Operative and Mid-Term Results of 107 Corrected Congenital Transposion of Great Arteries
10.3969/j.issn.1000-3614.2009.03.017
- VernacularTitle:107例矫正型大动脉转位手术治疗中期结果分析
- Author:
Zhongdong HUA
;
Shengshou HU
;
Xiangbin PAN
;
Xiangdong SHEN
;
Shoujun LI
;
Jun YAN
;
Yinglong LIU
;
Qingyu WU
;
Xu WANG
- Publication Type:Journal Article
- Keywords:
Corrected congenital transposition of great arteries;
Cardiac surgery
- From:
Chinese Circulation Journal
2009;24(3):221-223
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrospectively analyze the results and mid-term outcomes of 107 patients with corrected congenital transposition of great arteries(CCTGA)who underwent surgical treatment.Methods:A total of 107 CCTGA patients with surgical treatment from January 1996 to October 2005 in our hospital were studied.There were 72 male and 35 female,with the mean age of 11.5±8.4years and mean body weight of 31.6±4.7kg. Among the cohort,81 were levocardia,23 dextrocardia,and 3 medocardia.Initial surgical procedure included single ventricle repair in 14 cases,conventional biventricular repair in 75 and biventricular anatomical repair in 18 cases. 99(93%)patients were followed up with the mean time of 47.8 months.Results:The early operative mortality rate was 4.76% in different procedures.The death rate with single ventricle repair was 0%,conventional biventricular repair 4%,atrial-arterial double switch 0%,atrial-ventricular double switch 40%. The risk factors for operative mortality were lesions with double outlet left ventricle combined with pulmonary stenosis(P<0.01)and Rastelli procedure(P<0.05). 12 patients(12.6%)died during the follow up period,among them,10(83.3%)were in conventional repair group,2(16.7%)in single ventricle repair group,and no death in double switch group. The risk of death during the follow up period of time were conventional biventricular repair,Rastelli procedure and tricuspid regurgitation.Conclusion:Conventional biventricular repair had a disappointing outcome in both operation and in long-term of follow up time. Patients suitable for single ventricular repair had fair short-and mid-term outcomes. Atrial-arterial double switch procedure had good operation and long-term results.
