The authors report their experience with palliative operations for TGA and in particular the early and late results in 87 patients, affected by severe cyanosis or intractable heart failure. Atrial septectomy has been performed in 18 patients with simple TGA, all less than 3 month old. the last consecutive 11 patients survived the operation; among them 9 were successfully corrected, one was operated on elsewhere, and one is still awaiting repair. Thirty-one patients were affected by TGA and ventricular septal defect: 15 survived the palliative procedure; among them 8 underwent complete repair, 3 died or were lost to follow-up and 4 are still awaiting corrective surgery. Eight patients with TGA, ventricular septal defect and coarctation of the aorta were palliated: 3 survived the operation and only one underwent complete correction. Thirty patients were affected by TGA, ventricular septal defect and pulmonary stenosis and received a total of 33 palliative procedures. 27 survived palliation, among them 9 were totally corrected, 17 are awaiting repair and 1 died in the interval. The palliative operations present some early and late mortality and may increase morbility and mortality at repair. These procedures, therefore, should be limited to the youngest ages also taking into account the associated lesions which increase the operative risk at complete repair. We think that palliation should be offered to patients less than 2 months in simple TGA, less than 3 years in TGA, ventricular septal defect and pulmonary stenosis.
|Translated title of the contribution||Early and late results in palliative surgery for complete transposition of great arteries|
|Number of pages||8|
|Journal||Giornale Italiano di Cardiologia|
|Publication status||Published - 1979|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine