Two stage double switch operation in a patient with congenital corrected TGA, ventricular and atrial septal defect

2008 ◽  
Vol 56 (S 1) ◽  
Author(s):  
H Akintürk ◽  
K Valeske ◽  
M Müller
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Two Stage ◽  
Switch Operation ◽  
Double Switch

Management of the Ventricular Septal Defect During Double Switch Operation for Atrioventricular Discordant Connections

2011 ◽  
Vol 14 (1) ◽  
pp. 29-34
Author(s):  
Constantine Mavroudis ◽  
Robert D. Stewart ◽  
Lourdes R. Prieto ◽  
Kenneth Zahka ◽  
Marshall L. Jacobs
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Switch Operation ◽  
Double Switch

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.

Two-Stage Arterial Switch Operation: Is Late Ever Too Late?

2002 ◽  
Vol 10 (3) ◽  
pp. 235-239 ◽  
Author(s):  
Howaida O Al Qethamy ◽  
Khawar Aizaz ◽  
Saber AR Aboelnazar ◽  
Samina Hijab ◽  
Yahya Al Faraidi
Keyword(s):  
Septal Defect ◽  
Arterial Switch Operation ◽  
Left Ventricular ◽  
Subaortic Stenosis ◽  
Two Stage ◽  
Actuarial Survival ◽  
Mortality And Morbidity ◽  
Arterial Switch ◽  
Switch Operation

Results of the two-stage arterial switch operation in 49 patients with transposition of the great arteries, performed between January 1995 and September 2000, were reviewed retrospectively. Twenty-one patients had a ventricular septal defect. Anatomical correction was carried out 21.89 ± 9.86 months after pulmonary artery banding, with or without a modified Blalock-Taussig shunt. Hospital mortality was 8% (4 patients). During follow-up of 30.12 ± 14.38 months, there was 1 late death and 1 patient required reoperation for pseudoaneurysm of the ascending aorta. Actuarial survival and freedom from reoperation at 5 years were 90% and 97%, respectively. Late anatomic correction (> 6 months) after the preliminary procedure can be performed with an acceptable mortality and morbidity, but undue delay may lead to left ventricular dysfunction, arrhythmias, and new aortic valve regurgitation or subaortic stenosis.

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.

Modified Septostomy in d-Transposition of Great Arteries With Aneurysmal and Intact Atrial Septum

2019 ◽  
Vol 10 (6) ◽  
pp. 789-790
Author(s):  
Konstantinos S. Mylonas ◽  
Aphrodite Tzifa
Keyword(s):  
Prenatal Diagnosis ◽  
Atrial Septal Defect ◽  
Left Atrium ◽  
Pulmonary Vein ◽  
Septal Defect ◽  
Arterial Switch Operation ◽  
Atrial Septum ◽  
Transposition Of Great Arteries ◽  
Intact Atrial Septum ◽  
Switch Operation

A male term patient was delivered electively due to prenatal diagnosis of d-transposition of great arteries. Postpartum arterial saturation measured 65%. Transthoracic echo revealed an extremely aneurysmal atrial septum with no obvious atrial septal defect. Emergency Rashkind procedure was deemed necessary. Multiple attempts to advance the septostomy catheter to the left atrium resulted in tenting of the septum with no obvious interatrial flow. The aneurysmal septum was therefore advanced with caution and perforated within the left lower pulmonary vein under echocardiographic guidance. The patient tolerated the procedure well and a successful arterial switch operation was performed eight days later. Stabilization and perforation of an aneurysmal, intact atrial septum within the pulmonary vein may be a helpful maneuver to complete the Rashkind procedure.

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