Congenital Heart Surgery Nomenclature and Database Project: corrected (discordant) transposition of the great arteries (and related malformations).
The extant nomenclature for congenitally corrected transposition of the great arteries is reviewed for the purpose of establishing a unified reporting system. The subject was debated and reviewed by members of the STS-Congenital Heart Surgery Database Committee and representatives from the European Association for Cardiothoracic Surgery. All efforts were made to include all relevant nomenclature categories using synonyms where appropriate. Congenitally corrected transposition of the great arteries is a complex cardiac lesion that is associated with ventricular septal defect, left ventricular outflow tract obstruction, and tricuspid valve abnormalities. Nomenclature for this lesion has been variable and confusing. Herein we attempt to clarify the terminology, with an emphasis on identification of synonymous and nonsynonymous appellations. A comprehensive database set is presented that is based on a hierarchical scheme. Data are entered at various levels of complexity and detail that can be determined by the clinician. These data can lay the foundation for comprehensive risk stratification analyses. A minimum database set is also presented that will allow for data sharing and would lend itself to basic interpretation of trends. Outcome tables relating diagnoses, procedures, and various risk factors are presented.
Wilkinson
J L
JL
Department of Cardiology, Royal Children's Hospital, Melbourne, Australia.
Cochrane
A D
AD
Karl
T R
TR
D016208:Databases, Factual; D005060:Europe; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007391:International Cooperation; D012955:Societies, Medical; D009626:Terminology as Topic; D013903:Thoracic Surgery; D014188:Transposition of Great Vessels / Q000175:diagnosis / Q000601:surgery*; D014481:United States