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Ann Thorac Surg 1997;64:750-751
© 1997 The Society of Thoracic Surgeons

Invited Commentary

Invited Commentary

Ralph D. Siewers, MD

Pediatric Cardiothoracic Surgery, Children's Hospital of Pittsburgh, One Children's Place, 3705 Fifth Ave at DeSoto St, Pittsburgh, PA 15213-2583

The first 20% of the full text of this article appears below.

See also page 746.

This article by Yatsunami and associates is an elegant study of a subject of great interest to pediatric cardiologists and cardiac surgeons. It has been clear that left ventricular systolic and diastolic dimensions and function after the arterial switch repair for transposition are frequently found to be not entirely normal even in the large cohort of patients who are clinically quite stable and asymptomatic. The fear has been that the surgical procedure itself with the need to transpose the coronary vessels to the neoaorta may limit the potential for growth of the coronary vessels or the coronary orifice and that this surgical and growth issue may be related to nonoptimal ventricular hemodynamics. The authors of this study have shown . . . [Full Text of this Article]


Related Article

Small Left Coronary Arteries After Arterial Switch Operation for Complete Transposition
Koichi Yatsunami, Makoto Nakazawa, Chisato Kondo, Hidetake Teshima, Kazuo Momma, Yoshinori Takanashi, and Yasuharu Imai
Ann. Thorac. Surg. 1997 64: 746-750. [Abstract] [Full Text]





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