Double-switch operation for congenitally corrected transposition and Ebstein's malformation

1999 ◽  
Vol 9 (3) ◽  
pp. 319-322 ◽  
Author(s):  
Nikolaos Nikoloudakis ◽  
Angelika Lindinger ◽  
Hans-Joachim Schäfers
Keyword(s):  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Septal Defect ◽  
Pulmonary Trunk ◽  
Muscular Ventricular Septal Defect ◽  
Switch Operation ◽  
Double Switch ◽  
Congenitally Corrected Transposition ◽  
Haemodynamic Improvement ◽  
Corrected Transposition

AbstractAn infant is described with congenitally corrected transposition and Ebstein's malformation. Banding of the pulmonary trunk had been previously performed because of a muscular ventricular septal defect. The patient underwent the double-switch procedure with the intention of unloading the morphologically right ventricle and the malformed tricuspid valve. This resulted in prompt postoperative functional and haemodynamic improvement.

Double switch operation in a young infant

2004 ◽  
Vol 14 (6) ◽  
pp. 661-663 ◽  
Author(s):  
Nobuyuki Ishibashi ◽  
Mitsuru Aoki ◽  
Tadashi Fujiwara
Keyword(s):  
Tricuspid Regurgitation ◽  
Septal Defect ◽  
Arterial Switch Operation ◽  
Young Infant ◽  
Severe Tricuspid Regurgitation ◽  
Young Infants ◽  
Switch Operation ◽  
Double Switch ◽  
Congenitally Corrected Transposition ◽  
Corrected Transposition

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.

The hemi-Mustard, bi-directional Glenn, and Rastelli operations used for correction of congenitally corrected transposition, achieving a “ventricle and a half ” repair

2004 ◽  
Vol 14 (3) ◽  
pp. 330-332 ◽  
Author(s):  
Daniel J. DiBardino ◽  
Jeffrey S. Heinle ◽  
Charles D. Fraser
Keyword(s):  
Right Ventricle ◽  
Surgical Therapy ◽  
Switch Operation ◽  
Double Switch ◽  
Congenitally Corrected Transposition ◽  
Corrected Transposition

Based on experience in several centers, the double switch operation has reportedly become the standard surgical therapy for congenitally corrected transposition. We report and discuss here the use of a “ventricle and a half” double switch operation performed due to the concerns raised intraoperatively because of the size of the morphologically right ventricle. Although the long-term course of such a procedure in this setting remains unknown, we submit that the proposed benefits of the double switch operation, even when used in the “ventricle and a half” configuration, may be superior to the alternatives.

Contemporary management and outcomes in congenitally corrected transposition of the great arteries

Heart ◽  
2018 ◽  
Vol 104 (14) ◽  
pp. 1148-1155 ◽  
Author(s):  
Shelby Kutty ◽  
David A Danford ◽  
Gerhard-Paul Diller ◽  
Oktay Tutarel
Keyword(s):  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Tricuspid Valve ◽  
Septal Defect ◽  
Pulmonary Stenosis ◽  
Management Strategies ◽  
Cardiovascular Complications ◽  
The Right ◽  
Congenitally Corrected Transposition ◽  
Corrected Transposition

Congenitally corrected transposition of the great arteries (ccTGA) can occur in isolation, or in combination with other structural cardiac anomalies, most commonly ventricular septal defect, pulmonary stenosis and tricuspid valve disease. Clinical recognition can be challenging, so echocardiography is often the means by which definitive diagnosis is made. The tricuspid valve and right ventricle are on the systemic arterial side of the ccTGA circulation, and are therefore subject to progressive functional deterioration. The natural history of ccTGA is also greatly influenced by the nature and severity of accompanying lesions, some of which require surgical repair. Some management strategies leave the right ventricle as the systemic arterial pump, but carry the risk of worsening heart failure. More complex ‘double switch’ repairs establish the left ventricle as the systemic pump, and include an atrial baffle to redirect venous return in combination with either arterial switch or Rastelli operation (if a suitable ventricular septal defect permits). Occasionally, the anatomic peculiarities of ccTGA do not allow straightforward biventricular repair, and Fontan palliation is a reasonable option. Regardless of the approach selected, late cardiovascular complications are relatively common, so ongoing outpatient surveillance should be established in an age-appropriate facility with expertise in congenital heart disease care.

Accessory tissue tags arising from the mitral valve—an unusual cause of ventricular flow obstruction

1994 ◽  
Vol 4 (2) ◽  
pp. 175-177 ◽  
Author(s):  
Vicki Knight-Mathis ◽  
Carol M. Cottrill ◽  
Robert K. Salley
Keyword(s):  
Mitral Valve ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
The Other ◽  
Outflow Obstruction ◽  
Ventricular Outflow Obstruction ◽  
Subaortic Obstruction ◽  
Congenitally Corrected Transposition ◽  
Corrected Transposition

SummaryAccessory atrioventricular valvar tissue is uncommon and, on occasion, has been identified as a cause of ventricular outflow obstruction. Accessory tricuspid valvar tissue has been reported to cause subpulmonary obstruction but infrequently has accessory tissue arising from the mitral valve been associated with obstruction. This paper reports two cases of subvalvar obstruction; the first in association with a ventricular septal defect causing subaortic obstruction and the other in association with congenitally corrected transposition and a ventricular septal defect, causing subpulmonary obstruction.

Coarctation of the Left pulmonary artery associated with congenitally corrected transposition

1999 ◽  
Vol 9 (2) ◽  
pp. 207-209 ◽  
Author(s):  
Martial M. Massin ◽  
Götz von Bernuth
Keyword(s):  
Ventricular Septal Defect ◽  
Pulmonary Artery ◽  
Septal Defect ◽  
Pulmonary Stenosis ◽  
Left Pulmonary Artery ◽  
First Report ◽  
Ductal Tissue ◽  
Congenitally Corrected Transposition ◽  
Corrected Transposition

AbstractWe describe an infant with congenitally corrected transposition, ventricular septal defect and severe pulmonary stenosis. The heart occupied a midline position. Extension of ductal tissue had resulted in occlusion of the left pulmonary artery. As far as we are aware, this is the first report of an association of coarctation of the left pulmonary artery with corrected transposition.

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