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Related Experiment Videos

Anatomic correction for complete transposition and double-outlet right ventricle.

K R Kanter, R H Anderson, C Lincoln

    The Journal of Thoracic and Cardiovascular Surgery
    |November 1, 1985
    PubMed
    Summary

    Anatomic correction for complex congenital heart defects like TGA and Taussig-Bing anomaly showed a 26.7% mortality. Survivors achieved excellent functional status, with no late deaths and normal cardiac function post-surgery.

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    The diagnostic evaluation of patients with complete transposition.

    Cardiology in the young·2010

    Area of Science:

    • Cardiology
    • Pediatric Cardiac Surgery
    • Congenital Heart Disease

    Background:

    • Transposition of the great arteries (TGA) and double-outlet right ventricle (DORV) are complex congenital heart defects.
    • Anatomic correction aims to restore normal physiology but presents surgical challenges.
    • Associated anomalies and prior palliative procedures can impact outcomes.

    Purpose of the Study:

    • To evaluate the outcomes of anatomic correction for TGA with intact ventricular septum, TGA with ventricular septal defect (VSD), and DORV with subpulmonary VSD (Taussig-Bing anomaly).
    • To assess early and late mortality, functional status, and postoperative cardiac function.

    Main Methods:

    • Retrospective review of 30 patients undergoing anatomic correction between 1981 and 1984.
    • Analysis of patient demographics, associated defects, surgical techniques (including Lecompte maneuver), and complications.

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  • Evaluation of 30-day and late mortality, New York Heart Association (NYHA) functional class, and postoperative cardiac catheterization findings.

    • Main Results:

    • Overall 30-day mortality was 26.7% (8/30 patients), with higher rates in TGA with VSD (40%).
    • No late deaths occurred during a mean follow-up of 17.2 months.
    • 95% of survivors were in NYHA Functional Class I, with normal left ventricular function and no coronary stenosis postoperatively.
    • Subvalvular right ventricular outflow tract obstruction was noted in 7 patients, causing 3 deaths.
    • Clinically unsuspected right ventricular outflow tract gradients were found in 69% of post-operative catheterizations.

    Conclusions:

    • Anatomic correction for these complex cyanotic heart diseases can achieve good long-term functional outcomes.
    • Subvalvular obstruction and the use of the Lecompte maneuver may be associated with increased morbidity.
    • Careful patient selection and surgical technique are crucial for optimizing results in these challenging cases.