ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
THE EARLY RESULTS OF ARTERIAL SWITCH OPERATIONS FOR TRANSPOSITION OF THE GREAT ARTERIES
Yusuf KALKO, Faruk HÖKENEK, Kenan SEVER, İlksen SÖYLER, Emin TİRELİ, Enver DAYIOĞLU, Ertan ONURSAL, * Aygün DİNDAR
İstanbul Üniversitesi İstanbul Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı,
*İstanbul Üniversitesi İstanbul Tıp Fakültesi, Pediatrik Kardiyoloji Bilim Dalı, İSTANBUL
Background: Arterial switch operations are the current treatment of choice in transposition of the great arteries (D-TGA). Coronary translocation is the most important factor affecting the morbidity and mortality.

Methods: From January 1997, 40 cases of D-TGA underwent arterial switch operation. Seven patients with intact ventricular septum who could be diagnosed beyond the neonatal period underwent a two stage arterial switch operation. 8 patients with complex D-TGA associated with a VSD underwent arterial switch and VSD closure operation. 26 cases were neonate.

Results: 2 patients died peroperatively. 4 patients died postoperatively because of prolonged intubation, sepsis and low cardiac output. In the last 15 cases, there was only 1 patients died.

Conclusions: We are believing that with increasing experience arterial switch operation can be performed with acceptable mortality.

Keywords : Transposition of the great arteries, arterial switch
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