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October 1, 2000Current Opinion in Pediatrics

Advances in pediatric cardiovascular surgery: anatomic reconstruction of the left ventricular outflow tract in transposition of the great arteries with pulmonic valve abnormalities

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Population

Pediatric patients with transposition of the great arteries with pulmonic valve abnormalities

Design

Review

Key result

Aggressive early anatomic reconstruction in transposition of the great arteries, despite higher risks, may provide children with a normal anatomic heart and corresponding myocardial growth.

Authors

GHGary S. Haas

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Overview

May guide individualized TGA repair timing despite risks; leaves open need for prospective trials on myocardial outcomes.

Key Points

  • To review advances in pediatric cardiovascular surgery focusing on early anatomic reconstruction of the left ventricular outflow tract in complex transposition of the great arteries with pulmonic valve abnormalities.
  • Examined surgical approaches for complex cardiovascular repairs in younger pediatric age groups.
  • Evaluated anatomical reconstruction strategies for the left ventricular outflow tract in the setting of concurrent pulmonic valve anomalies.
  • Aggressive early surgical corrections in younger cohorts entail higher initial operative risk.
  • Early anatomical repair provides the potential for normal cardiac structural anatomy and supports long-term myocardial growth and physiologic function.

Structured PICO

P
Population
Pediatric patients with transposition of the great arteries with pulmonic valve abnormalities
I
Intervention
Anatomic reconstruction of the left ventricular outflow tract (aggressive early corrections)

Aggressive early anatomic reconstruction in pediatric patients with complex congenital heart disease may offer long-term physiological benefits despite higher initial risks.

Cite This Study

Gary S. Haas (2000) studied this question. Aggressive early anatomic reconstruction in transposition of the great arteries, despite higher risks, may provide children with a normal anatomic heart and corresponding myocardial growth.

synapsesocial.com/papers/6a93db31219df916ad43dc34https://doi.org/10.1097/00008480-200010000-00016
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