Comparative study of rapid and long-term two-stage arterial switch operation in treatment of transposition of the great arteries with intact ventricular septal
- VernacularTitle:快速与长期双期大动脉调转术在室间隔完整大动脉转位中应用的对比研究
- Author:
SUN Yangxue
1
;
DUAN Yabing
1
;
DONG Shuo
1
;
ZHANG Yajuan
1
;
LI Shoujun
1
;
YAN Jun
1
Author Information
1. National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, P.R.China
- Publication Type:Journal Article
- Keywords:
Transposition of the great arteries;
left ventricular regression;
two-stage arterial switch operation
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(02):142-146
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of surgical treatment of transposition of the great arteries with intact ventricular septal (TGA-IVS) after left ventricular regression by comparing the characteristics of rapid and long-term two-stage arterial switch operation (ASO). Methods Forty-one patients who were mainly diagnosed with TGA-IVS from January 2007 to January 2019 and underwent two-stage ASO were included. They were divided into a rapid two-stage ASO group (19 patients) and a long-term two-stage ASO group (22 patients) according to the interval of left ventricular training surgery and ASO. The clinical effectiveness of the two groups was compared. Results There was a statistical difference in age, body weight, blood oxygen saturation before ASO, end diastolic diameter of left ventricle before training, and thickness of posterior left ventricular wall before ASO (P<0.05). Children older than 1 year was an independent risk factor for long-term two-stage ASO. Conclusion Long-term two-stage ASO is suitable for children who are older than 1 year and who have severe left ventricular regression.
