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J Thorac Cardiovasc Surg 2009;138:257-258
© 2009 The American Association for Thoracic Surgery

Letter to the Editor

The implications of outcome predictors when transitioning from arterial to double-switch surgery

Jeffrey Shuhaiber, MD

Loyola University Stritch School of Medicine, Maywood, Ill

The first 20% of the full text of this article appears below.

To the Editor:

I read with great interest the fate of the systemic ventricle after double-switch surgery among those who had left ventricle (LV) training.1Go The authors concluded that LV training with pulmonary artery (PA) banding resulted in a worse outcome after the double-switch procedure. I would like to add a few potential explanations for their findings. One of the impor tant aspects of the decline in function can be related to the coronary circulation and its aberrant network in patients with corrected transposition of the great arteries.2Go This has been documented in the literature in the context of simple transposition of the great vessels but was not discussed further in . . . [Full Text of this Article]


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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
David W. Quinn, Simon P. McGuirk, Chetan Metha, Peter Nightingale, Joseph V. de Giovanni, Rami Dhillon, Paul Miller, Oliver Stumper, John G. Wright, David J. Barron, and William J. Brawn
J. Thorac. Cardiovasc. Surg. 2008 135: 1137-1144. [Abstract] [Full Text] [PDF]





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