Dextro-transposition of the great arteries general features surgery: Difference between revisions
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Revision as of 17:50, 12 December 2011
Dextro-transposition of the great arteries Microchapters |
Differentiating dextro-transposition of the great arteries from other Diseases |
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Diagnosis |
Treatment |
Case Studies |
Dextro-transposition of the great arteries general features surgery On the Web |
American Roentgen Ray Society Images of Dextro-transposition of the great arteries general features surgery |
FDA on Dextro-transposition of the great arteries general features surgery |
CDC on Dextro-transposition of the great arteries general features surgery |
Dextro-transposition of the great arteries general features surgery in the news |
Blogs on Dextro-transposition of the great arteries general features surgery |
Transposition of the great vessels Microchapters |
Classification |
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Differentiating Transposition of the great vessels from other Diseases |
Diagnosis |
Treatment |
Surgery |
Case Studies |
Dextro-transposition of the great arteries general features surgery On the Web |
American Roentgen Ray Society Images of Dextro-transposition of the great arteries general features surgery |
FDA on Dextro-transposition of the great arteries general features surgery |
CDC on Dextro-transposition of the great arteries general features surgery |
Dextro-transposition of the great arteries general features surgery in the news |
Blogs on Dextro-transposition of the great arteries general features 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
Corrective Surgery
Arterial switch operations (ASO) are now-days preferred over Atrial switch procedures (Mustard and Senning Operations) because of the following reasons-
- Arterial switch procedure are comparatively easier to perform
- ASO have similar survival benefits compared to atrial switch procedure
- Decreased risk of complications like arrhythmias and heart failure in ASO compared to atrial switch procedures
- Decreased peri-operative mortality in ASO compared to atrial switch procedures
Salient features of surgery are
- It is best to perform the ASO as early as possible in the children. Most infants undergo definitive repair within the first 2 weeks of life.
- The type of surgical procedure done depends on the type of lesion the child has i.e. simple or complex transposition of the great arteries.
- The general rules that are followed are-
- Simple D-TGA (D-TGA without any associated lesion)- Arterial switch operation (ASO).
- D-TGA plus ventricular septal defect-Arterial switch operation (ASO) and VSD closure.
- D-TGA plus large VSD plus pulmonary stenosis - Rastelli procedure
References
Acknowledgements and Initial Contributors to Page
Leida Perez, M.D.