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[Total transposition of the great vessels: Surgical treatment]
Insights
This study presents 109 cases of complete transposition of great vessels, detailing palliative and total correction surgeries. A novel electroscalpel technique for subpulmonary stenosis is highlighted.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Congenital Heart Disease
Context:
- Transposition of Great Vessels (TGV) is a critical congenital heart defect.
- Surgical management of TGV requires tailored approaches based on associated anomalies.
- This study reviews a significant case series of TGV management.
Purpose:
- To present surgical outcomes for complete TGV.
- To discuss surgical indications and techniques for TGV, including complex cases.
- To introduce a novel surgical technique for subpulmonary stenosis in TGV.
Summary:
- A total of 109 cases of complete TGV were analyzed.
- 91 patients received palliative treatment, while 18 underwent total correction.
- A unique left ventriculotomy and electroscalpel resection technique was employed for fibromuscular subpulmonary stenosis.
Impact:
- Provides insights into the surgical management of complete TGV.
- Highlights the efficacy of a novel technique for treating associated subpulmonary stenosis.
- Contributes to the understanding of surgical strategies for complex congenital heart defects.
Abstract:
One hundred nine cases of complete transposition of great vessels alone or associated to other abnormalities are presented. In 91 cases a palliative treatment is given and in 18 cases there is a total correction done, depending upon the technique. Surgical indication and the technique used in every case is commented, making special reference to transpositions with ductus arteriosus or associated to coarctation of the aorta. In the 18 cases where we have done a total correction, we comment the surgical procedure of one of them who had a subpulmonary stenosis of the fibromuscular type, which we resolved through left ventriculotomy done on the apex of the ventricle and resecting the stenosis with an electroscalpel, which is a technique we have devised.