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Anatomic correction of complete transposition with ventricular septal defect in neonates: experience with 42 consecutive cases

Published online by Cambridge University Press:  19 August 2008

Claude Planché ,
Alain Serraf ,
François Lacour-Gayet ,
Jacqueline Bruniaux  and
François Bouchart
Claude Planché*
Affiliation:
Department of Pediatric Cariac Surgery, Marie-Lannelongue Hospital, Le Plessis-Robinson
Alain Serraf
Affiliation:
Department of Pediatric Cariac Surgery, Marie-Lannelongue Hospital, Le Plessis-Robinson
François Lacour-Gayet
Affiliation:
Department of Pediatric Cariac Surgery, Marie-Lannelongue Hospital, Le Plessis-Robinson
Jacqueline Bruniaux
Affiliation:
Department of Pediatric Cariac Surgery, Marie-Lannelongue Hospital, Le Plessis-Robinson
François Bouchart
Affiliation:
Department of Pediatric Cariac Surgery, Marie-Lannelongue Hospital, Le Plessis-Robinson
*
Claude Planché Department of Pediatric Cardiac Surgery, Marie-Lannelongue Hospital, 133 Av. de Ia Resistance, 92350 La Plessis-Robinson, France
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Extract

Perhaps paradoxically, it was in the form of complete transposition with a ventricular septal defect rather than an intact ventricular septum that the arterial switch operation was first successfully applied. This was, in part, because of the poor results of the physiologic repair in the presence of a ventricular septal defect, but more because the left ventricle, in the presence of the septal deficiency, is immediately suitable for supporting postoperatively the increased workload imposed on the systemic circulation. Spurred by this success, the procedure was then extended to neonates born with complete transposition and an intact ventricular septum and is currently employed with good results in this group.

Type
World Forum
Information
Cardiology in the Young , Volume 1 , Issue 1 , January 1991 , pp. 101 - 103
Copyright
Copyright © Cambridge University Press 1991

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References

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