Does anatomic repair improve long-term survival and reoperation rates compared to physiologic repair in children with ccTGA?
Patients with congenitally corrected transposition of the great arteries (ccTGA) undergoing repair in childhood
Anatomic repair
Physiologic repair
Long-term survival and reoperation rateshard clinical
Anatomic and physiologic repair for ccTGA in childhood yield similar long-term survival and reoperation rates, though anatomic repair may be preferable for patients with tricuspid regurgitation to preserve valve function.
Long-term survival and reoperation rates are similar in comparable patients following physiologic and anatomic repair of ccTGA in childhood. Tricuspid valve function may deteriorate when left in the systemic position following physiologic repair. In contrast, patients with tricuspid regurgitation may benefit from anatomic repair, with improved function in the subpulmonary position.
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Jelena Pabst von Ohain
L Arnold
Kirolos A. Jacob
European Journal of Cardio-Thoracic Surgery
University of Toronto
University College London
Ludwig-Maximilians-Universität München
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Ohain et al. (Sat,) studied this question.
www.synapsesocial.com/papers/69e1ce3b5cdc762e9d857522 — DOI: https://doi.org/10.1093/ejcts/ezag148
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