Abstract
Preface. In the recent years the number of patients who need the performance of the repeated operations after the correction of different congenital heart diseases in the presence of the corrected transposition of the great vessels.
Objective. To present theoutcomes of the repeated operations after the repair ofcongenital heart diseases in the
presence of the corrected transposition of the great vessels.
Material and methods. 52 patients were operated on from 1970 to 2012. In total 62 repeated operations have
been performed. 26 patients underwent the open repeated operation. 12 patients underwent the percutaneous
implantation of the electronic pacemaker. 24 patients underwent different endovascular interventions by the
transcutaneous access. The average age of patients made up 18.2 ± 4.6 years. The interval between primary and
repeated operations made up in average 5.2 years.
Results. 3 patients underwent the correction of recanalization of the ventricular septal defect, 9 patients underwent replacement or repair of the previously implanted conduit, 17 patients underwentreplacement of the arterial tricuspid valve with the mechanical prosthesis, 2 patients underwent replacement of the aortic valve.
3 patients died within the short dates after the open surgery. Other patients did not suffer complications withinthe intensive care period. The dates for release from hospital made up in average 22.01 ± 9.1 days.
49 patients were examined at the long term after the repeated operation (in average 2.4 years). The result of therepeated operation at 40 patients (81.6 %) reported as being good, at 6 patients (12.1 %) as satisfactory, at 3 patients(6.1 %)as unsatisfactory. The actuarial survival of patients within 12 years of the follow-up made up 93.9 %.
Conclusion. Good results, high survival rates, stability of the patient's condition in the long term have justified
the risk of repeated surgeries.
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