Outcomes of arterial switch operation for taussig-bing variant at Vietnam National Children’s Hospital

Tuan Mai Nguyen1,2, Huu Uoc Nguyen2, Vuong Anh Doan1, Ly Thinh Truong Nguyen1,
1 Khoa Ngoại Tim mạch, Trung tâm Tim mạch, Bệnh viện Nhi Trung ương
2 Trường Đại học Y Hà Nội

Main Article Content

Abstract

Objective: Midterm outcomes of arterial switch operation for Taussig-Bing variant at Children Heart Center, Vietnam National Children’s Hospital was evaluated.[1]


Methods: From February 2010 to October 2021, all patients diagnosed with Taussig-Bing anomaly who underwent arterial switch operation at Department of Cardiovascular Surgery, Vietnam National Children’s Hospital retrospective review.


Results: There were 99 consecutive patients enrolled in this study. The median age and the median weight at operation was 55 (83) days) and 3,7 (1,25) kg respectively. There were 78 males (78,8%) and 21 (21,2%) females. After arterial switch operation, there were 13 in-hospital deaths (13,1%) and 2 late deaths (2.1%) for patients with Tausig-Bing variant. Multivariate Cox regression analysis showed secondary aortic cross‐clamping (HR 4,42, 95% CI, 1,18–16,54; p = 0,028) was risk factor for overall mortality. There were 15 (15,1%) patients who required cardiac reoperation, with only 4 patients needed reoperations for right ventricular outflow tract obstruction.


Conclusions: Outcomes of arterial switch operation for Taussig-Bing variant in Vietnam National Children’s Hospital were satisfaction, and longer follow-up are essential.


Article Details

References

1. Konstantinov IE. Taussig-Bing anomaly: from original description to the current era. Tex Heart Inst J.2009;36(6), 580-585
2. Walters HL, Mavroudis C, Tchervenkov CI, Jacobs JP, Lacour-Gayet F, Jacobs ML. Congenital Heart Surgery Nomenclature and Database Project: double outlet right ventricle. The Annals of Thoracic Surgery. 2000;69(3):249-263. doi:10.1016/S0003-4975(99)01247-3
3. Wetter J, Sinzobahamvya N, Blaschczok HC, et al. Results of arterial switch operation for primary total correction of the Taussig-Bing anomaly. The Annals of Thoracic Surgery. 2004;77(1):41-46. doi:10. 1016/S0003-4975(03)01134-2
4. Alsoufi B, Cai S, Williams WG, et al. Improved results with single-stage total correction of Taussig–Bing anomaly☆. European Journal of Cardio-Thoracic Surgery. 2008;33(2):244-250. doi:10.1016/ j.ejcts.2007.11.017
5. Luo K, Zheng J, Wang S, et al. Single-Stage Correction for Taussig–Bing Anomaly Associated With Aortic Arch Obstruction. Pediatr Cardiol. 2017;38(8):1548-1555. doi:10.1007/s00246-017-1694-6
6. Fuchigami T, Nishioka M, Shimabukuro A, Takefuta K, Nagata N. Arterial switch operation for Taussig-Bing anomaly with aortic arch obstruction. Asian Cardiovasc Thorac Ann. 2021;29(3):179-185. doi:10. 1177/0218492320966444
7. Vergnat M, Baruteau AE, Houyel L, et al. Late outcomes after arterial switch operation for Taussig-Bing anomaly. The Journal of Thoracic and Cardiovascular Surgery. 2015;149(4):1124-1132. doi:10. 1016/ j.jtcvs.2014.10.082
8. Soszyn N, Fricke TA, Wheaton GR, et al. Outcomes of the Arterial Switch Operation in Patients With Taussig-Bing Anomaly. The Annals of Thoracic Surgery. 2011; 92(2):673-679. doi:10.1016/ j.athoracsur. 2011.04.032
9. Sinzobahamvya N, Blaschczok HC, Asfour B, et al. Right ventricular outflow tract obstruction after arterial switch operation for the Taussig–Bing heart☆. European Journal of Cardio-Thoracic Surgery. 2007;31(5):873-878. doi:10.1016/ j.ejcts. 2007.02.004
10. Griselli M, McGuirk SP, Ko CS, Clarke AJB, Barron DJ, Brawn WJ. Arterial switch operation in patients with Taussig–Bing anomaly — influence of staged repair and coronary anatomy on outcome☆. European Journal of Cardio-Thoracic Surgery. 2007;31(2):229-235. doi:10.1016/j.ejcts.2006.11.034
11. Comas J, Mignosa C, Cochrane A, Wilkinson J, Karl T. Taussig-Bing anomaly and arterial switch: aortic arch obstruction does not influence outcome. European Journal of Cardio-Thoracic Surgery. 1996;10(12):1114-1119. doi:10.1016/S1010-7940(96)80359-9
12. Bhan A, Gupta M, Abraham S, Juneja R, Saxena A, Kothari SS. Single-Stage Repair of Interrupted Aortic Arch and Taussig–Bing Anomaly. Pediatr Cardiol. 2006; 27(5):643-645. doi:10.1007/s00246-005-1204-0
13. Huber C, Mimic B, Oswal N, et al. Outcomes and re-interventions after one-stage repair of transposition of great arteries and aortic arch obstruction. European Journal of Cardio-Thoracic Surgery. 2011;39(2):213-220. doi:10.1016/ j.ejcts.2010.05.009