| Corrected transposition in situs inversus. Biventricular repair of associated cardiac anomalies. | |
| | |
MedLine Citation:
|
PMID: 1934409 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Corrected transposition of the great arteries (C-TGA) in situs inversus [I,D,D] is a rare variant of C-TGA (5-8% of the cases). Few anatomic and surgical data on this anomaly have been published. Between 1974 and 1990, 13 such patients (mean age, 12.7 +/- 8.6 yr) underwent repair of associated cardiac anomalies, including ventricular septal defect (VSD) and pulmonary outflow tract obstruction (POTO) in all 13 patients and atrial septal defect (ASD) in 11. Systemic venous anomalies were present in four. Nine patients also had dextrocardia. Patches to close the VSD were placed on the right side of the ventricular septum (through a right [systemic] ventriculotomy) in two patients and on the left side of the ventricular septum in the other 11 via a left ventriculotomy in one or a morphological right (left-sided) atriotomy in 10. The POTO was relieved directly in five patients and bypassed by a left ventricle-pulmonary artery conduit in the other eight. There was one early death due to cerebral hemorrhage. Two patients required a pacemaker for permanent heart block. Other rhythm disturbances included transient heart block in three patients and late atrial fibrillation in one. All the survivors are asymptomatic as late as 15.5 years after the repair. One patient had conduit revision 10.5 years after the initial operation, two had residual POTO of greater than 40 mm Hg, and none had residual VSD. In conclusion, patients with [I,D,D] C-TGA present with a relatively uniform subset of anatomic lesions, including predominantly ASD, VSD, and POTO.(ABSTRACT TRUNCATED AT 250 WORDS) |
| | |
Authors:
|
R M Di Donato; G Wernovsky; R A Jonas; J E Mayer; J F Keane; A R Castañeda |
Related Documents
:
|
7463719 - Balloon catheter test in patients with atrial septal defect and patent ductus arteriosus. 15547659 - Double-orifice mitral valve associated with nonisolated left ventricular noncompaction-... 19830519 - Bland-white-garland syndrome with ventricular septal defect: late presentation. 17297179 - Coronary angiography in patients undergoing transcatheter closure of interatrial shunt. 3942439 - Isolated ventricular inversion with situs solitus: successful surgical repair. 11779519 - Severe pulmonary hypertension without right ventricular failure: the unique hearts of p... 10190509 - Heart rate variability and occurrence of ventricular arrhythmias during balloon occlusi... 11973419 - Early anti-remodeling effect of labetalol in the congestive heart failure model induced... 11236129 - Careful screening to target interventions to prevent sudden cardiac death. |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: Circulation Volume: 84 ISSN: 0009-7322 ISO Abbreviation: Circulation Publication Date: 1991 Nov |
Date Detail:
|
Created Date: 1991-12-16 Completed Date: 1991-12-16 Revised Date: 2007-11-14 |
Medline Journal Info:
|
Nlm Unique ID: 0147763 Medline TA: Circulation Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: III193-9 Citation Subset: AIM; IM |
Affiliation:
|
Department of Cardiovascular Surgery, Children's Hospital, Boston, MA 02115. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Blood Vessel Prosthesis Child Female Follow-Up Studies Heart Defects, Congenital / epidemiology, surgery* Humans Male Morbidity Postoperative Complications / epidemiology Prostheses and Implants Situs Inversus / epidemiology, surgery* Transposition of Great Vessels / epidemiology, surgery* |
| Grant Support | |
ID/Acronym/Agency:
|
HL-4176/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Risk factors for arrhythmia and death after Mustard operation for simple transposition of the great ...
Next Document: Management of thoracoabdominal malperfusion in aortic dissection.