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Transposition of the great arteries: To switch or not to switch?

Deanfield, JE; (1989) Transposition of the great arteries: To switch or not to switch? Current Opinion in Pediatrics , 1 (1) pp. 85-89.

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Abstract

The optimal management of patients with transposition of the great arteries continues to be controversial. The debate focuses on the merits of a long-established operation - the atrial redirection by Mustard or Senning procedures with known long-term complications - versus the relatively new arterial switch procedure for which genuine ''late'' results are still not available. This places the clinician in a difficult situation. Which criteria should he or she use to decide whether to opt for the intuitively more appealing ''anatomic repair''? The aim of any treatment protocol is to produce long-term survivors with a life expectancy and quality of life that are as normal as possible. Several factors must be considered when comparing different approaches. These include preoperative, perioperative, and postoperative mortality, and long-term actuarial survival.

Type: Article
Title: Transposition of the great arteries: To switch or not to switch?
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Cardiovascular Science > Clinical Science
URI: http://discovery.ucl.ac.uk/id/eprint/1553877
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