“Classic” repair of congenitally corrected transposition and ventricular septal defect

Termignon, J. L.; Leca, F; Vouhé, Pascal; Vernant, Françoise; Bical, O; Lecompte, Y; Neveux, Jean-Yves

doi:10.1016/0003-4975(96)00344-x

Cited by 92 publications

(40 citation statements)

References 23 publications

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“…Anatomic correction (placement of the mLV in the systemic circulation with the use of an arterial procedure, with or without atrial switch) may be superior to the conventional repair that leaves the mRV in the systemic circuit. 1,2 It is unlikely that the mLV could effectively support the systemic circulation before undergoing a period of prior training, achieved by application of a pulmonary artery (PA) band to increase mLV afterload. 3 PA banding is reportedly associated with early improvement in tricuspid regurgitation (TR) and clinical status.…”

mentioning

confidence: 99%

Intention-to-Treat Analysis of Pulmonary Artery Banding in Conditions With a Morphological Right Ventricle in the Systemic Circulation With a View to Anatomic Biventricular Repair

et al. 2005

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Background-Some patients with a morphological right ventricle (mRV) in the systemic circulation require early intervention because of progressive systemic ventricular dysfunction or atrioventricular valve regurgitation. They may be eligible for anatomic repair (correction of atrioventricular and ventriculoarterial discordance) but require prior training of the morphological left ventricle (mLV). Methods and Results-Forty-one patients with congenitally corrected transposition of the great arteries or a previous atrial switch procedure embarked on a protocol of pulmonary artery (PA) banding with a view to anatomic repair. All had an mRV in the systemic circulation and a subpulmonary mLV that was not conditioned by either volume or pressure load. Two patients were not banded, and 39 were followed up for a median of 4.3 years (range, 25 days to 12.6 years). Sixteen patients achieved anatomic repair, with 3 in the early stages of the training protocol. After 2 years, 12 patients were not suitable for anatomic repair and persisted with palliative banding; 8 were functionally improved; and 4 died, underwent transplantation, or required debanding. PA banding improved functional class but did not improve tricuspid regurgitation in the long term for patients not achieving anatomic repair. mLV function was a critical determinant of survival with a PA band as well as survival after anatomic repair. Patients Ͼ16 years were unlikely to achieve anatomic repair. Conclusion-PA banding is a safe and effective method of training the mLV before anatomic repair. It is also an effective palliative procedure for those who do not attain this goal.

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confidence: 99%

Intention-to-Treat Analysis of Pulmonary Artery Banding in Conditions With a Morphological Right Ventricle in the Systemic Circulation With a View to Anatomic Biventricular Repair

et al. 2005

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“…This strategy is based on PA banding, to maintain a conditioned mLV, and to (partially) shift the septum to the right, mimicking a ccTGA with pulmonary stenosis, known to have better outcomes than simple ccTGA [1,2]. Nevertheless, this aggressive strategy may be criticised as the natural history for ccTGA patients is extremely heterogeneous, from infant death due to mRV dysfunction, to asymptomatic patients at 40 years of age [12,15].…”

Section: Discussionmentioning

confidence: 97%

“…The morphologic left ventricle (mLV) and morphologic right ventricle (mRV) support the pulmonary and systemic circulations, respectively. Conventional repair, leaving the mRV in systemic position, carries a high mortality and is associated with progressive mRV dysfunction and tricuspid regurgitation [1,2]. Severe tricuspid regurgitation that occurs is usually associated with the deterioration of mRV function and functional status [3][4][5], similarly to the atrial switch procedure for transposition of the great arteries (TGA).…”

Section: Introductionmentioning

confidence: 99%

Early prophylactic pulmonary artery banding in isolated congenitally corrected transposition of the great arteries☆

Metton

Gaudin

et al. 2010

European Journal of Cardio-Thoracic Surgery

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“…These procedures are more commonly performed in children of several months to years of age. In the absence of LVOT obstruction, the left ventricle will require training with a PA band (80)(81)(82)(83)(84).…”

Section: Congenitally Corrected Transposition: Double-switch Proceduresmentioning

confidence: 99%

Repair of Congenital Heart Disease: A Primer–Part 1

Gaca¹,

Jaggers²,

Dudley³

et al. 2008

Radiology

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Advances in the surgical management of congenital heart disease have led to enhanced patient survival and quality of life. Improvements in technology in computed tomography and magnetic resonance imaging have resulted in increasing use of cross-sectional imaging in these patients. Perioperative care in these patients requires that radiologists have an understanding of the surgical treatment and the resultant postoperative anatomy. Because many of these patients with treated congenital heart disease are being followed into the 4th and 5th decades of life, this is information that will fall within the domain of the radiologist who deals with adults. This review, which is presented in two parts, covers the major surgical procedures used for the treatment of congenital heart disease, and will be presented in two parts. In part 1, median sternotomy and its complications, palliative procedures, and complex repairs are discussed.

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“Classic” repair of congenitally corrected transposition and ventricular septal defect

Cited by 92 publications

References 23 publications

Intention-to-Treat Analysis of Pulmonary Artery Banding in Conditions With a Morphological Right Ventricle in the Systemic Circulation With a View to Anatomic Biventricular Repair

Intention-to-Treat Analysis of Pulmonary Artery Banding in Conditions With a Morphological Right Ventricle in the Systemic Circulation With a View to Anatomic Biventricular Repair

Early prophylactic pulmonary artery banding in isolated congenitally corrected transposition of the great arteries☆

Repair of Congenital Heart Disease: A Primer–Part 1

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