TY - JOUR
T1 - Total Correction of Transposition of the Great Arteries in Infancy as Initial Surgical Management
AU - Bonchek, Lawrence I.
AU - Starr, Albert
N1 - Funding Information:
From the Department of Surgery, University of Oregon Medical School Hospital, Portland, Ore. Supported in part by National Institutes of Health Career Development Award HE 70035-01 to Dr. Bonchek. Presented at the Eighth Annual Meeting of The Society of Thoracic Surgeons, San Francisco, Calif., Jan. 24-26, 1972. Address reprint requests to Dr. Bonchek, University of Oregon Medical School Hospital, 3181 S.W. Sam Jackson Park Rd., Portland, Ore. 97201.
PY - 1972
Y1 - 1972
N2 - 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.
AB - 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.
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U2 - 10.1016/S0003-4975(10)65244-7
DO - 10.1016/S0003-4975(10)65244-7
M3 - Article
C2 - 4116289
AN - SCOPUS:0015412717
SN - 0003-4975
VL - 14
SP - 376
EP - 389
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 4
ER -