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The Taussig-Bing anomaly: long-term results.

Friederike Schwarz¹, Hedwig-Christine Blaschczok, Nicodème Sinzobahamvya

¹Department of Pediatric Thoracic and Cardiovascular Surgery, German Pediatric Heart Centre, Deutsches Kinderherzzentrum, Sankt Augustin, Germany.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery

|May 7, 2013

Summary

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The arterial switch operation (ASO) provides excellent survival for the Taussig-Bing heart (TBH). Long-term outcomes are encouraging, with most patients maintaining good biventricular function and avoiding medication.

Area of Science:

Pediatric Cardiology
Congenital Heart Surgery
Cardiac Surgery Outcomes

Background:

The Taussig-Bing heart (TBH) is a complex congenital heart defect.
The arterial switch operation (ASO) is the standard surgical correction for TBH.
Long-term outcomes following ASO for TBH require further analysis.

Purpose of the Study:

To analyze the long-term outcomes of the arterial switch operation (ASO) in patients with the Taussig-Bing heart (TBH).
To evaluate survival rates, reoperation rates, and functional status after ASO for TBH.

Main Methods:

A retrospective analysis of 44 infants who underwent ASO for TBH between 1986 and 2011.
Data collected included surgical approach, associated anomalies, and perioperative details.

Keywords:

Arterial switch operation Left ventricular outflow tract obstruction Right ventricular outflow tract obstruction Taussig-Bing anomaly Transposition of the great arteries

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Long-term follow-up assessed survival, reoperations, valve function, and overall clinical status.

Main Results:

Overall survival was 88% at 15 years, with a mean follow-up of 9.2 years.
Freedom from reoperation was 67% at 15 years, with interventions needed on both outflow tracts.
Biventricular function was preserved in 95% of patients, and 86% were off medication.

Conclusions:

ASO offers excellent survival and functional outcomes for the Taussig-Bing heart.
Complex anatomy in TBH remains a risk factor for long-term morbidity.
Lifelong surveillance is crucial due to potential for neoaortic regurgitation and dilatation.