The changing strategies in operation for transposition of the great vessels
| Autor: | James A. Alexander, Daniel G. Knauf, Daniel J. O'Brien, Michael A. Greene, L.H.S. Van Mierop |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Pulmonary and Respiratory Medicine
Heart Septal Defects Ventricular Male medicine.medical_specialty Atrial dysrhythmias Sternum Transposition of Great Vessels Treatment outcome Postoperative Complications medicine.artery Internal medicine medicine Humans Prolonged ventilation cardiovascular diseases Retrospective Studies business.industry Infant Newborn Infant Retrospective cohort study Transposition of the great vessels medicine.disease Surgery Coronary arteries medicine.anatomical_structure Treatment Outcome Echocardiography Child Preschool Pulmonary artery cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of thoracic surgery. 58(4) |
| ISSN: | 0003-4975 |
| Popis: | Between July 3, 1985, and February 24, 1994, a total of 55 infants underwent arterial switch procedures for the repair of transposition of the great vessels. Thirty-five infants had an intact ventricular septum and 20 had ventricular septal defects. To date, there have been three late deaths, one in the group with an intact ventricular septum and two in the group with a ventricular septal defect. Early postoperative complications included atrial dysrhythmias, prolonged ventilation, inability to close the sternum, and tension on the coronary arteries. Follow-up echocardiographic data for 44 patients indicate that pulmonary artery gradients are a worrisome postoperative problem, especially in infants who have ventricular septal defects. |
| Databáze: | OpenAIRE |
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