[Arterial switch operation for transposition of the great arteries and double outlet of right ventricle with subpulmonary ventricular septum defect].
OBJECTIVE
To summarize the clinical experience on the arterial switch operation for complex congenital heart disease in recent 3 years in our hospital.


METHODS
Sixty-one patients with complex congenital heart disease received by arterial switch operation from Jan 2000 to May 2003. There were 26 patients with transposition of the great arteries and intact ventricular septum (TGA-IVS), 19 patients with transposition of the great arteries and ventricular septal defect (TGA-VSD) and 16 patients with double outlet of right ventricle with subpulmonary ventricular septum defect (Taussig-Bing).


RESULTS
There were 2 death among TGA-IVS cases, 4 deaths among TGA-VSD cases and 4 deaths among Taussig-Bing cases. The total operative mortality was 16%. All patients were followed up 3 months to 3 years. In all patients, the cyanosis disappeared and the physical activities increased obviously. One patients with Taussig-Bing keep moderate mitral valve reflux unchanged, 2 patients with TGA had pulmonary and aortic supra-valve stenosis with 40 mmHg pressure gradient. One patient with subpulmonary stenosis and residual VSD was re-operated 3 months later. All survivor had good heart function.


CONCLUSIONS
The effect of arterial switch operation on the treatment of TGA was well accepted in this study. The procedure used in treatment on Taussig-Bing can prevent pulmonary obstruction and avoid the complication of left ventricular outflow tract obstruction caused by intraventricular repair.
Xu
Zhi-wei
ZW
Department of Thoracic and Cardiovascular Surgery, Xinhua Hospital, Shanghai Second Medical University, Shanghai 200127, China.
Ding
Wen-xiang
WX
Su
Zhao-kang
ZK
Chen
Ling
L
Shi
Zhen-ying
ZY
Zhu
De-ming
DM
D001011:Aorta / Q000601:surgery; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D004310:Double Outlet Right Ventricle / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery; D012189:Retrospective Studies; D014188:Transposition of Great Vessels / Q000150:complications / Q000601:surgery*