[Anatomical correction in transposition of the great arteries and double-outlet right ventricle. Our initial experience].
OBJECTIVE
Anatomical correction of transposition of great arteries and double outlet right ventricle with subpulmonary ventricular septal defect is a surgical approach that has not been generally adopted in our clinical environment. Our aim with this paper is reporting on our initial experience with this technique.


METHODS
The clinical data and additional investigations are reviewed from 15 infants with transposition of the great arteries and 2 with double outlet right ventricle who underwent anatomical repair, with a postoperative follow-up of one year.


RESULTS
The survival rate has been 76% (13 out of 17 cases). The 13 survivors are in good hemodynamic condition, with no treatment whatsoever. Thirteen patients are in sinus rhythm with normal repolarization patterns and 5 patients show a right bundle branch block. Neither aortic nor pulmonary gradients have been detected on Doppler examination, and slight valvular insufficiencies are found at aortic level in 4 patients, pulmonary in 2 and mitral in one.


CONCLUSIONS
Anatomical correction is the method of choice for transposition of the great arteries and double outlet right ventricle with pulmonary-related ventricular septal defect.
Girona
J
J
Unidad de Cardiología Pediátrica, Hospital Materno-Infantil Vall d'Hebron, Universidad Autónoma de Barcelona.
Casaldàliga
J
J
Miró
L
L
Gosálbez
A
A
Gallart-Català
A
A
Murtra
M
M
D004310:Double Outlet Right Ventricle / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D013030:Spain / Q000453:epidemiology; D015996:Survival Rate; D014188:Transposition of Great Vessels / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*
Corrección anatómica en la transposición de grandes arterias y en la doble salida de ventrículo derecho. Experiencia inicial.