PMID- 24327495
OWN - NLM
STAT- MEDLINE
DCOM- 20140919
LR  - 20240109
IS  - 2150-136X (Electronic)
IS  - 2150-1351 (Linking)
VI  - 4
IP  - 3
DP  - 2013 Jul
TI  - Morphology, surgical techniques, and outcomes in patients above 15 years 
      undergoing surgery for congenitally corrected transposition of great arteries.
PG  - 271-7
LID - 10.1177/2150135113476717 [doi]
AB  - BACKGROUND: There is a paucity of data about morphology, surgical procedure, and 
      results in older patients with congenitally corrected transposition of great 
      arteries (ccTGAs). PATIENTS AND METHODS: Between January 2002 and August 2012, 15 
      patients (7 males), median age 25 years, range 16 to 41 years underwent surgery 
      for ccTGA. Associated lesions were tricuspid regurgitation (TR; n = 5) and 
      ventricular septal defect (VSD) with pulmonary stenosis (PS; n = 10). Surgical 
      procedures included tricuspid valve replacement (n = 4), tricuspid valve repair 
      (n = 1), lateral tunnel Fontan (n = 2), extracardiac Fontan (n = 2), Kawashima 
      procedure (n = 1), bidirectional (BD) Glenn (n = 2), Senning + Rastelli procedure 
      (n = 1), and VSD closure + left ventricle to pulmonary artery conduit (n = 1). 
      The details of these procedures and outcomes were analyzed. RESULTS: There were 
      no early or late deaths. Mean follow-up period was 49.9 +/- 26 months. All patients 
      who underwent tricuspid valve replacement are in New York Heart Association 
      (NYHA) class I, with no progression of right ventricular (RV) dysfunction. One 
      patient who underwent tricuspid valve repair is in NYHA class III and has 
      progressed to severe RV dysfunction. None of the patients undergoing single 
      ventricle palliation had any complications related to the surgery. Both patients 
      who underwent anatomical and physiological biventricular (BV) repair had no 
      complications. CONCLUSIONS: Older patients with ccTGA present a challenge. 
      Fontan/BD Glenn remains a good option for patients who presented with VSD PS. 
      Both anatomic and physiological BV repairs provide acceptable results. Tricuspid 
      valve replacement is safe for patients presenting with TR who have improvement in 
      functional class, though the right ventricular function may not improve.
FAU - Talwar, Sachin
AU  - Talwar S
AD  - Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
FAU - Ahmed, Tammem
AU  - Ahmed T
FAU - Saxena, Anita
AU  - Saxena A
FAU - Kothari, Shyam Sunder
AU  - Kothari SS
FAU - Juneja, Rajnish
AU  - Juneja R
FAU - Airan, Balram
AU  - Airan B
LA  - eng
PT  - Journal Article
PL  - United States
TA  - World J Pediatr Congenit Heart Surg
JT  - World journal for pediatric & congenital heart surgery
JID - 101518415
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Arrhythmias, Cardiac/surgery
MH  - Cardiac Surgical Procedures/*statistics & numerical data
MH  - Congenitally Corrected Transposition of the Great Arteries
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Septal Defects/complications/surgery
MH  - Humans
MH  - Male
MH  - Pulmonary Valve Stenosis/complications/surgery
MH  - Transposition of Great Vessels/complications/pathology/*surgery
MH  - Treatment Outcome
MH  - Tricuspid Valve Insufficiency/complications/surgery
MH  - Young Adult
OTO - NOTNLM
OT  - bidirectional Glenn (BD Glenn)
OT  - congenitally corrected transposition of great arteries (ccTGA)
OT  - tricuspid valve repair
OT  - tricuspid valve replacement (TVR)
EDAT- 2013/12/12 06:00
MHDA- 2014/09/23 06:00
CRDT- 2013/12/12 06:00
PHST- 2013/12/12 06:00 [entrez]
PHST- 2013/12/12 06:00 [pubmed]
PHST- 2014/09/23 06:00 [medline]
AID - 4/3/271 [pii]
AID - 10.1177/2150135113476717 [doi]
PST - ppublish
SO  - World J Pediatr Congenit Heart Surg. 2013 Jul;4(3):271-7. doi: 
      10.1177/2150135113476717.