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Urnik dostave gradiva z oznako DS v signaturi
  • Results of anatomic correction of transposition of the great arteries in Slovakia and Slovenia = Rezultati anatomske korekcije transpozicije velikih arterij na Slovaškem in v Sloveniji
    Hraška, 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 del
    Leto - 2000
    Jezik - angleški
    COBISS.SI-ID - 11831513

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