When to Opt for Univentricular versus Biventricular Repair in Complex Congenitally Corrected Transposition of the Great Arteries.

IF 2.6 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-04-21 DOI:10.1053/j.semtcvs.2025.03.012

Morgan K Moroi, Alice V Vinogradsky, Amee Shah, Kanwal Farooqi, Oliver Barry, Emile Bacha, David M Kalfa

引用次数: 0

Abstract

The surgical management of complex congenitally corrected transposition of the great arteries (ccTGA) remains a subject of ongoing debate due to wide anatomic variability and limited comparative outcomes data. Available strategies include the anatomic repair, physiologic repair, 1.5-ventricular repair, and biventricular repair, each selected based on anatomic severity and the presence of associated lesions. This commentary reviews the existing literature to inform decision-marking between univentricular, 1.5-ventricular, and biventricular repair strategies in complex ccTGA and underscores the need for further comparative studies to guide management.

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复杂先天性大动脉转位何时选择单心室修复还是双心室修复。

复杂的先天性纠正性大动脉转位（ccTGA）的手术治疗仍然是一个持续争论的主题，由于广泛的解剖变异性和有限的比较结果数据。可用的策略包括解剖修复、生理性修复、1.5心室修复和双心室修复，每一种都是根据解剖严重程度和相关病变的存在来选择的。这篇评论回顾了现有的文献，为复杂ccTGA的单室、1.5室和双室修复策略的决策提供信息，并强调需要进一步的比较研究来指导治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Thoracic and Cardiovascular Surgery Medicine-Pulmonary and Respiratory Medicine

CiteScore

5.80

自引率

0.00%

发文量

324

审稿时长

12 days

期刊介绍： Seminars in Thoracic and Cardiovascular Surgery is devoted to providing a forum for cardiothoracic surgeons to disseminate and discuss important new information and to gain insight into unresolved areas of question in the specialty. Each issue presents readers with a selection of original peer-reviewed articles accompanied by editorial commentary from specialists in the field. In addition, readers are offered valuable invited articles: State of Views editorials and Current Readings highlighting the latest contributions on central or controversial issues. Another prized feature is expert roundtable discussions in which experts debate critical questions for cardiothoracic treatment and care. Seminars is an invitation-only publication that receives original submissions transferred ONLY from its sister publication, The Journal of Thoracic and Cardiovascular Surgery. As we continue to expand the reach of the Journal, we will explore the possibility of accepting unsolicited manuscripts in the future.