Transposition of the great vessels corrective surgery
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Dextro-transposition of the great arteries Microchapters |
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Differentiating dextro-transposition of the great arteries from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Transposition of the great vessels corrective surgery On the Web |
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American Roentgen Ray Society Images of Transposition of the great vessels corrective surgery |
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FDA on Transposition of the great vessels corrective surgery |
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CDC on Transposition of the great vessels corrective surgery |
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Transposition of the great vessels corrective surgery in the news |
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Blogs on Transposition of the great vessels corrective surgery |
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Risk calculators and risk factors for Transposition of the great vessels corrective surgery |
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Transposition of the great vessels Microchapters |
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Classification |
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Differentiating Transposition of the great vessels from other Diseases |
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Diagnosis |
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Treatment |
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Surgery |
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Case Studies |
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Transposition of the great vessels corrective surgery On the Web |
|
American Roentgen Ray Society Images of Transposition of the great vessels corrective surgery |
|
FDA on Transposition of the great vessels corrective surgery |
|
CDC on Transposition of the great vessels corrective surgery |
|
Transposition of the great vessels corrective surgery in the news |
|
Blogs on Transposition of the great vessels corrective surgery |
|
Risk calculators and risk factors for Transposition of the great vessels corrective surgery |
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
Recent advances in surgical correction of transposition of the great arteries have reduced the mortality drastically from 95% in uncorrected patients to 5% in corrected patients[1].
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Surgery
ACC / AHA Guidelines- Recommendations for Surgical Intervention
| Class I |
| "1. Surgeons with training and expertise in CHD should
perform operations for patients with CCTGA for the following indications: a. Unrepaired CCTGA and severe AV valve regurgitation. (Level of Evidence: B) b. Anatomic repair with atrial and arterial level switch/Rastelli repair in cases in which the left ventricle is functioning at systemic pressures. (Level of Evidence: B) c. Simple VSD closure when the VSD is not favorable for left ventricle–to–aorta baffling or is restrictive. (Level of Evidence: B) d. LV–to–pulmonary artery conduit in rare cases with LV dysfunction and severe LV outflow obstruction. (Level of Evidence: B) e. Evidence of moderate or progressive systemic AV valve regurgitation. (Level of Evidence: B) f. Conduit obstruction with systemic or nearly systemic RV pressures and/or RV dysfunction after anatomic repair. (Level of Evidence: B) g. Conduit obstruction and systemic or suprasystemic LV pressures in a patient with nonanatomic correction. (Level of Evidence: B) h. Moderate or severe AR/neo-AR and onset of ventricular dysfunction or progressive ventricular dilatation. (Level of Evidence: B)" |
General features
Arterial switch or Jatene Operation
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Atrial switch repair
Below are the images depicting different arterial switch procedures for TGA
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Rastelli operation
Below is an image depicting the procedure of Rasteli operation for TGA:
References
- ↑ Hutter PA, Kreb DL, Mantel SF, Hitchcock JF, Meijboom EJ, Bennink GB (2002). "Twenty-five years' experience with the arterial switch operation". J Thorac Cardiovasc Surg. 124 (4): 790–7. PMID 12324738.
Acknowledgements and Initial Contributors to Page
Leida Perez, M.D.