Early Outcomes of Arterial Switch Operation Performed at a New Pediatric Cardiology Center in Mumbai
International Journal of Cardiovascular and Thoracic Surgery
Volume 5, Issue 1, January 2019, Pages: 12-17
Received: Jan. 24, 2019;
Accepted: Mar. 28, 2019;
Published: Apr. 13, 2019
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Bhadra Trivedi, Department of Pediatric Cardiology, Wockhardt Hospitals, South Mumbai, India
Prasanna Salvi, Department of Paediatric Cardiac Anaesthesiology and Intensivist, Wockhardt Hospitals, South Mumbai, India
Manish Chokhandre, Department of Pediatric Cardiology, Wockhardt Hospitals, South Mumbai, India
Naveed Khan, Department of Paediatric Cardiac Anaesthesiology and Intensivist, Wockhardt Hospitals, South Mumbai, India
Ameya Mandrekar, Department of Paediatric Cardiac Anaesthesiology and Intensivist, Wockhardt Hospitals, South Mumbai, India
Suresh Joshi, Director of Pediatric and Congenital Heart Centre and Chief Pediatric Cardio-Thoracic Surgeon, Wockhardt Hospitals, South Mumbai, India
Introduction: The transposition of great arteries (TGA) is one of the main causes of neonatal or early infancy open heart surgeries in pediatric cardiology. The ASO is preferred over the Atrial switch when suitable as the left ventricle remains the systemic ventricle and there are fewer incidences of postoperative arrhythmias. Method: It’s a retrospective review of the early surgical outcomes of arterial switch operation performed at the department of pediatric cardiology at Wockhardt Hospital, Mumbai Central, Mumbai from August 2014 to August 2017. Results: During the specified period, a total of 22 children were admitted to the hospital for ASO for TGA. The average age of the patient was 78 days. The mean weight of the children was 3.35 kg and height was 52.5 cm. Discussion: The early outcome of arterial switch operation at our center is as good as the other well-established centers. The surgical outcome of ASO remained consistent over the last two and a half year. The policy of our institution is to optimize the patients prior to the surgery, may need BAS if the children are of TGA with intact ventricular septum with restricted atrial level shunt group. Conclusion: The review shows the early results of postoperative cases of arterial switch operation from a new center are as encouraging as from the other high volume centers.
Early Outcomes of Arterial Switch Operation Performed at a New Pediatric Cardiology Center in Mumbai, International Journal of Cardiovascular and Thoracic Surgery.
Vol. 5, No. 1,
2019, pp. 12-17.
Jatene AD, Fontes VF, Paulista PP, de Souza LC, Neger F, Galantier M, et al. Successful anatomic correction of transposition of the great vessels. A preliminary report. Arquivos brasileiros de cardiologia. 1975; 28 (4): 461-64.
Quaegebeur JM, Rohmer J, Ottenkamp J, Buis T, Kirklin JW, Blackstone EH, et al. The arterial switch operation. An eight-year experience. The Journal of thoracic and cardiovascular surgery. 1986; 92 (3 Pt 1): 361-84.
Lecompte Y, Neveux JY, Leca F, Zannini L, Tu TV, Duboys Y, et al. Reconstruction of the pulmonary outflow tract without prosthetic conduit. The Journal of thoracic and cardiovascular surgery. 1982; 84 (5): 727-33.
Prandstetter C, Hofer A, Lechner E, Mair R, Sames-Dolzer E, Tulzer G. Early and mid-term outcome of the arterial switch operation in 114 consecutive patients: A single centre experience. Clinical research in cardiology: official journal of the German Cardiac Society. 2007; 96 (10): 723-9.
Stoica S, Carpenter E, Campbell D, Mitchell M, da Cruz E, Ivy D, et al. Morbidity of the arterial switch operation. The Annals of thoracic surgery. 2012; 93 (6): 1977-83.
Karamlou T, Jacobs ML, Pasquali S, He X, Hill K, O'Brien S, et al. Surgeon and center volume influence on outcomes after arterial switch operation: analysis of the STS Congenital Heart Surgery Database. The Annals of thoracic surgery. 2014; 98 (3): 904-11.
Shim MS, Jun TG, Yang JH, Park PW, Kang IS, Huh J, et al. Current expectations of the arterial switch operation in a small volume center: a 20-year, single-center experience. Journal of cardiothoracic surgery. 2016; 11: 34.
Rosenthal GL, Wilson PD, Permutt T, Boughman JA, Ferencz C. Birth weight and cardiovascular malformations: a population-based study. The Baltimore-Washington Infant Study. American journal of epidemiology. 1991; 133 (12): 1273-81.
Khairy P, Clair M, Fernandes SM, Blume ED, Powell AJ, Newburger JW, et al. Cardiovascular outcomes after the arterial switch operation for D-transposition of the great arteries. Circulation. 2013; 127 (3): 331-9.
Rodriguez Puras MJ, Cabeza-Letran L, Romero-Vazquianez M, Santos de Soto J, Hosseinpour R, Gil Fournier M, et al. Mid-term morbidity and mortality of patients after arterial switch operation in infancy for transposition of the great arteries. Revista espanola de cardiologia (English ed). 2014; 67 (3): 181-8.
Manso PH, Amaral FT, Junior TJ, Jurca MC, Haddad J, Vicente WV, et al. Outcomes of Patients After Arterial Switch Operation: 18 Years of Experience in a Single Medium-Volume Center. Pediatric cardiology. 2015; 36 (8): 1657-61.
Fricke TA, d'Udekem Y, Richardson M, Thuys C, Dronavalli M, Ramsay JM, et al. Outcomes of the arterial switch operation for transposition of the great arteries: 25 years of experience. The Annals of thoracic surgery. 2012; 94 (1): 139-45.
Popov AF, Tirilomis T, Giesler M, Oguz Coskun K, Hinz J, Hanekop GG, et al. Midterm results after arterial switch operation for transposition of the great arteries: a single centre experience. Journal of cardiothoracic surgery. 2012; 7: 83.
Roussin R, Belli E, Bruniaux J, Demontoux S, Touchot A, Planche C, et al. Surgery for transposition of the great arteries in neonates weighing less than 2,000 grams: a consecutive series of 25 patients. The Annals of thoracic surgery. 2007; 83 (1): 173-7; discussion 7-8.
Xu ZW, Liu JF, Zhang HB, Zheng JH, Yan Q, Qiu LS, et al. [Analysis surgical results of 113 patients with complete transposition of the great arteries]. Zhonghua wai ke za zhi [Chinese journal of surgery]. 2007; 45 (12): 801-4.
Foran JP, Sullivan ID, Elliott MJ, de Leval MR. Primary arterial switch operation for transposition of the great arteries with intact ventricular septum in infants older than 21 days. Journal of the American College of Cardiology. 1998; 31 (4): 883-9.
Williams WG, McCrindle BW, Ashburn DA, Jonas RA, Mavroudis C, Blackstone EH. Outcomes of 829 neonates with complete transposition of the great arteries 12-17 years after repair. European journal of cardio-thoracic surgery: official journal of the European Association for Cardio-thoracic Surgery. 2003; 24 (1): 1-9; discussion -10.
Yacoub MH, Radley-Smith R, Maclaurin R. Two-stage operation for anatomical correction of transposition of the great arteries with intact interventricular septum. Lancet (London, England). 1977; 1 (8025): 1275-8.
Ismail SR, Kabbani MS, Najm HK, Abusuliman RM, Elbarbary M. Early outcome for the primary arterial switch operation beyond the age of 3 weeks. Pediatric cardiology. 2010; 31 (5): 663-7.
Tobler D, Williams WG, Jegatheeswaran A, Van Arsdell GS, McCrindle BW, Greutmann M, et al. Cardiac outcomes in young adult survivors of the arterial switch operation for transposition of the great arteries. Journal of the American College of Cardiology. 2010; 56 (1): 58-64.
Hraska V, Podnar T, Kunovsky P, Kovacikova L, Kaldararova M, Horvathova E, et al. Is a learning curve for arterial switch operation in small countries still acceptable? Model for cooperation in Europe. European journal of cardio-thoracic surgery: official journal of the European Association for Cardio-thoracic Surgery. 2003; 24 (3): 352-7.
Karl TR, Hall S, Ford G, Kelly EA, Brizard CPR, Mee RBB, et al. Arterial switch with full-flow cardiopulmonary bypass and limited circulatory arrest: Neurodevelopmental outcome. The Journal of thoracic and cardiovascular surgery. 2004; 127 (1): 213-22.
Qamar ZA, Goldberg CS, Devaney EJ, Bove EL, Ohye RG. Current risk factors and outcomes for the arterial switch operation. The Annals of thoracic surgery. 2007; 84 (3): 871-8; discussion 8-9.
Bisoi AK, Sharma P, Chauhan S, Reddy SM, Das S, Saxena A, et al. Primary arterial switch operation in children presenting late with d-transposition of great arteries and intact ventricular septum. When is it too late for a primary arterial switch operation? European journal of cardio-thoracic surgery: official journal of the European Association for Cardio-thoracic Surgery. 2010; 38 (6): 707-13.
Mekkawy A, Ghoneim A, El-Haddad O, Photiadis J, Elminshawy A. Predictors of early outcome of arterial switch operation in patients with D-TGA. Journal of the Egyptian Society of Cardio-Thoracic Surgery. 2017; 25 (1): 52-7.
Lalezari S, Bruggemans EF, Blom NA, Hazekamp MG. Thirty-year experience with the arterial switch operation. The Annals of thoracic surgery. 2011; 92 (3): 973-9.
Pouard P, Mauriat P, Ek F, Haydar A, Gioanni S, Laquay N, et al. Normothermic cardiopulmonary bypass and myocardial cardioplegic protection for neonatal arterial switch operation. European Journal of Cardio-Thoracic Surgery. 2006; 30 (5): 695-9.
Anderson BR, Ciarleglio AJ, Hayes DA, Quaegebeur JM, Vincent JA, Bacha EA. Earlier arterial switch operation improves outcomes and reduces costs for neonates with transposition of the great arteries. Journal of the American College of Cardiology. 2014; 63 (5): 481-7.
Dibardino DJ, Allison AE, Vaughn WK, McKenzie ED, Fraser CD, Jr. Current expectations for newborns undergoing the arterial switch operation. Annals of surgery. 2004; 239 (5): 588-96; discussion 96-8.