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The Annals of Thoracic Surgery, Vol 38, 433-437, Copyright © 1984 by The Society of Thoracic Surgeons
EL Ceithaml, FJ Puga, GK Danielson, DC McGoon and DG Ritter
From 1975 through 1982, the Damus-Stansel-Kaye procedure was performed on
20 patients with complete transposition of the great arteries (TGA) and on
4 with double-outlet right ventricle (DORV) and subpulmonary ventricular
septal defect (VSD). The patients ranged from 6 days to 20 years old
(median age, 13 months). Associated anomalies included atrial septal defect
(24 patients), VSD (14), and others (25). Thirteen patients had had
palliative operations previously. Of the 14 hospital deaths (58%), 13
occurred among the 17 patients with one or more risk factors: age less than
18 months, weight less than 10 kg, and left ventricular peak systolic
pressure less than 75% of systemic pressure. Follow-up ranged from 12 to 87
months (mean, 51 months). One patient died of cardiac failure two years
postoperatively, and 2 required conduit replacement at 40 and 50 months
because of stenosis. All 9 survivors are free from major symptoms. The
Damus-Stansel-Kaye repair is most suitable for patients with TGA or DORV
with subpulmonary VSD who are older than 18 months, weight more than 10 kg,
and have a "prepared left ventricle," and whose coronary artery anatomy
precludes transplantation.
ARTICLES
Results of the Damus-Stansel-Kaye procedure for transposition of the great arteries and for double-outlet right ventricle with subpulmonary ventricular septal defect
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