Long-Term Survival After Arterial Versus Atrial Switch in d-Transposition of the Great Arteries Alexander Kiener, MD, MPH, Michael Kelleman, MSPH, Courtney.

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Long-Term Survival After Arterial Versus Atrial Switch in d-Transposition of the Great Arteries Alexander Kiener, MD, MPH, Michael Kelleman, MSPH, Courtney McCracken, PhD, Lazaros Kochilas, MD, MSCR, James D. St. Louis, MD, Matthew E. Oster, MD, MPH The Annals of Thoracic Surgery Volume 106, Issue 6, Pages 1827-1833 (December 2018) DOI: 10.1016/j.athoracsur.2018.06.084 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Patient inclusion diagram. (ASO = arterial switch operation; NDI = National Death Index.) The Annals of Thoracic Surgery 2018 106, 1827-1833DOI: (10.1016/j.athoracsur.2018.06.084) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Operations for dextro-transposition of the great arteries (d-TGA) in the Pediatric Cardiac Care Consortium, expressed as percent of total d-TGA operations in the bar graph (arterial switch, black; Mustard atrial switch, red; Senning atrial switch, blue) as well as raw number of each operation. The Annals of Thoracic Surgery 2018 106, 1827-1833DOI: (10.1016/j.athoracsur.2018.06.084) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Kaplan-Meier curves for overall transplant-free survival of patients with detro-transposition of the great arteries are shown by operation group: arterial switch operation (ASO [black line]) or atrial switch (purple line). For the period after 10 years, mortality hazard ratio (HR) for ASO versus atrial switch is displayed, adjusted for sex, transposition complexity, and surgical center. (CI = confidence interval.) The Annals of Thoracic Surgery 2018 106, 1827-1833DOI: (10.1016/j.athoracsur.2018.06.084) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Kaplan-Meier survival curves for transplant-free survival of patients with d-transposition of the great arteries are shown by operation group—arterial switch operation (ASO [black line]) or atrial switch (purple line)—conditional on survival to hospital discharge after initial operation. For the period after 10 years, mortality hazard ratio (HR) of ASO versus (vs.) atrial switch is displayed, adjusted for sex, transposition complexity, and surgical center. (CI = confidence interval.) The Annals of Thoracic Surgery 2018 106, 1827-1833DOI: (10.1016/j.athoracsur.2018.06.084) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions