Excellent survival and low complication rate in medium-term follow-up after arterial switch operation for complete transposition

Pia Rehnström, Göran Südow, Berggren Håkan, Thomas Gilljam

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskriftPeer review

14 Citeringar (SciVal)

Sammanfattning

Objective—To determine medium-term outcome after arterial switch operation for complete transposition in a population-based cohort.

Design—Retrospective study of all 86 patients operated on at our institution from 1982 to 2000. Age at operation was 0-256 days (median 6 days); 28 (32%) had closure of a ventricular septal defect, 2 of whom had double outlet right ventricle. Additional surgery included coarctectomy in three, pulmonary artery banding in two and atrial septectomy in one patient.

Results—Thirty-day operative mortality was 7/86 (8.1 %), after 1988 mortality was only 3.8% and confined to patients with unusual coronary artery patterns. There was no late mortality; Kaplan-Meier survival was 91 %. Five patients (6% of survivors) were reoperated for right ventricular outflow tract obstruction. At last follow-up, 86% were free from complications; three had neurological complications, two were on treatment for ventricular dysfunction and one had a pacemaker for postoperative atrioventricular block.

Conclusion—In this cohort of first-generation patients treated with arterial switch operation, medium-term survival is excellent and the rate of reoperation and sequelae is low.
Originalspråkengelska
Sidor (från-till)104-106
Antal sidor3
TidskriftScandinavian Cardiovascular Journal
Volym37
Utgåva2
DOI
StatusPublished - 2003
Externt publiceradJa

Ämnesklassifikation (UKÄ)

  • Kardiologi

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