Excellent survival and low complication rate in medium-term follow-up after arterial switch operation for complete transposition
(2003) In Scandinavian Cardiovascular Journal 37(2). p.104-106- Abstract
- Objective—To determine medium-term outcome after arterial switch operation for complete transposition in a population-based cohort.
Design—Retrospective study of all 86 patients operated on at our institution from 1982 to 2000. Age at operation was 0-256 days (median 6 days); 28 (32%) had closure of a ventricular septal defect, 2 of whom had double outlet right ventricle. Additional surgery included coarctectomy in three, pulmonary artery banding in two and atrial septectomy in one patient.
Results—Thirty-day operative mortality was 7/86 (8.1 %), after 1988 mortality was only 3.8% and confined to patients with unusual coronary artery patterns. There was no late mortality; Kaplan-Meier survival was 91 %. Five patients (6%... (More) - Objective—To determine medium-term outcome after arterial switch operation for complete transposition in a population-based cohort.
Design—Retrospective study of all 86 patients operated on at our institution from 1982 to 2000. Age at operation was 0-256 days (median 6 days); 28 (32%) had closure of a ventricular septal defect, 2 of whom had double outlet right ventricle. Additional surgery included coarctectomy in three, pulmonary artery banding in two and atrial septectomy in one patient.
Results—Thirty-day operative mortality was 7/86 (8.1 %), after 1988 mortality was only 3.8% and confined to patients with unusual coronary artery patterns. There was no late mortality; Kaplan-Meier survival was 91 %. Five patients (6% of survivors) were reoperated for right ventricular outflow tract obstruction. At last follow-up, 86% were free from complications; three had neurological complications, two were on treatment for ventricular dysfunction and one had a pacemaker for postoperative atrioventricular block.
Conclusion—In this cohort of first-generation patients treated with arterial switch operation, medium-term survival is excellent and the rate of reoperation and sequelae is low. (Less)
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https://lup.lub.lu.se/record/1cbc78e3-260c-42d3-861a-0cf55176d32b
- author
- Rehnström, Pia LU ; Südow, Göran ; Håkan, Berggren and Gilljam, Thomas
- publishing date
- 2003
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Cardiovascular Journal
- volume
- 37
- issue
- 2
- pages
- 3 pages
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:0037499640
- ISSN
- 1401-7431
- DOI
- 10.1080/14017430310001212
- language
- English
- LU publication?
- no
- id
- 1cbc78e3-260c-42d3-861a-0cf55176d32b
- date added to LUP
- 2019-05-15 10:34:22
- date last changed
- 2022-01-31 20:00:59
@article{1cbc78e3-260c-42d3-861a-0cf55176d32b,
abstract = {{Objective—To determine medium-term outcome after arterial switch operation for complete transposition in a population-based cohort.<br/><br/>Design—Retrospective study of all 86 patients operated on at our institution from 1982 to 2000. Age at operation was 0-256 days (median 6 days); 28 (32%) had closure of a ventricular septal defect, 2 of whom had double outlet right ventricle. Additional surgery included coarctectomy in three, pulmonary artery banding in two and atrial septectomy in one patient.<br/><br/>Results—Thirty-day operative mortality was 7/86 (8.1 %), after 1988 mortality was only 3.8% and confined to patients with unusual coronary artery patterns. There was no late mortality; Kaplan-Meier survival was 91 %. Five patients (6% of survivors) were reoperated for right ventricular outflow tract obstruction. At last follow-up, 86% were free from complications; three had neurological complications, two were on treatment for ventricular dysfunction and one had a pacemaker for postoperative atrioventricular block.<br/><br/>Conclusion—In this cohort of first-generation patients treated with arterial switch operation, medium-term survival is excellent and the rate of reoperation and sequelae is low.}},
author = {{Rehnström, Pia and Südow, Göran and Håkan, Berggren and Gilljam, Thomas}},
issn = {{1401-7431}},
language = {{eng}},
number = {{2}},
pages = {{104--106}},
publisher = {{Taylor & Francis}},
series = {{Scandinavian Cardiovascular Journal}},
title = {{Excellent survival and low complication rate in medium-term follow-up after arterial switch operation for complete transposition}},
url = {{http://dx.doi.org/10.1080/14017430310001212}},
doi = {{10.1080/14017430310001212}},
volume = {{37}},
year = {{2003}},
}