Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/416
Título: The Arterial Switch Operation in Europe for Transposition of the Great Arteries: a Multi-Institutional Study from the European Congenital Heart Surgeons Association
Autor: Sarris, G
Chatzis, A
Giannopoulos, N
Kirvassilis, G
Berggren, H
Hazekamp, M
Carrel, T
Comas, J
Carlo, D
Daenen, W
Ebels, T
Fragata, J
Hraska, V
Ilyin, V
Lindberg, H
Metras, D
Pozzi, M
Rubay, J
Sairanen, H
Stellin, G
Urban, A
Doorn, C
Ziemer, G
Palavras-chave: Europa
Análise Multivariada
Estudos Retrospectivos
Transposição dos Grandes Vasos
Procedimentos Cirúrgicos Vasculares
Data: 2006
Editora: Elsevier
Citação: J Thorac Cardiovasc Surg. 2006 Sep;132(3):633-9. Epub 2006 Aug 2
Resumo: OBJECTIVES: This study analyzes the results of the arterial switch operation for transposition of the great arteries in member institutions of the European Congenital Heart Surgeons Association. METHODS: The records of 613 patients who underwent primary arterial switch operations in each of 19 participating institutions in the period from January 1998 through December 2000 were reviewed retrospectively. RESULTS: A ventricular septal defect was present in 186 (30%) patients. Coronary anatomy was type A in 69% of the patients, and aortic arch pathology was present in 20% of patients with ventricular septal defect. Rashkind septostomy was performed in 75% of the patients, and 69% received prostaglandin. There were 37 hospital deaths (operative mortality, 6%), 13 (3%) for patients with an intact ventricular septum and 24 (13%) for those with a ventricular septal defect (P < .001). In 36% delayed sternal closure was performed, 8% required peritoneal dialysis, and 2% required mechanical circulatory support. Median ventilation time was 58 hours, and intensive care and hospital stay were 6 and 14 days, respectively. Although of various preoperative risk factors the presence of a ventricular septal defect, arch pathology, and coronary anomalies were univariate predictors of operative mortality, only the presence of a ventricular septal defect approached statistical significance (P = .06) on multivariable analysis. Of various operative parameters, aortic crossclamp time and delayed sternal closure were also univariate predictors; however, only the latter was an independent statistically significant predictor of death. CONCLUSIONS: Results of the procedure in European centers are compatible with those in the literature. The presence of a ventricular septal defect is the clinically most important preoperative risk factor for operative death, approaching statistical significance on multivariable analysis.
Peer review: yes
URI: http://hdl.handle.net/10400.17/416
Aparece nas colecções:CCT - Artigos

Ficheiros deste registo:
Ficheiro Descrição TamanhoFormato 
JTCS 2006 633.pdf188,56 kBAdobe PDFVer/Abrir

FacebookTwitterDeliciousLinkedInDiggGoogle BookmarksMySpace
Formato BibTex MendeleyEndnote Degois 

Todos os registos no repositório estão protegidos por leis de copyright, com todos os direitos reservados.