Table 2.
Prenatal and postnatal clinical characteristics of patients receiving ASO
Characteristic | Overall (n = 118) |
---|---|
Pre-delivery | |
Prenatal diagnosis, n (%) | |
TGA/IVS | 46 (39) |
TGA/VSD or TBA | 72 (61) |
Other cardiac anomalies, n (%) | |
Arch abnormality | 19 (16) |
LVOTO | 5 (4) |
Parameters of prenatal Echo, median [IQR] | |
VSD/AO ratio | 0.6 (0.0–0.9) |
DA/AO ratio | 0.6 (0.5–0.8) |
FO/AO ratio | 1.1 (0.9–1.5) |
After delivery | |
Male, n (%) | 105 (89) |
Gestational age (weeks), median [IQR] | 38.6 (37.1–39.3) |
Term infant, n (%) | 97 (82) |
Weight < 2500g, n (%) | 15 (13) |
Blood-oxygen saturation (%) | 75.0 (60.0–85.0) |
PH in blood gas analysis, median [IQR] | 7.31 (7.26–7.36) |
Lactate in blood gas analysis (mmol/L), median [IQR] | 2.5 (1.8–3.9) |
Prostaglandin E1-dependent before surgery, n (%) | 68 (58) |
Parameters of Postnatal Echo | |
VSD/AO ratio, median [IQR] | 0.0 (0.0–0.4) |
Shunt flow volume of atrial septal (mm), median [IQR] | 4.5 (2.7–6.1) |
PDA/AO ratio, median [IQR] | 0.5 (0.4–0.6) |
Intraoperative variables | |
Emergency operation, n (%) | 39 (33) |
Age at ASO (d), median [IQR] | 8.0 (4.8–11.0) |
CPB time (min), median [IQR] | 185.0 (158.5–219.0) |
ACC time (min), median [IQR] | 111.0 (93.0–126.0) |
Surgical procedures, n (%) | |
VSD repair | 41 (35) |
Concomitant arch repair | 7 (6) |
Coronary artery anatomy, n (%) | |
Usual (1LCx-2R, 1L2RCx) | 87 (74) |
Other (non-usual) | 31 (26) |
Coronary anomaly, n (%) | |
Looping pattern | 20 (17) |
Intramural coronary artery | 7 (6) |
Coronaries from a single ostium | 6 (5) |
Abbreviations: ASO Arterial switch operation, TGA/IVS Transposition of the great arteries with intact ventricular septum, TGA/VSD Transposition of the great arteries with ventricular septal defect, TBA Taussig-Bing anomaly, LVOTO Left ventricular outflow tract obstruction, IQR Interquartile range, ECHO Echocardiography, VSD Ventricular septal defect, AO Aorta, DA Ductus arteriosus, FO Foramen ovale, PDA Patent ductus arteriosus, CPB Cardiopulmonary bypass, ACC Aortic cross-clamping, Cx Circumflex artery, L Left coronary artery, R Right coronary artery, 1 Sinus 1, 2 Sinus 2