Surgical Correction in Infancy To Reduce Mortality in Transposition of the Great Arteries
- 1 July 1977
- journal article
- research article
- Published by American Academy of Pediatrics (AAP) in Pediatrics
- Vol. 60 (1) , 83-85
- https://doi.org/10.1542/peds.60.1.83
Abstract
The mortality for infants with transposition fo the great arteries (TGA) prior to the introduction of medical and surgical septostomy was over 80% by 6 mo. of age. The mortality has fallen recently, due to balloon atrial septostomy (BAS), but still exceeds 25% by 6 mo. of age in major centers. The cumulative mortality rises to 40% by 1 yr of age with or without additional surgical atrial septectomy. In this center, 12 patients with an average age of 3 mo. were operated on for interatrial baffle correction of their TGA under surface-induced deep hypothermia. BAS was done preliminarily in those patients without an adequate atrial communication. Ten of these 12 patients (83%) survived. These patients were followed up from 1 mo.-8 yr with an average follow-up of over 4 yr. Surgical correction during infancy offers a better survival rate for infants with TGA than does medical management, with or without palliative surgery.This publication has 1 reference indexed in Scilit:
- Transposition of the Great VesselsCirculation, 1966