{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T19:01:32Z","timestamp":1785438092099,"version":"3.56.0"},"reference-count":36,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"unspecified","delay-in-days":17,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951126111342_as1\">\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To evaluate the safety and efficacy of two-stage arterial switch operation using bidirectional Glenn anastomosis combined with pulmonary artery banding in late-diagnosed dextro-transposition of the great arteries with intact ventricular septum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126111342_as2\">\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      This single-centre retrospective study included 24 children with late-diagnosed dextro-transposition of the great arteries with intact ventricular septum treated between 2020 and 2025, all with left ventricular mass index &lt;35 g\/m\n                      <jats:sup>2<\/jats:sup>\n                      and banana-shaped geometry. Demographics, interventions, imaging, postoperative course, and follow-up data were collected. Haemodynamics, left ventricular retraining, complications, and survival were evaluated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126111342_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The cohort included 9 boys (37.5%) and 15 girls (62.5%), with a median age at first-stage surgery of 5 months (4\u20139.75). Patent ductus arteriosus was more common in patients without prior interventions (61.54% vs. 0%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.002). Additional surgical interventions performed concurrently with the first-stage BDG + pulmonary artery banding differed by prior-intervention status (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.016). One mortality (4.17%) occurred due to sepsis in the no-prior group. Twenty-three patients proceeded to second-stage arterial switch (median interval 15 months, median age 22 months). In the prior-intervention group, post-second-stage ICU stay (median 5 vs. 4 days,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.007) and inotrope use (median 4 vs. 3 days,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.027) were longer. Two patients (8.7%) required ECMO (both prior group, resolved). At follow-up (1\u20134 years), all survivors were NYHA class I, with mild neo-aortic insufficiency in 52.17% and mild neo-pulmonary insufficiency in 13.04%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126111342_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Bidirectional Glenn anastomosis combined with pulmonary artery banding is a safe and effective strategy for gradual left ventricular retraining in late-diagnosed dextro-transposition of the great arteries with intact ventricular septum. It reduces perioperative morbidity and provides good survival and functional outcomes, which is valuable in resource-limited settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951126111342","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T06:34:34Z","timestamp":1771396474000},"page":"351-358","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Bidirectional Glenn and pulmonary artery banding as a bridge to arterial switch in late-diagnosed dextro-transposition of the great arteries with intact ventricular septum"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3650-3518","authenticated-orcid":false,"given":"Damla","family":"Erden","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02jqzm779","id-type":"ROR","asserted-by":"publisher"}],"name":"Istanbul Atlas University Faculty of 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