Transposition of the great arteries with intact ventricular septum. Arterial switch in the first month of life

F. S. Idriss, M. N. Ilbawi, S. Y. DeLeon, C. E. Duffy, A. J. Muster, Carl L Backer, T. E. Berry, M. H. Paul

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Twenty-three infants with simple transposition of the great arteries and intact ventricular septum were operated on from October 1983 to October 1986. The age at operation in 22 infants ranged from 2 to 21 days and in one was 35 days (mean 9.82 ± 6.86 days). The infants were evaluated with cardiac catheterization at 1 to 27 days of age. Twenty-two infants had balloon atrial septostomy, and 22 received prostaglandin E1 infusion. The left ventricular diastolic wall thickness, assessed by M-mode echocardiograms, varied between 2.8 and 4 mm. There were two hospital deaths in this group of 23 infants (mortality 8.6%), and there were no late deaths. All surviving patients are doing well clinically. One patient had asymptomatic nonsustained ventricular tachycardia necessitating phenytoin. Postoperative echocardiographic assessment performed on 15 patients at 0.93 ± 0.61 years of age and cardiac catheterization and angiographic studies on seven patients at 1.07 ± 0.13 years after operation revealed excellent ventricular performance, good semiluminar valve functions, and mild gradient at the right ventricular outflow with a mean right ventricular pressure of 37.4 ± 4.1 torr.

Original languageEnglish (US)
Pages (from-to)255-262
Number of pages8
JournalJournal of Thoracic and Cardiovascular Surgery
Volume95
Issue number2
StatePublished - Jan 1 1988

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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    Idriss, F. S., Ilbawi, M. N., DeLeon, S. Y., Duffy, C. E., Muster, A. J., Backer, C. L., Berry, T. E., & Paul, M. H. (1988). Transposition of the great arteries with intact ventricular septum. Arterial switch in the first month of life. Journal of Thoracic and Cardiovascular Surgery, 95(2), 255-262.