Great Arteries

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Tadashi Kitamura - One of the best experts on this subject based on the ideXlab platform.

  • Aortic atresia with transposition of the Great Arteries
    General Thoracic and Cardiovascular Surgery, 2020
    Co-Authors: Takuma Fukunishi, Kagami Miyaji, Takashi Miyamoto, Nobuyuki Inoue, Tadashi Kitamura
    Abstract:

    We describe a rare case of newborn with aortic atresia and transposition of the Great Arteries who underwent successful surgical repair. To the best of our knowledge, no such case has been previously reported. We demonstrated that, even with a complex diagnosis, the patient could survive after rapid two-stage Norwood procedure.

Maria C Escobardiaz - One of the best experts on this subject based on the ideXlab platform.

Takuma Fukunishi - One of the best experts on this subject based on the ideXlab platform.

  • Aortic atresia with transposition of the Great Arteries
    General Thoracic and Cardiovascular Surgery, 2020
    Co-Authors: Takuma Fukunishi, Kagami Miyaji, Takashi Miyamoto, Nobuyuki Inoue, Tadashi Kitamura
    Abstract:

    We describe a rare case of newborn with aortic atresia and transposition of the Great Arteries who underwent successful surgical repair. To the best of our knowledge, no such case has been previously reported. We demonstrated that, even with a complex diagnosis, the patient could survive after rapid two-stage Norwood procedure.

Sejal Shah - One of the best experts on this subject based on the ideXlab platform.

  • Anatomically corrected malposed Great Arteries misdiagnosed as transposition of Great Arteries: Diagnosis on fetal echocardiography
    Annals of Pediatric Cardiology, 2016
    Co-Authors: Vivek Kumar, Sejal Shah
    Abstract:

    We present a diagnosis of isolated anatomically corrected malposed Great Arteries on fetal echocardiography at 31 weeks of gestation period. The patient was referred to our institute with a diagnosis of suspected transposition of Great Arteries.

  • anatomic repair for congenitally corrected transposition of the Great Arteries
    The Journal of Thoracic and Cardiovascular Surgery, 2009
    Co-Authors: Sejal Shah, Rajesh Sharma, Sachin Talwar, Ashutosh Marwah, Sunita Maheshwari, Pujari Suresh, Rajnish Garg
    Abstract:

    Objective Anatomic repair is being actively evaluated as the preferred option for congenitally corrected transposition of the Great Arteries. We present our 13-year experience with this approach. Methods Between May 1994 and September 2007, 68 patients with congenitally corrected transposition of the Great Arteries underwent anatomic repair. Thirty-one patients (group 1, mean age of 94.8 ± 42.3 months) underwent a combined Rastelli and atrial switch operation. Thirty-seven patients (group 2, mean age of 36.1 ± 46.9 months) underwent an arterial switch operation and atrial rerouting. Eight patients in group 2 had an intact ventricular septum. Results Group 1 had 5 early deaths (17%) but no late deaths. Three patients underwent conduit revision at a mean follow-up of 62 months. Group 2 had 5 early deaths (13.5%). There were 4 late reoperations (2 pulmonary baffle revisions, 1 mitral valve replacement, and 1 permanent pacemaker implantation) and 4 late deaths (1 secondary to progressive left ventricular dysfunction, 2 secondary to uncontrolled atrial tachyarrhythmia, and 1 secondary to pulmonary hypertension and right ventricular failure). In group 2, 4 patients have a left ventricular ejection fraction less than 40%, 5 patients have moderate aortic incompetence, 5 patients have symptomatic tricuspid incompetence, 1 patient has tricuspid stenosis, 1 patient has superior cava obstruction, and 3 patients are receiving antiarrhythmic therapy. Conclusion The occurrence of left ventricular dysfunction indicate that anatomic repair in the arterial switch group is still fraught with imperfections. The Rastelli group required conduit revisions but has otherwise performed well.

Rajesh Sharma - One of the best experts on this subject based on the ideXlab platform.

  • anatomic repair for congenitally corrected transposition of the Great Arteries
    The Journal of Thoracic and Cardiovascular Surgery, 2009
    Co-Authors: Sejal Shah, Rajesh Sharma, Sachin Talwar, Ashutosh Marwah, Sunita Maheshwari, Pujari Suresh, Rajnish Garg
    Abstract:

    Objective Anatomic repair is being actively evaluated as the preferred option for congenitally corrected transposition of the Great Arteries. We present our 13-year experience with this approach. Methods Between May 1994 and September 2007, 68 patients with congenitally corrected transposition of the Great Arteries underwent anatomic repair. Thirty-one patients (group 1, mean age of 94.8 ± 42.3 months) underwent a combined Rastelli and atrial switch operation. Thirty-seven patients (group 2, mean age of 36.1 ± 46.9 months) underwent an arterial switch operation and atrial rerouting. Eight patients in group 2 had an intact ventricular septum. Results Group 1 had 5 early deaths (17%) but no late deaths. Three patients underwent conduit revision at a mean follow-up of 62 months. Group 2 had 5 early deaths (13.5%). There were 4 late reoperations (2 pulmonary baffle revisions, 1 mitral valve replacement, and 1 permanent pacemaker implantation) and 4 late deaths (1 secondary to progressive left ventricular dysfunction, 2 secondary to uncontrolled atrial tachyarrhythmia, and 1 secondary to pulmonary hypertension and right ventricular failure). In group 2, 4 patients have a left ventricular ejection fraction less than 40%, 5 patients have moderate aortic incompetence, 5 patients have symptomatic tricuspid incompetence, 1 patient has tricuspid stenosis, 1 patient has superior cava obstruction, and 3 patients are receiving antiarrhythmic therapy. Conclusion The occurrence of left ventricular dysfunction indicate that anatomic repair in the arterial switch group is still fraught with imperfections. The Rastelli group required conduit revisions but has otherwise performed well.