Twenty-five years' experience with the arterial switch operation

Hutter, Paul A.; Kreb, D.L.; Mantel, Suzan F.; Hitchcock, J. F.; Meijboom, Erik J.; Bennink, Ger B.W.E.

doi:10.1067/mtc.2002.120714

Cited by 155 publications

(103 citation statements)

References 21 publications

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“…bulunması, operasyondan sternum açık çıkılması, triküspit anülüs Z değerinin düşük olması, anormal koroner patern bulunması, uzun CPB ve AoCC süresi bildirilmiştir (3,4,(7)(8)(9)(10)(11)(12) Çalışmamızda belirlenen küçük yaş ve mortalite arasındaki ilişki, özellikle Grup 2'de ön plandadır. Basit BAT'lı hastalarda geç operasyon (>3 hafta) mortalite açısından bilinen bir risk faktörüyken, hastalarımızda olduğu gibi, kompleks BAT'lı hastalarda geç operasyon avantajlı olabilir.…”

Section: Discussionunclassified

“…Merkezin deneyimi ve olanakları, yoğun bakım şartları, teknik personelin yeterliliği ve tecrübesi de ASO ameliyatının başarı-sında önemli rol oynamaktadır (4,6,8). Bu ameliyatta deneyimi 25 yılı bulan bir kliniğin verileri incelendiğinde ASO'da genel perioperatif mortalite %15 iken, son 5 yıl içinde %4, hatta basit tip transposizyonda %0 olarak bildirilmiştir (8).…”

Section: Discussionunclassified

“…ASO ameliyatlarından sonra neopulmoner stenoz literatürde %7-52 arasında ve reoperasyonların en sık nedeni olarak bildirilmektedir (4,11,(19)(20)(21)(22). Pulmoner arter stenozu gelişiminde risk faktörü olarak yaş, geçirilmiş pulmoner bant operasyonu, rekonstrüksiyonda kullanılan yama materyali ve şekli ile uygulanan cerrahi teknik öne çıkmaktadır.…”

Section: Discussionunclassified

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Follow-up of our patients with transposition of the great arteries and arterial switch operation; comparison of simple and complex transposition cases

Akdeniz¹,

Ayabakan²,

Yörüker³

et al. 2011

Anadolu Kardiyol Derg

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Arteriyel "switch" ameliyatı yapılan büyük arter transpozisyonlu hastalarımızın izlemi; basit ve kompleks transpozisyon olgularının karşılaştırılması Follow-up ABSTRACTObjective: 1. Follow-up data of patients with simple transposition of great arteries (TGA) and TGA with ventricular septal defect (VSD), who had arterial switch operation (ASO) are compared. 2. Factors affecting mortality and morbidity after ASO are described. Methods: Seventy-six patients, who had an ASO between April 2007 and August 2010 were studied retrospectively. The patients with intact ventricular septum (IVS) (n=36) were in Group1, and those with VSD (n=40) in Group 2. The pre and postoperative clinical and echocardiographic variables and intensive care unit (ICU) outcomes were compared among groups using Mann-Whitney U, Pearson correlation and logistic regression tests. Results:The mean age at operation was 44.1 days, weight was 3.6±0.98 kg. Patients were followed for 15.5±11.21 months. The aortic crossclamp (AoCC) and cardiopulmonary bypass (CPB) times were higher in patients with VSD (p=0.001, p=0.004). Patients in Group 1 had longer inotropic agent infusion (p=0.001). Length of stay in ICU was similar in two groups (p>0.05). There was no correlation between the length of stay in ICU and age, weight, CPB time, AoCC time. Aortic regurgitation was more frequent in Group 2 (p=0.02). During follow-up, 12 patients died

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Section: Discussionunclassified

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Follow-up of our patients with transposition of the great arteries and arterial switch operation; comparison of simple and complex transposition cases

Akdeniz¹,

Ayabakan²,

Yörüker³

et al. 2011

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

show abstract

“…Jatene y col, realizaron en el Instituto Dante Pazzanese de Sao Paulo en Brasil, el primer switch arterial con éxito en un paciente con Transposición de grandes arterias (TGA) asociado a la presencia de una comunicación interventricular de gran diámetro (5,6). Con las modificaciones y la mejoría en la técnica y en el manejo posoperatorio, rápidamente reemplazó a las cirugías de Mustard y Senning (1,2,7) teniendo una mortalidad quirúrgica actual para la transposición simple entre el 2 y 7%; una mejora impresionante comparado con los resultados de las primeras publicaciones (8,9,10).…”

Section: Introductionunclassified

Tratamiento quirúrgico de la transposición de grandes arterias y factores asociados con la mortalidad

Vera¹,

Bautista²,

Castañeda³

et al. 2013

Rev Med Hered

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“…To the best of our knowledge 4 such cases have been published. (3,(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) …”

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confidence: 99%

Late-onset pulmonary arterial hypertension after successful early arterial switch surgery for simple transposition of the great arteries

Smedema

Pistorius

Brink

2017

SAHJ

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Twenty-five years' experience with the arterial switch operation

Abstract: Long-term clinical outcome of the arterial switch operation is good, and perioperative mortality is now low. Morbidity is dominated by pulmonary stenosis and coronary artery disease, with the potential for lethal arrhythmias.

Cited by 155 publications

References 21 publications

Follow-up of our patients with transposition of the great arteries and arterial switch operation; comparison of simple and complex transposition cases

Follow-up of our patients with transposition of the great arteries and arterial switch operation; comparison of simple and complex transposition cases

Tratamiento quirúrgico de la transposición de grandes arterias y factores asociados con la mortalidad

Late-onset pulmonary arterial hypertension after successful early arterial switch surgery for simple transposition of the great arteries

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