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

Research output: Contribution to journalArticle

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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

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Transposition of Great Vessels
Reoperation
Pulmonary Valve Stenosis
Supravalvular Aortic Stenosis
Aortic Valve Insufficiency
Ventricular Heart Septal Defects
Ventricular Septum
Mortality
Arterial Switch Operation
Mitral Valve Insufficiency
Aortic Valve
Pulmonary Artery
Survival

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Reoperation for transposition of the great arteries : mid-term results and reoperation after arterial switch operation. / Kado, H.; Asoh, T.; Imoto, Y.; Shiokawa, Yuichi; Yamasaki, M.; Yasui, H.

In: Rinshō kyōbu geka = Japanese annals of thoracic surgery, Vol. 14, No. 3, 01.01.1994, p. 192-197.

Research output: Contribution to journalArticle

Kado, H. ; Asoh, T. ; Imoto, Y. ; Shiokawa, Yuichi ; Yamasaki, M. ; Yasui, H. / Reoperation for transposition of the great arteries : mid-term results and reoperation after arterial switch operation. In: Rinshō kyōbu geka = Japanese annals of thoracic surgery. 1994 ; Vol. 14, No. 3. pp. 192-197.
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