https://scholars.lib.ntu.edu.tw/handle/123456789/538443
標題: | Arterial switch operation for transposition of the great arteries: Experience from 2000-2002 in Taiwan | 作者: | Wu K.-L. MING-TAI LIN EN-TING WU FRANK LEIGH LU CHUNG-I CHANG ING-SH CHIU YIH-SHARNG CHEN JOU-KOU WANG MEI-HWAN WU |
公開日期: | 2004 | 卷: | 45 | 期: | 1 | 起(迄)頁: | 19-22 | 來源出版物: | Acta Paediatrica Taiwanica | 摘要: | Arterial switch operation (ASO) is considered the procedure of choice for transposition of great arteries (TGA). The results and long-term prognosis improved with recent advances in perioperative management. We herein analyze the clinical outcome of patients undergoing ASO at our institution during the past 3 years. From 2000 to 2002, 44 patients (30 male and 14 female) of TGA received ASO. Age at operation varied from 4 days to 6.6 years (median 14 days) with body weight ranged from 2.25 kg to 18.1 kg (median 3.3 kg). Palliative procedure prior to ASO was performed in 8 patients (18.8%). Normal coronary artery pattern was found in 28 patients (63.6%). The early mortality was 11% (5/44). Only associated ventricular septal defect (VSD) was a significant predictor for operative mortality (p=0.012). With a follow-up ranged from 11 to 44 months, the gradient of neo-pulmonary artery stenosis was 16.5 ± 18.2 mmHg. Four patients (10%) received balloon dilatation and the other three (7.7%) underwent reoperation. The gradient of neo-aortic stenosis was 16.5 ± 18.2 mmHg that needed to be dilated in three patients (7.7%). The probability free from reintervention was 73% at the 3rd postoperative year. One patient had moderate degree of pulmonary valve regurgitation and six had moderate neo-aortic valve regurgitation. In conclusion, the ASO can be performed in infants with satisfactory results, even in those with a body weight less than 2.5 kg. Only associated VSD was shown to be a risk factor. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-2942731445&partnerID=40&md5=ceef2155b371654f26d11c723cae5bb3 https://scholars.lib.ntu.edu.tw/handle/123456789/538443 |
ISSN: | 1608-8115 | SDG/關鍵字: | age; aorta stenosis; aorta valve regurgitation; arterial switch operation; artery dilatation; article; balloon dilatation; body weight; childhood mortality; clinical article; coronary artery; female; follow up; great vessels transposition; heart ventricle septum defect; human; infant; long term care; male; palliative therapy; perioperative period; preschool child; probability; prognosis; pulmonary artery stenosis; pulmonary valve insufficiency; reoperation; risk factor; surgical mortality; surgical technique; Taiwan; treatment outcome; Balloon Dilatation; Cardiovascular Surgical Procedures; Child; Child, Preschool; Female; Follow-Up Studies; Heart Septal Defects, Ventricular; Humans; Infant; Infant, Newborn; Male; Survival Analysis; Survival Rate; Taiwan; Transposition of Great Vessels; Treatment Outcome |
顯示於: | 醫學系 |
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