PMID- 31266912
OWN - NLM
STAT- MEDLINE
DCOM- 20190711
LR  - 20190711
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 72
IP  - 4
DP  - 2019 Apr
TI  - [Congenitally Corrected Transposition of the Great Arteries( TGA) in Adult].
PG  - 269-274
AB  - OBJECTIVES: In patients with congenitally corrected transposition of the great 
      arteries( cc-TGA), the morphological right ventricle (RV) sustains the systemic 
      circulation and is frequently associated with progressive tricuspid regurgitation 
      and declining RV function. METHODS: Thirty-four patients with cc-TGA and systemic 
      RV were enrolled in this retrospective study to examine long-term outcome. 
      RESULTS: Age was averaged 38.5 years. Associated cardiac anomaly included 
      ventricular septal defect (VSD) and pulmonary stenosis in 18, VSD in 4. Twelve 
      had no associated cardiac defect. The physiologic repair was performed in 22 
      patients at the mean age of 7.8 years old. Reoperation was frequent including 
      tricuspid valve surgery in 11 and left ventricle( LV)-pulmonary artery( PA) 
      conduit replacement in 10. Five patients needed pacemaker implantation due to 
      heart block. Aortic insufficiency was a relatively common finding and aortic 
      valve replacement was performed in 4. All but 2 patients were better than New 
      York Heart Association (NYHA) class Ⅱ. One needed implantable ventricular assist 
      device implantation and the other underwent heart transplantation. CONCLUSIONS: 
      Long-term outcome for patients with cc-TGA was satisfactory. Frequent 
      reoperations including tricuspid valve surgery and LV-PA conduit replacement were 
      required. Further careful follow-up will be needed to detect the progression of 
      RV dysfunction and tricuspid and aortic insufficiency.
FAU - Tatewaki, Hideki
AU  - Tatewaki H
AD  - Department of Cardiovascular Surgery, Kyushu University, Fukuoka, Japan.
FAU - Sakamoto, Ichiro
AU  - Sakamoto I
FAU - Hirayama, Kazuto
AU  - Hirayama K
FAU - Shiose, Akira
AU  - Shiose A
LA  - jpn
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Adult
MH  - Child
MH  - Follow-Up Studies
MH  - Humans
MH  - Retrospective Studies
MH  - *Transposition of Great Vessels
MH  - Treatment Outcome
MH  - *Tricuspid Valve Insufficiency
EDAT- 2019/07/04 06:00
MHDA- 2019/07/12 06:00
CRDT- 2019/07/04 06:00
PHST- 2019/07/04 06:00 [entrez]
PHST- 2019/07/04 06:00 [pubmed]
PHST- 2019/07/12 06:00 [medline]
PST - ppublish
SO  - Kyobu Geka. 2019 Apr;72(4):269-274.