Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Dextro-transposition of the great arteries general features surgery
Introduction
Overview
Overview
Corrective Surgery
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
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
References
Acknowledgements and Initial Contributors to Page
Acknowledgements and Initial Contributors to Page
Leida Perez, M.D.
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]