[Anatomical correction of transposition of the great arteries in 7 newborn infants].
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.
Wojtalik
M
M
Katedry i Kliniki Kardiochirurgii Sl.A.M., Zabrzu.
Moll
J
J
Religa
Z
Z
Przybylski
R
R
Grzybowski
A
A
Puzio
J
J
Białkowski
J
J
Zembala
M
M
Goldstein
L
L
Bamaszak
P
P
D003330:Coronary Vessel Anomalies / Q000473:pathology / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery*; D005260:Female; D006324:Heart Arrest, Induced; D006801:Humans; D007036:Hypothermia, Induced; D007231:Infant, Newborn; D007430:Intraoperative Care; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D014188:Transposition of Great Vessels / Q000473:pathology / Q000601:surgery*
Korekcja anatomiczna przełozenia wielkich pni tetniczych u siedmiu noworodków.