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Movsesyan R.R.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies;
Mechnikov North-Western State Medical University

Antsygin N.V.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies

Shikhranov A.A.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies;
Federal Centre of Cardiovascular Surgery

Chizhikov G.M.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies

Tsytko A.L.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies

Zuev D.E.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies

Boriskov M.V.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Morozov A.A.

Medical Association «Novaya Bolnitsa»

Lyubomudrov V.G.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies;
Kuwait Hospital of Chest Diseases

Thirty-year experience of arterial switch surgery in a single hospital

Authors:

Movsesyan R.R., Antsygin N.V., Shikhranov A.A., Chizhikov G.M., Tsytko A.L., Zuev D.E., Boriskov M.V., Morozov A.A., Lyubomudrov V.G.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(4): 361‑368

DOI: 10.17116/kardio202215041361

Read: 3584 times

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Table of contents

THIRTY-YEAR EXPERIENCE OF ARTERIAL SWITCH SURGERY IN A SINGLE HOSPITAL
THIRTY-YEAR EXPERIENCE OF ARTERIAL SWITCH SURGERY IN A SINGLE HOSPITAL

To cite this article:

Movsesyan RR, Antsygin NV, Shikhranov AA, et al. . Thirty-year experience of arterial switch surgery in a single hospital. Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(4):361‑368. (In Russ.)
https://doi.org/10.17116/kardio202215041361

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Recommended articles:
The impact of prenatal diagnosis on imme­diate treatment outcomes in newborns with transposition of the great arte­ries in Kazakh popu­lation. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(1):7-14
The influence of the place of birth and transportation on perioperative status in newborns with transposition of the great arte­ries in the Repu­blic of Kaza­khstan. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(3):286-292
Abstract:

OBJECTIVE

To present the results of anatomical correction of transposition of the great arteries (TGA) between 1992 and 2022.

MATERIAL AND METHODS

The study included 504 children diagnosed with TGA including 120 (23.8%) ones with combination of TGA with ventricular septal defect (VSD) and 60 (11.9%) patients with concomitant VSD and aortic arch obstruction. All children underwent simultaneous arterial switch surgery and correction of concomitant cardiac anomalies.

RESULTS

Overall in-hospital mortality was 7.9% (n=40) with significant decrease from 15.8% in 1992—2001 to 2.1% in 2017—2021. Long-term results were followed-up in 464 children throughout 18 years. There was no long-term mortality. Freedom from redo surgery was 88%, 81.3% and 53.1% in the TGA-intact IVS, TGA-VSD and TGA-VSD-aortic obstruction groups, respectively. In most cases, repeated interventions were performed on pulmonary artery (13 (13.3%) children) and aortic arch after its previous reconstruction (9 (18.3%) children).

CONCLUSION

Primary correction of TGA using arterial switch surgery demonstrates low mortality rates and good long-term results. Concomitant heart defects cause a potentially greater need for repeated interventions in long-term period. Re-interventions are usually caused by pulmonary artery stenosis, as well as aortic recoarctation after previous aortic arch repair.

Keywords:

transposition of the great arteries
arterial switch surgery

Authors:

Movsesyan R.R.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies;
Mechnikov North-Western State Medical University

Antsygin N.V.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies

Shikhranov A.A.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies;
Federal Centre of Cardiovascular Surgery

Chizhikov G.M.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies

Tsytko A.L.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies

Zuev D.E.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies

Boriskov M.V.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Morozov A.A.

Medical Association «Novaya Bolnitsa»

Lyubomudrov V.G.

Children’s Multidisciplinary Clinical Specialized Center for High Medical Technologies;
Kuwait Hospital of Chest Diseases

Received:

04.04.2022

Accepted:

24.04.2022

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References:

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