DEXTRO-TRANSPOSITION OF the Great Arteries (D-TGA) is the second most common cyanotic
heart disease,
1
with an incidence of 20-to-30 cases per 100,000 live births, amounting to 5%-to-7%
of all congenital heart diseases.
- Cohen MS
- Eidem BW
- Cetta F
- et al.
Multimodality imaging guidelines of patients with transposition of the Great Arteries:
A report from the American Society of Echocardiography developed in collaboration
with the Society for Cardiovascular Magnetic Resonance and the Society of Cardiovascular
Computed Tomography.
J Am Soc Echocardiogr. 2016; 29 (-62): 571
2
Advances in surgical techniques now permit these patients to survive into adulthood
and live a normal life.
3
Before the advent of the modern arterial switch surgery and in some forms of complex
D-TGA in the current era, these patients commonly undergo multiple surgeries and subsequent
revisions due to anatomic limitations of these complex surgical procedures. Multimodality
imaging, including echocardiography, is crucial in understanding the anatomy and pathophysiology
of the disease, planning surgically corrective procedures, and assessing associated
surgical complications.
1
,
- Cohen MS
- Eidem BW
- Cetta F
- et al.
Multimodality imaging guidelines of patients with transposition of the Great Arteries:
A report from the American Society of Echocardiography developed in collaboration
with the Society for Cardiovascular Magnetic Resonance and the Society of Cardiovascular
Computed Tomography.
J Am Soc Echocardiogr. 2016; 29 (-62): 571
2
,
3
,
4
This case illustrates the successful management of a complex reoperation for complications
after a Rastelli procedure (RP) in a patient with complex D-TGA.Key Words
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References
- Multimodality imaging guidelines of patients with transposition of the Great Arteries: A report from the American Society of Echocardiography developed in collaboration with the Society for Cardiovascular Magnetic Resonance and the Society of Cardiovascular Computed Tomography.J Am Soc Echocardiogr. 2016; 29 (-62): 571
- Dextro-transposition of the Great Arteries: Long-term sequelae of atrial and arterial switch.Cardiol Clin. 2015; 33: 543-558
- Anesthetic considerations and management of transposition of the Great Arteries.Semin Cardiothorac Vasc Anesth. 2015; 19: 233-242
- Contemporary management and outcomes in congenitally corrected transposition of the great arteries.Heart. 2018; 104: 1148-1155
- Transposition of the great arteries.Circulation. 2006; 114: 2699-2709
- Echocardiographic differences between D-TGA and L-TGA in adult patients.Echocardiography. 2020; 37: 2211-2221
- Complete repair of transposition of the great arteries with pulmonary stenosis. A review and report of a case corrected by using a new surgical technique.Circulation. 1969; 39: 83-95
- Nikaidoh vs Reparation a l'Etage Ventriculaire vs Rastelli.Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2018; 21: 58-63
- Rastelli Operation for D-transposition of the Great Arteries, ventricular septal defect, and pulmonary stenosis.World J Pediatr Congenit Heart Surg. 2019; 10: 157-163
- Percutaneous cardioplegic arrest before repeat sternotomy in patients with retrosternal aortic aneurysm.J Thorac Cardiovasc Surg. 2021; 161: 1724-1730
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Publication history
Published online: November 21, 2022
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