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Chapter 21 - d-Transposition of the Great Arteries (Arterial Switch)

from Section 4 - Complex Mixing Lesions

Published online by Cambridge University Press:  09 September 2021

By
Leah Landsem  and
Gregory J. Latham
Edited by
Laura K. Berenstain  and
James P. Spaeth
Laura K. Berenstain
Affiliation:
Cincinnati Children's Hospital Medical Center
James P. Spaeth
Affiliation:
Cincinnati Children's Hospital Medical Center
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Summary

This chapter provides an overview of the congenital cardiac condition known as d-transposition of the great arteries and its most modern form of repair, the arterial switch operation. Using a case-based format, the chapter aims to describe the neonatal physiology prior to repair, the surgery itself, and what anesthetic and other healthcare providers can expect as major postoperative sequelae long term. The chapter discusses how these salient details can affect pre-, intra-, and postoperative management of these patients undergoing noncardiac surgery.

Keywords

arterial switch operationatrioventricular discordancecongenital heart diseaseMustardNikaidohparallel circulationRastelliSenning pulmonary stenosisseries circulation transposition of the great arteries (TGA)d-TGAventriculoarterial discordance
Type
Chapter
Information
Congenital Cardiac Anesthesia
A Case-based Approach
 , pp. 137 - 144
Publisher: Cambridge University Press
Print publication year: 2021

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References

Suggested Reading

Angeli, E., Raisky, O., Bonnet, D., et al. Late reoperations after neonatal arterial switch operation for transposition of the great arteries. Eur J Cardiothorac Surg 2008; 34: 32–6.CrossRefGoogle ScholarPubMed
Cohen, M. S., Eidem, B. W., Cetta, F., et al. Multimodality imaging guidelines of patients with transposition of the great arteries from the American Society of Echocardiography developed in collaboration with the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr 2016; 29: 571–621.CrossRefGoogle Scholar
Gottlieb, E. A. and Andropoulos, D. B. Anesthesia for the patient with congenital heart disease presenting for noncardiac surgery. Curr Opin Anesth 2013; 26: 318–26.CrossRefGoogle ScholarPubMed
Latham, G. L., Joffe, D. C., Eisses, M. J., et al. Anesthestic considerations and management of transposition of the great arteries. Semin Cardiothorac Vasc Anesth 2015; 19: 233–43.CrossRefGoogle Scholar
Morgan, C. T., Mertens, L., Grotenhuis, H., et al. Understanding the mechanism for branch pulmonary artery stenosis after the arterial switch operation for transposition of the great arteries. Eur Heart J Cardiovasc Imaging 2017; 18: 180–5.CrossRefGoogle ScholarPubMed
Warnes, C. A., Williams, R. G., Bashore, T. M., et al. ACC/AHA 2008 Guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Writing Committee to develop guidelines on the management of adults with congenital heart disease). Circulation 2008; 118: 714–833.Google Scholar

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