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Published: 2024-07-31
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DOI: https://doi.org/10.52852/tcncyh.v179i6.2495
Issue
Vol. 179 No. 6 (2024)
Section
Các bài báo
How to Cite
Mai, N. T., Ước, N. H., Nhật, N. H., Khương, N. Q., Anh, D. V., & Trường, N. L. T. (2024). 20. Midterm outcomes after the arterial switch operation at Vietnam National Children’s Hospital in the period 2010-2020. Journal of Medical Research, 179(6), 185-195. https://doi.org/10.52852/tcncyh.v179i6.2495

20. Midterm outcomes after the arterial switch operation at Vietnam National Children’s Hospital in the period 2010-2020

Nguyen Tuan Mai, Nguyen Huu Uoc, Nguyen Huu Nhat, Nguyen Quy Khuong, Doan Vuong Anh, Nguyen Ly Thinh Truong

Main Article Content

Abstract

The purpose of the study was to evaluate the midterm outcomes and risk factors for early mortality and reoperation in patients undergoing an arterial switch operation at Vietnam National Children’s Hospital from 2010 to 2020. 558 patients with the median age at +27 (36) days, 73.5% of patients were male, median aortic cross-clamp time was 108 (53.8) minutes. Overall early mortality was 5.9%, and late mortality was 1.1%. Multivariate Cox regression showed: prolonged aortic cross-clamp time (HR = 1.01, 95% CI: 1.01-1.02, p < 0.01), weight less than 3kg at the time of ASO (HR = 3.56, 95% CI: 1.8 - 7.1, p < 0.01), and need for secondary aortic cross-clamp (HR = 5.2, 95% CI: 1.5 - 19.8, p < 0.01) as risk factors for overall early mortality. The rate of reoperation was 3.8%, patients who were diagnosed with DORV-TGA were at risk for reoperation (HR = 10.1; 95% CI: 2.7 - 38, p < 0.01).

Article Details

Keywords

Transposition of the great arteries, arterial switch operation, TaussigBing anomaly

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