Surgical treatment of the concomitant pathology in corrected transposition of great arteries
The aim – to analyze our experience in the treatment of patients with congenitally corrected transposition of great arteries (CCTGA). Materials and methods. Thirty-nine patients with CCTGA (0.7 %), age from 4 months to 48 years, were observed since 1995 to 2014. Insufficiency of the tricuspid valve...
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| Format: | Article |
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TOV Chetverta Khvylia
2016-03-01
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| Series: | Кардіохірургія та інтервенційна кардіологія |
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| Online Access: | http://csic.com.ua/images/pdf/2016/1-2016/experience-physiologic-repair-congenitally-corrected-transposition.pdf |
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| author | O.Ye. Repin L.S. Maniuc V.I. Corcea E.K. Cheptanaru O.Ye. Maliga E.I. Virlan I.V. Cucu |
| author_facet | O.Ye. Repin L.S. Maniuc V.I. Corcea E.K. Cheptanaru O.Ye. Maliga E.I. Virlan I.V. Cucu |
| author_sort | O.Ye. Repin |
| collection | DOAJ |
| description | The aim – to analyze our experience in the treatment of patients with congenitally corrected transposition of great arteries (CCTGA).
Materials and methods. Thirty-nine patients with CCTGA (0.7 %), age from 4 months to 48 years, were observed since 1995 to 2014. Insufficiency of the tricuspid valve was diagnosed in 7 patients, ventricular septal defect (VSD) – in 12, III degree AV blockade – in 5 patients (in 4 cases – primary AV blockade and in one case – after VSD repair), insufficiency of mitral valve – in 3 cases (in one of them as a result of bacterial endocarditis after implantation of the endocardial electrode), pulmonary stenosis – in 5.
Rezults. Totally 24 surgeries were performed: correction of systemic valve insufficiency – in 6 patients (plastics – in 4 of them and prosthesis in 2 patients), VSD plastics – 9, pacemaker implantation – 4, mitral valve plastics – 2, pulmonary artery banding – 2, bidirectional Glenn – 1. Surgeries were performed without lethal outcomes. Patients were observed from 8 months till 14 years. Adequate correction of all associated pathology was achieved in all patients. Concerning the progressing of tricuspid valve insufficiency, replacement of it was done in 3 cases. Medical treatment of the progressive heart failure was prescribed to 48 years-old patient.
Conclusion. The submitted material confirms the data regarding high risk of the development of AV blockade, tricuspid valve insufficiency, as well as right ventricular failure during 4–5th decade of life. Early revealing and adequate correction of accompanying defects and developing complications allows to achieve satisfactory immediate and long-term results. |
| format | Article |
| id | doaj-art-cfc326daa0ec410f89d46e6a613eeb86 |
| institution | Kabale University |
| issn | 2305-3127 |
| language | English |
| publishDate | 2016-03-01 |
| publisher | TOV Chetverta Khvylia |
| record_format | Article |
| series | Кардіохірургія та інтервенційна кардіологія |
| spelling | doaj-art-cfc326daa0ec410f89d46e6a613eeb862025-02-02T16:18:42ZengTOV Chetverta KhvyliaКардіохірургія та інтервенційна кардіологія2305-31272016-03-011 (12)2125Surgical treatment of the concomitant pathology in corrected transposition of great arteriesO.Ye. Repin0L.S. Maniuc1V.I. Corcea2E.K. Cheptanaru3O.Ye. Maliga4E.I. Virlan5I.V. Cucu6Republican Clinical Hospital, Kishinev, Republic of MoldovaRepublican Clinical Hospital, Kishinev, Republic of MoldovaRepublican Clinical Hospital, Kishinev, Republic of MoldovaRepublican Clinical Hospital, Kishinev, Republic of MoldovaRepublican Clinical Hospital, Kishinev, Republic of MoldovaRepublican Clinical Hospital, Kishinev, Republic of MoldovaRepublican Clinical Hospital, Kishinev, Republic of MoldovaThe aim – to analyze our experience in the treatment of patients with congenitally corrected transposition of great arteries (CCTGA). Materials and methods. Thirty-nine patients with CCTGA (0.7 %), age from 4 months to 48 years, were observed since 1995 to 2014. Insufficiency of the tricuspid valve was diagnosed in 7 patients, ventricular septal defect (VSD) – in 12, III degree AV blockade – in 5 patients (in 4 cases – primary AV blockade and in one case – after VSD repair), insufficiency of mitral valve – in 3 cases (in one of them as a result of bacterial endocarditis after implantation of the endocardial electrode), pulmonary stenosis – in 5. Rezults. Totally 24 surgeries were performed: correction of systemic valve insufficiency – in 6 patients (plastics – in 4 of them and prosthesis in 2 patients), VSD plastics – 9, pacemaker implantation – 4, mitral valve plastics – 2, pulmonary artery banding – 2, bidirectional Glenn – 1. Surgeries were performed without lethal outcomes. Patients were observed from 8 months till 14 years. Adequate correction of all associated pathology was achieved in all patients. Concerning the progressing of tricuspid valve insufficiency, replacement of it was done in 3 cases. Medical treatment of the progressive heart failure was prescribed to 48 years-old patient. Conclusion. The submitted material confirms the data regarding high risk of the development of AV blockade, tricuspid valve insufficiency, as well as right ventricular failure during 4–5th decade of life. Early revealing and adequate correction of accompanying defects and developing complications allows to achieve satisfactory immediate and long-term results.http://csic.com.ua/images/pdf/2016/1-2016/experience-physiologic-repair-congenitally-corrected-transposition.pdfcongenitally heart diseasecorrected transposition of grate arteries |
| spellingShingle | O.Ye. Repin L.S. Maniuc V.I. Corcea E.K. Cheptanaru O.Ye. Maliga E.I. Virlan I.V. Cucu Surgical treatment of the concomitant pathology in corrected transposition of great arteries Кардіохірургія та інтервенційна кардіологія congenitally heart disease corrected transposition of grate arteries |
| title | Surgical treatment of the concomitant pathology in corrected transposition of great arteries |
| title_full | Surgical treatment of the concomitant pathology in corrected transposition of great arteries |
| title_fullStr | Surgical treatment of the concomitant pathology in corrected transposition of great arteries |
| title_full_unstemmed | Surgical treatment of the concomitant pathology in corrected transposition of great arteries |
| title_short | Surgical treatment of the concomitant pathology in corrected transposition of great arteries |
| title_sort | surgical treatment of the concomitant pathology in corrected transposition of great arteries |
| topic | congenitally heart disease corrected transposition of grate arteries |
| url | http://csic.com.ua/images/pdf/2016/1-2016/experience-physiologic-repair-congenitally-corrected-transposition.pdf |
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