Congenitally Corrected Transposition of the Great Arteries—De Leval Procedure, Transaortic Closure of VSD, Transtricuspid Closure of VSD, Double-Switch Operation [Mustard or Senning Procedure + Arterial Switch Operation with Closure of VSD or Rastelli Procedure (REV Procedure)]

We performed a combined Senning and arterial switch operation on a 2-month-old patient with congenitally corrected transposition, Ebstein's malformation producing severe tricuspid regurgitation, ventricular septal defect, pulmonary hypertension, and congestive heart failure. The tricuspid regurgitation was improved. The double switch operation has the advantage of improving the function of the systemic atrioventricular valve, especially in newborns or young infants in whom the outcome of the valvar repair is poor.

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Obstetric outcomes following atrial and arterial switch procedures for transposition of the great arteries (TGA) – A single, tertiary referral centre experience over 20 years

Obstetric Medicine ◽

10.1177/1753495x19825964 ◽

2019 ◽

Vol 13 (3) ◽

pp. 125-131

Author(s):

Anna Fabre-Gray ◽

Stephanie Curtis ◽

Johanna Trinder

Keyword(s):

Gestational Age ◽

Small For Gestational Age ◽

Arterial Switch Operation ◽

Obstetric Outcomes ◽

Tertiary Referral ◽

Arterial Switch ◽

Switch Operation ◽

Atrial Switch ◽

Term Delivery ◽

Corrected Transposition

Repair of transposition of the great arteries usually involves an atrial switch or arterial switch operation, which can complicate physiological adaptation to the demands of pregnancy and adversely affect the fetus. We retrospectively compared outcomes of 48 completed pregnancies in 23 women with surgically corrected transposition of the great arteries (38 atrial switch/10 arterial switch operation) under joint cardiac-obstetric care in our tertiary referral clinic between 1997 and 2017. Most women delivered vaginally (85%). The pre-term delivery rate was high (atrial switch 39%; arterial switch operation 40%). Small for gestational age occurred in 56% of babies, significantly more in the atrial switch group (66%) than arterial switch operation (20%), p = 0.013. Women with surgically corrected transposition of the great arteries wishing to become pregnant are at high risk of obstetric complications, primarily pre-term delivery and small for gestational age baby. They require more careful ultrasound surveillance beyond 36 weeks’ gestation and/or may benefit from early induction of labour. Trial registration: Text/Not applicable.

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Double-Switch Operation for Congenitally Corrected Transposition

Seminars in Thoracic and Cardiovascular Surgery Pediatric Cardiac Surgery Annual ◽

10.1053/pcsu.2001.23738 ◽

2001 ◽

Vol 4 (1) ◽

pp. 16-33 ◽

Cited By ~ 14

Author(s):

Yasuharu Imai ◽

Kazuhiro Seo ◽

Mitsuru Aoki ◽

Toshiharu Shin'oka ◽

Kenji Hiramatsu ◽

...

Keyword(s):

Switch Operation ◽

Double Switch ◽

Congenitally Corrected Transposition ◽

Corrected Transposition

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Are preoperative B-type natriuretic peptide levels associated with outcome after pulmonary artery banding and the double switch operation in patients with congenitally corrected transposition of the great arteries: A pilot study

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2014.07.003 ◽

2014 ◽

Vol 148 (5) ◽

pp. 2434-2436 ◽

Cited By ~ 1

Author(s):

Danton S. Char ◽

Stephen C. Shiboski ◽

Frank L. Hanley ◽

Jeffrey R. Fineman

Keyword(s):

Pilot Study ◽

Pulmonary Artery ◽

Natriuretic Peptide ◽

Pulmonary Artery Banding ◽

Switch Operation ◽

Double Switch ◽

Congenitally Corrected Transposition ◽

Corrected Transposition

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Results of the double switch operation for congenitally corrected transposition of the great arteries☆

European Journal of Cardio-Thoracic Surgery ◽

10.1016/j.ejcts.2009.01.051 ◽

2009 ◽

Vol 35 (5) ◽

pp. 879-884 ◽

Cited By ~ 45

Author(s):

Mohamedou Ly ◽

Emre Belli ◽

Bertrand Leobon ◽

Chokri Kortas ◽

Oswin E. Grollmüss ◽

...

Keyword(s):

Switch Operation ◽

Double Switch ◽

Congenitally Corrected Transposition ◽

Corrected Transposition

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Pulmonary Artery Banding for Congenitally Corrected Transposition of the Great Arteries With Hydrops Fetalis: A Case Report

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135118808749 ◽

2019 ◽

Vol 11 (4) ◽

pp. NP247-NP250

Author(s):

Yuka Takeda ◽

Nobuo Momoi ◽

Mariko Hayashi ◽

Kisei Endo ◽

Yoshimichi Aoyagi ◽

...

Keyword(s):

Pulmonary Artery ◽

Main Pulmonary Artery ◽

Mitral Valve Regurgitation ◽

Hydrops Fetalis ◽

Pulmonary Artery Banding ◽

Valve Regurgitation ◽

Switch Operation ◽

Double Switch ◽

Congenitally Corrected Transposition ◽

Corrected Transposition

At 32 weeks of gestation, a male fetus with congenitally corrected transposition of the great arteries developed hydrops fetalis caused by a combination of mitral valve regurgitation and tricuspid valve regurgitation (TR). We performed a pulmonary artery banding (PAB) at 108 days old for gradually progressing TR, after confirming that a balloon dilatation test in the main pulmonary artery reduced TR. As the patient grew, the PAB became tighter and systolic blood pressure in the morphological left ventricle increased. At present, the patient is waiting for a double switch operation.

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The first successful double switch operation for congenitally corrected transposition of the great arteries in Slovenia

Slovenian Medical Journal ◽

10.6016/zdravvestn.3180 ◽

2021 ◽

pp. 1-4

Author(s):

Miha Weiss ◽

Anže Djordjević ◽

Roman Gebauer ◽

Miroslav Elek ◽

Mirko Topalović ◽

...

Keyword(s):

Pacemaker Implantation ◽

Long Term Outcomes ◽

Anatomic Repair ◽

Switch Operation ◽

Surgical Options ◽

Double Switch ◽

Complete Atrioventricular ◽

Congenitally Corrected Transposition ◽

Corrected Transposition

Congenitally corrected transposition of the great arteries is a rare congenital heart defect characterized by atrioventricular and ventriculoarterial discordance and can be potentially associated with several other concomitant anomalies, such as ventricular septal defect or congenital complete atrioventricular block. Different surgical options are used for treating the condition. Anatomic repair yields the best long-term outcomes; however, it is technically the most challenging. We present a case of a 3-year old female patient who was electively admitted for complete repair after pulmonary artery banding and pacemaker implantation soon after birth. Subsequently, an anatomic repair (double switch) was performed with an uneventful postoperative course and excellent mid-term outcomes.

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