Abstract
We present three cases of primary arterial switch operation for extremely late presenting transposition the great arteries with intact ventricular septum: a 7-year-old female, 3-year-old male, and 6-year-old female. Two patients were discharged on postoperative day 9 and 11, the other developed hemodynamic instability 12 h after surgery and died due to left ventricular failure and pulmonary hypertension. Left ventricular mass index >35 g·m−2 and left ventricular posterior wall >4 mm are criteria for a primary arterial switch operation. Circulatory support post- or intraoperatively might provide better results. Two patients survived without extracorporeal membrane oxygenation or nitric oxide.
Original language | English |
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Pages (from-to) | 943-945 |
Number of pages | 3 |
Journal | Asian Cardiovascular and Thoracic Annals |
Volume | 29 |
Issue number | 9 |
DOIs | |
Publication status | Published - Nov 2021 |
Keywords
- Age factors
- child
- transposition of great vessels
- ventricular septum