Branko Mimic

Ida Jovanovic

Igor Stefanovic

Irena Vulicevic

Jasna Kalanj

Milan Djukic

Mirko Mrdjen

Slobodan Ilic

Tamara Ilisic

Vladimir Milovanovic

Vojislav Parezanovic

Srpski Arhiv za Celokupno Lekarstvo

Introduction. Arterial switch operation (ASO) is a cardiosurgical method of
   choice for complete anatomical correction of transposition of great arteries.
   Improvement of this procedure has made considerably improved the outcome and
   long-term prognosis of children born with this complex congenital heart
   disease. Objective. The aim of this study was to estimate the success rate of
   ASO through retrospective analysis of mortality and late complications.
   Methods. This study included 57 children operated from 1st January 2005 until
   31st December 2009. Parameters that could influence the outcome of surgery
   were investigated. The following late complications were investigated:
   neopulmonary artery stenosis, neoaortic stenosis and regurgitation, as well
   as clinical signs of heart failure. Results. Early postoperative mortality
   was 15.8% (9/57 patients). During follow-up (8 to 72 months, average 36.5
   months) there were no lethal outcomes. On the last echocardiography
   examination, 73.2% patients had neoaortic regurgitation and 67.4% patients
   had neopulmonary regurgitation, but all of them were mild in intensity.
   Neopulmonary stenosis had 32.6% of patients, but only two had moderate or
   severe stenosis. No one had ischemic ECG changes. Three reinterventions were
   performed due to serious residual problems: surgical correction of neoaortic
   stenosis, surgical correction of neopulmonary stenosis and transcatether
   balloon dilatation for aortic recoarctation. At the end of the follow-up
   period, only one of 46 consistently followed patients had signs of heart
   failure which required therapy (2.2%), while the majority of patients were
   without any symptoms and with good effort tolerance. Conclusion. Arterial
   switch operation has been successfully performed at our institution, with
   acceptable perioperative mortality and excellent late outcome.</jats:p

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Srpski arhiv za celokupno lekarstvo

Midterm results after complete surgical correction of transposition of the great arteries

Midterm results after complete surgical correction of transposition of the great arteries

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