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Update on the rapid two-stage arterial switch procedure

Published online by Cambridge University Press:  19 August 2008

Richard A. Jonas*
Affiliation:
Department of Cardiac Surgery, The Children's Hospital, Boston
*
Dr. Richard A Jonas Department of Cardiac Surgery, The Children's Hospital, 300 Longwood Avenue, Boston, Massachusetts, 02115USA

Extract

In 1989, we reported the results of surgical treatment in 11 patients with complete transposition and an intact ventricular septum or restrictive ventricular septal defect who had undergone a two-stage arterial switch procedure beyond the neonatal period with a short period (median 9 days) between banding of the pulmonary trunk and repair. The most common indication for the procedure was referral to our center after the neonatal period from a geographically distant center where the arterial switch procedure was not available. Other indications were multi-organ failure in the neonatal period which contraindicated corrective surgery at that time, as well as prematurity or late development of right ventricular dysfunction, which contraindicated correction at the atrial level planned at the referral center. In this report, we describe our continuing experience.

Type
World Forum
Copyright
Copyright © Cambridge University Press 1991

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References

1.Jonas, RA, Giglia, TM, Sanders, SP, Wernovsky, G, Nadal-Ginard, B, Mayer, JE, Castañeda, AR. Rapid, two stage arterial switch for transposition of the great arteries and intact ventricular sepral beyond the neonatal period. Circulation 1989; 80(Suppl I): I 203208.Google Scholar
2.Izumo, S, Nadal-Ginard, B, Mahdavi, V. Protooncogene induction and reprogramming of cardiac gene expression produced by pressure overload. Proc Natl Acad Sci USA 1988; 85: 339343.CrossRefGoogle ScholarPubMed
3.Izumo, S, Lompre, AM, Matsuoka, R, Koren, G, Schwartz, K, Nadal-Ginard, B, Mahdavi, V. Myosin heavy chain messenger RNA and protein isoform transitions during cardiac hypertrophy. J Clin Invest 1987; 79: 970977.CrossRefGoogle ScholarPubMed
4.Yacoub, MH, Bernhard, A, Lange, P, Radley-Smith, R, Keck, E.Stephan, E.Heintzen, P. Clinical and hemodynamic results of the two-stage anatomic correction of simple transposition of the great arteries. Circulation 1980; 62(Suppl I): I 190196.Google ScholarPubMed