Issues after Atrial Switch Operation for d-TGA

Issues after Atrial Switch Operation for d-TGA

Issues after Atrial Switch Operation for d-TGA

Overview

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.

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