[Late results after Rastelli correction in transposition of the great arteries (author's transl)].
From 1974 to 1978, 11 patients underwent a Rastelli correction in transposition of the great arteries with VSD and obstruction to the pulmonary artery. 2 patients died, a mortality of 18%. All patients received a Hancock-conduit. On the average of 30 months after the operation, a complete heart catheterisation was performed. In 6 patients--55%--there was no or only a mild gradient between the RV and AP (Gradient under 40 mm Hg). 3 patients (27%) developed a considerable obstruction to the pulmonary artery (gradient over 70 mm Hg) proximal, valvular, or distal. Subaortic obstruction was not observed. 3 of the 9 patients had a residual VSD, detectable by oxymetry, 1 with a flow ratio of 1.8, which required surgery (successfully closed).
D000293:Adolescent; D000328:Adult; D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D006328:Cardiac Catheterization; D002648:Child; D002675:Child, Preschool; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D011651:Pulmonary Artery; D014188:Transposition of Great Vessels / Q000601:surgery*
Spätergebnisse nach Korrekturoperationen bei Transposition der grossen Gefässe nach Rastelli.