{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T16:09:38Z","timestamp":1769011778493,"version":"3.49.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T00:00:00Z","timestamp":1677024000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The en-bloc rotation of the outflow tracts (EBR) enables an anatomic correction of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction. The anatomical condition or previous palliative procedures may allow choosing an elective date for the anatomic correction. The aim of this study was to evaluate the optimal age for performing the EBR based on the largest series published so far.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>At the Children\u2019s Heart Center Linz, the EBR was performed in 33 patients between 2003 and 2021. Median age at operation was 74 [interquartile range (IQR) 17\u2013627] days. Twelve patients were newborns (\u226428\u2009days), 9 older than 369\u2009days. These 2 groups were compared to the remaining patients each regarding peri- and postoperative data, complications, reinterventions and mortality. The median follow-up period was 5.4 (IQR 0.99\u201311.74) years.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>In-hospital mortality was 6.1%. All-cause mortality was lower in patients younger than 369\u2009days at the time of EBR (4.2% vs 44.4% in patients &amp;gt;369\u2009days old, P\u2009=\u20090.013). In newborns, intensive care unit stay (median 18.5\u2009days vs 8\u2009days, P\u2009=\u20090.008) and in-hospital stay (median 29.5\u2009days vs 15\u2009days, P\u2009=\u20090.026) were significantly longer, the risk for postoperative AV block was higher (33.3 vs 0%, P\u2009=\u20090.012) than in patients who had been corrected anatomically after the neonatal period.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The results of this study suggest the deferral of the EBR to the post-newborn period. A significantly higher mortality rate in patients of older age at operation seems to recommend the anatomic correction during the first year of life.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezad065","type":"journal-article","created":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T12:33:24Z","timestamp":1677069204000},"source":"Crossref","is-referenced-by-count":2,"title":["The right age for the en-bloc rotation of the outflow tracts: a single-centre experience"],"prefix":"10.1093","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7499-7646","authenticated-orcid":false,"given":"Michaela","family":"Kreuzer","sequence":"first","affiliation":[{"name":"Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital , Linz, Austria"},{"name":"Medical Faculty, Johannes Kepler University Linz , Altenberger Stra\u00dfe 69 , 4040 Linz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Sames-Dolzer","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital , Linz, Austria"},{"name":"Medical Faculty, Johannes Kepler University Linz , Altenberger Stra\u00dfe 69 , 4040 Linz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Tulzer","sequence":"additional","affiliation":[{"name":"Medical Faculty, Johannes Kepler University Linz , Altenberger Stra\u00dfe 69 , 4040 Linz, Austria"},{"name":"Department of Pediatric Cardiology, Kepler University Hospital , Linz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6358-5048","authenticated-orcid":false,"given":"Gregor","family":"Gierlinger","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital , Linz, Austria"},{"name":"Medical Faculty, Johannes Kepler University Linz , Altenberger Stra\u00dfe 69 , 4040 Linz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0006-2098","authenticated-orcid":false,"given":"Roland","family":"Mair","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital , Linz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad-Paimann","family":"Nawrozi","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital , Linz, Austria"},{"name":"Medical Faculty, Johannes Kepler University Linz , Altenberger Stra\u00dfe 69 , 4040 Linz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0935-1766","authenticated-orcid":false,"given":"Rudolf","family":"Mair","sequence":"additional","affiliation":[{"name":"Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital , Linz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,2,22]]},"reference":[{"key":"2023062000581503400_ezad065-B1","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1067\/mtc.2003.33","article-title":"Half-turned truncal switch operation for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis","volume":"125","author":"Yamagishi","year":"2003","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023062000581503400_ezad065-B2","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1093\/ejcts\/ezv056","article-title":"Anatomic repair of complex transposition with en bloc rotation of the truncus arteriosus: 10-year experience","volume":"49","author":"Mair","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"key":"2023062000581503400_ezad065-B3","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1016\/j.athoracsur.2020.06.034","article-title":"En block rotation of the outflow tracts: intermediate follow-up after 15 years of experience","volume":"112","author":"Kreuzer","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"2023062000581503400_ezad065-B4","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1093\/icvts\/ivab035","article-title":"Comparison of half-turned truncal switch and conventional operations","volume":"33","author":"Hongu","year":"2021","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2023062000581503400_ezad065-B5","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1016\/j.jtcvs.2022.05.047","article-title":"Aortic root translocation and en-bloc rotation of the outflow tracts surgery for complex forms of transposition of the great arteries and double outlet right ventricle\u2014a multicenter study","volume":"164","author":"Stoica","year":"2022","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023062000581503400_ezad065-B6","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.ejcts.2010.11.038","article-title":"Predictors of long intensive care unit stay following cardiac surgery in children","volume":"40","author":"Pagowska-Klimek","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"2023062000581503400_ezad065-B7","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1016\/j.ejcts.2010.03.030","article-title":"Surgery for transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction: European Congenital Heart Surgeons Association multicentre study","volume":"38","author":"Hazekamp","year":"2010","journal-title":"Eur J Cardiothorac Surg"},{"key":"2023062000581503400_ezad065-B8","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/S0022-5223(19)38323-0","article-title":"Aortic translocation and biventricular outflow tract reconstruction. A new surgical repair for transposition of the great arteries associated with ventricular septal defect and pulmonary stenosis","volume":"88","author":"Nikaidoh","year":"1984","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023062000581503400_ezad065-B9","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1161\/01.CIR.39.1.83","article-title":"Complete repair of transposition of the great arteries with pulmonary stenosis. A review and report of a case corrected by using a new surgical technique","volume":"39","author":"Rastelli","year":"1969","journal-title":"Circulation"},{"key":"2023062000581503400_ezad065-B10","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1053\/j.pcsu.2017.10.001","article-title":"Nikaidoh vs R\u00e9paration \u00e0 l\u2019Etage Ventriculaire vs Rastelli","volume":"21","author":"Hazekamp","year":"2018","journal-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu"},{"key":"2023062000581503400_ezad065-B11","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.athoracsur.2010.07.057","article-title":"Rastelli operation for transposition of the great arteries with ventricular septal defect and pulmonary stenosis","volume":"91","author":"Brown","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"2023062000581503400_ezad065-B12","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1067\/mtc.2000.108163","article-title":"Twenty-five-year experience with rastelli repair for transposition of the great arteries","volume":"120","author":"Kreutzer","year":"2000","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023062000581503400_ezad065-B13","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/j.jtcvs.2006.10.016","article-title":"The aortic translocation (Nikaidoh) procedure: midterm results superior to the Rastelli procedure","volume":"133","author":"Yeh","year":"2007","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023062000581503400_ezad065-B14","doi-asserted-by":"crossref","first-page":"1090","DOI":"10.1016\/j.jtcvs.2006.04.058","article-title":"Pulmonary and aortic root translocation in the management of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction","volume":"133","author":"Hu","year":"2007","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023062000581503400_ezad065-B15","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/S0022-5223(19)34184-4","article-title":"Intraventricular repair for Taussig\u2013Bing anomaly","volume":"105","author":"Kawashima","year":"1993","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezad065\/49295268\/ezad065.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/63\/6\/ezad065\/50647262\/ezad065.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/63\/6\/ezad065\/50647262\/ezad065.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,20]],"date-time":"2023-06-20T00:58:38Z","timestamp":1687222718000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezad065\/7050932"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,22]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezad065","relation":{},"ISSN":["1873-734X"],"issn-type":[{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,6,1]]},"published":{"date-parts":[[2023,2,22]]},"article-number":"ezad065"}}