ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Sabine H. Daebritz
Georg Nollert
Bruno J. Messmer
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Daebritz, S. H.
Right arrow Articles by Messmer, B. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Daebritz, S. H.
Right arrow Articles by Messmer, B. J.

Ann Thorac Surg 2000;69:1880-1886
© 2000 The Society of Thoracic Surgeons

Original articles: Cardiovascular

Anatomical risk factors for mortality and cardiac morbidity after arterial switch operation

Sabine H. Daebritz, MDa, Georg Nollert, MDa, Jörg S. Sachweh, MDa, Wolfgang Engelhardt, MDb, Götz von Bernuth, MDb, Bruno J. Messmer, MDa

a Departments of Thoracic and Cardiovascular Surgery, University Hospital RWTH, Aachen, Germany
b Department of Pediatric Cardiology, University Hospital RWTH, Aachen, Germany

Address reprint requests to Dr Daebritz, Department of Cardiac Surgery, LMU, University Hospital Grosshadern, Marchioninistr 15, D-81377 Munich, Germany
e-mail: sabine.daebritz{at}hch.med.uni-muenchen.de

Background. The arterial switch operation (ASO) is the treatment of choice for transposition of the great arteries.

Methods. Anatomical risk factors on mortality and morbidity were analyzed retrospectively in 312 patients who underwent ASO between 1982 and 1997.

Results. Survival was 95%, 92%, and 92% after 30 days, 5, and 10 years, respectively. Operative survival improved after 1990 to 97% (p < 0.001). Risk factors for operative mortality were complex anatomy (p = 0.018), coronary anomalies (p = 0.008), and prolonged bypass time (p < 0.001). Determinants of late mortality were coronary distribution (p = 0.03), position of the great arteries (p = 0.0095), bypass time (p = 0.047), and aortic coarctation (p = 0.046). After a follow-up of 3.6 ± 2.7 years (0.1 to 14.9 years), 98% had good left ventricle function, 94% were in sinus rhythm, 2.4% had moderate to severe pulmonary stenosis, 0.3% had significant aortic regurgitation, and 1% had coronary stenosis. Freedom from reoperation was 100%, 96%, and 94% after 1, 5, and 10 years, respectively. No preoperative anatomic parameter correlated with long-term morbidity.

Conclusions. ASO can be performed with low operative mortality (< 5%) and long-term morbidity. Malformations associated with complex transposition of the great arteries influence early and late mortality.




This article has been cited by other articles:


Home page
 Eur. J. Cardiothorac. Surg.Home page
R. Lange, J. Cleuziou, J. Horer, K. Holper, M. Vogt, P. Tassani-Prell, and C. Schreiber
Risk factors for aortic insufficiency and aortic valve replacement after the arterial switch operation
Eur. J. Cardiothorac. Surg., October 1, 2008; 34(4): 711 - 717.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Y. Hirata, J. M. Chen, J. M. Quaegebeur, and R. S. Mosca
Should We Address the Neopulmonic Valve? Significance of Right-Sided Obstruction After Surgery for Transposition of the Great Arteries and Coarctation
Ann. Thorac. Surg., October 1, 2008; 86(4): 1293 - 1298.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. Gottlieb, M. L. Schwartz, K. Bischoff, K. Gauvreau, and J. E. Mayer Jr
Predictors of Outcome of Arterial Switch Operation for Complex D-Transposition
Ann. Thorac. Surg., May 1, 2008; 85(5): 1698 - 1703.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
M. Griselli, S. P. McGuirk, C.-S. Ko, A. J.B. Clarke, D. J. Barron, and W. J. Brawn
Arterial switch operation in patients with Taussig-Bing anomaly -- influence of staged repair and coronary anatomy on outcome
Eur. J. Cardiothorac. Surg., February 1, 2007; 31(2): 229 - 235.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. H. Mildh, V. Pettila, H. I. Sairanen, and P. H. Rautiainen
Cardiac Troponin T Levels for Risk Stratification in Pediatric Open Heart Surgery
Ann. Thorac. Surg., November 1, 2006; 82(5): 1643 - 1648.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. V. Ullmann, M. Gorenflo, C. Bolenz, C. Sebening, M. Goetze, R. Arnold, H. E. Ulmer, and S. Hagl
Late Results After Extended Pulmonary Artery Reconstruction in the Arterial Switch Operation
Ann. Thorac. Surg., June 1, 2006; 81(6): 2259 - 2266.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
J. Losay, A. Touchot, A. Capderou, J.-D. Piot, E. Belli, C. Planche, and A. Serraf
Aortic Valve Regurgitation After Arterial Switch Operation for Transposition of the Great Arteries: Incidence, Risk Factors, and Outcome
J. Am. Coll. Cardiol., May 16, 2006; 47(10): 2057 - 2062.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
H. Y. Hwang, W.-H. Kim, J. G. Kwak, J. R. Lee, Y. J. Kim, J. R. Rho, E. J. Bae, and C. I. Noh
Mid-term follow-up of neoaortic regurgitation after the arterial switch operation for transposition of the great arteries
Eur. J. Cardiothorac. Surg., February 1, 2006; 29(2): 162 - 167.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
M. Pocar, E. Villa, A. Degandt, P. Mauriat, P. Pouard, and P. R. Vouhe
Long-Term Results After Primary One-Stage Repair of Transposition of the Great Arteries and Aortic Arch Obstruction
J. Am. Coll. Cardiol., October 4, 2005; 46(7): 1331 - 1338.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
S. G Raja, A. Shauq, and M. Kaarne
Outcomes after Arterial Switch Operation for Simple Transposition
Asian Cardiovasc Thorac Ann, June 1, 2005; 13(2): 190 - 198.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
S. Mohammadi, A. Serraf, E. Belli, B. Aupecle, A. Capderou, F. Lacour-Gayet, I. Martinovic, D. Piot, A. Touchot, J. Losay, et al.
Left-sided lesions after anatomic repair of transposition of the great arteries, ventricular septal defect, and coarctation: Surgical factors
J. Thorac. Cardiovasc. Surg., July 1, 2004; 128(1): 44 - 52.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
B. W. Duncan, N. C. Poirier, R. B. B. Mee, J. J. Drummond-Webb, A. Qureshi, C. I. Mesia, J. A. Graney, C. L. Malek, and L. A. Latson
Selective timing for the arterial switch operation
Ann. Thorac. Surg., May 1, 2004; 77(5): 1691 - 1696.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
K. S. Murthy, R. Coelho, S. Kulkarni, B. Ninan, and K. M. Cherian
Arterial Switch Operation without Coronary Translocation: Mid-term Results
Asian Cardiovasc Thorac Ann, March 1, 2004; 12(1): 38 - 40.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. Wetter, N. Sinzobahamvya, H. C. Blaschczok, M.-Y. Cho, A. M. Brecher, L. M. Gravinghoff, and A. E. Urban
Results of arterial switch operation for primary total correction of the Taussig-Bing anomaly
Ann. Thorac. Surg., January 1, 2004; 77(1): 41 - 46.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
A. Legendre, J. Losay, A. Touchot-Kone, A. Serraf, E. Belli, J. D. Piot, V. Lambert, A. Capderou, and C. Planche
Coronary Events After Arterial Switch Operation for Transposition of the Great Arteries
Circulation, September 9, 2003; 108(90101): II-186 - 190.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
V. Hraska, T. Podnar, P. Kunovsky, L. Kovacikova, M. Kaldararova, E. Horvathova, J. Masura, and J.E. Mayer Jr.
Is a learning curve for arterial switch operation in small countries still acceptable? Model for cooperation in Europe
Eur. J. Cardiothorac. Surg., September 1, 2003; 24(3): 352 - 357.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. H. Hovels-Gurich, M.-C. Seghaye, Q. Ma, M. Miskova, R. Minkenberg, B. J. Messmer, and G. von Bernuth
Long-term results of cardiac and general health status in children after neonatal arterial switch operation
Ann. Thorac. Surg., March 1, 2003; 75(3): 935 - 943.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
E. Prifti, A. Crucean, M. Bonacchi, M. Bernabei, B. Murzi, S. V. Luisi, and V. Vanini
Early and long term outcome of the arterial switch operation for transposition of the great arteries: predictors and functional evaluation
Eur. J. Cardiothorac. Surg., December 1, 2002; 22(6): 864 - 873.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. Imura, P. Modi, A. Pawade, A. J. Parry, M.-S. Suleiman, G. D. Angelini, and M. Caputo
Cardiac troponin I in neonates undergoing the arterial switch operation
Ann. Thorac. Surg., December 1, 2002; 74(6): 1998 - 2002.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. M. Scheule, D. Zurakowski, E. D. Blume, C. Stamm, P. J. del Nido, J. E. Mayer Jr, and R. A. Jonas
Arterial switch operation with a single coronary artery
J. Thorac. Cardiovasc. Surg., June 1, 2002; 123(6): 1164 - 1172.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. K. Gandhi, F. A. Pigula, and R. D. Siewers
Successful late reintervention after the arterial switch procedure
Ann. Thorac. Surg., January 1, 2002; 73(1): 88 - 95.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J. Wetter, E. Belli, N. Sinzobahamvya, H. C. Blaschzok, A. M. Brecher, and A. E. Urban
Transposition of the great arteries associated with ventricular septal defect: surgical results and long-term outcome
Eur. J. Cardiothorac. Surg., October 1, 2001; 20(4): 816 - 823.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
J. Losay, A. Touchot, A. Serraf, A. Litvinova, V. Lambert, J. D. Piot, F. Lacour-Gayet, A. Capderou, and C. Planche
Late Outcome After Arterial Switch Operation for Transposition of the Great Arteries
Circulation, September 18, 2001; 104 (2009): I-121 - I-126.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
C. Dunbar-Masterson, D. Wypij, D. C. Bellinger, L. A. Rappaport, A. L. Baker, R. A. Jonas, and J. W. Newburger
General Health Status of Children With D-Transposition of the Great Arteries After the Arterial Switch Operation
Circulation, September 18, 2001; 104 (2009): I-138 - I-142.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2000 by The Society of Thoracic Surgeons.