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Arterial Switch Operation: Operative Approach and Outcomes.

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Affiliations

  • 1. Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia; Department of Pediatrics, University of Melbourne, Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia.
      Authors
    • Fricke TA 1
    (1 author)
  • 2. Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia; Department of Pediatrics, University of Melbourne, Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia; Melbourne Children's Centre for Cardiovascular Genomics and Regenerative Medicine, Melbourne, Australia.
      Authors
    • Konstantinov IE 2
    (1 author)

The Annals of Thoracic Surgery, 01 Jan 2019, 107(1):302-310
https://doi.org/10.1016/j.athoracsur.2018.06.002 PMID: 30009809 

Review

Abstract 

The arterial switch operation has excellent early outcomes. Although the majority of patients are growing into healthy adults, a small subset require reoperation for pulmonary stenosis as well as neoaortic root dilatation and neoaortic valve regurgitation, especially as follow-up increases. Challenging subgroups include patients with anomalous coronary anatomy, concomitant aortic arch obstruction, Taussig-Bing anomaly, ventricular septal defect, and low operative weight, and patients with an intact interventricular septum who present late.

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Read article at publisher's site: https://doi.org/10.1016/j.athoracsur.2018.06.002

Read article for free, from open access legal sources, via Unpaywall: http://www.annalsthoracicsurgery.org/article/S0003497518309731/pdfUnpaywall

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