title: Surgical treatment of transposition of the great arteries.
abstract: BACKGROUND
  With regard to risk of the failure of systemic right ventricle after physiological correction of transposition of great arteries, anatomic repair is a current method of choice.
  
  
  OBJECTIVE
  Analysis of results of surgical correction of transposition of great arteries performed between 1992 and October 1998.
  
  
  METHODS
  A total of 111 patients were operated on for transposition of the great arteries. In the 1st group of patients (n = 21, mean age was 135 +/- 55 days), physiological correction according to Senning was performed. Patients of the 2nd group (n = 90, mean age was 15.4 +/- 21.6 days) underwent anatomic repair.
  
  
  RESULTS
  Early mortality was 6% (7 patients). Mean follow-up is 2.95 years (1.9 SD) ranging from 0.2 years to 6.1 years. Actuarial 1-month survival in the whole cohort (n = 111) is 94%, and it remains unchanged at 1, 2, 3, 4, 5, and 6 years of follow-up. Patients, who underwent surgery after 1997, show significantly better survival compared to those operated before 1997 (p = 0.0997). Thus, a date of operation (before 1997) is the only significant risk factor for death. Survival in patients operated after 1997 (n = 40) is 98%. All patients belonging to the 2nd group are in functional group NYHA 1.
  
  
  CONCLUSIONS
  Anatomic repair of transposition of the great arteries is a method of choice for treatment of this congenital heart defect. Left ventricle becomes systemic ventricle, which is essential in view of long-term performance. Psychomotor development of children, who underwent ASO, is comparable with that of healthy population. (Tab. 3, Fig. 3, Ref. 18.)
authors.affiliation: Department of Cardiovascular Surgery, Children's University Hospital, Bratislava, Slovakia. hraska@dkcba.sk
authors.forename: V
authors.initials: V
authors.lastname: Hraska
authors.forename: V
authors.initials: V
authors.lastname: Sojak
authors.forename: M
authors.initials: M
authors.lastname: Kostolny
authors.forename: M
authors.initials: M
authors.lastname: Nosal
authors.forename: M
authors.initials: M
authors.lastname: Sagat
authors.forename: M
authors.initials: M
authors.lastname: Petko
authors.forename: A
authors.initials: A
authors.lastname: Kantorova
authors.forename: A
authors.initials: A
authors.lastname: Nagi
authors.forename: M
authors.initials: M
authors.lastname: Kaldararova
authors.forename: J
authors.initials: J
authors.lastname: Siman
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015996:Survival Rate; D014188:Transposition of Great Vessels / Q000401:mortality / Q000601:surgery*