Nt 2640 final study guide

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Nt 2640 final study guide

Gerald Tulzer The arterial switch operation ASO has become the treatment of choice in patients with simple or complex transposition of the great arteries TGA. The purpose of this study was to assess early and mid-term outcome after ASO in a single centre.

Between and Decemberconsecutive patients underwent an ASO at our institution, performed by one single surgeon. Patients charts, surgical reports and echocardiograms were retrospectively reviewed. Patients were analyzed in 3 different groups: The patient's median weight was 3.

Twenty-five neonates were born preterm, 18 were diagnosed prenatally. Median follow-up time was The thirty day mortality was 1. There was only one early coronary event and so far no late events. Ten of survivors required reoperation, all but 1 from group III.

Prevalence of supravalvular pulmonary stenosis was 4. Freedom from reoperation at 5 years of follow-up time was One patient required permanent pacing, no other late arrhythmias occurred.

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In our series the only risk factor for increased mortality and morbidity was a body weight of less than g at the time of operation. No better outcome could be demonstrated in the prenatally diagnosed patients. Follow-up of these patients is required to detect residual problems like supravalvular pulmonary stenosis, coronary problems, arrhythmias and aortic valve dysfunction.Word of the Year.

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Nt 2640 final study guide

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