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Arterial Switch Operation: Operative Approach and Outcomes

https://doi.org/10.1016/j.athoracsur.2018.06.002Get rights and content

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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Methods

A structured review of literature was performed using PubMed and MEDLINE databases. The search strategy involved combinations of the terms arterial switch operation, transposition of the great arteries, aortic arch obstruction, Taussig-Bing anomaly, and outcomes. The last search was conducted in December 2017.

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