INTRODUCTION: Jatene surgery or arterial switch is performed at our institution since 1989. It is mandatory to submit our results to an evaluation that allow us to identify the main causes of reoperation and, more importantly, to determine what variables predict the need of reoperation. METHODS: In this retrospective analysis were included all the 91 patients with d-TGA who underwent an arterial switch operation at Santa Marta Hospital between 1999 and 2016. RESULTS: Mean follow-up was 6 years (range 1-21 years). 71% of the patients had simple TGA and 29% had complex TGA. The need of reoperation was 21%(n=19). Pulmonary artery stenosis was the main (47%) indication for reoperation. The overall cumulative mortality was 9.9%. The gender (P= 0.8), diagnosis (simple or complex TGA) (P= 0,5) or the existence of previous surgeries(P=0.9) were unable to predict the need of reoperation. The presence of coronary patterns anomalies was the only variable reaching statistical significance (P< 0.05), both in univariate and multivariate analysis. CONCLUSION: In our series, the main indication for reoperation after arterial switch operation was pulmonary artery stenosis and the only predictive variable was the presence of coronary anomalies.
INTRODUCTION: Jatene surgery or arterial switch is performed at our institution since 1989. It is mandatory to submit our results to an evaluation that allow us to identify the main causes of reoperation and, more importantly, to determine what variables predict the need of reoperation. METHODS: In this retrospective analysis were included all the 91 patients with d-TGA who underwent an arterial switch operation at Santa Marta Hospital between 1999 and 2016. RESULTS: Mean follow-up was 6 years (range 1-21 years). 71% of the patients had simple TGA and 29% had complex TGA. The need of reoperation was 21%(n=19). Pulmonary artery stenosis was the main (47%) indication for reoperation. The overall cumulative mortality was 9.9%. The gender (P= 0.8), diagnosis (simple or complex TGA) (P= 0,5) or the existence of previous surgeries(P=0.9) were unable to predict the need of reoperation. The presence of coronary patterns anomalies was the only variable reaching statistical significance (P< 0.05), both in univariate and multivariate analysis. CONCLUSION: In our series, the main indication for reoperation after arterial switch operation was pulmonary artery stenosis and the only predictive variable was the presence of coronary anomalies.
Authors: Roel L F van der Palen; Carlijn van der Zee; Arja S Vink; Ingmar Knobbe; Sean J Jurgens; Elizabeth van Leeuwen; Caroline J Bax; Gideon J du Marchie Sarvaas; Nico A Blom; Monique C Haak; Caterina M Bilardo; Sally-Ann B Clur Journal: Prenat Diagn Date: 2019-08-07 Impact factor: 3.050