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Asian Cardiovasc Thorac Ann 2003;11:14-17
© 2003 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTIONS

Arterial Switch Operation in Neonates With Complex Congenital Heart Defects

Michal Wojtalik, MD, Girish Sharma, MD, Wojciech Mrowczynski, MD, Aldona Siwinska, MD1, Jacek Henschke, MD, Rafal Bartkowski, MD, Malgorzata Pawelec-Wojtalik, MD2, Maciej Piaszczynski, MD

Department of Paediatric Cardiac Surgery
1 Department of Paediatric Cardiology
2 Department of Paediatric Radiology, Karol Marcinkowski University of Medical Sciences, Poznan, Poland

For reprint information contact: Wojciech Mrowczynski, MD Tel: 48 61 849 1277 Fax: 48 61 847 5228 email: schant{at}main.amu.edu.pl Department of Paediatric Cardiac Surgery, Karol Marcinkowski University of Medical Sciences, ul. Szpitalna 27/33, Poznan 60-572, Poland.

The aim of the study was to analyze short-term results of the arterial switch operation in 29 neonates with simple transposition of the great arteries (group A) and 18 (group B) with complex heart defects: transposition with a ventricular septal defect (10), coarctation of the aorta (5), or Taussig-Bing anomaly (3). The operations were usually performed on the 7th day of life (2nd–30th day), after a Rashkind procedure when necessary. The mean weight was 3,530 ± 780 g, body surface area was 0.219 ± 0.032 m2. Delayed sternal closure was necessary in 7 patients from group A (24%) and 8 from group B (44%) because of hemodynamic instability after weaning from extracorporeal circulation; these neonates had significantly lower body weights and smaller body surface areas. Perioperative mortality was 13.8% (4 patients) in group A and 27.8% (5 patients) in group B. Correction of complex transposition tends to be associated with a higher operative risk than simple transposition, but the difference was not significant.






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