Extremely late presentation of children with transposition the great arteries

Dicky Fakhri; Pribadi W. Busro; Budi Rahmat; Salomo Purba; Poppy Surwianti Roebiono; Ardiansyah Ardiansyah

doi:10.1177/0218492320976291

Extremely late presentation of children with transposition the great arteries

Dicky Fakhri, Pribadi W. Busro, Budi Rahmat, Salomo Purba, Poppy Surwianti Roebiono, Ardiansyah Ardiansyah

Faculty of Medicine

Research output: Contribution to journal › Article › peer-review

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
Pages (from-to)	943-945
Number of pages	3
Journal	Asian Cardiovascular and Thoracic Annals
Volume	29
Issue number	9
DOIs	https://doi.org/10.1177/0218492320976291
Publication status	Published - Nov 2021

Keywords

Age factors
child
transposition of great vessels
ventricular septum

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10.1177/0218492320976291

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title = "Extremely late presentation of children with transposition the great arteries",

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.",

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AU - Fakhri, Dicky

AU - Busro, Pribadi W.

AU - Rahmat, Budi

AU - Purba, Salomo

AU - Roebiono, Poppy Surwianti

AU - Ardiansyah, Ardiansyah

N1 - Publisher Copyright: © The Author(s) 2020.

PY - 2021/11

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AB - 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.

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Extremely late presentation of children with transposition the great arteries

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Keywords

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