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Results of anatomic correction of transposition of the great arteries in Slovakia and Slovenia = Rezultati anatomske korekcije transpozicije velikih arterij na Slovaškem in v SlovenijiHraška, Viktor ...Background. Due to the risk of failure of the systemic morphologic right ventricle after the physiological correction of transposition of the great arteries, anatomic repairs is a method of choice. ... The purpose of the present study was to analyse the results of anatomic correction of transposition of the great arteries in a single institution. Methods. Between October 1993 and June 1999, 99 patients with transposition of the great arteries without pulmonary stenosis underwent anatomic correction. Seven/six patients had transposition with an intact interventricular septum and twenty-three patientshad transposition with ventricular septal defects. The mean age at operation was 15.3 days (+-20.9 days and mean weight 3423g (+-449g). Results. Overall hospital mortality was 7% (7 patients). The 1, 2,3,4,5 and 6 year survival rate was 93% with mean followup of 2.6 years. There was no late mortality. Patients operated on during, or after 1997 had a significantly (P=0.0387) better survival rate compared to patients undergoing oparetion before 1997. Overall mortality was only 2% (1 patient) among 52 consecutive patients operated on between 1997 and 1999. All patients are in NYHA functional class I, without medication and with a normal left ventricular function. Pulmonary stenosis (gradient > 30 torr) was noted in 2 patients (2.0%). More than mild neoaortic regurgitation was noted anly in 1 patient (1.0%). Conclusions. Encouraging early and intermediate-term clinical outcomeswere obtained in neonates with transposition of the great arterial switch operation. The left ventricle becomes a systemic ventricle, which is essential in view of the long-term performance. Background. Transposition of the great arteries (D-TGA) is a congenital heart defect with concordant atrio-ventricular and discordant heart defect with concordant atrio-ventricular and discordant ventriculo-arterial connections. (Abstract truncated at 2000 characters.)Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 69, št. 7/8, jul.-avg. 2000, str. 495-498)Vrsta gradiva - članek, sestavni delLeto - 2000Jezik - angleškiCOBISS.SI-ID - 11831513
Avtor
Hraška, Viktor |
Sojak, Vladimir |
Kaldararova, Monika |
Siman, Jaroslav |
Mašura, Jozef |
Krevs, Nedeljko |
Mazić, Uroš |
Vesel, Samo |
Gaber, Brane |
Podnar, Tomaž
Teme
Transposition of great vessels |
Surgery |
Heart septal defects, ventricular |
Infant |
Preoperative care |
Postoperative complications |
Slovakia |
srce |
pediatrija |
arterije |
anatomija |
korekcija |
zdravljenje |
operativno zdravljenje
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vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 69, št. 7/8, jul.-avg. 2000, str. 495-498)
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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Krevs, Nedeljko | 05319 |
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Podnar, Tomaž | 23760 |
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