Croatian medical journal
-
Croatian medical journal · Dec 2002
Right ventricle failure and outcome of simple and complex arterial switch operations in neonates.
To analyze the causes and role of right ventricle failure in the morbidity and mortality after arterial switch operation for transposition of the great arteries in neonates. ⋯ Difficult coronary anatomy was not a risk factor for morbidity and mortality after arterial switch operation. Poor preoperative health condition, hypoxia (despite effective balloon atrioseptostomy), and acidosis contributed to persistent pulmonary hypertension. Operation on the emergency basis and tricuspid valve insufficiency with right ventricle failure were strong predictors of unfavorable outcome.