Journal article
Results of the double switch operation for congenitally corrected transposition of the great arteries
European journal of cardio-thoracic surgery, v 24(1), 11
Jul 2003
PMID: 12853040
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: To determine the outcomes for a program that utilizes the double switch operation as the primary approach for congenitally corrected transposition. Methods: The records of 46 consecutive patients from a single institution who had undergone a double switch operation from October 1993 to March 2002 were reviewed. The records of 24 patients who were evaluated during the same period and felt not to be candidates for the double switch operation or who are awaiting double switch after pulmonary artery banding were also reviewed. Results: The median age at operation was 28 months (range 2 months to 16.3 years). Associated defects included ventricular septal defect 40, pulmonic stenosis 13 and pulmonary atresia 16. Twenty-six patients underwent an arterial switch operation combined with a Senning procedure while 20 patients underwent combined Rastelli and Senning procedures. Before the double switch, 12 patients had required pulmonary artery banding and 21 patients had systemic to pulmonary artery shunts. The median duration of stay in the intensive care unit was 3.5 days (range 2-60 days) and the median duration of total hospital stay was 8 days (range 5-60 days). There were no hospital deaths; one patient died 5 months after discharge due to an arrhythmogenic cardiac arrest during a median follow-up of 24 months [long-term survival 98% (95% CI 89-100%)]. Conclusions: The double switch operation may be performed with excellent hospital and long-term survival. The theoretical advantages of this procedure which enables the morphologic left ventricle and mitral valve to support a systemic pressure load must be established by careful follow-up of these patients.
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Details
- Title
- Results of the double switch operation for congenitally corrected transposition of the great arteries
- Creators
- Brian W Duncan - Cleveland ClinicRoger B.B Mee - Cleveland ClinicC. Igor Mesia - Cleveland ClinicAthar Qureshi - Cleveland ClinicGeoffrey L Rosenthal - Cleveland ClinicShivaprakash G Seshadri - Cleveland ClinicGeoffrey K Lane - Cleveland ClinicLarry A Latson - Cleveland Clinic
- Publication Details
- European journal of cardio-thoracic surgery, v 24(1), 11
- Publisher
- Elsevier Science B.V
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000184648600003
- Scopus ID
- 2-s2.0-0037674389
- Other Identifier
- 991021838277304721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Respiratory System
- Surgery