Abstract:
At the time of writing, two patients who underwent modified Senning\'s operation (MSO) for the treatment of transposition of great arteries (TGAs) were followed up. At the time of surgery, the patients were three months and 15 years old, respectively. The duration of the follow-up was three years, during which there was a good prognosis, and hence no further invasive treatments were required. There was normal functioning of the right ventricle (RV) in both patients, with the exception of a minor baffle leak in the three-month-old patient. At the annual three-year follow-up, the tricuspid regurgitation (systemic atrioventricular valve) status was moderate in the three-year-old child and mild in the 18-year-old girl. Both patients maintained sinus rhythm and are assigned classification as New York Heart Association (NYHA) Classes I and II. This study aims to assess the midterm outlook after MSO in order to identify and manage future long-term complications. Our report shows a positive outcome in terms of survival and functional activities among children with d-TGA; however, there is a strong need for future research to evaluate the prognosis in the long term (LT) and to assess the functioning of RV.
摘要:
在撰写本文时,随访了两名接受改良Senning手术(MSO)治疗大动脉转位(TGA)的患者。在手术的时候,病人3个月15岁,分别。随访时间为三年,在此期间有良好的预后,因此不需要进一步的侵入性治疗。两名患者的右心室(RV)功能正常,除了三个月大的病人有轻微的挡板渗漏。在为期三年的年度随访中,3岁儿童的三尖瓣反流(系统性房室瓣)状态为中度,18岁女孩的三尖瓣反流状态为轻度.两名患者均保持窦性心律,并被分为纽约心脏协会(NYHA)I级和II级。这项研究旨在评估MSO后的中期前景,以识别和管理未来的长期并发症。我们的报告显示,在d-TGA儿童的生存和功能活动方面取得了积极的结果;然而,非常需要未来的研究来评估长期预后(LT)和评估RV的功能.