Early Experience with Arterial Repair of Transposition

摘要: Major anomalies associated with isolated complete transposition of the great arteries (TGA) can produce systemic pressure in left ventricle without fixed stenosis ventricular outflow tract. In this situation, arterial repair may be advantageous. Eight children, 10 days to 15 years old, underwent TGA. included large patent ductus arteriosus, bulging intraventricular septum, septal defect (VSD), tricuspid atresia, and Taussig-Bing type double-outlet right ventricle. There were 2 operative deaths related acute failure. The survivors postoperative echocardiographic, hemodynamic, angiographic assessment; all sinus rhythm well six months 1/2 after operation. Residual lesions have been frequent but mild: aortic insufficiency (5), tract (1), trivial VSD coronary artery (1). Left function is "normal" 4 unchanged from moderately depressed preoperative status 1.