Document Detail

Cardiac outcome up to 15 years after the arterial switch operation.
MedLine Citation:
PMID:  17669687     Owner:  NLM     Status:  MEDLINE    
AIMS: To assess the cardiac outcome and risk factors for mortality of infants following the arterial switch operation (ASO). METHODS: A single-centre retrospective review was conducted. Preoperative assessment, operative management and outcome was detailed for 244 patients undergoing the ASO at Green Lane Hospital for transposition of the great arteries (TGA) or double outlet right ventricle. RESULTS: The postoperative survival at 1, 5 and 15 years was 85%, 84% and 83%, respectively. The calendar year of ASO and the presence of a ventricular septal defect (VSD) were the primary predictors of early mortality. Late mortality was associated with a side-by-side configuration of the great arteries. Re-intervention following ASO was more common in patients with prolonged cardiopulmonary bypass time. CONCLUSIONS: Low early and late morbidity and mortality can be obtained in infants with TGA or double outlet right ventricle by definitive repair utilising the ASO.
Sharon H Wong; Kirsten Finucane; Alan R Kerr; Clare O'Donnell; Teena West; Thomas L Gentles
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Publication Detail:
Type:  Journal Article     Date:  2007-07-31
Journal Detail:
Title:  Heart, lung & circulation     Volume:  17     ISSN:  1444-2892     ISO Abbreviation:  Heart Lung Circ     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2007-12-18     Completed Date:  2008-03-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963739     Medline TA:  Heart Lung Circ     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  48-53     Citation Subset:  IM    
Green Lane Paediatric and Congenital Cardiac Service, Starship Children's Hospital, Auckland, New Zealand.
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MeSH Terms
Analysis of Variance
Cardiac Surgical Procedures / adverse effects,  methods
Cause of Death*
Cohort Studies
Double Outlet Right Ventricle / diagnosis,  mortality,  surgery
Follow-Up Studies
Hospital Mortality / trends
Infant, Newborn
Retrospective Studies
Risk Assessment
Survival Analysis
Time Factors
Transposition of Great Vessels / diagnosis,  mortality*,  surgery*
Vascular Surgical Procedures / adverse effects,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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