Abstract:

Objective To investigate the outcome of aortic translocation procedure in the treatment of complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis. Methods Twenty-one patients with complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis underwent aortic translocation procedure between January 2005 and June 2010. Inlet ventricular septal defects were found in 4 patients, and straddling tricuspid valves were found in 3 patients. The operation and follow up results were retrospectively analysed, and the outcome was evaluated. Results There was 1 case of in-hospital death. Among the other 20 patients, there was 1 case of low cardiac output syndrome, 7 cases of acute renal failure, 1 case of acute liver injury and 2 cases of pulmonary infection after operation, and all were cured and discharged. Patients were followed up for 8 to 61 months, there was no death and no left ventricular outlet obstruction or ventricular arrhythmia during the follow up, and cardiac function recovered in all patients. Conclusion Aortic translocation procedure may yield favorable long-term outcome in treatment of complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis. However, the patients have to pull through the early stage after operation and require intensive care for cardiac function.

Key words: complete transposition of the great arteries, pulmonary stenosis, aortic translocation procedure