| Title: |
Transposition of the Great Arteries With Intact Ventricular Septum and Left Ventricular Outflow Tract Obstruction: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD) |
| Authors: |
Esmaeil, Husain; Jacobs, Jeffrey Phillip; Bleiweis, Mark Steven; St. Louis, James D.; Parsons, Niharika; Kirklin, James K.; Overman, David M.; Vida, Vladimiro L.; Kansy, Andrzej; Maruszewski, Bohdan; Tobota, Zdzislaw; Cattapan, Claudia; Ashfaq, Awais; Al-Halees, Zohair; Sarris, George E.; Jacobs, Marshall Lewis; Tchervenkov, Christo I. |
| Contributors: |
Funding and data for this analysis was provided by The Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD) after approval by the STS Access and Publication Task Force. |
| Source: |
World Journal for Pediatric and Congenital Heart Surgery ; volume 16, issue 6, page 751-760 ; ISSN 2150-1351 2150-136X |
| Publisher Information: |
SAGE Publications |
| Publication Year: |
2025 |
| Description: |
Purpose Transposition of the great arteries with intact ventricular septum and left ventricular outflow tract obstruction (TGA + IVS + LVOTO) is a rare congenital cardiac malformation. This study aims to describe the operations performed for patients with TGA + IVS + LVOTO in the Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD) and review their short-term outcomes. Methods A total of 112 patients with the diagnosis of TGA + IVS + LVOTO in the STS-CHSD who underwent cardiac surgery between January 1999 and June 2021 were included. Patients’ characteristics, operative data, and postoperative outcomes were analyzed. Results A total of 120 index cardiac operations were performed. The most common operations were the arterial switch procedure (n = 33), Glenn/HemiFontan (n = 10), Fontan (n = 9), Rastelli with ventricular septal defect (VSD) creation (n = 6), Damus-Kaye-Stansel procedure (n = 5), heart transplant (n = 5), and atrial switch (n = 4). Concomitant repair of subvalvar aortic stenosis was coded in 7 of 33 patients undergoing the arterial switch operation. The overall operative mortality was 4.5% (5 deaths in 112 patients undergoing 120 index cardiac operations). The overall major complication rate was 19% (23 of 120 cases). Major complications occurred in 9 of 33 (27%) of the arterial switch operations. The most common complications were unplanned reoperation in 14 of 120 cases (12%) arrhythmias requiring pacemaker implantation in 5 of 120 (4.2%), and postoperative mechanical circulatory support in 4 of 120 (3.3%). Conclusion The diagnosis of TGA + IVS + LVOTO is rare in the STS-CHSD. The most common procedures performed for this disease were the arterial switch operation (often with concomitant repair of subvalvar aortic stenosis), Rastelli with VSD creation, and palliative functionally univentricular operations. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1177/21501351251329911 |
| Availability: |
https://doi.org/10.1177/21501351251329911; https://journals.sagepub.com/doi/pdf/10.1177/21501351251329911; https://journals.sagepub.com/doi/full-xml/10.1177/21501351251329911 |
| Rights: |
https://journals.sagepub.com/page/policies/text-and-data-mining-license |
| Accession Number: |
edsbas.2CCC75E7 |
| Database: |
BASE |