Issues after Atrial Switch Operation for d-TGA

Issues after Atrial Switch Operation for d-TGA

Issues after Atrial Switch Operation for d-TGA

Course Director(s): Frank Cetta, Jr., M.D.

Released On: June 10, 2015 - Length: 1:01:13

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Overview

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Complete or “d”- transposition of the great arteries (d-TGA) is the most common reason that newborns will by cyanotic within the first 24 hours of life. Atrial switch operations [Senning (1959) and Mustard (1964)] revolutionized the care for children born with d-TGA. But, these operations leave the right ventricle as the pump for the systemic circulation. Although the 20-30 year survival for patients after atrial switch operation is excellent, long-term issues related to right ventricular dysfunction and arrhythmias are common clinical challenges.

Objectives

  • Identify the salient echocardiographic features of patients after atrial switch operation for transposition of the great arteries
  • Assess systemic and pulmonary venous baffle patency in patients after atrial switch operation for transposition of the great arteries
  • Describe the long-term sequelae of the atrial switch operations for patients with transposition of the great arteries

Faculty


Frank Cetta, M.D., FACC, FASE
Professor of Pediatrics and Medicine
Chair, Division of Pediatric Cardiology
Mayo Clinic, Rochester, MN

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