RT Journal Article
T1 Surgery ot the transposition of great arteries in the neonatal period
A1 Vera, Francisco
A1 Sarria, Esteban
A1 Ortiz, Almudena
A1 Ruiz, Enrique
K1 Transposition of the great arteries
K1 Arterial switch operation
K1 Congenital heart disease
K1 Taussig-Bing anomaly
K1 Coarctation of the aorta
AB Introduction: Transposition of the great arteries (D-TGA) is one of the most common congenital heart diseases. The development of the arterial switch operation supposed a great achivement in the management of this pathology. Today it is a standardized technique with excellent results. In this study we seek to analyze the current status of the surgery for D-TGA in the neonatal period by reviewing our experience.Methods: Retrospective observational study. We included all patients who underwent arterial switch operation in our center between January 2007 and September 2020.Results: 74 patients underwent arterial switch operation. Overall mortality was 10.8% (15.6% in 2007-2012 and 7.1% in 2013-2020). 44.6% of the patients presented complex D-TGA. The presence of abnormal coronary patterns, associated malformations, or late surgery did not significantly increase mortality. The length of stay in ICU and hospital (median + interquartile range) was 10 (7-17) and 20 (14-30) days respectively. During the follow up period (mean follow-up of 5.3 +/- 3.75 years) survival rate was 100%. Reoperation-free survival was 87.6% at 10 years. Reoperation rate was higher (p
PB Elsevier
SN 1134-0096
YR 2021
FD 2021-02-17
LK http://hdl.handle.net/10668/18727
UL http://hdl.handle.net/10668/18727
LA es
DS RISalud
RD Apr 11, 2025