Atrial repair for transposition of the great arteries: current approach in Zurich based on 24 years of follow-up

Détails

ID Serval
serval:BIB_85309E17F2F2
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Atrial repair for transposition of the great arteries: current approach in Zurich based on 24 years of follow-up
Périodique
Thoracic and Cardiovascular Surgeon
Auteur(s)
von Segesser  L. K., Fry  M., Senning  A., Turina  M. I.
ISSN
0171-6425
Statut éditorial
Publié
Date de publication
12/1991
Peer-reviewed
Oui
Volume
39 Suppl 2
Pages
185-9
Notes
Journal Article --- Old month value: Dec
Résumé
Long-term survival after atrial repair of a transposition of the great arteries between 1964 and 1988 is analyzed in 254 thirty-day survivors. For the complete series, overall survival is 99.6% after one year, 94.9% after 6 years, 89.6% after 12 years, 84.9% after 18 years, and 64.0% after 24 years. Broken down for simple (154/254) versus complex (95/254) transposition survival, it is 99.4% versus 100.0% for one year, 94.7% versus 99.5% for 6 years, 90.8% versus 88.3% for 12 years, 85.1% versus 85.8% for 18 years and 77.7% versus 46.8% at 24 years. Survival for patients without or with VSD is 95.3% versus 96.2% after 6 years, 91.2% versus 87.9% after 12 years, 87.5% versus 84.0% after 18 years, and 83.7% versus 52.5% after 24 years. Cumulative survival as a function of the surgical approach for VSD closure is 94.3% for transatrial versus 92.3% for transventricular at 6 years, 82.2% versus 92.3% after 12 years, 82.2% versus 83.0% after 18 years and 82.2% versus 41.5% after 24 years. Survival for patients operated upon before 1978 is 94.3% versus 96.0% thereafter at 6 years, and 90.7% versus 89.2% at 12 years (NS). Linearized mortality rates are 1.49% per patient year for the complete series, 0.93 for simple transpositions, 2.21% for complex transpositions (including VSD, obstruction of the left ventricular outflow tract, or both), 0.68% for transpositions without VSD, 1.98% for transpositions with VSD, 2.43% for transposition with transventricular repair of a VSD, 1.74% for transposition with transatrial closure of a VSD, and 0.90% for all cases operated upon after 1978.(ABSTRACT TRUNCATED AT 250 WORDS)
Mots-clé
Actuarial Analysis Child Female Follow-Up Studies Heart Atria/surgery Heart Septal Defects, Ventricular/mortality/surgery Humans Male Survival Analysis Survival Rate Time Factors Transposition of Great Vessels/mortality/*surgery
Pubmed
Web of science
Création de la notice
14/02/2008 15:19
Dernière modification de la notice
03/03/2018 18:56
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