2021
DOI: 10.1093/ejcts/ezab006
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Abstract: OBJECTIVES The objective of this study was to assess our 43-year experience with arterial switch operation (ASO) for transposition of the great arteries (TGA) by analysing cardiac outcome measures (hospital and late mortality, reoperations and catheter interventions, significant coronary artery obstruction) and to identify risk factors for reoperation and catheter interventions. METHODS A total of 490 patients who underwent A… Show more

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Cited by 15 publications
(4 citation statements)
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References 28 publications
(47 reference statements)
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“…[63][64][65][66][67] Anatomical repair is standard, when feasible, for complete transposition translocating the coronary arteries. [68][69][70][71][72][73][74][75][76][77][78][79][80] Radical repair is also used for congenitally corrected transposition of the great arteries. [81][82][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97][98][99][100] In these malformations, conventional repair in which the circulation was functionally repaired placing the morphologically right ventricle as a systemic chamber used to be the only choice.…”
Section: ▋ 221 Biventricular Repairmentioning
confidence: 99%
“…[63][64][65][66][67] Anatomical repair is standard, when feasible, for complete transposition translocating the coronary arteries. [68][69][70][71][72][73][74][75][76][77][78][79][80] Radical repair is also used for congenitally corrected transposition of the great arteries. [81][82][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97][98][99][100] In these malformations, conventional repair in which the circulation was functionally repaired placing the morphologically right ventricle as a systemic chamber used to be the only choice.…”
Section: ▋ 221 Biventricular Repairmentioning
confidence: 99%
“…Patients who have had ASO occasionally require reoperation on the dilated neo-aorta and AR. 2 , 3 David operation can be used for the treatment of neo-aortic root when the aortic valve is salvageable. 4 , 5 The bicuspid aortic valve which is rarely encountered scenario after ASO could be successfully repaired.…”
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confidence: 99%
“…They found that 12 percent (35) of survivors had moderate to severe NAR at the most recent follow-up 8. van der Palen et al9 retrospectively analyzed the clinical data of 490 children treated with ASO at the Leiden University Medical Center, Leiden, between January 1977 and January 2020. They completed a 43-year longterm follow-up.…”
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confidence: 99%
“…Multivariate analysis in this study found that older surgical age, operation before 2014, late RVOTO, and late ARD were independent risk factors for late intervention. van der Palen et al9 reported that risk factors for reoperation in multivariate analysis were TGA morphological subtype (TGA-VSD, TGA-TBA), aortic arch repair with ASO, and unusual coronary anatomy. Multivariate analysis showed that catheter intervention was the main risk factor for aortic arch repair combined with ASO.…”
mentioning
confidence: 99%