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The arterial switch...
The arterial switch operation in Europe for transposition of the great arteries: a multi-institutional study from the European Congenital Heart Surgeons Association.
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Sarris, George E (författare)
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Chatzis, Andrew C (författare)
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Giannopoulos, Nicolas M (författare)
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visa fler...
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Kirvassilis, George (författare)
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- Berggren, Håkan, 1951 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för akut och kardiovaskulär medicin,Institute of Medicine, Department of Emergeny and Cardiovascular Medicine
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Hazekamp, Mark (författare)
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Carrel, Thierry (författare)
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Comas, Juan V (författare)
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Di Carlo, Duccio (författare)
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Daenen, Willem (författare)
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Ebels, Tjark (författare)
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Fragata, Josè (författare)
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Hraska, Victor (författare)
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Ilyin, Vladimir (författare)
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Lindberg, Harald L (författare)
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Metras, Dominique (författare)
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Pozzi, Marco (författare)
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Rubay, Jean (författare)
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Sairanen, Heikki (författare)
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Stellin, Giovanni (författare)
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Urban, Andreas (författare)
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Van Doorn, Carin (författare)
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Ziemer, Gerhard (författare)
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(creator_code:org_t)
- Elsevier BV, 2006
- 2006
- Engelska.
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Ingår i: The Journal of thoracic and cardiovascular surgery. - : Elsevier BV. - 1097-685X .- 0022-5223. ; 132:3, s. 633-9
- Relaterad länk:
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https://doi.org/10.1...
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- OBJECTIVES: This study analyzes the results of the arterial switch operation for transposition of the great arteries in member institutions of the European Congenital Heart Surgeons Association. METHODS: The records of 613 patients who underwent primary arterial switch operations in each of 19 participating institutions in the period from January 1998 through December 2000 were reviewed retrospectively. RESULTS: A ventricular septal defect was present in 186 (30%) patients. Coronary anatomy was type A in 69% of the patients, and aortic arch pathology was present in 20% of patients with ventricular septal defect. Rashkind septostomy was performed in 75% of the patients, and 69% received prostaglandin. There were 37 hospital deaths (operative mortality, 6%), 13 (3%) for patients with an intact ventricular septum and 24 (13%) for those with a ventricular septal defect (P < .001). In 36% delayed sternal closure was performed, 8% required peritoneal dialysis, and 2% required mechanical circulatory support. Median ventilation time was 58 hours, and intensive care and hospital stay were 6 and 14 days, respectively. Although of various preoperative risk factors the presence of a ventricular septal defect, arch pathology, and coronary anomalies were univariate predictors of operative mortality, only the presence of a ventricular septal defect approached statistical significance (P = .06) on multivariable analysis. Of various operative parameters, aortic crossclamp time and delayed sternal closure were also univariate predictors; however, only the latter was an independent statistically significant predictor of death. CONCLUSIONS: Results of the procedure in European centers are compatible with those in the literature. The presence of a ventricular septal defect is the clinically most important preoperative risk factor for operative death, approaching statistical significance on multivariable analysis.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Europe
- Female
- Humans
- Infant
- Infant
- Newborn
- Male
- Multivariate Analysis
- Retrospective Studies
- Transposition of Great Vessels
- surgery
- Vascular Surgical Procedures
- methods
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Sarris, George E
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Chatzis, Andrew ...
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Giannopoulos, Ni ...
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Kirvassilis, Geo ...
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Berggren, Håkan, ...
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Hazekamp, Mark
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visa fler...
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Carrel, Thierry
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Comas, Juan V
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Di Carlo, Duccio
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Daenen, Willem
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Ebels, Tjark
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Fragata, Josè
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Hraska, Victor
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Ilyin, Vladimir
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Lindberg, Harald ...
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Metras, Dominiqu ...
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Pozzi, Marco
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Rubay, Jean
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Sairanen, Heikki
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Stellin, Giovann ...
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Urban, Andreas
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Van Doorn, Carin
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Ziemer, Gerhard
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visa färre...
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och Klinisk medicin
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Göteborgs universitet