Reoperation for transposition of the great arteries: mid-term results and reoperation after arterial switch operation

H. Kado, T. Asoh, Y. Imoto, Yuichi Shiokawa, M. Yamasaki, H. Yasui

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5 Citations (Scopus)

Abstract

The arterial switch operation for transposition of the great arteries is now widely accepted as the therapeutic method of choice. As of December 1993, a total of 162 patients underwent the arterial switch. There were 100 patients with transposition and intact ventricular septum, 48 with a ventricular septal defect, 14 with ventricular septal defect and arch anomalies (coarctation: 11, interruption: 3). Early and late mortality were 3.7% (6 patients) and 4.5% (7 patients), respectively. Postoperative pulmonary stenosis (> 30 mmHg) was noted in 33 patients (22%), aortic regurgitation (> mild) in 20 (13%), supravalvular aortic stenosis (> 20 mmHg) in 5 (3%) and mitral regurgitation (> mild) in 5 (3%). Reoperation was performed in 27 patients with no mortality. Mean interval between the switch and the reoperation was 30 months. Twenty-three patients with pulmonary stenosis underwent patch plasty of pulmonary artery. Two children with severe aortic regurgitation underwent aortic valve replacement. Two patients who had undergone one-staged repair for interruption complex were reoperated due to supravalvular aortic stenosis and pulmonary stenosis. Actuarial survival and freedom from reoperation at 9 years were 90% and 69%, respectively.

Original languageEnglish
Pages (from-to)192-197
Number of pages6
JournalRinshō kyōbu geka = Japanese annals of thoracic surgery
Volume14
Issue number3
Publication statusPublished - Jan 1 1994

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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