Article Sidebar

PDF (Tiếng Việt)
Published: 2024-07-31
Abstract Views: 79
Views PDF (Tiếng Việt): 48
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

References

1. Jatene AAD, Fontes VF, Paulista PP. Successful anatomic correction of transposition of the great vessels. A preliminary report. Arq Bras Cardiol.:4.
2. Hugh D. Allen. Transposition of the Great Arteries. In: Moss and Adam’s Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adults. 9th ed. Wolters Kluwer; 2016: 1164-1187.
3. Jacobs JP, Mayer JE, Pasquali SK, et al. The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2019 Update on Outcomes and Quality. Ann Thorac Surg. 2019; 107(3): 691-704. doi:10.1016/j.athoracsur.2018.12.016.
4. Schidlow DN, Jenkins KJ, Gauvreau K, et al. Transposition of the Great Arteries in the Developing World: Surgery and Outcomes. J Am Coll Cardiol. 2017; 69(1): 43-51. doi:10.1016/j.jacc.2016.10.051.
5. Nguyễn Sinh Hiền. Đánh giá kết quả phẫu thuật sửa toàn bộ bệnh chuyển vị đại động mạch (TGA) tại Bệnh viên Tim Hà Nội. Tạp Chí Phẫu Thuật Tim Mạch Và Lồng Ngực Việt Nam. 2020; 25: 45-51. doi:10.47972/vjcts.v25i.289.
6. Cao Việt Tùng. Nghiên cứu kết quả điều trị sớm dị tật đảo gốc động mạch tại Bệnh viện Nhi Trung ương. Luận án Tiến sĩ Y học. Trường Đại học Y Hà Nội; 2017.
7. Nguyễn Thị Ly Ly. Kết Quả Ngắn Hạn và Trung Hạn Của Phẫu Thuật Chuyển Gốc Đại Động Mạch Tại Bệnh Viện Nhi Đồng 1 Thành Phố Hồ Chí Minh. Luận án Tiến sĩ Y học. Đại học Y dược thành phố Hồ Chí Minh; 2020.
8. Khairy P, Clair M, Fernandes SM, et al. Cardiovascular Outcomes After the Arterial Switch Operation for D-Transposition of the Great Arteries. Circulation. 2013; 127(3): 331-339. doi:10.1161/CIRCULATIONAHA.112.135046.
9. Turon-Viñas A, Riverola-de Veciana A, Moreno-Hernando J, et al. Characteristics and Outcomes of Transposition of Great Arteries in the Neonatal Period. Rev Esp Cardiol Engl Ed. 2014; 67(2): 114-119. doi:10.1016/j.rec.2013.06.017.
10. Trezzi M, Polito A, Albano A, Albanese SB, Cetrano E, Carotti A. Intraoperative coronary revision but not coronary pattern is associated with mortality after arterial switch operation†. Eur J Cardiothorac Surg. 2017; 52(1): 83-89. doi:10.1093/ejcts/ezx055.
11. Griselli M, McGuirk SP, Ko CS, Clarke AJB, Barron DJ, Brawn WJ. Arterial switch operation in patients with Taussig - Bing anomaly - influence of staged repair and coronary anatomy on outcome. Eur J Cardiothorac Surg. 2007; 31(2): 229-235. doi:10.1016/j.ejcts.2006.11.034.
12. Von Bernuth G. 25 Years after the First Arterial Switch Procedure: Mid-term Results. Thorac Cardiovasc Surg. 2000; 48(4): 228-232. doi:10.1055/s-2000-6896.
13. Van der Palen RLF, Blom NA, Kuipers IM, et al. Long-term outcome after the arterial switch operation: 43 years of experience. Eur J Cardiothorac Surg. 2021; 59(5): 968-977. doi:10.1093/ejcts/ezab006.
14. Xiao Y, Zhang P, Su W, Dong N. Early and mid-term follow-up of patients receiving arterial switch operation: a single-center experience. J Thorac Dis. 2018; 10(2): 732-739. doi:10.21037/jtd.2017.12.103.
15. Prifti E, Crucean A, Bonacchi M, et al. Early and long term outcome of the arterial switch operation for transposition of the great arteries: predictors and functional evaluationq. Thorac Surg. Published online 2002.
16. Mekkawy A, Ghoneim A, El-Haddad O, Photiadis J, Elminshawy A. Predictors of early outcome of arterial switch operation in patients with D-TGA. J Egypt Soc Cardio-Thorac Surg. 2017; 25(1): 52-57. doi:10.1016/j.jescts.2017.03.003.
17. Popov AF, Tirilomis T, Giesler M, et al. Midterm results after arterial switch operation for transposition of the great arteries: a single centre experience. J Cardiothorac Surg. 2012; 7(1): 83. doi:10.1186/1749-8090-7-83.
18. Shim M shik, Jun TG, Yang JH, et al. Current expectations of the arterial switch operation in a small volume center: a 20-year, single-center experience. J Cardiothorac Surg. 2016; 11(1): 34. doi:10.1186/s13019-016-0428-9.
19. Losay J, Touchot A, Serraf A, et al. Late Outcome After Arterial Switch Operation for Transposition of the Great Arteries. Circulation. 2001; 104[suppl I]:I-121-I-126.)