Update on the rapid two-stage arterial switch procedure.
Published in Cardiology in the young
Published in Cardiology in the young
Published in Cardiology in the young
Published in Cardiology in the young
SummaryThe justification for the introduction of the arterial switch procedure was based, primarily, on concern regarding the long-term ability of the right ventricle to perform as the systemic pumping chamber. In this article, the functional performance of both the systemic and pulmonary ventricles after atrial redirection procedures and the arter...
Published in Cardiology in the young
Published in Cardiology in the young
SummarySince the success of the arterial switch procedure is dependent on the successful translocation of the coronary arteries, a thorough understanding of the anatomic variations of the coronary arteries is essential. We reviewed the anatomy of the coronary arteries encountered in 140 consecutive cases undergoing the arterial switch procedure for...
Published in Cardiology in the young
Published in Cardiology in the young
SummaryAlthough uncertainty exists, in some situations, as to the optimal type of operation and a true cure may not always be possible, the outlook for patients with all types of complete transposition is poor without surgical treatment. With surgery, and in spite of current uncertainties as to the optimal type of repair, most patients can be great...
Published in Cardiology in the young
SummaryWe report analysis of surgical results in 110 consecutive infants and children who underwent atrial repair of simple complete transposition using the Senning operation between February 1978 and May 1990. Mean age at operation was 5.4 months ± 6.1 (range 1 week to 4 years); 75 were less than 6 months old. There were 72 males and 38 females. O...
Published in Cardiology in the young
SummaryFrom November 1982 to July 1989, fifty patients were treated by the REV procedure for complete transposition associated with ventricular septal defect and obstruction of the pulmonary outflow tract. The age at operation ranged from 4 months to 15 years (mean 3.8 years). The technique, based on the resection of the outlet (infundibular) septu...
Published in Cardiology in the young
SummaryConcern about long-term complications after intraatrial repair of complete transposition has been used as an argument in favor of "anatomic" repair by the arterial switch operation. Late arrhythmias, including loss of sinus rhythm and the development of supraventricular tachycardias, particularly atrial flutter, are widely reported after int...