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Long term follow up study after the correction of complete transposition of the great arteries: comparison between atrial and arterial switch repair
https://kindai.repo.nii.ac.jp/records/2003734
https://kindai.repo.nii.ac.jp/records/200373415547d27-bb80-4aec-981b-4bf779d543ff
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
AA0050842X-19871200-0191.pdf (1.1 MB)
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| アイテムタイプ | 紀要論文 / departmental bulletin paper(1) | |||||||
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| 公開日 | 2025-09-22 | |||||||
| タイトル | ||||||||
| タイトル | Long term follow up study after the correction of complete transposition of the great arteries: comparison between atrial and arterial switch repair | |||||||
| 言語 | en | |||||||
| 作成者 |
Saga, Toshihiko
× Saga, Toshihiko
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| 言語 | ||||||||
| 言語 | eng | |||||||
| キーワード | ||||||||
| 主題 | complete transposition of the great arteries, Mustard procedure, Jatene procedure, long term follow up study, cardiac function | |||||||
| 内容記述 | ||||||||
| 内容記述タイプ | Abstract | |||||||
| 内容記述 | During the period from 1976 to 1986, 58 patients with complete transposition of the great arteries underwent various types of correction. Among them, 43 patients survived for over one year after the correction. Of the 43 patients, 35 underwent the correction by Mustard procedure, 7 by Jatene procedure and the other patient by Rastelli procedure. The comparative study between atrial and arterial switch repair was performed in order to evaluate the long term results, clinical results, hemodynamics and cardiac function through long term follow up study after the correction. Three late deaths occurred among the patients who received Mustard procedure. The leading cause of late death was not heart failure, but dysrhythmia. Late morbidity in this group was not as high as those of other reports and major late problems were rhythm disturbance and tricuspid incompetence. One late death was found among the patients who underwent Jatene procedure and the major complication after Jatene procedure was right ventricular outflow obstruction. Mortality and morbidity of Jatene procedure are now continuing to decline as experience is gained and techniques are refined. Late postoperative systemic ventricular function after Mustard procedure was remarkably impaired particularly in the patients with transposition of the great arteries and ventricular septal defect (TGA and VSD). In contrast, patients undergoing Jatene procedure showed normal ventricular function even in the late postoperative period. In conclusion, Jatene procedure should be considered as the choice of operation for patients with TGA and VSD. For patients with TGA and intact ventricular septum, Mustard procedure is still a valid corrective method, although Jatene procedure is preferable. | |||||||
| 言語 | en | |||||||
| 出版者 | ||||||||
| 出版者 | The Kinki University Medical Association | |||||||
| 言語 | en | |||||||
| 資源タイプ | ||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||
| 資源タイプ | departmental bulletin paper | |||||||
| 出版タイプ | ||||||||
| 出版タイプ | AM | |||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||
| 収録物識別子 | ||||||||
| 収録物識別子タイプ | PISSN | |||||||
| 収録物識別子 | 03866092 | |||||||
| 開始ページ | ||||||||
| 開始ページ | 191 | |||||||
| 終了ページ | ||||||||
| 終了ページ | 205 | |||||||
| 書誌情報 |
en : ACTA MEDICA KINKI UNIVERSITY 巻 12, 号 2, p. 191-205, 発行日 1987-12 |
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