Arterial switch operation for transposition of great arteries: late results in adult patients
Complete transposition of the great arteries (TGA) accounts for 5% to 7% of congenital cardiac anomalies, and represents the second most common cyanotic heart defect 1, 2. Successful surgery, allowing the majority of patients to survive to adulthood, can either involve a physiologic or anatomic “cor...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Barcaray International
2013-01-01
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| Series: | International Cardiovascular Forum Journal |
| Subjects: | |
| Online Access: | http://icfjournal.org/index.php/icfj/article/view/13/10 |
| _version_ | 1811283968016777216 |
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| author | Giancarlo Scognamiglio Wei Li |
| author_facet | Giancarlo Scognamiglio Wei Li |
| author_sort | Giancarlo Scognamiglio |
| collection | DOAJ |
| description | Complete transposition of the great arteries (TGA) accounts for 5% to 7% of congenital cardiac anomalies, and represents the second most common cyanotic heart defect 1, 2. Successful surgery, allowing the majority of patients to survive to adulthood, can either involve a physiologic or anatomic “correction”. The former (i.e. atrial switch), introduced in 1958 by Senning and later modified by Mustard, corrects the physiologic abnormality of the TGA by creating an atrial baffle to direct the venous return to the contralateral atrioventricular valve and ventricle3, 4. Although mid-term clinical results are excellent, this procedure leaves the RV supporting the systemic circulation. Hence, complications such as progressive RV dysfunction, ensuing tricuspid regurgitation, frequent arrhythmias, heart failure and early mortality may arise in the long-term5-7. |
| first_indexed | 2024-04-13T02:21:31Z |
| format | Article |
| id | doaj.art-e0a7e6834eae4bcb8a65a874f23f42a6 |
| institution | Directory Open Access Journal |
| issn | 2410-2636 2409-3424 |
| language | English |
| last_indexed | 2024-04-13T02:21:31Z |
| publishDate | 2013-01-01 |
| publisher | Barcaray International |
| record_format | Article |
| series | International Cardiovascular Forum Journal |
| spelling | doaj.art-e0a7e6834eae4bcb8a65a874f23f42a62022-12-22T03:06:57ZengBarcaray InternationalInternational Cardiovascular Forum Journal2410-26362409-34242013-01-0111815https://doi.org/10.17987/icfj.v1i1.13Arterial switch operation for transposition of great arteries: late results in adult patientsGiancarlo Scognamiglio0Wei Li1Department of Pediatric Cardiology, Second University of Naples, Monaldi Hospital, Naples, Italy.Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, London SW3 6NP, United Kingdom National Heart and Lung Institute, Imperial College London, Dovehouse Street. London SW3 6LY, United Kingdom and NIHR Cardiovascular Biomedical Research Unit, Royal Brompton Hospital and Imperial College London.Complete transposition of the great arteries (TGA) accounts for 5% to 7% of congenital cardiac anomalies, and represents the second most common cyanotic heart defect 1, 2. Successful surgery, allowing the majority of patients to survive to adulthood, can either involve a physiologic or anatomic “correction”. The former (i.e. atrial switch), introduced in 1958 by Senning and later modified by Mustard, corrects the physiologic abnormality of the TGA by creating an atrial baffle to direct the venous return to the contralateral atrioventricular valve and ventricle3, 4. Although mid-term clinical results are excellent, this procedure leaves the RV supporting the systemic circulation. Hence, complications such as progressive RV dysfunction, ensuing tricuspid regurgitation, frequent arrhythmias, heart failure and early mortality may arise in the long-term5-7.http://icfjournal.org/index.php/icfj/article/view/13/10Atrial fibrillationCoronary artery stentanticoagulationdual antiplatelet therapytriple therapy |
| spellingShingle | Giancarlo Scognamiglio Wei Li Arterial switch operation for transposition of great arteries: late results in adult patients International Cardiovascular Forum Journal Atrial fibrillation Coronary artery stent anticoagulation dual antiplatelet therapy triple therapy |
| title | Arterial switch operation for transposition of great arteries: late results in adult patients |
| title_full | Arterial switch operation for transposition of great arteries: late results in adult patients |
| title_fullStr | Arterial switch operation for transposition of great arteries: late results in adult patients |
| title_full_unstemmed | Arterial switch operation for transposition of great arteries: late results in adult patients |
| title_short | Arterial switch operation for transposition of great arteries: late results in adult patients |
| title_sort | arterial switch operation for transposition of great arteries late results in adult patients |
| topic | Atrial fibrillation Coronary artery stent anticoagulation dual antiplatelet therapy triple therapy |
| url | http://icfjournal.org/index.php/icfj/article/view/13/10 |
| work_keys_str_mv | AT giancarloscognamiglio arterialswitchoperationfortranspositionofgreatarterieslateresultsinadultpatients AT weili arterialswitchoperationfortranspositionofgreatarterieslateresultsinadultpatients |