Dextro-transposition of the great arteries natural history

Dextro-transposition of the great arteries Microchapters
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Epidemiology and Demographics
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Pre-natal dextro-transposition of the great arteries
Post-natal dextro-transposition of the great arteries
Infants with dextro-transposition of the great arteries
Natural History, Complications and Prognosis
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Case #1
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Transposition of the great vessels Microchapters
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Patient Information
Overview
Historical perspective
Classification
Dextro-transposition of the great arteries
L-transposition of the great arteries
Pathophysiology
Causes
Differentiating Transposition of the great vessels from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Chest X Ray
MRI
CT
Echocardiography
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Treatment
Medical Therapy
Surgery
Palliative care
Corrective surgery
Post-operative care
Follow up
Prevention
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Case #1
Dextro-transposition of the great arteries natural history On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Dextro-transposition of the great arteries natural history All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Dextro-transposition of the great arteries natural history
CDC on Dextro-transposition of the great arteries natural history
Dextro-transposition of the great arteries natural history in the news
Blogs on Dextro-transposition of the great arteries natural history
Directions to Hospitals Treating Type page name here
Risk calculators and risk factors for Dextro-transposition of the great arteries natural history

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Keri Shafer, M.D. [4]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [5]

Overview

The natural history of children with dextro-transposition of the great arteries (d-TGA) depend on whether they have simple or complex d-TGA.

Natural history

• The prognosis on simple d-TGA depends mainly on the presence of cardiac shunts such as fossa ovalis, atrial septal defect, ventricular septal defect, and ductus arteriosus. If one or more of these defects are present, blood will be mixed, allowing a small amount of oxygen to be delivered to the body, giving an opportunity to the newborn to survive long enough to receive corrective surgery.
• With complex d-TGA, the infant will fail to thrive and is unlikely to survive longer than a year if corrective surgery is not performed. Generally, if the defect (d-TGA) is not corrected during the first year of life, the patient's condition will deteriorate to the point of inoperability.
• Modern repair procedures within the ideal timeframe and without additional complications have a very high success rate.