title: [Primary, single-stage arterial switch operations at a newly-established, comprehensive congenital cardiac center performed in the neonatal age and beyond].
abstract: BACKGROUND
  Outcome of arterial switch operation for transposition of the great arteries with/without ventricular septal defect is a service key-performance-indicator.
  
  
  OBJECTIVE
  The aim of the authors was to assess patient characteristics and parameters in the perioperative course.
  
  
  METHODS
  In the setting of a newly-established, comprehensive tertiary-care center, primary complete repair was performed including associated anomalies, e.g. transverse arch repairs. Patients with d-transposition were grouped according to coexistence of ventricular septal defect.
  
  
  RESULTS
  118 arterial switch operations were performed between 2007 and 2014 with 96.62% survival (114/118). Ventricular septal defect and repair of associated anomalies did not yield worse outcome. Left ventricular re-training with late presentation necessitated mechanical circulatory support for 4.5±1.5 days.
  
  
  CONCLUSIONS
  D-transposition is suitable for standardization of clinical algorithm and surgical technique. Quality standards contribute to excellent outcomes, minimize complications, and serve as blueprint for other neonatal open-heart procedures. Availability of mechanical circulatory support is key for single-stage left ventricular re-training beyond the neonatal period.
authors.affiliation: Sheikh Khalifa Medical City managed by Cleveland Clinic, Institute of Cardiac Sciences POB 51900, Abu Dhabi, UAE (Egyesült Arab Emírségek).
authors.forename: László
authors.initials: L
authors.lastname: Király
authors.forename: Csaba
authors.initials: C
authors.lastname: Tamás
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods* / Q000401:mortality / Q000592:standards / Q000706:statistics & numerical data*; D005112:Extracorporeal Circulation; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006324:Heart Arrest, Induced; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D059035:Perioperative Period; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D062606:Tertiary Care Centers; D014188:Transposition of Great Vessels / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome; D014479:United Arab Emirates
keywords: infant; kimenetel; komplett nagyér-transzpozíció; newborn; postoperative complications/mortality; posztoperatív szövődmények/mortalitás; transposition of great vessels/surgery; treatment outcome; újszülött/csecsemő