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Corrected Transposition of The Great Arteries Associated Anomalies and The Resut of Surgical Therapy.
Corrected Transposition of The Great Arteries Associated Anomalies and The Resut of Surgical Therapy.
Süheyla ÖZKUTLU, Funda ÖZTUNÇ, Nazan ÖZBARLAS, Muhsin SARAÇLAR, Şencan ÖZME, Arman BİLGİÇ, İlhan PAŞAOĞLU
Hacettepe Üniversitesi Tıp Fakültesi, Pediatrik Kardiyoloji Bilim Dalı, Ankara
During the period of 1985 - 1991, 28 patients with corrected transposition of the great arteries and associated cardiac anomalies have been presented. Atrioventricular valve insuficiencies, conduction disturbances, surgical procedures and results were recorded. Their ages ranged between 2 months to 2 years. All patients were studied by two-dimensional echocardiography. Cardiac catheterization and angiography were performed on 23 of them. Seven patients (25%) had Ebstein's anomaly, one had straddiling of left sided atrioventricular valve and 13 had ventricular septal defect. Left atrioventricular valve regurgitation was identified in 12 patients (43%) and mild right atrioventriular valve regurgitation was diagnosed in 3. Pulmonary hypertension was present in 9 patients. There was complete atrioventricular block in four patients at their first admission. 11 patients underwent surgical corerction and one died ten days after the operation. One patient developed left-sided atrioventricular valve regurgitation postoperatively. Surgically induced complete heart block was seen in 5 patients who had undergone ventricular septal defect repair.
Consequently, we stress that in the follow-up of patients with corrected transposition of the great arteries, right atrioventricular valve regurgitation as well as left sided atrioventricular valve regurgitation should be considered as a possibility.
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