Heart Surgeons Association Congenital Database (ECHSA-CD). Methods: All 109 patients with a diagnosis of TGA + IVS + LVOTO in ECHSA-CD who underwent cardiac surgery during a 21-year period (01/2000-02/2021, inclusive) were included. Preoperative variables, operative data, and postoperative outcomes were collected. Results: These 109 patients underwent 176 operations, including 37 (21.0%) arterial switch operations (ASO), 26 (14.2%) modified Blalock-Taussig-Thomas shunts (MBTTS), 11 (6.2%) Rastelli operations, and 13 (7.3%) other palliative operations (8 superior cavopulmonary anastomosis[es], 4 Fontan, and 1 other palliative procedure). Of 37 patients undergoing ASO, 22 had a concomitant procedure. There were 68 (38.6%) reoperations, including 11 pacemaker procedures and 8 conduit operations. After a systemic-to-pulmonary artery shunt, reoperations included shunt reoperation (n = 4), Rastelli (n = 4), and superior cavopulmonary anastomosis (n = 3). Overall Operative Mortality was 8.2% (9 deaths), including three following ASO, two following “Nikaidoh, Kawashima, or LV-PA conduit” procedures, and two following Rastelli. Postoperative complications occurred after 36 operations (20.4%). The most common complications were delayed sternal closure (n = 11), postoperative respiratory insufficiency requiring mechanical ventilation >7 days (n = 9), and renal failure requiring temporary dialysis (n = 8). Conclusion: TGA + IVS + LVOTO is rare (109 patients in ECHSA-CD over 21 years). ASO, MBTTS, and Rastelli are the most common operations performed for TGA + IVS + LVOTO. Larger international studies with long-term follow-up are needed to better define the anatomy of the LVOTO and to determine the optimal surgical strategy.

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2003

The Natural and Modifed History of Congenital Heart Disease

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Transposition of the Great Arteries

Cited by 3 publications

References 220 publications

Torn‐off balloon tip of Z‐5 atrial septostomy catheter

Torn‐off balloon tip of Z‐5 atrial septostomy catheter

TGA + IVS + LVOTO: patterns of practice and outcomes

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