Document Detail


Midterm results of arterial switch operation in older patients with severe pulmonary hypertension.
MedLine Citation:
PMID:  20732506     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: It is widely accepted that patients older than 6 months with dextrotransposition of the great arteries and nonrestrictive ventricular septal defect or Taussig-Bing anomaly and severe pulmonary hypertension usually are not candidates for an arterial switch operation or even repair. This study aimed to evaluate the midterm results of the arterial switch operation in these selected patients. METHODS: The records of 86 patients older than 6 months with dextrotransposition of the great arteries and nonrestrictive ventricular septal defect or Taussig-Bing anomaly and severe pulmonary hypertension undergoing the arterial switch operation at our institution from 2000 to 2008 were reviewed retrospectively. Eighty survivors were followed. RESULTS: There were 6 hospital deaths (7.0%, 95% confidence interval, 1.6% to 12.4%). From 2006 to 2008, 46 were operated without deaths occurring. The median duration of follow-up was 42 months. Two late deaths occurred. Latest follow-up data showed that 2.8% of survivors were in New York Heart Association class II and 97.2% in class I. CONCLUSIONS: Midterm results of the arterial switch operation for patients older than 6 months with dextrotransposition of the great arteries and nonrestrictive ventricular septal defect or Taussig-Bing anomaly and severe pulmonary hypertension are excellent in the current era.
Authors:
Ying-long Liu; Sheng-shou Hu; Xiang-dong Shen; Shou-jun Li; Xu Wang; Jun Yan; Xin Wu; Jing-bin Huang; Bo Kong
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  90     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-24     Completed Date:  2010-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  848-55     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Pediatric Cardiac Center, Cardiovascular Institute, and Fuwai Hospital, Chinese Academy of Medical Sciences, and Peking Union Medical College, Beijing, China. hjb010222@163.com
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / surgery*
Adolescent
Cardiac Surgical Procedures / methods
Child
Child, Preschool
Female
Heart Septal Defects, Ventricular / complications,  surgery*
Humans
Hypertension, Pulmonary / complications,  surgery*
Infant
Male
Retrospective Studies
Severity of Illness Index
Time Factors
Transposition of Great Vessels / complications,  surgery*
Treatment Outcome
Vascular Surgical Procedures / methods
Young Adult

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


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