Anatomic correction of transposition of the great arteries in neonates

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Anatomic correction of transposition of the great arteries.

A new technique of anatomic correction of transposition of the great arteries with ventricular septal defect is presented. The procedure described, which avoids the use of a prosthetic conduit in the reconstruction of the pulmonary outflow tract, has been used in nine consecutive patients. Six remain alive and well 4 to 24 months postoperatively. Details and illustrations of the technique utili...

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Anatomic correction of simple transposition of the great arteries during the neonatal cardiovascular transition.

Complete 'anatomic' repair of transposition of the great arteries has now been achieved. The ideal timing of this surgery is during neonatal cardiovascular transition, when the fetal elevation of pulmonary vascular resistance is still present.

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Assessment of left ventricular contractile state after anatomic correction of transposition of the great arteries.

When compared with intra-atrial baffle repairs for D-transposition of the great arteries (TGA), anatomic correction offers the theoretic advantage that it results in the use of the left ventricle (LV) as the systemic ventricle. Although the long-term success of this procedure depends on the function of the LV, little is known regarding LV postoperative contractile state. The LV end-systolic pre...

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Fate of pulmonary artery after anatomic correction of simple transposition of great arteries in newborn infants.

From April 1984 to April 1987, surgical anatomic correction was performed in 86 newborn infants, 2-23 days old (6.8 +/- 3.6 days, mean +/- SD) with simple transposition of the great arteries. In all patients, the pulmonary artery was reconstructed by end-to-end anastomosis according to the Lecompte maneuver, including eight patients with side-by-side position of the great arteries. Three differ...

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Transposition of the great arteries

Transposition of the great arteries (TGA), also referred to as complete transposition, is a congenital cardiac malformation characterised by atrioventricular concordance and ventriculoarterial (VA) discordance. The incidence is estimated at 1 in 3,500-5,000 live births, with a male-to-female ratio 1.5 to 3.2:1. In 50% of cases, the VA discordance is an isolated finding. In 10% of cases, TGA is ...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1993

ISSN: 0735-1097

DOI: 10.1016/0735-1097(93)90834-n