Extremely late presentation of children with transposition the great arteries

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

Research output: Contribution to journalArticlepeer-review


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 languageEnglish
Pages (from-to)943-945
Number of pages3
JournalAsian Cardiovascular and Thoracic Annals
Issue number9
Publication statusPublished - Nov 2021


  • Age factors
  • child
  • transposition of great vessels
  • ventricular septum


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