Publication: Midterm results of anatomic repair in a subgroup of corrected transposition
Issued Date
2014-01-01
Resource Type
ISSN
18165370
02184923
02184923
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2-s2.0-84969150907
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Mahidol University
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SCOPUS
Bibliographic Citation
Asian Cardiovascular and Thoracic Annals. Vol.24, No.5 (2014), 428-434
Suggested Citation
Teerapong Tocharoenchok, Somchai Sriyoschati, Punnarerk Tongcharoen, Kriangkrai Tantiwongkosri, Thaworn Subtaweesin Midterm results of anatomic repair in a subgroup of corrected transposition. Asian Cardiovascular and Thoracic Annals. Vol.24, No.5 (2014), 428-434. doi:10.1177/0218492316645749 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/34485
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Title
Midterm results of anatomic repair in a subgroup of corrected transposition
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Abstract
© 2014 SAGE Publications. Background Anatomic repair has become the preferred option in the subgroup of patients with congenitally corrected transposition of the great arteries with ventricular septal defect and pulmonary obstruction. We report our 14-year experience with this approach. Methods From April 2001 to February 2014, 22 patients with congenitally corrected transposition with ventricular septal defect and pulmonary obstruction underwent anatomic repair. Nineteen patients had a modified Senning-Rastelli procedure, 2 had a Mustard-Rastelli procedure, and one had a hemi-Mustard-Glenn-Rastelli procedure. The mean age was 10.9 years, and 8 (36.4%) patients were male. Results There were 2 early deaths from sepsis and ventricular failure at 18 and 81 days postoperatively, and 3 late deaths from ventricular failure at 4, 33, and 113 months postoperatively. Left ventricular failure with mitral valve regurgitation was present in 3 of the 5 patients who died. Among the survivors, 3 underwent 4 transcatheter interventions for right ventricular outflow tract obstruction and 3 underwent 4 reoperations for atrial pathway obstruction, left and right ventricular outflow tract obstruction, or residual shunt. At a median follow-up of 64 months (range 14-167 months), 15 of 17 survivors were in functional class I. One patient had severe mitral valve regurgitation and was awaiting valve replacement. Another patient had right ventricular outflow conduit obstruction and was scheduled for reoperation. Conclusions Results of atrial switch-Rastelli procedures in this subgroup of patients with corrected transposition are satisfactory but still imperfect. Mitral regurgitation might predict a poor outcome. Long-term follow-up is necessary.