Abstract
4/2009
vol. 6
WADY WRODZONE
Surgical treatment of transposition of the great arteries in infants with body weight less then 2500 g
Kardiochirurgia i Torakochirurgia Polska 2009; 6 (4): 354–358
Online publish date: 2009/12/30
Background: Low birth weight is considered as a risk factor for increased mortality in patients for early corrective surgery in cardiac defects. Arterial switch operation is the optimal operation for neonates with transposition of the great arteries.
Aim: A retrospective study was undertaken to evaluate early and mid-term results of surgeries of infants with transposition of the great arteries with body weight less than 2500 g.
Material and Methods: From January 2000 to December 2008, 15 patients with transposition of the great arteries underwent surgical treatment. 12 neonates underwent arterial switch operation. In 3 patients palliative procedure was performed (1 pulmonary banding and 2 Blalock-Taussig shunts). Median weight at operation was 2400 g (2070-2500 g).
Results: One death after arterial switch operation and one death after pulmonary banding were observed in early postoperative period. Postoperative morbidity occurred in 75% of patients, mainly: bleeding, pneumonia and neurological deficiencies. Mild or moderate pulmonary stenosis were postoperatively observed in 2 patients. No neonates required reoperation nor invasive cardiological intervention.
Conclusions: Low birth weight does not influence the survival of neonatetes with anatomically corrected transposition of the great arteries.
Aim: A retrospective study was undertaken to evaluate early and mid-term results of surgeries of infants with transposition of the great arteries with body weight less than 2500 g.
Material and Methods: From January 2000 to December 2008, 15 patients with transposition of the great arteries underwent surgical treatment. 12 neonates underwent arterial switch operation. In 3 patients palliative procedure was performed (1 pulmonary banding and 2 Blalock-Taussig shunts). Median weight at operation was 2400 g (2070-2500 g).
Results: One death after arterial switch operation and one death after pulmonary banding were observed in early postoperative period. Postoperative morbidity occurred in 75% of patients, mainly: bleeding, pneumonia and neurological deficiencies. Mild or moderate pulmonary stenosis were postoperatively observed in 2 patients. No neonates required reoperation nor invasive cardiological intervention.
Conclusions: Low birth weight does not influence the survival of neonatetes with anatomically corrected transposition of the great arteries.
Keywords
transposition of the great arteries, low body weight, arterial switch operation, survival
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