| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1995;109:642-653
© 1995 Mosby, Inc.
SURGERY FOR CONGENITAL HEART DISEASE |
Rochester, Minn.
From the Division of Thoracic and Cardiovascular Surgery, Division of Cardiovascular Diseases, Division of Anatomic Pathology, and Department of Medical Statistics and Epidemiology, Mayo Clinic, Rochester, Minn.
Address for reprints: G. K. Danielson, MD, Division of Thoracic and Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55905.
Abstract
From December 1964 to October 1993, 40 patients (aged 5 months to 70 years, mean 21.8 years, median 13.6 years) with corrected transposition and systemic atrioventricular valve insufficiency underwent replacement (n = 39) or repair (n = 1) of the systemic atrioventricular valve. Thirty-nine patients had situs solitus and 1 had situs inversus. Associated anomalies included Ebstein's malformation of the systemic atrioventricular valve (n = 22), ventricular septal defect (n = 19), and pulmonary stenosis (n = 14). Preoperatively, 16 patients (40.0%) had complete heart block and 27 patients (67.5%) were in New York Heart Association functional classes III and IV. The early mortality was 10.0% (n = 4) and 8 patients died subsequently. The principal cause of death in all 12 patients was systemic ventricular failure. Overall survival including early mortality was 78.0% at 5 years and 60.7% at 10 years; survival excluding early mortality was 86.7% at 5 years and 67.5% at 10 years. Survivorship correlated with preoperative systemic ventricular ejection fraction of 44% or more (p < 0.001) and later interval of operation (9 deaths in 15 patients before 1981 versus 3 deaths in 25 patients subsequently) (p = 0.06). There were no cases of surgically induced complete heart block. Two patients underwent late reoperations related to the systemic atrioventricular valve prosthesis. Follow-up extended to 26.0 years (median 4.7 years). At last follow-up, 18 of the 28 survivors were in New York Heart Association functional class I, 9 were in class II, and 1 was in class III. We conclude that the results of systemic atrioventricular valve replacement in corrected transposition have improved significantly during the past decade. To preserve systemic ventricular function, we suggest operation be considered at the earliest sign of progressive ventricular dysfunction as assessed by serial clinical evaluation and echocardiography. (J THORACCARDIOVASCSURG1995;109:642-53)
This article has been cited by other articles:
|
|
 |
|
  D. W. Quinn, S. P. McGuirk, C. Metha, P. Nightingale, J. V. de Giovanni, R. Dhillon, P. Miller, O. Stumper, J. G. Wright, D. J. Barron, et al. The morphologic left ventricle that requires training by means of pulmonary artery banding before the double-switch procedure for congenitally corrected transposition of the great arteries is at risk of late dysfunction. J. Thorac. Cardiovasc. Surg., May 1, 2008; 135(5): 1137 - 1144.e2. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. J. Sommer, Z. M. Hijazi, and J. F. Rhodes Pathophysiology of Congenital Heart Disease in the Adult: Part III: Complex Congenital Heart Disease Circulation, March 11, 2008; 117(10): 1340 - 1350. [Full Text] [PDF]
|
|
|
|
|
|
T. Shin'oka, H. Kurosawa, Y. Imai, M. Aoki, M. Ishiyama, T. Sakamoto, S. Miyamoto, K. Hobo, and Y. Ichihara Outcomes of definitive surgical repair for congenitally corrected transposition of the great arteries or double outlet right ventricle with discordant atrioventricular connections: Risk analyses in 189 patients J. Thorac. Cardiovasc. Surg., May 1, 2007; 133(5): 1318 - 1328. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. A. Mitropoulos, M. Kanakis, A. P. Vlachos, P. Lathridou, G. Tsaoussis, G. Georgiou, and J. A. Goudevenos Congenitally Corrected Transposition of the Great Arteries: Surgical Repair in Adulthood Ann. Thorac. Surg., February 1, 2007; 83(2): 672 - 674. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. H. Attenhofer Jost, H. M. Connolly, J. A. Dearani, W. D. Edwards, and G. K. Danielson Ebstein's Anomaly Circulation, January 16, 2007; 115(2): 277 - 285. [Full Text] [PDF]
|
|
|
|
|
|
A. A. Alghamdi, B. W. McCrindle, and G. S. Van Arsdell Physiologic Versus Anatomic Repair of Congenitally Corrected Transposition of the Great Arteries: Meta-Analysis of Individual Patient Data Ann. Thorac. Surg., April 1, 2006; 81(4): 1529 - 1535. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P A Davlouros, K Niwa, G Webb, and M A Gatzoulis The right ventricle in congenital heart disease Heart, April 1, 2006; 92(suppl_1): i27 - i38. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Warnes The Adult With Congenital Heart Disease: Born To Be Bad? J. Am. Coll. Cardiol., July 5, 2005; 46(1): 1 - 8. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Hraska, B. W. Duncan, J. E. Mayer Jr, M. Freed, P. J. del Nido, and R. A. Jonas Long-term outcome of surgically treated patients with corrected transposition of the great arteries J. Thorac. Cardiovasc. Surg., January 1, 2005; 129(1): 182 - 191. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. W. Duncan, R. B.B. Mee, C. I. Mesia, A. Qureshi, G. L. Rosenthal, S. G. Seshadri, G. K. Lane, and L. A. Latson Results of the double switch operation for congenitally corrected transposition of the great arteries Eur. J. Cardiothorac. Surg., July 1, 2003; 24(1): 11 - 20. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. M. Langley, D. S. Winlaw, O. Stumper, R. Dhillon, J. V. de Giovanni, J. G. Wright, P. Miller, B. Sethia, D. J. Barron, and W. J. Brawn Midterm results after restoration of the morphologically left ventricle to the systemic circulation in patients with congenitally corrected transposition of the great arteries J. Thorac. Cardiovasc. Surg., June 1, 2003; 125(6): 1229 - 1241. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. J. Devaney, J. R. Charpie, R. G. Ohye, and E. L. Bove Combined arterial switch and Senning operation for congenitally corrected transposition of the great arteries: Patient selection and intermediate results J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 500 - 507. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. M. Beauchesne, C. A. Warnes, H. M. Connolly, N. M. Ammash, A. J. Tajik, and G. K. Danielson Outcome of the unoperated adult who presents with congenitallycorrected transposition of the great arteries J. Am. Coll. Cardiol., July 17, 2002; 40(2): 285 - 290. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Dodge-Khatami, I. I. Tulevski, G. B.W.E. Bennink, J. F. Hitchcock, B. A.J.M. de Mol, E. E. van der Wall, and B. J.M. Mulder Comparable systemic ventricular function in healthy adults and patients with unoperated congenitally corrected transposition using MRI dobutamine stress testing Ann. Thorac. Surg., June 1, 2002; 73(6): 1759 - 1764. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Biliciler-Denktas, R. H. Feldt, H. M. Connolly, A. L. Weaver, F. J. Puga, and G. K. Danielson Early and late results of operations for defects associated with corrected transposition and other anomalies with atrioventricular discordance in a pediatric population J. Thorac. Cardiovasc. Surg., August 1, 2001; 122(2): 234 - 241. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. H. Daebritz, A. R. Tiete, J. S. Sachweh, W. Engelhardt, G. von Bernuth, and B. J. Messmer Systemic right ventricular failure after atrial switch operation: midterm results of conversion into an arterial switch Ann. Thorac. Surg., April 1, 2001; 71(4): 1255 - 1259. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. P. Graham Jr., Y. D. Bernard, B. G. Mellen, D. Celermajer, H. Baumgartner, F. Cetta, H. M. Connolly, W. R. Davidson, M. Dellborg, E. Foster, et al. Long-term outcome in congenitally corrected transposition of the great arteries: A multi-institutional study J. Am. Coll. Cardiol., July 1, 2000; 36(1): 255 - 261. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Imamura, J. J. Drummond-Webb, D. J. Murphy Jr, L. R. Prieto, L. A. Latson, S. D. Flamm, and R. B.B. Mee Results of the double switch operation in the current era Ann. Thorac. Surg., July 1, 2000; 70(1): 100 - 105. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. B. Overgaard, D. A. Harrison, S. C. Siu, W. G. Williams, G. D. Webb, and L. Harris Outcome of previous tricuspid valve operation and arrhythmias in adult patients with congenital heart disease Ann. Thorac. Surg., December 1, 1999; 68(6): 2158 - 2163. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. M. Connolly, M. Grogan, and C. A. Warnes Pregnancy among women with congenitally corrected transposition of great arteries J. Am. Coll. Cardiol., May 1, 1999; 33(6): 1692 - 1695. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C Alva, E Horowitz, S Y Ho, M L Rigby, and R H Anderson The feasibility of complete anatomical correction in the setting of discordant atrioventricular connections Heart, May 1, 1999; 81(5): 539 - 545. [Abstract] [Full Text]
|
|
|
|
|
|
R. Sharma, A. Bhan, R. Juneja, S. Sunder Kothari, A. Saxena, and P. Venugopal Double switch for congenitally corrected transposition of the great arteries Eur. J. Cardiothorac. Surg., March 1, 1999; 15(3): 276 - 282. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Elami, A. Pollak, and G. Merin In situ implantation of a prosthetic systemic atrioventricular valve in corrected transposition J. Thorac. Cardiovasc. Surg., January 1, 1999; 117(1): 190 - 191. [Full Text] [PDF]
|
|
|
|
|
|
L. R. Prieto, A. J. Hordof, M. Secic, M. S. Rosenbaum, and W. M. Gersony Progressive Tricuspid Valve Disease in Patients With Congenitally Corrected Transposition of the Great Arteries Circulation, September 8, 1998; 98(10): 997 - 1005. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. R. Karl, R. G. Weintraub, C. P. Brizard, A. D. Cochrane, and R. B. B. Mee Senning Plus Arterial Switch Operation for Discordant (Congenitally Corrected) Transposition Ann. Thorac. Surg., August 1, 1997; 64(2): 495 - 502. [Abstract] [Full Text]
|
|
|
|
|
|
J.-L. Termignon, F. Leca, P. R. Vouhe, F. Vernant, O. M. Bical, Y. Lecompte, and J.-Y. Neveux ""Classic"" Repair of Congenitally Corrected Transposition and Ventricular Septal Defect Ann. Thorac. Surg., July 1, 1996; 62(1): 199 - 206. [Abstract] [Full Text]
|
|
|
|
|
|
J. A. M. van Son, V. M. Reddy, N. H. Silverman, and F. L. Hanley REGRESSION OF TRICUSPID REGURGITATION AFTER TWO-STAGE ARTERIAL SWITCH OPERATION FOR FAILING SYSTEMIC VENTRICLE AFTER ATRIAL INVERSION OPERATION J. Thorac. Cardiovasc. Surg., February 1, 1996; 111(2): 342 - 347. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
