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Ann Thorac Surg 1983;35:430-435
© 1983 The Society of Thoracic Surgeons


Articles

Management of Transposition after the Baffes Procedure: A Case Report and Review of Our Experience

Michael A. O'Shea, M.B., Ch.B., William G. Williams, M.D.*, Peter R. McLaughlin, M.D., Jacques G. LeBlanc, M.D., John E. Morch, M.D., Richard D. Rowe, M.D., George A. Trusler, M.D.

From the Divisions of Cardiovascular Surgery, Departments of Surgery, The Hospital for Sick Children and Toronto General Hospital, Toronto, Ont, Canada

Accepted for publication March 25, 1982.

* Address reprint requests to Dr. Williams, Division of Cardiovascular Surgery, Room 1525, The Hospital for Sick Children, 555 University Ave, Toronto, Ont, Canada M5G 1x8

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.