| Title |
Stambiųjų kraujagyslių transpozicija: Vilniaus universiteto ligoninės Santariškių klinikų Širdies chirurgijos centro pastarųjų penkerių metų patirtis / |
| Another Title |
Transposition of the great arteries: the last 5-year experience of the Vilnius University Hospital Santariškių Clinics Heart Surgery Center. |
| Authors |
Jonavičius, Karolis ; Lipnevičius, Artūras ; Lebetkevičius, Virgilijus ; Sirvydis, Vytautas-Jonas ; Tarutis, Virgilijus |
| DOI |
10.15388/LietChirur.2014.1.2949 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Lietuvos chirurgų asociacija. 2014, t. 13, nr. 1, p. 31-38.. ISSN 1392-0995 |
| Keywords [eng] |
transposition of the great arteries ; arterial switch operation ; Jatene operation ; congenital heart defects |
| Abstract [eng] |
Background / objective The main goal of the study was to review our experience in treating patients with a D-transposition of great arteries in 2007–2013 at the Vilnius University Faculty of Medicine Clinic of Cardiovascular Diseases and the Vilnius University Hospital Santariškių Clinics Heart Surgery Center. Patients and methods We have reviewed 34 patients who underwent an arterial switch operation in January 2007 – October 2013 at our center. Complete anatomical repair – arterial switch (Jatene) procedure – was performed in all cases. Results One patient died from heart failure short after surgery. The postoperative mortality was 2.9%. The postoperative complications included bleeding, wound infection, and renal failure, and were treated successfully. In 3 (9.1%) patients, in the early postoperative period echocardiographically a trivial or slight aortic valve insufficiency was found. No pulmonary valve pathology was noted. During the follow-up period, one patient underwent a reoperation (right ventricle infundibulectomy and a bidirectional Glenn operation) due to a subvalvular pulmonary stenosis. This patient died of pneumonia and septic shock. The periodic echocardiographic investigation revealed that the number of aortic valve insufficiency (7 patients, 21.8%) slightly increased: 5 (15.6%) patients had a mild and 2 (6.2%) a mild-moderate aortic valve regurgitation. Two (6 %) instances of pulmonary valve insufficiency, 1 case (3%) of mild pulmonary valve insufficiency and 1 (3%) mild-moderate case were found. The cumulative survival rate of our patients was 94% for 5 years. Conclusions. We have achieved good early and late postoperative results in treating patients with a D-transposition of the great arteries. Patients with aortic valve insufficiency should be followed for the further evaluation of the aortic valve function. Besides, our study has shown that the data collection and a routine analysis of patient treatment experience are necessary to achieve better results. |
| Published |
Vilnius : Lietuvos chirurgų asociacija |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2014 |
| CC license |
|
