ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Büyük arterlerin transpozisyonu ve intakt ventriküler septumlu hastalarda geç primer arteriyel switch ameliyatı
Okan Yıldız1, Erkut Öztürk2, Selen Onan1, Cansaran Tanıdır2, Yakup Ergül2, Alper Güzeltaş2, Sertaç Haydin1
1Departments of Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Cardiovascular Training and Research Hospital, İstanbul, Turkey
2Departments of Pediatric Cardiology, İstanbul Mehmet Akif Ersoy Cardiovascular Training and Research Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2016.12757
Background: This study aims to report the results of late arterial switch operation performed in patients with transposition of the great arteries and intact ventricular septum after the third week of life.

Methods: Between January 2010 and November 2015, a total of 14 patients (8 boys, 6 girls; mean age 42 days; range 22 to 125 days) with the diagnosis of transposition of the great arteries and intact ventricular septum in whom arterial switch operation was performed after the postnatal third week were retrospectively analyzed using the hospital database.

Results: Eight patients had severe cyanosis (SO2 ≤70%), 11 patients were receiving prostaglandin E1 infusion, and four patients were on mechanical ventilation support at baseline. Balloon atrial septostomy was on three patients previously. Preoperative cardiac catheterization was performed on four patients. Twelve patients were transferred to the intensive care unit with opened chest postoperatively. The median duration of mechanical ventilation, intensive care unit and hospital stay were seven days, 12 days and 17 days, respectively. Peritoneal dialysis was performed on three patients. Three patients developed rhythm problems and three patients developed sepsis during the intensive care unit stay. One patient needed extracorporeal life support. No mortality was seen in any patient.

Conclusion: Late arterial switch operation can be performed safely in patients with transposition of the great arteries and intact ventricular septum after a detailed evaluation and with an efficient, advanced, and suitable postoperative intensive care unit monitorization.

Keywords : Arterial switch operation; newborn; transposition of the great arteries
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