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November 1, 1984CirculationOpen Access

Hospital mortality was 32%, with 3 late deaths; all 31 survivors were in excellent clinical condition and sinus rhythm at mean 31 months follow-up, though 7 developed right ventricular outflow tract stenosis.

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Why the study?

What are the midterm outcomes of anatomic correction of transposition of the great arteries associated with ventricular septal defect in pediatric patients?

Population

50 patients aged 1.5 to 44 months with transposition of the great arteries associated with ventricular…

Design

Cohort

Follow-up

mean 31 +/- 14 months

Authors

OBO BicalEHE HazanYLY Lecompte

Discussion

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Overview

High perioperative mortality warrants caution; supports excellent midterm outcomes in survivors but leaves open refinements to reduce RVOT stenosis.

Structured PICO

What are the midterm outcomes of anatomic correction of transposition of the great arteries associated with ventricular septal defect in pediatric patients?

P
Population
50 patients aged 1.5 to 44 months with transposition of the great arteries (TGA) associated with ventricular septal defect (VSD).
I
Intervention
Anatomic correction of TGA and closure of VSD (39 patients underwent preliminary pulmonary arterial banding).
O
Outcome
Hospital mortality and midterm clinical status (survival, rhythm, ventricular function, outflow tract stenosis).hard clinical

Anatomic correction of TGA with VSD provides excellent midterm clinical condition and left ventricular function in survivors, despite a high initial operative mortality and risk of right ventricular outflow tract stenosis.

Cite This Study

Bical et al. (1984) studied this question.

synapsesocial.com/papers/6a86ad3aa810ea404bcf7b34https://doi.org/10.1161/01.cir.70.5.891
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Anatomic correction of simple transposition of the great arteries in 50 neonates.1987 · 70 citations
  2. 2Anatomical correction for complete transposition and double outlet right ventricle: intermediate assessment of functional results.1986 · 17 citations
  3. 3Long-term results after atrial repair of transposition of the great arteries in early infancy.1982 · 63 citations
  4. 4Atrial Septal Defect vs Ventricular Septal Defect: Getting the Right Mix in Transposition of the Great Arteries2024 · 1 citations
  5. 5Long-term outcome after atrial correction for transposition of the great arteries2018 · 36 citations