32 Jahre Vorhofsumkehr nach Senning [32 years of Senning's correction for transposition of the great vessels]

Détails

ID Serval
serval:BIB_0A6819DC0962
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
32 Jahre Vorhofsumkehr nach Senning [32 years of Senning's correction for transposition of the great vessels]
Périodique
Swiss Surgery
Auteur⸱e⸱s
Genoni M., von Segesser L., Wilhelm M., Arbenz U., Turina M.
Statut éditorial
Publié
Date de publication
1996
Volume
Suppl 1
Pages
32-35
Langue
allemand
Résumé
Between 1962 and 1994 342 patients with transposition of the great arteries (TGA) were treated by atrial correction. Since 1992 the atrial switch operation is the treatment of choice for TGA. We reviewed our 32 year experience. Average age of the patients at operation was 69 months (7 days--8.5 years). 177/342 (52%) patients had a complex TGA: 74 patients with ventricular septal defect (VSD), 49 patients with pulmonary stenosis (PS) and 54 with both (VSD and PS). The 30 day mortality was for the whole series 15.7%. In the last 4 years 7.5%. The actuarial survival rate for all patients was 88% after 10 years and 82% after 20 years. For simple TGA 91% after 10 years and 83% after 20 years, for complex TGA 84% and 81%. The most important cause of death during our longterm observation were heart failure (19 patients) and sudden death (7 patients). Average follow-up for the whole group was 13.4 years. Most of the survivors are functionally symptom free (66% NYHA I) or they have slight symptoms (29% NYHA II). Only 5% were NYHA III or IV. Arterial switch operation has replaced the atrial correction for TGA. Nevertheless the longterm results after atrial correction remains encouraging. The main threat to the patients is the failure of the systemic ventricle.
Mots-clé
Cardiac Surgical Procedures/methods, Cause of Death, Child, Child, Preschool, Death, Sudden, Cardiac, Heart Failure/complications, Humans, Infant, Infant, Newborn, Retrospective Studies, Survival Rate, Transposition of Great Vessels/complications, Transposition of Great Vessels/mortality
Pubmed
Création de la notice
14/02/2008 14:17
Dernière modification de la notice
20/08/2019 12:32
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