{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T18:07:20Z","timestamp":1758478040134},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[1972,6]]},"abstract":"<jats:p>One hundred and twenty patients with transposition of the great arteries (TGA) were encountered over a decade. Survivors have been followed until after definitive repair, and 39% were alive when reviewed.<\/jats:p>\n          <jats:p>The majority (69%) had no significant communication between the pulmonary and systemic circulations. Of 48 patients in this poor-mixing group who had an atrial septectomy, 23 (48%) survived to have an atrial baffle repair at an average age of 37 months, and 37% were alive at the time of review. In contrast, 18 of 22 (82%) patients with poor mixing who had a balloon septostomy had a definitive operation at an average age of 13 months, and 17 (77%) survived.<\/jats:p>\n          <jats:p>Twenty patients (17%) had good mixing between the two circulations due to the presence of a large ventricular septal defect (VSD) or patent ductus arteriosus, and presented with mild cyanosis and heart failure. Of this group, 35% were alive when reviewed. Four of the five patients who had a successful atrial baffle repair and correction of associated lesions were less than 4 months of age when this was performed. Where TGA was associated with VSD and pulmonary stenosis, 36% survived.<\/jats:p>\n          <jats:p>Definitive operation at an early age has been made possible by the introduction of a surgical technic using profound surface-induced hypothermia and limited cardiopulmonary bypass.<\/jats:p>","DOI":"10.1161\/01.cir.45.6.1251","type":"journal-article","created":{"date-parts":[[2012,6,11]],"date-time":"2012-06-11T23:56:43Z","timestamp":1339459003000},"page":"1251-1258","update-policy":"http:\/\/dx.doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":42,"title":["Results over a Ten-Year Period of Palliation followed by Corrective Surgery for Complete Transposition of the Great Arteries"],"prefix":"10.1161","volume":"45","author":[{"given":"PATRICIA M.","family":"CLARKSON","sequence":"first","affiliation":[{"name":"From the Cardiological and Cardiothoracic Surgical Unit, Green Lane Hospital,' Auckland, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BRIAN G.","family":"BARRATT-BOYES","sequence":"additional","affiliation":[{"name":"From the Cardiological and Cardiothoracic Surgical Unit, Green Lane Hospital,' Auckland, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JOHN M.","family":"NEUTZE","sequence":"additional","affiliation":[{"name":"From the Cardiological and Cardiothoracic Surgical Unit, Green Lane Hospital,' Auckland, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JAMES B.","family":"LOWE","sequence":"additional","affiliation":[{"name":"From the Cardiological and Cardiothoracic Surgical Unit, Green Lane Hospital,' Auckland, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/pdf\/10.1161\/01.CIR.45.6.1251","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T14:12:46Z","timestamp":1715523166000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.CIR.45.6.1251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1972,6]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1972,6]]}},"alternative-id":["10.1161\/01.CIR.45.6.1251"],"URL":"https:\/\/doi.org\/10.1161\/01.cir.45.6.1251","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[1972,6]]},"assertion":[{"value":"1971-10-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1972-01-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"1972-06-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}