[Anatomical correction of transposition of the great arteries in 7 newborn infants]

Kardiol Pol. 1992 Aug;37(8):88-91.
[Article in Polish]

Abstract

In the presented article, the course and results of anatomical correction of transposition of great arteries (TGA) in 7 neonates (2 females and 5 males) with mean body mass of 3250 g and 2 to 5 days old (mean 3 days) are reviewed. Surgery was performed in moderate hypothermia. St. Thomas cold cardioplegia was used. Mean aortic clamping time was 70 min (55-115), and the time of extracorporeal circulation was 165 min (117-210). Low cardiac output in all patients in the postoperative period required prolonged mechanical ventilation and positive inotropic drugs. Out of 7 patients operated, two died (29%). The cause of death in both cases was myocardial ischemia of right ventricle. The other 5 patients were discharged after healing of operational wound. In the control echocardiographic examination performed 3 to 12 months postoperatively, apart from one case of moderate pulmonary artery stenosis, no other haemodynamically significant complications were noted.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Coronary Vessel Anomalies / pathology
  • Coronary Vessel Anomalies / surgery*
  • Coronary Vessels / pathology
  • Coronary Vessels / surgery*
  • Female
  • Heart Arrest, Induced
  • Humans
  • Hypothermia, Induced
  • Infant, Newborn
  • Intraoperative Care
  • Male
  • Pulmonary Artery / abnormalities*
  • Pulmonary Artery / pathology
  • Pulmonary Artery / surgery
  • Transposition of Great Vessels / pathology
  • Transposition of Great Vessels / surgery*