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Double switch procedure and surgical alternatives for the treatment of congenitally corrected transposition of the great arteries

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Date

2016

Author

Bilal, Mehmet Salih
Avşar, Mustafa Kemal
Yıldırım, Özgür
Özyüksel, Arda
Zeybek, Cenap
Küçükosmanoğlu, Osman
Demiroluk, Şener

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Bilal, M. S., Avşar, M. K., Yıldırım, Ö., Özyüksel, A., Zeybek, C., Küçükosmanoğlu, O. ve Demiroluk, Ş. (2016). Double switch procedure and surgical alternatives for the treatment of congenitally corrected transposition of the great arteries. Journal Of Cardiac Surgery, 31(4), 231-236. https://dx.doi.org/10.1111/jocs.12728

Abstract

BackgroundWe present our experience with the double switch operation in sixteen patients with congenitally corrected transposition of the great arteries. MethodsWe enrolled 16 patients with congenitally corrected transposition of the great arteries operated by a single surgeon between 1995 and 2015. The mean age was 25 months (range 4 to 72 months) and the mean body weight was 8.9kg (range 4.3 to 19kg) at the time of operation. ResultsWe encountered seven patients with moderate to severe tricuspid regurgitation, five of which had Ebstein anomaly. We performed a combination of atrial and arterial switch procedures in 11 cases, one of which had a concomitant coarctation of the aorta that was repaired along with the double switch procedure. Atrial switch and the Rastelli procedures were performed in three cases with concomitant pulmonary stenosis. A combination of arterial switch, Hemi-Mustard procedure, and bidirectional cavopulmonary anastomosis was performed in two cases. During a mean follow-up period of 67 months (range three months to 18 years), we encountered one early postoperative mortality related to intracerebral bleeding. All but one of the patients are now in NYHA class I-II. ConclusionsCongenitally corrected transposition of the great arteries is a rare congenital cardiac anomaly in which the results of the anatomical repair with double switch operation appear to be superior to that achieved by a physiological repair. doi: 10.1111/jocs.12728 (J Card Surg 2016;31:231-236)

WoS Q Kategorisi

Q4

xmlui.dri2xhtml.METS-1.0.item-scopusquality

Q2

Source

Journal Of Cardiac Surgery

Volume

31

Issue

4

URI

https://dx.doi.org/10.1111/jocs.12728
https://hdl.handle.net/20.500.12511/2998

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  • Makale Koleksiyonu [3276]
  • PubMed İndeksli Yayınlar Koleksiyonu [3583]
  • Scopus İndeksli Yayınlar Koleksiyonu [5505]
  • WoS İndeksli Yayınlar Koleksiyonu [5678]



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