Factors influencing choice of procedure in transposition of the great arteries: a decision analysis approach.

摘要: Abstract Clinicians have a difficult choice between the arterial switch (Jatene et al.) and atrial baffle operation (Mustard or Sensing) for transposition of great arteries. The surgical decision is essentially determination whether long-term course after procedure (thought to be more favorable than bale procedure) plus elimination presurgical attrition with substantial enough offset higher early mortality rate associated switch. Decision analysis was undertaken answer following questions: 1) are there clinical circumstances under which published results support clear la arteries? 2) what short- outcomes must anticipated compare favorably experience baffle? A tree constructed accounting major variables influencing morbidity in management Presuming that has moderate advantages over terms late staple arteries at an institution average from baffle, Careful reevaluation imperative establish its Ugh rale is, indeed, by low morbidity. ideal tool clinicians specific institutions account unique institutional variations results.