Congenital Corrected Transposition of the Great Arteries in Adults

概要

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In congenital corrected transposition of the great arteries, tricuspid regurgitation, systemic right ventricular failure, supraventricular tachy-arrhythmias, atrioventricular block can happen with age. Conventional repair such as tricuspid valve replacement and/or extra-conduit repair and/or ventricular septal defect closure, or anatomical repair (double switch operation) can be performed during childhood or in adults as initial surgery. Similar complications will occur even after repair. Prevention and management of arrhythmias, cardiac failure and infective endocarditis are necessary during follow-up. The incidence of reoperation in conventional repair is higher than anatomical repair. In patients with anatomical repair especially using the Jatene procedure, the reoperation and mortality rates are low comparing with conventional repair.