Preoperative management strategy for patients with transposition of the great arteries and intact ventricular septum
- VernacularTitle:大动脉转位并室间隔完整患儿的术前治疗策略
- Author:
Xiaoyun WU
- Publication Type:Journal Article
- Keywords:
Congenitalheartdefects;
Transpositionofgreatvessels;
Balloonatrialseptostomy;
Prostaglandin
- From:
Journal of Chongqing Medical University
1986;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the preoperative management strategy for patients with transposition of the great arteries and intact ventricular septum(TGA-IVS). Methods:Twenty eight patients with TGA-IVS were reviewed. We analyzed their clinical characteristics, method of diagnosis,preoperative management and outcome,mortality rate and the complication incidence before surgery. Results:There were 19 boys and 9 girls in this group,with the mean gestational age of 38+4 weeks and birth weight of 3.244 kg. 7 cases (25%)were prenatal diagnosis,while the remaining 21 cases were postnatal diagnosis at the mean age of 45 hours. The karyotype was normal in those tested and no extracardiac anomalies were found. Cyanosis was the most common and critical characterization been noticed. Diagnosis generally could be confirmed by echocardiography. All patients received prostaglandin E2 (PGE2)infusion once highly suspected of or confirmed with TGA-IVS,25 of whom(89%)effectively maintained the patency of the ductus arteriosus preoperatively and was stopped PGE2 after Balloon atrial septostomy(BAS). BAS was performed successfully in all cases at the mean age of 21 hours,as judged by oxygen saturation increased from(56?26)% before BAS to(82?19)% after BAS(P
