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The Annals of Thoracic Surgery, Vol 35, 430-435, Copyright © 1983 by The Society of Thoracic Surgeons

ARTICLES

Management of transposition after the baffes procedure: a case report and review of our experience

MA O'Shea, WG Williams, PR McLaughlin, JG LeBlanc, JE Morch, RD Rowe and GA Trusler

A case report details the operative technique used in the repair of complete transposition of the great arteries (TGA), ventricular septal defect (VSD), and pulmonary stenosis in a patient who had had Baffes procedure previously. Experience in managing 10 patients with complete TGA who had undergone a Baffes procedure is discussed. Four patients with a large VSD had pulmonary vascular disease. The condition of 1 of them was improved by a palliative Mustard operation. Four children with isolated TGA underwent a successful modified Mustard repair. The 2 remaining patients had a VSD and pulmonary stenosis; in 1 the condition was palliated by a Glenn shunt. The other is the subject of the case report. The mean interval between the Baffes procedure and the second operation was 11 years. There was 1 late death after secondary repair. Follow-up in the remaining 6 patients at a mean of 10.6 years indicates a favorable outcome.




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Copyright © 1983 by The Society of Thoracic Surgeons.