Document Detail

Correction of the transposition of the great arteries.
MedLine Citation:
PMID:  1099995     Owner:  NLM     Status:  MEDLINE    
Inversion of the atrial flow in transposition of the great arteries is achieved in the following way: the remaining atrial septum is detached from behind, leaving it as a flap between both AV-valves. The incision is continued into the coronary sinus and the Vena magna cordis to the base of the left atrial appendage along the mitral ring. The resulting flap from the split coronary sinus is sutured to the left atrial wall in front of the left side pulmonary veins, thus forming a septum dorsal to the caval veins, diverting the left pulmonary venous blood to the right side. The atrial septal flap is reattached in front of the caval vein orifices. In 50 cases a small Dacron patch was used to complete the midportion of the new septum. Six patients died and so far we have encountered one superior Vena cava stenosis and one pulmonary vein stenosis. In 16 patients completion of the midportion of the new atrial septum was done with a partially excised flap from the right atrial wall still attached to the Vena cava inferior. This method resulted in 3 operative deaths. In 42 of 58 survivors the ECG has been repeatedly controlled 3 months to 6 years postoperatively. Thirty-six of the 42 patients have sinus rhythm, 4 vary between nodal and sinus-rhythm and 2 have a total AV-dissociation.
A Senning
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of surgery     Volume:  182     ISSN:  0003-4932     ISO Abbreviation:  Ann. Surg.     Publication Date:  1975 Sep 
Date Detail:
Created Date:  1975-11-22     Completed Date:  1975-11-22     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372354     Medline TA:  Ann Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  287-92     Citation Subset:  AIM; IM    
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MeSH Terms
Child, Preschool
Extracorporeal Circulation
Heart Atria
Postoperative Complications
Suture Techniques
Transposition of Great Vessels / mortality,  physiopathology,  surgery*

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