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Left-Sided Reoperations After Arterial Switch Operation: A European Multicenter Study

Wednesday, September 20, 2017

Submitted by

Claire Vernon

Source

Source Name: The Annals of Thoracic Surgery

Source URL: http://dx.doi.org/10.1016/j.athoracsur.2017.04.026

Author(s)

Vladimiro L. Vida, Lorenza Zanotto, Lucia Zanotto, Giovanni Stellin and the European Congenital Heart Surgeons Association (ECHSA) Study Group, Massimo Padalino, Georges Sarris, Eleftherios Protopapas, Carol Prospero, Christian Pizarro, Edward Woodford, Thomas Tlaskal, Hakan Berggren, Martin Kostolny, Ikenna Omeje, Boulos Asfour, Alexander Kadner, Thierry Carrel, Paul H. Schoof, Matej Nosal, Josè Fragata, Michał Kozłowski, Bohdan Maruszewski, Luca A. Vricella, Duke E. Cameron, Vladimir Sojak, Mark Hazekamp, Jukka Salminen, Ilkka P. Mattila, Julie Cleuziou, Patrick O. Myers, Viktor Hraska

Vida and colleagues retrospectively reviewed 111 left-sided reoperations after an arterial switch operation (ASO) across 17 ECHSA centers between 1975 and 2010. The authors found a low reoperation frequency of 1.4% after ASO. Initial diagnosis of D-transposition of the great arteries (D-TGA) was more common among patients who required reoperation than was diagnosis of double-outlet right ventricle TGA-type, however a greater percentage of the latter group encountered postoperative complications (5 of 12, versus 16 of 99). The majority of survivors were asymptomatic at last follow-up, with only 13% in New York Heart Association class II and only 3% in class III.

CME related to this article is available through The Annals' website.