Evidence map›Paper›PMID 41168126›Full record

ArticleKorean circulation journal2026

Long-term Outcomes of Standardized Strategy in Arterial Switch Operation: An 18-Year Review in a Single Center.

Jae Hong Lee, Jae Gun Kwak, Susan Taejung Kim, Hye Won Kwon, Sungkyu Cho, Woong-Han Kim

Abstract read
In one paragraph

Article in Korean circulation journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jae Hong LeeDepartment of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.ORCID https://orcid.org/0000-0002-9259-1391
Jae Gun KwakDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul, Korea. switch.surgeon@gmail.com.ORCID https://orcid.org/0000-0002-6375-1210
Susan Taejung KimDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-0096-7364
Hye Won KwonDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-4949-9688
Sungkyu ChoDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-0492-2814
Woong-Han KimDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-2837-7929

Funding

Seoul National University 800-20230598
6 · The paper itself

Abstract

BACKGROUND AND

objectivesDespite advances in the outcomes of arterial switch operation (ASO), long-term complications such as neo-aortic regurgitation (AR), neo-aortic root dilatation (ARD), neo-pulmonary stenosis (PS), and coronary artery-related events (CARE) pose challenges. We aimed to evaluate the long-term outcomes of ASO following a consistent surgical strategy adopted since 2003.

methodsWe retrospectively analyzed 133 patients who underwent ASO between January 2003 and June 2021. Consistent surgical strategies included the trap-door method for coronary artery transfer, preservation of the neo-sinotubular junction, and extensive mobilization of pulmonary artery branches. Clinical outcomes and risk factors for adverse events were assessed.

resultsAmong the 133 patients, 64 had transposition of the great arteries (TGA) with intact ventricular septum (IVS), 52 had TGA with ventricular septal defect (VSD), and 17 had Taussig-Bing anomaly (TBA). Operative mortality was 5.2% (n=7), with no late mortality over a median follow-up of 7.1 years. Freedom from reoperation and the composite of reoperation and re-intervention rates at 15 years were 80.7% and 74.0%, respectively. Freedom from significant neo-AR (≥ mild-to-moderate), neo-ARD (z-score ≥3.0), neo-PS (peak velocity >3.0 m/s or requiring re-intervention), and CARE at 15 years was 91.7%, 37.1%, 77.7%, and 92.3%, respectively. Complex TGA morphological subtypes (TBA > TGA-VSD > TGA-IVS) had higher neo-ARD (log-rank p<0.001) and composite of reoperation and re-intervention rates (log-rank p=0.021).

conclusionsOur surgical outcomes of ASO following the standardized strategy were favorable, despite concerns regarding long-term adverse events. Complex TGA morphological subtypes demonstrated higher neo-ARD and composite of reoperation and re-intervention rates.

Indexed as

Arterial switch operationDouble outlet right ventricleTransposition of great vessels

Identifiers

PMID41168126
PMCPMC13017066

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.