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Ann Thorac Surg 1974;17:410-422
© 1974 The Society of Thoracic Surgeons

Articles

Palliative and Reparative Procedures for Transposition of the Great Arteries

G.A. Trusler, M.D., W.T. Mustard, M.D.

From the Department of Surgery, The Hospital for Sick Children, and the University of Toronto, Toronto, Ont., Canada

Accepted for publication November 9, 1973.

Results following palliative and reparative operations in children with transposition of the great arteries have improved greatly over the past decade, with the result that the criteria for selecting a particular procedure and its timing are now more clearly defined. Recently the trend has been away from palliative procedures and toward earlier repair. Early repair, however, should be undertaken with caution because it is associated with an increase in early and late postoperative complications.

Long-term follow-up studies of children following intraatrial baffle repair of transposition show that cardiac arrhythmias and venous obstruction are the most frequent and important long-term problems. Tricuspid incompetence and right ventricular failure were uncommon. Later studies may reveal unexpected complications and produce information which should lead to further improvements in treatment.




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[Abstract] [PDF]


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