scholarly journals Lately Performed Arterial Switch Operation in a Three Years Old Child Diagnosed of Transposition of Great Arteries

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Huseyin Avni Solgun
Keyword(s):  
Septal Defect ◽  
Arterial Switch Operation ◽  
Pulmonary Arteries ◽  
Transposition Of Great Arteries ◽  
Case Presentation ◽  
Arterial Switch ◽  
Switch Operation ◽  
Atrial Switch ◽  
Atrial Switch Operation

Bacground: Insidans for transposition of great arterieas(TGA) is %0.5-1 of all congential hearth diseases. There is reverse output of aorta and pulmonary arteries in hearth ventricules. Additionally there is ventriculer septal defect(VSD) in %25 of TGA patients. In some infants there can be either left ventriculer outflow tract stenosis. Arterial switch (Jaten) operation is current accepted procedure for TGA treatment. Case presentation: The Patient with the symptom of severe syanosis from birth have been diagnosed as TGA, VSD and ASD with pediatric cardiology examination in an extarnal hospital. After a withut follow-up period; when 34 months age the patient applicated to our institute hospital by the complains of severe synosis and reduction of effort capacity. According to ecocardiography and angiograghy findings, Arterial switch operation(AS) planned and performed even late age of patient. Conclusion: Generally; AS in TGA patients is prefered to be done in the first month of life. In literature there is very rare cases presented in early childhood patients. In respect to this knowledge we presented a succesful atrial switch operation in three years old patient.

scholarly journals Delayed Arterial Switch Operation in a Three Year Old Child with Transposition Of Great Arteries

2019 ◽  
Author(s):  
Huseyin Avni Solğun ◽  
Farid Gojayev
Keyword(s):  
Heart Diseases ◽  
Arterial Switch Operation ◽  
Pulmonary Arteries ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Transposition Of Great Arteries ◽  
Arterial Switch ◽  
Switch Operation ◽  
Atrial Switch Operation

Abstract Background: The incidence of transposition of the great arteries (TGA) is 0.5-1% of all congenital heart diseases. The aorta and pulmonary arteries exit inversely from the heart ventricles. In addition, 25% of TGA patients have ventricular septal defect (VSD). Some infants may have left ventricular outflow tract obstruction. Arterial switch (Jaten) operation is the accepted procedure for the treatment of TGA. Case report: The patient had congenital severe cyanosis and was diagnosed as TGA, VSD and ASD after a pediatric cardiology examination. The patient went to follow-up for a short time and did not go to follow-up and admitted to our institute with complaints of severe cyanosis and decreased exercise capacity at the age of 34 months. According to echocardiography and angiography findings, arterial switch operation (AS) was planned for treatment despite delayed treatment.Conclusion: In general; it is preferable to perform AS in the first month of life in patients with TGA. There is very rare information in the literature about the preferability of early childhood patients. In the light of this information, we present a case of successful atrial switch operation in a three-year-old patient.

scholarly journals Patient with D transposition of Great Arteries Operated by Senning Procedure: A Case Report

2018 ◽  
Vol 4 (1) ◽  
pp. 31-33
Author(s):  
Ashraful Hoque ◽  
Shahriar Moinuddin
Keyword(s):  
Septal Defect ◽  
Arterial Switch Operation ◽  
Ductus Arteriosus ◽  
Delayed Diagnosis ◽  
Transposition Of Great Arteries ◽  
Switch Operation ◽  
Atrial Switch ◽  
Senning Operation ◽  
Atrial Switch Operation ◽  
Patent Ductus

The atrial switch operation, the Mustard or Senning operation, for the transposition of the great arteries (TGA) was introduced in the late 1950s and was the preferred surgery for TGA until the early 1990s. The arterial switch operation has become the procedure of choice for patients with transposition of the great arteries (TGA) in most medical centres. Although atrial switching may occasionally be employed in some centres in cases with delayed diagnosis, pulmonary hypertension and some other unusual entities. We preferred to use the atrial switch operation Senning procedure for 5 months old child with TGA, small atrial septal defect (ASD) and patent ductus arteriosus (PDA).Journal of Current and Advance Medical Research 2017;4(1):31-33

A situs solitus transposition of great arteries with obstructed sub-diaphragmatic totally anomalous pulmonary venous connection: a rare case treated with anatomical repair

2019 ◽  
Vol 29 (12) ◽  
pp. 1536-1538 ◽  
Author(s):  
Giovanni Meliota ◽  
Gabriele Scalzo ◽  
Ugo Vairo
Keyword(s):  
Venous Return ◽  
Arterial Switch Operation ◽  
Heterotaxy Syndrome ◽  
Transposition Of Great Arteries ◽  
Rare Association ◽  
Switch Operation ◽  
Atrial Switch ◽  
Situs Solitus ◽  
Atrial Switch Operation ◽  
Anomalous Pulmonary Venous Connection

AbstractTransposition of the great arteries combined with totally anomalous pulmonary venous connection is extremely rare outside of heterotaxy syndrome. Most reported cases have been treated by a modified atrial switch operation. We report the successful treatment of a neonate with this rare association, repaired by arterial switch operation and connection of the pulmonary venous return to the left atrium.

scholarly journals Case Report: Favoring biventricular repair beyond the conventional boundaries with primary arterial switch operation in a young adult

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 507
Author(s):  
Sumit Agasty ◽  
Sangdup Tsering ◽  
P Ramesh Menon ◽  
Sandeep Chauhan ◽  
Akshay Kumar Bisoi
Keyword(s):  
Septal Defect ◽  
Arterial Switch Operation ◽  
Pulmonary Stenosis ◽  
Biventricular Repair ◽  
Transposition Of Great Arteries ◽  
Arterial Switch ◽  
Post Operative Period ◽  
Switch Operation ◽  
Two Stages ◽  
Adult Male Patient

Transposition of great arteries (TGA) presents in neonates or in infancy. We report a case of TGA with ventricular septal defect (VSD) and pulmonary stenosis (PS) in an adult male patient of 23 years age. Arterial switch operation with VSD closure and neo-aortic valve replacement was done. The patient recovered well in the post-operative period. In adult patients, conversion from atrial to arterial switch has been widely reported, both directly and after prior pulmonary artery banding in two stages, but primary arterial switch for TGA has not been reported previously. In this patient there was a benefit of having a large VSD and severe PS.

Abnormal Pulmonary Artery Bending Correlates With Increased Right Ventricular Afterload Following the Arterial Switch Operation

2019 ◽  
Vol 10 (5) ◽  
pp. 572-581 ◽  
Author(s):  
Yue-Hin Loke ◽  
Francesco Capuano ◽  
Jason Mandell ◽  
Russell R. Cross ◽  
Ileen Cronin ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Right Ventricular ◽  
Arterial Switch Operation ◽  
Pulmonary Arteries ◽  
Three Dimensional ◽  
Radius Of Curvature ◽  
Transposition Of Great Arteries ◽  
Arterial Switch ◽  
Ventricular Afterload ◽  
Switch Operation

Purpose: In transposition of great arteries, increased right ventricular (RV) afterload is observed following arterial switch operation (ASO), which is not always related to pulmonary artery (PA) stenosis. We hypothesize that abnormal PA bending from the Lecompte maneuver may affect RV afterload in the absence of stenosis. Thus, we sought to identify novel measurements of three-dimensional cardiac magnetic resonance (CMR) images of the pulmonary arteries and compare with conventional measurements in their ability to predict RV afterload. Methods: Conventional measurements and novel measurements of the pulmonary arteries were performed using CMR data from 42 ASO patients and 13 age-matched controls. Novel measurements included bending angle, normalized radius of curvature ( Rc), and normalized weighted radius of curvature ( Rc- w). Right ventricular systolic pressures (as the surrogate for RV afterload) were measured by either recent echocardiogram or cardiac catheterization. Results: Conventional measurements of proximal PA size correlated with differential pulmonary blood flow ( r = 0.49, P = .001), but not with RV peak systolic pressures ( r = −0.26, P = .18). In ASO patients, Rc- w correlated with higher RV systolic pressures ( r = −0.57, P = .002). Larger neoaortic areas and rightward bending angles correlated with smaller right pulmonary artery Rc ( r = −0.48, P = .001; r = 0.41, P = .01, respectively). Finally, both pulmonary arteries had significantly smaller Rc compared to normal controls. Conclusions: Pulmonary arteries exhibit abnormal bends following ASO that correlate with increased RV afterload, independent of PA stenosis. Future work should focus on clinical and hemodynamic contributions of these shape parameters.

Arterial Switch for Repair of Simple and Complex Transposition of Great Arteries in a New Unit

1993 ◽  
Vol 1 (3) ◽  
pp. 131-135
Author(s):  
Luo Hong He ◽  
Lee Chuen Neng ◽  
Tan Tiong Tee ◽  
Sim Kwang Wei ◽  
Akihiro Nabuchi ◽  
...  
Keyword(s):  
Septal Defect ◽  
Heart Function ◽  
Arterial Switch Operation ◽  
Circulatory Arrest ◽  
Ductus Arteriosus ◽  
Left Ventricular ◽  
Transposition Of Great Arteries ◽  
Arterial Switch ◽  
Cardiac Symptoms

Between January 1987 and October 1992, 11 neonates and 2 infants (12 males and 1 female) underwent arterial switch operation (ASO). There were 9 simple transpositions of great arteries (TGA), 3 TGA with ventricular septal defect (VSD), and 1 double outlet of right ventricle (Taussig-Bing) with TGA. There were 12 cases of patent ductus arteriosus (PDA) and 6 cases of atrial septal defect (ASD). Nine patients had Yacoub type A coronary pattern, 3 had type B, and 1 had type D. The neonates' mean age was 15.5 days (one 120 days old and one 22 months old). The average body weight of the neonates was 4.2 kg. The Lecompte maneuver was performed on all patients. The average bypass time was 187.8 min, and mean aortic cross-clamp time was 76.2 min, with a mean circulatory arrest time of 10 min in 6 cases. Early hospital mortality was 15.4% (2 deaths)—1 patient died during operation from myocardial infarction, and another died postoperatively from poor heart function. All survivors experienced early postoperative heart failure and needed temporary inotropic support. One patient was lost to follow-up. The other 10 patients were free from any cardiac symptoms at follow-up, with good left ventricular function. Mild to moderate aortic regurgitation and stenosis and the same in the pulmonary valve were seen on echocardiogram. Seventeen months after ASO, 1 patient required reoperation for severe postoperative pulmonary stenosis. We concluded that ASO can be performed with an acceptable mortality rate in a new unit with no previous experience of such surgery.

Is the function of all cardiac valves after the arterial switch operation influenced by an associated ventricular septal defect?

2011 ◽  
Vol 21 (4) ◽  
pp. 383-391
Author(s):  
J. Gabriel ◽  
H.-H. Scheld ◽  
T.D.T. Tjan ◽  
N. Osada ◽  
Thomas Krasemann
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Arterial Switch Operation ◽  
Pulmonary Stenosis ◽  
Ventricular Septum ◽  
Intact Ventricular Septum ◽  
Cardiac Valves ◽  
Arterial Switch ◽  
Switch Operation

AbstractA ventricular septal defect in transposition of the great arteries is frequently closely related to the cardiac valves. The valvar function after arterial switch operation of patients with transposition of the great arteries and ventricular septal defect or intact ventricular septum was compared. We analysed the function of all cardiac valves in patients who underwent the arterial switch operations pre- and post-operatively, 1 year after the procedure and on follow-up. The study included 92 patients – 64 with transposition of the great arteries/intact ventricular septum and 28 with transposition of the great arteries/ventricular septal defect. The median age at surgery was 5.5 days in transposition of the great arteries/intact ventricular septum (0–73 days) and 7.0 days in transposition of the great arteries/ventricular septal defect (4–41 days). Follow-up was 51.7 months in transposition of the great arteries/intact ventricular septum (3.3–177.3 months) and 55 months in transposition of the great arteries/ventricular septal defect (14.6–164.7 months). Neo-aortic, neo-pulmonary, and mitral valvar function did not differ. Tricuspid regurgitation was more frequent 1 year post-operatively in transposition of the great arteries/ventricular septal defect (n = 4) than in transposition of the great arteries/intact ventricular septum. The prevalence of neo-aortic regurgitation and pulmonary stenosis increased over time, especially in patients with transposition of the great arteries/intact ventricular septum. The presence of a ventricular septal defect in patients undergoing arterial switch operation for transposition of the great arteries only has a minor bearing for the development of valvar dysfunction on the longer follow-up.

Is the arterial switch operation as good over the long term as we thought it would be?

2006 ◽  
Vol 16 (S3) ◽  
pp. 117-124 ◽  
Author(s):  
Meryl S. Cohen ◽  
Gil Wernovsky
Keyword(s):  
Clinical Success ◽  
Arterial Switch Operation ◽  
Right Ventricular Dysfunction ◽  
Early Form ◽  
Arterial Switch ◽  
Switch Operation ◽  
Atrial Switch ◽  
Initial Description

Surgical intervention for hearts with transposition, defined as concordant atrioventricular and discordant ventriculo-arterial connections, has been one of the landmark achievements in the field of paediatric cardiac surgery. In the early 1950s, pioneer surgeons attempted to palliate patients with transposed arterial trunks with an early form of the arterial switch operation. As a result of initially dismal outcomes secondary to difficulties with coronary arterial transfer, the unprepared nature of the morphologically left ventricle, and primitive methods for cardiopulmonary bypass, the arterial switch was abandoned in favour of several procedures achieving correction at atrial and venous levels, culminating in the Mustard and Senning operations.1,2These innovative procedures produced the earliest surviving children with transposition. Although the atrial switch procedures achieved widespread acceptance and success during the mid-1960s through the mid-1980s, the search for an operation to return the great arteries to their normal anatomic positions continued. This pursuit was stimulated primarily by the accumulating observations in mid-to-late term follow up studies of: an increasing frequency of important arrhythmic complications, including sinus nodal dysfunction, atrial arrhythmias, and sudden, unexplained death, by the development of late right ventricular dysfunction and significant tricuspid regurgitation in a ventricle potentially unsuited for a lifetime of systemic function by a small but important prevalence of obstruction of the systemic and/or pulmonary venous pathways, and by dissatisfaction with the operative mortality in the subgroup of infants complicated by additional presence of a large ventricular septal defect.3–6As we have already discussed, a number of novel procedures to achieve anatomic correction had been described as early as 1954, but clinical success was not accomplished until 1975, when Jatene and co-workers7astounded the world of paediatric cardiology with their initial description.

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