| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 2003;125:1229-1241
© 2003 The American Association for Thoracic Surgery
Surgery for Congenital Heart Disease |
From the Department of Cardiac Surgery, Diana Princess of Wales Children's Hospital, Birmingham, United Kingdom.
Received for publication April 20, 2002. Revisions requested June 13, 2002; revisions received Aug 3, 2002. Accepted for publication Aug 15, 2002. Address for reprints: Stephen M. Langley, MD, FRCS (CTh), Department of Cardiac Surgery, Southampton General Hospital, Tremona Rd, Southampton SO16 64D, United Kingdom (E-mail: Stephen.Langley{at}suht.swest.nhs.uk).
Objective: This study was undertaken to determine the outcomes of patients with congenitally corrected transposition of the great arteries after restoration of the morphologically left ventricle to the systemic circulation.
Methods: Between November 1991 and June 2001, a total of 54 patients (median age 3.2 years, range 7 weeks-40 years) with either congenitally corrected transposition of the great arteries (n = 51) or atrioventricular discordance with double-outlet right ventricle (n = 3) underwent anatomic repair. This comprised a Senning procedure in all cases plus arterial switch (double-switch group) in 29 cases (53.7%), plus a Rastelli procedure (Rastelli-Senning group) in 22 cases (40.7%), and plus intraventricular rerouting (Senning-tunnel group) in 3 cases (5.6%). Left ventricular training by PA banding was performed before the double-switch operation in 9 of 29 cases (31%). Follow-up is complete (median 4.4 years).
Results: Early mortality was 5.6% (n = 3), with 2 late deaths. Kaplan-Meier survivals (± SEM) were 94.4% ± 3.1% at 1 year and 89.7% ± 4.4% at 9 years. Survivals at 7 years were 84.9% ± 7.1% in the double-switch group and 95.5% ± 4.4% in the Rastelli-Senning group (P = .32). Of the 49 survivors, 46 (94%) were in New York Heart Association functional class I. Six have acquired new left ventricular dilatation or impaired systolic ventricular function. Four patients in the double-switch group had moderate aortic valve regurgitation develop, and 2 of them required valve replacement. Overall freedoms from reoperation at 1 and 9 years were 94.2% ± 3.3% and 77.5% ± 9.0%, with no significant difference between the groups (P = .60).
Conclusions: Anatomic repair of congenitally corrected transposition of the great arteries can be carried out with low early mortality. Excellent functional status can be achieved, with good midterm survival. Continued surveillance is necessary for patents with valved conduits and to determine the longer-term function of the aortic valve and the morphologically left ventricle in the systemic circulation.
This article has been cited by other articles:
|
|
 |
|
  R. Dobson, M. Danton, W. Nicola, and W. Hamish The natural and unnatural history of the systemic right ventricle in adult survivors J. Thorac. Cardiovasc. Surg., June 1, 2013; 145(6): 1493 - 1503. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Cools, S. C. Brown, J. Louw, R. Heying, B. Meyns, and M. Gewillig Pulmonary artery banding as 'open end' palliation of systemic right ventricles: an interim analysis Eur J Cardiothorac Surg, April 1, 2012; 41(4): 913 - 918. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Murtuza, D. J. Barron, O. Stumper, J. Stickley, D. Eaton, T. J. Jones, and W. J. Brawn Anatomic repair for congenitally corrected transposition of the great arteries: A single-institution 19-year experience J. Thorac. Cardiovasc. Surg., December 1, 2011; 142(6): 1348 - 1357.e1. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Hraska, A. Mattes, C. Haun, H. C. Blaschczok, J. Photiadis, P. Murin, P. Zartner, and B. Asfour Functional outcome of anatomic correction of corrected transposition of the great arteries Eur J Cardiothorac Surg, November 1, 2011; 40(5): 1227 - 1234. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. G. Gaies, C. S. Watnick, J. G. Gurney, E. L. Bove, and C. S. Goldberg Health-related quality of life in patients with congenitally corrected transposition of the great arteries J. Thorac. Cardiovasc. Surg., July 1, 2011; 142(1): 136 - 141. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. J. Barron, T. J. Jones, O. Stumper, and W. J. Brawn Extracardiac Atrial Switch for Anatomical Repair in Variants of ccTGA Ann. Thorac. Surg., April 1, 2011; 91(4): 1297 - 1299. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. M. Said, H. M. Burkhart, H. V. Schaff, and J. A. Dearani Congenitally Corrected Transposition of Great Arteries: Surgical Options for the Failing Right Ventricle and/or Severe Tricuspid Regurgitation World Journal for Pediatric and Congenital Heart Surgery, January 1, 2011; 2(1): 64 - 79. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. P. Malhotra, V. M. Reddy, M. Qiu, T. J. Pirolli, L. Barboza, O. Reinhartz, and F. L. Hanley The hemi-Mustard/bidirectional Glenn atrial switch procedure in the double-switch operation for congenitally corrected transposition of the great arteries: Rationale and midterm results J. Thorac. Cardiovasc. Surg., January 1, 2011; 141(1): 162 - 170. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. Hraska, P. Murin, C. Arenz, J. Photiadis, and B. Asfour The modified Senning procedure as an integral part of an anatomical correction of congenitally corrected transposition of the great arteries MMCTS, January 1, 2011; 2011(0224): mmcts.2009.004234 - mmcts.2009.004234. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Metton, R. Gaudin, P. Ou, S. Gerelli, S. Mussa, D. Sidi, P. Vouhe, and O. Raisky Early prophylactic pulmonary artery banding in isolated congenitally corrected transposition of the great arteries Eur J Cardiothorac Surg, December 1, 2010; 38(6): 728 - 734. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Frank, J. R. Dillman, V. Parish, G. C. Mueller, E. A. Kazerooni, A. Bell, and A. K. Attili Cardiovascular MR Imaging of Conotruncal Anomalies1 RadioGraphics, July 1, 2010; 30(4): 1069 - 1094. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H.-G. Lim, J. R. Lee, Y. J. Kim, Y.-H. Park, T.-G. Jun, W.-H. Kim, C.-H. Lee, H. K. Park, J.-H. Yang, C.-S. Park, et al. Outcomes of Biventricular Repair for Congenitally Corrected Transposition of the Great Arteries Ann. Thorac. Surg., January 1, 2010; 89(1): 159 - 167. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. G. Gaies, C. S. Goldberg, R. G. Ohye, E. J. Devaney, J. C. Hirsch, and E. L. Bove Early and Intermediate Outcome After Anatomic Repair of Congenitally Corrected Transposition of the Great Arteries Ann. Thorac. Surg., December 1, 2009; 88(6): 1952 - 1960. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Sharma, S. Talwar, A. Marwah, S. Shah, S. Maheshwari, P. Suresh, R. Garg, B. S. Bali, R. Juneja, A. Saxena, et al. Anatomic repair for congenitally corrected transposition of the great arteries. J. Thorac. Cardiovasc. Surg., February 1, 2009; 137(2): 404 - 412.e4. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Uemura, I. Adachi, K. P. McCarthy, M. Koh, and S. Y. Ho Is the Morphologic Mitral Valve in Discordant Atrioventricular Connections Always Normal? Ann. Thorac. Surg., October 1, 2008; 86(4): 1328 - 1333. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
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]
|
|
|
|
 |
|
 E. Bedard, D. F. Shore, and M. A. Gatzoulis Adult congenital heart disease: a 2008 overview Br. Med. Bull., March 1, 2008; 85(1): 151 - 180. [Abstract] [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]
|
|
|
|
 |
|
 C. A. Warnes Transposition of the Great Arteries Circulation, December 12, 2006; 114(24): 2699 - 2709. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Bautista-Hernandez, G. R. Marx, K. Gauvreau, J. E. Mayer Jr, F. Cecchin, and P. J. del Nido Determinants of Left Ventricular Dysfunction After Anatomic Repair of Congenitally Corrected Transposition of the Great Arteries Ann. Thorac. Surg., December 1, 2006; 82(6): 2059 - 2066. [Abstract] [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]
|
|
|
|
|
|
A. F. Corno, M. J. Kocica, and F. Torrent-Guasp The helical ventricular myocardial band of Torrent-Guasp: potential implications in congenital heart defects Eur J Cardiothorac Surg, April 1, 2006; 29(Supplement_1): S61 - S68. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Koh, T. Yagihara, H. Uemura, K. Kagisaki, I. Hagino, T. Ishizaka, and S. Kitamura Intermediate Results of the Double-Switch Operations for Atrioventricular Discordance Ann. Thorac. Surg., February 1, 2006; 81(2): 671 - 677. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G Sharland, R Tingay, A Jones, and J Simpson Atrioventricular and ventriculoarterial discordance (congenitally corrected transposition of the great arteries): echocardiographic features, associations, and outcome in 34 fetuses Heart, November 1, 2005; 91(11): 1453 - 1458. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Subtaweesin and S. Sriyoschati Early Results of Anatomic Repair in a Subgroup of Corrected Transposition Asian Cardiovascular and Thoracic Annals, September 1, 2005; 13(3): 208 - 210. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Dodge-Khatami, A. Kadner, F. Berger, H. Dave, M. I. Turina, and R. Pretre In the Footsteps of Senning: Lessons Learned From Atrial Repair of Transposition of the Great Arteries Ann. Thorac. Surg., April 1, 2005; 79(4): 1433 - 1444. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. S. Winlaw, S. P. McGuirk, C. Balmer, S. M. Langley, M. Griselli, O. Stumper, J. V. De Giovanni, J. G. Wright, S. Thorne, D. J. Barron, et al. Intention-to-Treat Analysis of Pulmonary Artery Banding in Conditions With a Morphological Right Ventricle in the Systemic Circulation With a View to Anatomic Biventricular Repair Circulation, February 1, 2005; 111(4): 405 - 411. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Koh, T. Yagihara, H. Uemura, K. Kagisaki, and S. Kitamura Functional biventricular repair using left ventricle-pulmonary artery conduit in patients with discordant atrioventricular connections and pulmonary outflow tract obstruction--does conduit obstruction maintain tricuspid valve function? Eur J Cardiothorac Surg, October 1, 2004; 26(4): 767 - 772. [Abstract] [Full Text] [PDF]
|
|
| 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 |
