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

Published online by Cambridge University Press:  21 July 2011

Jayaranganath Mahima
Affiliation:
Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India
Devananda Nijagal Shivanna
Affiliation:
Department of Cardiac Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India
Anand Subramanian*
Affiliation:
Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India
*
Correspondence to: Dr. Anand Subramanian, Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bannerghatta Road, Bangalore, India. Tel: +91 9740510350; Fax: +91 80 26534477; E-mail: [email protected]

Abstract

Arterial 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.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2011

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References

1. Wernovsky, G. Transposition of the great arteries. In: Moss and Adams’ Heart Disease in Infants, Children and Adolescents. Allen HD, Driscoll DJ, Shaddy RE, and Feltes TF (eds). Lippincott Williams & Wilkins, Philadelphia, PA, 2008, pp 10441045.Google Scholar
2. Wernovsky, G. Transposition of the great arteries. In: Moss and Adams’ Heart Disease in Infants, Children and Adolescents. Allen HD, Driscoll DJ, Shaddy RE, and Feltes TF (eds). Lippincott Williams & Wilkins, Philadelphia, PA, 2008, pp 10451047.Google Scholar
3. Kirklin/Barratt-Boyes. Cardiac Surgery, 3rd edn. Elsevier Science, Philadelphia, PA, 2003, pp 14741477.Google Scholar
4. Dearani, JA, Danielson, GK, Puga, FJ, et al. Late results of the Rastelli operation for transposition of the great arteries. Semin Thorac Cardiovasc Surg pediatr Card Surg Annu 2001; 4: 315.CrossRefGoogle ScholarPubMed
5. Weyand, K, Haun, C, Blaschczok, H, et al. Surgical treatment of transposition of great arteries with ventricular septal defect and left ventricular outflow tract obstruction: midterm results. World J Pediatr Congenit Heart Surg 2010; 1: 163169.CrossRefGoogle ScholarPubMed

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