European Journal of Cardio-Thoracic Surgery, Vol 6, 575-577, Copyright © 1992 by European Association for Cardio-thoracic Surgery
Late results (50 to 182 months) of the Jatene operation
FB Jatene, IB Bosisio, MB Jatene, LC Souza, M Barbero-Marcial and AD Jatene
Heart Institute, Medical School, University of Sao Paulo, Brazil.
Between May 1975 and August 1991, 184 patients with transposition of the
great arteries (TGA) were operated upon by Jatene operation. One hundred
and sixteen underwent corrective surgery prior to June 1987 with a
follow-up period of between 50 and 182 months. The ages of these 116
patients ranged from 1 day to 84 months (11.53 +/- 15.98). Eleven percent
were less than 1 month old, 38% were between 1 and 6 months, 29% between 7
and 12 months and 22% were older than this. Eighty-eight patients (76%)
were boys and the weight ranged from 2.4 to 17.0 kg (6.39 +/- 3.38).
Thirty-eight patients (20.7%) died in the immediate postoperative period.
Of the survivors, 5 died in the late follow-up between 9 and 66 months
(endocarditis at 9 and 66 months; gastroenteritis at 20 months; sudden
death at 48 months; and during reoperation for relief of pulmonary stenosis
(PS) at 60 months). Of the surviving 73 patients, 24 (32.9%) are
anatomically normal at a mean period of 92.5 months postoperatively.
Twenty-two (30.1%) have dysfunctions without clinical repercussion.
Nineteen (26%) have had no recent evaluation and 8 (11%) were submitted to
reoperation or angioplasty for relief of PS. Ninety-eight percent of the
patients have normal left ventricular function. The majority of the
patients surviving 50 to 182 months are in good clinical condition and if
dysfunctions are present these show no progression or severe hemodynamic
alterations.
