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 Online Discussion
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):
John W. Brown
Hyung Joo Park
Mark W. Turrentine
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 Brown, J. W.
Right arrow Articles by Turrentine, M. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Brown, J. W.
Right arrow Articles by Turrentine, M. W.
Related Collections
Right arrow Congenital - cyanotic

Ann Thorac Surg 2001;71:1978-1984
© 2001 The Society of Thoracic Surgeons

Original article: cardiovascular

Arterial switch operation: factors impacting survival in the current era

John W. Brown, MDa, Hyung Joo Park, MDa, Mark W. Turrentine, MDa

a Section of Cardiothoracic Surgery, Riley Hospital for Children, and Indiana University School of Medicine, Indianapolis, Indiana, USA

Address reprint requests to Dr Brown, Section of Cardiothoracic Surgery, Indiana University School of Medicine, 545 Barnhill Dr, EH 215, Indianapolis, IN 46202
e-mail: jobrown{at}iupui.edu

Presented at the Thirty-sixth Annual Meeting of the Society of Thoracic Surgeons, Fort Lauderdale, FL, Jan 31–Feb 2, 2000.

Background. The arterial switch procedure has become the preferred procedure for the transposition of the great arteries (TGA) and Taussig-Bing anomaly. This analysis is intended to identify potential factors affecting survival in the current era.

Methods. From 1986 to 1999, 201 consecutive patients underwent an arterial switch operation for TGA or Taussig-Bing anomaly. Multivariate analysis of perioperative variables was performed for operative morbidity/mortality. Patients were separated into two groups. Phase 1 (n = 29) included patients before mid-1989 who underwent an open coronary reimplantation technique. Phase 2 (n = 172) included the patients undergoing a technique of reimplanting coronary buttons after neoaortic reconstruction.

Results. The patient population included TGA with intact ventricular septum (58.7%, 118 of 201), with ventricular septal defect (31.3%, 61 of 201), and Taussig-Bing anomaly (10.0%, 22 of 201). Overall, early mortality was 9.5% (19 of 201) and there were five late deaths (2.7%). One-month, 1-year, and 5-year actuarial survival rates were 90.4%, 87.9%, and 87.9%, respectively. Reoperation rate for late pulmonary stenosis was 2.7% (5 of 182). The freedom from reoperation at 3 and 5 years was 97.5% and 93.3%, respectively. In the analysis by time period, the operative mortality declined from 27.6% (8 of 29) to 6.4% (11 of 172) (p = 0.002). Risk factors for operative death were coronary artery patterns (usual vs retropulmonary left coronary artery, p = 0.009) in phase 1 and preoperative instability in phase 2 (p = 0.002).

Conclusions. The arterial switch operation for TGA and Taussig-Bing anomaly has early low and late mortality and reoperation rates. Technical modifications in coronary reimplantation have minimized coronary artery pattern-related risks.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
J. J. Moll, K. W. Michalak, K. Mludzik, T. Moszura, M. Kopala, M. Moll, and J. A. Moll
Long-Term Outcome of Direct Neopulmonary Artery Reconstruction During the Arterial Switch Procedure
Ann. Thorac. Surg., January 1, 2012; 93(1): 177 - 184.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. S. Rudra, C. Mavroudis, C. L. Backer, S. Kaushal, H. Russell, R. D. Stewart, C. Webb, and C. Sullivan
The Arterial Switch Operation: 25-Year Experience With 258 Patients
Ann. Thorac. Surg., November 1, 2011; 92(5): 1742 - 1746.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Y.-l. Liu, S.-s. Hu, X.-d. Shen, S.-j. Li, X. Wang, J. Yan, X. Wu, J.-b. Huang, and B. Kong
Midterm Results of Arterial Switch Operation in Older Patients With Severe Pulmonary Hypertension
Ann. Thorac. Surg., September 1, 2010; 90(3): 848 - 855.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
O. Metton, D. Calvaruso, R. Gaudin, S. Mussa, O. Raisky, D. Bonnet, D. Sidi, and P. R. Vouhe
Intramural coronary arteries and outcome of neonatal arterial switch operation
Eur J Cardiothorac Surg, June 1, 2010; 37(6): 1246 - 1253.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
B. Feng, Y. Liu, S. Hu, X. Shen, X. Wang, H. Wang, and B. Ming
Arterial Switch for Transposition of the Great Vessels and Taussig-Bing Anomaly After Six Months of Age
Ann. Thorac. Surg., December 1, 2009; 88(6): 1948 - 1951.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
W. T. Mahle, J. W. Newburger, G. P. Matherne, F. C. Smith, T. R. Hoke, R. Koppel, S. S. Gidding, R. H. Beekman III, S. D. Grosse, and on behalf of the American Heart Association Congen
Role of Pulse Oximetry in Examining Newborns for Congenital Heart Disease: A Scientific Statement From the American Heart Association and American Academy of Pediatrics
Circulation, August 4, 2009; 120(5): 447 - 458.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
W. T. Mahle, J. W. Newburger, G. P. Matherne, F. C. Smith, T. R. Hoke, R. Koppel, S. S. Gidding, R. H. Beekman III, S. D. Grosse, and on behalf of the American Heart Association Congen
Role of Pulse Oximetry in Examining Newborns for Congenital Heart Disease: A Scientific Statement from the AHA and AAP
Pediatrics, August 1, 2009; 124(2): 823 - 836.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome 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
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
 Ann. Thorac. Surg.Home page
Z. A. Qamar, C. S. Goldberg, E. J. Devaney, E. L. Bove, and R. G. Ohye
Current Risk Factors and Outcomes for the Arterial Switch Operation
Ann. Thorac. Surg., September 1, 2007; 84(3): 871 - 879.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
V. Bautista-Hernandez, G. R. Marx, E. A. Bacha, and P. J. del Nido
Aortic Root Translocation Plus Arterial Switch for Transposition of the Great Arteries With Left Ventricular Outflow Tract Obstruction: Intermediate-Term Results
J. Am. Coll. Cardiol., January 30, 2007; 49(4): 485 - 490.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C.-D. Kan and Y.-J. Yang
Reply.
Ann. Thorac. Surg., January 1, 2007; 83(1): 357 - 358.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
G. E. Sarris, A. C. Chatzis, N. M. Giannopoulos, G. Kirvassilis, H. Berggren, M. Hazekamp, T. Carrel, J. V. Comas, D. Di Carlo, W. Daenen, et al.
The arterial switch operation in Europe for transposition of the great arteries: A multi-institutional study from the European Congenital Heart Surgeons Association.
J. Thorac. Cardiovasc. Surg., September 1, 2006; 132(3): 633 - 639.
[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
 J. Thorac. Cardiovasc. Surg.Home page
Detection of coronary complications after the arterial switch operation for transposition of the great arteries: first experience with multislice computed tomography in children.
J. Thorac. Cardiovasc. Surg., March 1, 2006; 131(3): 639 - 643.


Home page
 Ann. Thorac. Surg.Home page
Y. H. Chang, S. C. Sung, H. D. Lee, S. Kim, J. S. Woo, and Y. S. Lee
Coronary Reimplantation After Neoaortic Reconstruction Can Yield Better Result in Arterial Switch Operation: Comparison With Open Trap Door Technique
Ann. Thorac. Surg., November 1, 2005; 80(5): 1634 - 1640.
[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
 CirculationHome page
J.-M. Jouannic, L. Gavard, L. Fermont, J. Le Bidois, S. Parat, P. R. Vouhe, Y. Dumez, D. Sidi, and D. Bonnet
Sensitivity and Specificity of Prenatal Features of Physiological Shunts to Predict Neonatal Clinical Status in Transposition of the Great Arteries
Circulation, September 28, 2004; 110(13): 1743 - 1746.
[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
 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(2011): II-186 - II-190.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome 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
M. Yamagishi, K. Shuntoh, K. Fujiwara, T. Shinkawa, T. Miyazaki, and N. Kitamura
"Bay window" technique for the arterial switch operation of the transposition of the great arteries with complex coronary arteries
Ann. Thorac. Surg., June 1, 2003; 75(6): 1769 - 1773.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome 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 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 © 2001 by The Society of Thoracic Surgeons.