Anatomic correction of transposition of the great arteries

Jatene, Adib; Fontes, Valmir F.; Souza, Luiz Carlos Bento de; Paulista, Paulo P; Neto, Camilo Abdulmassih; Eduardo, J.; Sousa, M. G.

doi:10.1016/0002-9149(82)92354-2

Cited by 108 publications

(115 citation statements)

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“…From its first description by Jatene in 1976, 43 it has steadily become the procedure of choice when the anatomy is appropriate and is usually performed in the first month of life. It involves transection of the great arteries above the sinuses and detachment of the coronary arteries along with a "button" from the aortic wall.…”

Section: Arterial Switch Proceduresmentioning

confidence: 99%

Transposition of the Great Arteries

2006

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Abstract-Many patients with ventriculoarterial discordance have survived to adulthood. Those with complete transposition of the great arteries have often had an atrial switch procedure (Mustard or Senning operation) performed, which leaves the morphological right ventricle (RV) supporting the systemic circulation. RV failure and tricuspid regurgitation are common. Some patients may ultimately require cardiac transplantation. Sinus node dysfunction is increasingly common with longer follow-up, and some patients need pacemaker implantation. Atrial arrhythmias are frequent, and atrial flutter may be a marker for sudden death. Patients with an arterial switch procedure are also surviving to adulthood. Long-term problems include coronary stenoses, distortion of the pulmonary arteries, dilatation of the neoaortic root, and aortic regurgitation. Patients with congenitally corrected transposition have both atrioventricular and ventriculoarterial discordance and therefore also have a morphological RV and delicate tricuspid valve in the systemic circulation. Associated defects, such as abnormalities of the tricuspid valve, ventricular septal defect, and pulmonary stenosis, occur in the majority of patients. Heart block occurs with increasing age. Atrial arrhythmias occur frequently, and their occurrence should prompt a search for a hemodynamic problem. Progressive tricuspid regurgitation occurs with age and is associated with deterioration of RV function. Surgical treatment should be considered at the earliest sign of RV dilatation or dysfunction. All patients should be seen periodically in a center where expertise in the clinical evaluation, imaging, and hemodynamic assessment of adult congenital heart disease is available.

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Section: Arterial Switch Proceduresmentioning

confidence: 99%

Transposition of the Great Arteries

2006

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“…1,2 Potential problems with this procedure concern eventual coronary artery kinking with its effects on myocardial perfusion and possible stenosis or alteration in the growth of the great vessels that have been reshaped at surgery. We have reported our early and midterm results on the first 50 patients.…”

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confidence: 99%

Fate of pulmonary artery after anatomic correction of simple transposition of great arteries in newborn infants.

et al. 1988

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, surgical anatomic correction was performed in 86 newborn infants, 2-23 days old (6.8 +±3.6 days, mean+± SD) with simple transposition of the great arteries. In all patients, the pulmonary artery was reconstructed by end-to-end anastomosis according to the Lecompte maneuver, including eight patients with side-by-side position of the great arteries. Three different approaches were used. In the first 10 patients (group 1, six survivors), two separate patches of preserved tanned pericardium were used to reconstruct the pulmonary artery, whereas in the next 15 patients (group 2, 13 survivors), a single patch of the same material was used, and in the last 61 patients (group 3, 56

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“…Unfortunately the next five patients expired within a few hours after surgery. The findings were presented at the 56 th Annual Meeting of the American Association of Thoracic Surgery at Los Angeles in April 1976 and its significance as a surgical milestone was immediately recognized [10].…”

Section: Introductionmentioning

confidence: 99%

“…As Jatene quotes "to divide, contrapose and then re-anastomose the great arteries is not a surgical problem. The major technical difficulty in this approach has been the transfer of coronary arteries" [10]. Hence, a detailed understanding of the possible variations in the origin and course of coronaries and its surgical management was an essential step towards it.…”

Section: Introductionmentioning

confidence: 99%

Historical Evolution of Surgery for Transposition of Great Arteries (TGA)

Nagre¹

2016

J Cardiovasc Med Cardiol

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Anatomic correction of transposition of the great arteries

Cited by 108 publications

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Transposition of the Great Arteries

Transposition of the Great Arteries

Fate of pulmonary artery after anatomic correction of simple transposition of great arteries in newborn infants.

Historical Evolution of Surgery for Transposition of Great Arteries (TGA)

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