Urgent double switch operation in a patient with congenitally corrected transposition of great arteries and an untrained systemic ventricle

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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Double switch operation in a young infant

Cardiology in the Young ◽

10.1017/s1047951104006110 ◽

2004 ◽

Vol 14 (6) ◽

pp. 661-663 ◽

Cited By ~ 1

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.

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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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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)]

Cardiovascular Surgery for Congenital Heart Disease ◽

10.1007/978-4-431-99470-1_32 ◽

2009 ◽

pp. 189-198

Author(s):

Hideaki Kado

Keyword(s):

Arterial Switch Operation ◽

Arterial Switch ◽

Switch Operation ◽

Double Switch ◽

Congenitally Corrected Transposition ◽

Corrected Transposition

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