Anatomic correction of transposition of the great vessels

Long-term Outcome and Quality of Life after Arterial Switch Operation: A Prospective Study with a Historical Comparison

“…2 Nowadays, the arterial switch operation (ASO) has become the established surgical correction. 3 Operative survival after arterial switch in the current era is good, with an operative mortality rate of 5% to 6%. 4,5 Mid-and long-term followup studies are also encouraging; however, the oldest survivors of ASO at most centers are young adults.…”

Is Preoperative Delineation of Coronary Artery Pattern a Prerequisite for Arterial Switch Operation?

“…The arterial switch operation has become the procedure of choice for correction of transposition of the great arteries. 4,15 Compared to atrial-level Mustard and Senning repairs, correction at the arterial level restores the left ventricle as the systemic pumping chamber and is associated with improved outcomes. 16 Because of variations in coronary anatomy associated with d-TGA and the transfer of the coronary arteries during ASO, much attention has been paid to the relationship between the coronary anatomy pattern and outcome.…”

A Systematic Approach to Prenatal Diagnosis of Transposition of the Great Arteries Using 4-Dimensional Ultrasonography With Spatiotemporal Image Correlation

“…Prenatal diagnosis of TGA was associated with (1) a reduced requirement for mechanical ventilation (18% [12 of 68] versus 38% [96 of 250]; The definitive treatment for TGA is the "arterial switch" operation. 23,24 Surgical mortality of the arterial switch operation can be as low as 2% and is less than 5% in most hospitals. Preoperative mortality is, therefore, an important issue in the treatment and outcome of fetuses with TGA.…”