Between February, 1981, and December, 1984, 30 @entity1 underwent anatomic correction of transposition of the great arteries with intact ventricular septum (n = 8), transposition with @entity1757 (n = 15), and @entity1147 right ventricle with subpulmonary @entity1757 , the @entity1147 (n = 7). At operation, ages ranged from 18 hours to 6 years (mean 11.3 months) and weights ranged from 2.6 to 16.4 kg (mean 6.1 kg). The group with transposition and intact ventricular septum on average was younger (mean 1.2 months) and smaller (mean 3.5 kg) than the other two groups. Associated @entity4297 were seen in 12 @entity1 , including five with @entity1498 , three with @entity1757 , two with @entity4265 , two with juxtaposed atrial appendages, and one each with interrupted aortic arch, @entity3153 , and @entity3585 . All 10 @entity1 who had undergone prior palliative operations had pulmonary artery banding. In addition, four of these @entity1 had @entity1498 repairs, four had atrial septectomy, and one had systemic/pulmonary shunting. All recognized patterns of coronary anatomy were encountered. The aorta and pulmonary artery were side by side in 14 @entity1 and anteroposterior in 16 @entity1 . The Lecompte maneuver to establish right ventricular-pulmonary arterial continuity was successfully used in 12 of 13 @entity1 with anteroposterior great vessels but in none of those with side-by-side arteries. Seven @entity1 had subvalvular right @entity3585 , recognized either at operation (five) or postoperatively (two). This was responsible for @entity204 in three @entity1 . The 30 day hospital mortalities were as follows: one @entity204 (12.5%) in the group with transposition and intact ventricular septum, six @entity204 (40%) in the group with transposition plus @entity1757 , and one @entity204 (14.3%) among @entity1 with @entity1147 right ventricle and subpulmonary @entity1757 ; the overall mortality was eight @entity204 (26.7%). There have been no late @entity204 (mean follow-up 17.2 months). Ninety-five percent of the survivors are in New York Heart Association Functional Class I. Postoperative catheterization in 13 @entity1 has shown normal left ventricular function, no @entity3979 , and no @entity337 . Sixty-nine percent of these @entity1 had clinically unsuspected gradients across the right ventricular outflow tract, which may be prevented by avoiding the Lecompte maneuver or the use of conduits.

Anatomic correction for complete transposition and XXXX right ventricle.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity3585 :: ('MESH:D014694', 'Disease') :: ['ventricular outflow tract obstruction', 'left ventricular outflow tract obstruction'] @entity1757 :: ('MESH:D006345', 'Disease') :: ['ventricular septal defect', 'multiple ventricular septal defects'] @entity1498 :: ('MESH:D001017', 'Disease') :: ['coarctation'] @entity3979 :: ('MESH:D023921', 'Disease') :: ['coronary stenosis'] @entity1147 :: ('MESH:D004310', 'Disease') :: ['double-outlet', 'Taussig-Bing anomaly'] @entity337 :: ('MESH:D001022', 'Disease') :: ['aortic incompetence'] @entity3153 :: ('MESH:D014927', 'Disease') :: ['Wolff-Parkinson-White syndrome'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death', 'deaths'] @entity4265 :: ('MESH:C535682', 'Disease') :: ['right ventricular hypoplasia'] @entity4297 :: ('MESH:D006330', 'Disease') :: ['congenital heart defects']
@entity1147 :: (MESH:D004310,Disease) :: ['double-outlet']
