Primary arterial switch operation in children presenting late with d-transposition of great arteries and intact ventricular septum. When is it too late for a primary arterial switch operation?
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作者:
Bisoi, Akshay Kumar
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All India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, IndiaAll India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, India
Bisoi, Akshay Kumar
[1
]
Sharma, Pranav
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All India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, IndiaAll India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, India
Sharma, Pranav
[1
]
Chauhan, Sandeep
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All India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, IndiaAll India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, India
Chauhan, Sandeep
[1
]
Reddy, Srikrishna Modugula
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All India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, IndiaAll India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, India
Reddy, Srikrishna Modugula
[1
]
Das, Shambhunath
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All India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, IndiaAll India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, India
Das, Shambhunath
[1
]
Saxena, Anita
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All India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, IndiaAll India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, India
Saxena, Anita
[1
]
Kothari, Shyam Sunder
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All India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, IndiaAll India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, India
Kothari, Shyam Sunder
[1
]
机构:
[1] All India Inst Med Sci, Dept Cardiothorac & Vasc Surg, Ctr Cardiothorac, New Delhi 110029, India
Objective: The surgical management of infants older than 2 weeks with d-transposition of great arteries and intact ventricular septum (IVS) is a matter of debate. Some studies have presented good results of primary arterial switch operation (ASO) in these children. The aim of this study was to assess the surgical outcome of the primary ASO in children with d-transposition of great arteries and IVS presenting beyond 6 weeks of age. Methods: The clinical records of the children (more than 6 weeks age) with d-transposition of great arteries and IVS, who underwent primary ASO at our institute between January 2003 and June 2009 were reviewed. Left ventricular geometry and interventricular septal motion on the transthoracic cross-sectional echocardiogram were taken to assess the left ventricle preparedness. Results: Fifty-five children (age ranging from 42 days to 9 years) with d-transposition of great arteries and IVS underwent primary ASO. The mean cardiopulmonary bypass time was 94.7 +/- 21.3 min, while mean aortic cross-clamp time was 53.2 +/- 8.1 min. Seven (13%) of these children died during their hospital stay. The children who had severely regressed left ventricle (banana-shaped left ventricular geometry) were operated with integrated extra corporeal membrane oxygenation cardiopulmonary bypass (ECMO-CPB) circuit for left ventricular re-training. The children with regressed left ventricle required longer ventilatory time and inotropic support. Recovery of left ventricular geometry has taken 1-6 months depending on age at surgery. Conclusions: The children older than 6 weeks with d-transposition of great arteries and IVS can benefit from primary ASO with acceptable results. However, the need for mechanical support in some of the older patients may limit the widespread adoption of such a strategy. (C) 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
机构:
Department of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New DelhiDepartment of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New Delhi
Bisoi A.K.
;
Chauhan S.
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Department of Cardiac Anaesthesia, All India Institute of Medical Sciences, New DelhiDepartment of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New Delhi
Chauhan S.
;
Khanzode S.D.
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Department of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New DelhiDepartment of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New Delhi
Khanzode S.D.
;
Hote M.P.
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Department of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New DelhiDepartment of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New Delhi
Hote M.P.
;
Juneja R.
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机构:
Department of Cardiology, All India Institute of Medical Sciences, New DelhiDepartment of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New Delhi
Juneja R.
;
Venugopal P.
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机构:
Department of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New DelhiDepartment of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New Delhi
机构:
All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
Chauhan, S
;
Kumar, BA
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All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
Kumar, BA
;
Rao, BH
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All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
Rao, BH
;
Rao, MS
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All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
Rao, MS
;
Dubey, B
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All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
Dubey, B
;
Saxena, N
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All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
Saxena, N
;
Venugopal, P
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All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
机构:
Great Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, EnglandGreat Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, England
Foran, JP
;
Sullivan, ID
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Great Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, EnglandGreat Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, England
Sullivan, ID
;
Elliott, MJ
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Great Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, EnglandGreat Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, England
Elliott, MJ
;
de Leval, MR
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Great Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, EnglandGreat Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, England
机构:
Department of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New DelhiDepartment of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New Delhi
Bisoi A.K.
;
Chauhan S.
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机构:
Department of Cardiac Anaesthesia, All India Institute of Medical Sciences, New DelhiDepartment of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New Delhi
Chauhan S.
;
Khanzode S.D.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New DelhiDepartment of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New Delhi
Khanzode S.D.
;
Hote M.P.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New DelhiDepartment of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New Delhi
Hote M.P.
;
Juneja R.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Cardiology, All India Institute of Medical Sciences, New DelhiDepartment of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New Delhi
Juneja R.
;
Venugopal P.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New DelhiDepartment of Cardiovascular and Thoracic Sciences, All India Institute of Medical Sciences, New Delhi
机构:
All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
Chauhan, S
;
Kumar, BA
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机构:
All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
Kumar, BA
;
Rao, BH
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机构:
All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
Rao, BH
;
Rao, MS
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机构:
All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
Rao, MS
;
Dubey, B
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All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
Dubey, B
;
Saxena, N
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机构:
All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
Saxena, N
;
Venugopal, P
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h-index: 0
机构:
All India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, IndiaAll India Inst Med Sci, Ctr Cardiothorac, Dept Cardiac Anaesthesia, New Delhi 110029, India
机构:
Great Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, EnglandGreat Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, England
Foran, JP
;
Sullivan, ID
论文数: 0引用数: 0
h-index: 0
机构:
Great Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, EnglandGreat Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, England
Sullivan, ID
;
Elliott, MJ
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机构:
Great Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, EnglandGreat Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, England
Elliott, MJ
;
de Leval, MR
论文数: 0引用数: 0
h-index: 0
机构:
Great Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, EnglandGreat Ormond St Hosp Children, Cardioresp & Crit Care Unit, London WC1N 3JH, England