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The Journal of Thoracic and Cardiovascular Surgery, Vol 95, 255-262, Copyright © 1988 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
FS Idriss, MN Ilbawi, SY DeLeon, CE Duffy, AJ Muster, CL Backer, TE Berry and MH Paul
Twenty-three infants with simple transposition of the great arteries and
intact ventricular septum were operated on from October 1983 to October
1986. The age at operation in 22 infants ranged from 2 to 21 days and in
one was 35 days (mean 9.82 +/- 6.86 days). The infants were evaluated with
cardiac catheterization at 1 to 27 days of age. Twenty- two infants had
balloon atrial septostomy, and 22 received prostaglandin E1 infusion. The
left ventricular diastolic wall thickness, assessed by M-mode
echocardiograms, varied between 2.8 and 4 mm. There were two hospital
deaths in this group of 23 infants (mortality 8.6%), and there were no late
deaths. All surviving patients are doing well clinically. One patient had
asymptomatic nonsustained ventricular tachycardia necessitating phenytoin.
Postoperative echocardiographic assessment performed on 15 patients at 0.93
+/- 0.61 years of age and cardiac catheterization and angiographic studies
on seven patients at 1.07 +/- 0.13 years after operation revealed excellent
ventricular performance, good semilunar valve function, and mild gradient
at the right ventricular outflow with a mean right ventricular pressure of
37.4 +/- 4.1 torr.
ARTICLES
Transposition of the great arteries with intact ventricular septum. Arterial switch in the first month of life
Division of Cardiovascular-Thoracic Surgery, Children's Memorial Hospital, Chicago, IL 60614.
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