Tetra ostial coronary anatomy- A rare pattern in transposition of great arteries.

Coronary Arteries ◽

Septal Defect ◽

Crucial Importance ◽

Coronary Anatomy ◽

Coding Systems

Meticulous transfer of coronary arteries is of crucial importance in transposition of great arteries and determines the success of the switch procedure. This report describes a coronary anatomy consisting of four separate ostia from the two facing sinuses in a six-month-old infant presenting with d-transposition of great arteries and ventricular septal defect. Being a rare coronary arterial pattern not described in previous coding systems, the surgeon would do well to be aware of this possibility while performing the switch procedure.

Pulmonary root translocation in corrected transposition of great arteries with ventricular septal defect and pulmonary stenosis with dextrocardia

Journal of Cardiac Surgery ◽

10.1111/jocs.15260 ◽

2020 ◽

Author(s):

Yatin Arora ◽

Velayoudam Devagourou ◽

Paidi Adarsh ◽

Tanushree Kar

Keyword(s):

Septal Defect ◽

Pulmonary Stenosis ◽

Corrected Transposition

Arterial Switch Operation With Neoaortic Valve Replacement in a 13-Year Old Patient With Transposition of Great Arteries With Ventricular Septal Defect and Left Ventricular Outflow Tract Obstruction—A Case Report

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135118769320 ◽

2018 ◽

Vol 11 (4) ◽

pp. NP190-NP194

Author(s):

Kuntal Roy Chowdhuri ◽

Manoj Kumar Daga ◽

Subhendu Mandal ◽

Pravir Das ◽

Amanul Hoque ◽

...

Keyword(s):

Valve Replacement ◽

Septal Defect ◽

Left Ventricular Outflow Tract ◽

Arterial Switch Operation ◽

Ventricular Outflow Tract ◽

Left Ventricular ◽

Switch Operation ◽

Left Ventricular Outflow

The surgical management of d-transposition of great arteries (d-TGAs) with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO) is ever evolving and still remains a challenge because of wide anatomic variability, age of presentation, surgical options available, and their variable long-term results in different series. We describe a patient with d-TGA, VSD, and LVOTO who presented to us at 13 years of age and underwent an arterial switch operation along with neoaortic valve replacement with a mechanical prosthesis. The postoperative course was uneventful, and at hospital discharge, the echocardiogram was satisfactory. We present the pros and cons of this hitherto undescribed treatment option.

Half-Turned Truncal Switch Surgery for Dextro-Transposition of Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis: Role of Intraoperative Echocardiography

A & A Practice ◽

10.1213/xaa.0000000000001394 ◽

2021 ◽

Vol 15 (3) ◽

pp. e01394

Author(s):

Don J. Palamattam ◽

Rajesh M. Gopalakrishnan ◽

Santhosh Vilvanathan ◽

Shrinivas V. Gadhinglajkar ◽

Baiju S. Dharan

Keyword(s):

Septal Defect ◽

Pulmonary Stenosis ◽

Intraoperative Echocardiography

Bronchial compression from enlarged, hypertensive right pulmonary artery with corrected transposition of great arteries, dextrocardia, and ventricular septal defect

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/s0022-5223(19)42365-9 ◽

1970 ◽

Vol 60 (2) ◽

pp. 233-236

Author(s):

William W. Miller ◽

C. Dick Park ◽

John A. Waldhausen

Keyword(s):

Pulmonary Artery ◽

Septal Defect ◽

Right Pulmonary Artery ◽

Bronchial Compression ◽

Corrected Transposition

A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery

Journal of Neurosciences in Rural Practice ◽

10.1055/s-0039-3399601 ◽

2019 ◽

Vol 10 (04) ◽

pp. 715-717

Author(s):

Soniya Biswas ◽

Keta Thakkar ◽

Neeraja Ajayan ◽

Ajay Prasad Hrishi ◽

Manikandan Sethuraman

Keyword(s):

Brain Abscess ◽

Vascular Resistance ◽

Septal Defect ◽

Anesthetic Management ◽

Air Embolism ◽

Paradoxical Embolism ◽

Systemic Complications ◽

Congenitally Corrected Transposition

AbstractCongenitally corrected transposition of great arteries (CC-TGAs) associated with a ventricular septal defect (VSD) presents with cyanotic spells and systemic complications such as brain abscess. In mesocardia, the heart lies in the midline with no apex seen on the left side. We report the anesthetic management of a child with CC-TGA, VSD, and mesocardia presenting with parietal brain abscess for neurosurgery. The significant anesthetic challenges include maintenance of peripheral vascular resistance lower than systemic vascular resistance, prevention of air embolism and paradoxical embolism, avoidance of hyperviscosity in addition to avoiding any rise in intracranial pressure, and maintenance of cerebral perfusion pressure.

d-Transposition of the great arteries in a 12-year-old child: is arterial switch still an option?

Cardiology in the Young ◽

10.1017/s1047951111001004 ◽

2011 ◽

Vol 22 (1) ◽

pp. 113-115

Author(s):

Jayaranganath Mahima ◽

Devananda Nijagal Shivanna ◽

Anand Subramanian

Keyword(s):

Left Ventricle ◽

Rare Case ◽

Septal Defect ◽

Surgical Approaches ◽

Long Term Outcomes ◽

Muscular Ventricular Septal Defect

Arterial Switch ◽

AbstractArterial switch surgery for d-transposition of great arteries is usually performed in the first 2 weeks of life before the left ventricle regresses. The arterial switch surgery that helps achieve anatomic and physiologic correction of this condition has better long-term outcomes than other surgical approaches. The procedure may still be attempted at an older age where the left ventricle has not regressed. We report a rare case of a 12-year-old child with d-transposition of great arteries, a remote muscular ventricular septal defect and isolated valvar pulmonic stenosis, which was corrected by an arterial switch surgery.