Results of total correction of XXXX with @entity10973 .

@entity1 @entity1347 @entity215 @entity1757 @entity10973 @entity8158 @entity849 @entity439 @entity118 @entity340 @entity65 @entity616
Four @entity1 with @entity215 ( @entity215 ) and @entity10973 ( @entity10973 ) underwent successful intracardiac repair. All @entity1 had undergone preliminary palliative shunts. Associated @entity65 included muscular @entity1757 ( @entity1757 ) and left superior vena cava (one @entity1 ), bilateral main @entity849 (one @entity1 ), and right aortic arch (two @entity1 ). The diagnosis was suspected clinically by electrocardiographic evidence of @entity8158 and @entity1347 , by echocardiographic findings suggestive of @entity10973 with aortic dextroposition, and by the association with trisomy 21. The diagnosis was confirmed by cardiac catheterization and cineangiography. Total correction consisted of closure of the @entity1757 and @entity118 ( @entity118 ), reconstruction of the @entity340 , and relief of the right ventricular outflow tract obstruction (RVOTO). There were no early or late postoperative deaths. @entity616 did not occur. One @entity1 underwent successful reoperation for residual @entity1757 and right ventricular outflow @entity439 . Late hemodynamic evaluation revealed good results in all @entity1 . We recommend a staged treatment plan consisting of preliminary systemic--pulmonary artery shunting for symptomatic @entity1 under 4 to 5 years of age and total correction for older @entity1 . With proper preoperative diagnosis and accurate intracardiac repair, good results may be obtained after total correction of @entity215 and @entity10973 .
