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      EDUCATIONAL SERIES IN CONGENITAL HEART DISEASE: Echocardiographic assessment of transposition of the great arteries and congenitally corrected transposition of the great arteries

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          Abstract

          Echocardiographic assessment of patients with transposition of the great arteries and congenitally corrected transposition requires awareness of the morphology and commonly associated lesions. The pre-operative echocardiography should include a full segmental and sequential analysis. Post-operative assessment is not possible without awareness of the type of surgical procedure performed and consists of assessing surgical connections and residual lesions.

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          Surgical correction of transposition of the great vessels.

          A Senning (1959)
          Article 0 comments Cited 40 times – based on 0 reviews     Review now
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            Results of the arterial switch operation in neonates with transposed great arteries.

            René Prêtre, Daniel Tamisier, Philipp Bonhoeffer … (2001)
            The arterial switch operation is judged the best palliative operation for neonates with transposed great arteries. We aimed to assess the value of analysing a large series of unselected cases by this technically demanding operation and formulate a realistic prognosis. We reviewed all 432 neonates (mean age at operation 7 days, mean weight 3.25 kg) who underwent an arterial switch operation between 1987 and 1999. Follow-up (mean time: 4.9 years) was complete in 412 patients. Survival probability and freedom from reoperation was 94% and 78% at 10 years, respectively. 26 patients died, 16 because of myocardial ischaemia. Risk factors for death included early experience, low weight, associated cardiovascular malformations (especially hypoplasia of the right ventricle or aortic arch), and difficult patterns of coronary arteries. The risk of the coronary artery pattern was greatly reduced in those who had recent operations. At last follow-up, 90% of patients had normal life without treatment, and 94% a normal heart function on echocardiography. The arterial switch operation in neonates achieves excellent results mid-term. Obstruction of the translocated coronary arteries is responsible for most deaths and a substantial number of reoperations. Although confirmation is needed, these results allow anticipation of a favourable long-term prognosis.
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              Successful anatomic correction of transposition of the great vessels. A preliminary report.

              A Jatene, Cleuber F Fontes, C Virgilio … (1975)
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                Author and article information

                Journal
                Journal ID (nlm-ta): Echo Res Pract
                Journal ID (iso-abbrev): Echo Res Pract
                Journal ID (hwp): echo
                Title: Echo Research and Practice
                Publisher: Bioscientifica Ltd (Bristol )
                ISSN (Electronic): 2055-0464
                Publication date Collection: December 2019
                Publication date (Electronic): 23 October 2019
                Volume: 6
                Issue: 4
                Pages: R107-R119
                Affiliations
                [1 ]Division of Cardiology , The Children’s Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
                [2 ]Division of Cardiology , The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
                Author notes
                Correspondence should be addressed to L L Mertens: luc.mertens@ 123456sickkids.ca
                Article
                Publisher ID: ERP-19-0047
                DOI: 10.1530/ERP-19-0047
                PMC ID: 6865365
                PubMed ID: 31729212
                SO-VID: 55ed098b-20b1-4a97-950b-bd713c4bed35
                Copyright © © 2019 The authors
                License:

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                Date received : 13 October 2019
                Date accepted : 23 October 2019
                Categories
                Subject: Review

                Keywords: congenital heart defects,congenitally corrected transposition of great arteries,transposition of the great arteries
                Data availability:
                Keywords: congenital heart defects, congenitally corrected transposition of great arteries, transposition of the great arteries

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