Late results of palliative atrial switch for transposition, ventricular septal defect, and pulmonary vascular obstructive disease Harold M Burkhart,

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Presentation transcript:

Late results of palliative atrial switch for transposition, ventricular septal defect, and pulmonary vascular obstructive disease Harold M Burkhart, MD, Joseph A Dearani, MD, William G Williams, MD, Francisco J Puga, MD, Douglas D Mair, MD, David A Ashburn, MD, Gary D Webb, MD, Gordon K Danielson, MD The Annals of Thoracic Surgery Volume 77, Issue 2, Pages 464-469 (February 2004) DOI: 10.1016/S0003-4975(03)01349-3

Fig 1 Kaplan-Meier curve for survival excluding early mortality. (CI = 95% confidence interval.) The Annals of Thoracic Surgery 2004 77, 464-469DOI: (10.1016/S0003-4975(03)01349-3)

Fig 2 New York Heart Association (NYHA) functional class preoperatively (Preop) and postoperatively (Postop). The Annals of Thoracic Surgery 2004 77, 464-469DOI: (10.1016/S0003-4975(03)01349-3)

Fig 3 (A) The anatomy of transposition hemodynamics with unfavorable streaming. The desaturated systemic blood (blue arrows) predominantly supplies the aorta whereas the more saturated blood (red arrows) predominantly supplies the pulmonary artery. Some mixing occurs at the level of the ventricular septal defect. (B) The hemodynamic results of the palliative atrial switch. After rerouting the systemic and pulmonary venous flow at the atrial level, the amount of saturated blood substantially increases in the aorta (red arrows). Some mixing occurs at the level of the ventricular septal defect. (Ao = aorta; IVC = inferior vena cava; LA = left atrium; LV = left ventricle; PA = pulmonary artery; PV = pulmonary veins; RA = right atrium; RV = right ventricle; SVC = superior vena cava.) The Annals of Thoracic Surgery 2004 77, 464-469DOI: (10.1016/S0003-4975(03)01349-3)