Document Detail


Early outcome for the primary arterial switch operation beyond the age of 3 weeks.
MedLine Citation:
PMID:  20213091     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The arterial switch operation (ASO) for neonates is the standard management for transposition of the great arteries (TGA) with an intact ventricular septum (IVS). Patients presenting for late ASO are at risk due to the possibility of left ventricle (LV) involution. This study aimed to assess the early postoperative course and outcome for children with TGA/IVS and still conditioned LV presenting for late primary ASO. A retrospective study of all TGA/IVS patients who underwent a primary ASO between March 2002 and March 2008 was conducted. The cases were divided into two groups. Group A included all the cases of early ASO repaired before the age of 3 weeks, whereas group B included all the preslected cases of late ASO repaired after the age of 3 weeks. The demographics, intensive care unit (ICU) parameters, complications, and short-term outcomes of the two groups were compared. The study enrolled of 91 patients: 64 patients (70%) in group A and 27 patients (30%) in group B. The mean age was 11 +/- 4 days in group A and 37 +/- 17 days in group B (P < 0.001). The two groups showed no significant statistical differences in ICU parameters, complications, or mortality. For patients with TGA/IVS, ASO still can be tolerated beyond the first month of life in selected cases. Provided the LV still is conditioned, age should not be a limitation for ASO.
Authors:
Sameh R Ismail; Mohamed S Kabbani; Hani K Najm; Riyadh M Abusuliman; Mahmoud Elbarbary
Publication Detail:
Type:  Journal Article     Date:  2010-03-06
Journal Detail:
Title:  Pediatric cardiology     Volume:  31     ISSN:  1432-1971     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-17     Completed Date:  2010-10-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  663-7     Citation Subset:  IM    
Affiliation:
Department of Cardiac Sciences (MC: 1413), National Guard Hospital Health Affairs, King Abdulaziz Medical City, Riyadh, 11426, Saudi Arabia. ismails1@ngha.med.sa
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MeSH Terms
Descriptor/Qualifier:
Echocardiography
Female
Humans
Infant
Infant, Newborn
Length of Stay / statistics & numerical data
Male
Postoperative Complications
Retrospective Studies
Transposition of Great Vessels / surgery*,  ultrasonography
Treatment Outcome

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


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