Arterial switch operation: 10-year experience at a single center
10.3760/cma.j.issn.1001-4497.2019.08.006
- VernacularTitle:动脉调转术:单中心10年经验
- Author:
Weidan CHEN
1
;
Li MA
;
Shengchun YANG
;
Yuansheng XIA
;
Minghui ZOU
;
Wenlei LI
;
Techang LIU
;
Mingjie ZHANG
;
Ye LU
;
Xinxin CHEN
Author Information
1. 广州医科大学附属广州市妇女儿童医疗中心心脏中心 510623
- Keywords:
Intramural coronary artery;
Arterial switch operation;
Transposition of great arteries
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2019;35(8):469-472
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the outcomes and experience of arterial switch operation (ASO) in the past 10 years in our center.Methods From September 2008 to July 2017,238 patients underwent ASO at Guangzhou Women and Children Medical Center for repair of transposition of the great arteries and Taussig-Bing anomaly.There were 193 male and 45 female.Median age at operation was 2 months (2 days to 10 years) and mean body weight was(4.2 ± 1.7) kg (1.8-20.6 kg).There were TGA and VSD 91 cases,TGA/IVS 110 cases,and Taussig-Bing anomaly 37 cases.Among them 24 patients had an aortic arch anomaly.Intramural coronary artery was found in 8 patients.Results All patients successfully completed the operation,one-stage ASO was perfonned in 232 patients.Two-stage ASO was performed in 6 patients.The mortality was 14.2％.The follow-up duration was 1-10 years (median time,46 mouths).There were 3 died.Two suffered sudden death,and another one arrhythmia.10-year survival rate was 92.8％.Conclusion The outcomes of ASO were satisfactory.The long-term reoperation rate was rare.
