Total Correction of Transposition of the Great Arteries in Infancy as Initial Surgical Management

Lawrence I. Bonchek, Albert Starr

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Fifteen patients have undergone total correction of transposition of the great arteries (TGA) in the past two years. Four were under 6 months of age and weighed 3.4, 3.5, 4.3, and 5.7 kg., respectively; 6 were from 13 to 21 months old; and 5 were 2 to 10 years old. In this series, balloon atrio-septostomy (BAS) provided palliation that was brief and often unsatisfactory. All 8 patients who had BAS without surgical septectomy had severe cyanosis, exercise intolerance, and retardation of growth and development prior to correction. There were 2 operative deaths related to complicated TGA and 1 unrelated late death. All survivors have improved dramatically. Survival alone is therefore no longer considered to be successful palliation following BAS. If adequate relief of cyanosis and reasonable growth and development are not achieved, total correction in infancy is a favorable alternative to surgical septectomy.

Original languageEnglish (US)
Pages (from-to)376-389
Number of pages14
JournalAnnals of Thoracic Surgery
Volume14
Issue number4
DOIs
StatePublished - Jan 1 1972

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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