Surgical management of transposition in the setting of obstruction within the aortic arch

Tchervenkov, Christo I.

doi:10.1017/s1047951105001125

Cited by 2 publications

(2 citation statements)

References 40 publications

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“…2 An arterial switch operation is the surgical procedure of choice for TGA cases. 14 However, a primary TGA repair can be still performed at 3-8 weeks of age, with similar results to those found for surgical repairs undertaken at an earlier age. 3 In children with TGA and a large VSD, as in the present case, the surgery of choice is also an arterial switch operation.…”

Section: Discussionsupporting

confidence: 60%

Transposition of the Great Arteries and Coarctation of the Aorta in an Infant Presenting with Bronchiolitis: An incidental finding

Al-Mukhaini

Mohamed

2017

SQUMJ

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abstract:The transposition of the great arteries (TGA) is a complex congenital heart disease which usually presents as cyanosis in neonates with limited mixing between the systemic and pulmonary circulatory systems. A delayed diagnosis of TGA can lead to ventricular failure. We report a six-week-old infant who was admitted to the paediatric Intensive Care Unit of the Royal Hospital, Muscat, Oman, in 2016 for bronchiolitis. During admission, she was incidentally diagnosed with TGA and coarctation of the aorta. Postnatal screening, including the use of pulse oximetry, plays a significant role in avoiding a late diagnosis of TGA; however, this screening tool is not widely used in Oman. Moreover, the common practice of applying a pulse oximetry probe only to the foot may have been limited in the current case due to the reverse differential saturation between the upper and lower limbs caused by this particular combination of lesions.

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Section: Discussionsupporting

confidence: 60%

Transposition of the Great Arteries and Coarctation of the Aorta in an Infant Presenting with Bronchiolitis: An incidental finding

Al-Mukhaini

Mohamed

2017

SQUMJ

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“…10 The preference of the group from St Petersburg is the Nikaidoh option, and their excellent results demonstrate the potential of this ingenious surgical procedure. Tchervenkov 11 then reviews the equally difficult combination of transposition with obstruction to the subaortic outflow tract, particularly when associated with severe coarctation or interruption of the aortic arch. In a wide-ranging review of the sequels of the arterial switch procedure, Mussatto and Wernovsky 12 then discuss not only the potential haemodynamic problems that can result from less than perfect surgical procedures, but focus attention on the psychosocial problems that can be the consequence of all operative procedures, at this point concentrating on the arterial switch.…”

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confidence: 99%

Transposition – Introduction

Anderson

2005

Cardiol Young

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In the past, most arguments concerning transposition devolved on how best to define it. When Mathew Baillie described the first case, at the end of the eighteenth century, he had no problems. He simply called it a singular malformation!1 Subsequent to Baillie's description, arguments raged amongst morphologists and pathologists as to whether the entity was best described on the basis of how the aorta was related to the pulmonary trunk, or according to the origin of the arterial trunks from inappropriate ventricles. There is little doubt now that all clinicians diagnose transposition on the basis of discordant origin of the arterial trunks from the ventricular mass, although there is still debate as to whether this discordant origin is best described in terms of connections2 or alignments.3 There remain some, nonetheless, who still describe entities such as “double outlet with transposition”, using this phrase to describe the arrangement in which both arterial trunks arise from the right ventricle, but with the aorta positioned anteriorly. For those adopting the concepts of connections or alignments, this combination is clearly impossible.4 Yet for those who choose to define “transposition” on the basis of the anterior location of the aorta,5 this would remain an entirely logical description. These problems of nomenclature, and many more aspects of the morphology of discordant origin of the arterial trunks from the ventricular mass, are discussed at length in the first review of this part of the supplement,6 co-authored by myself, who believes firmly in the concept of connections, and Paul Weinberg, who is equally convinced that the cardiac segments are best described in terms of alignments rather than connections. Our joint review hopefully shows that differences in nomenclature nowadays are relatively minor, and even where they exist, they do not stand in the way of reaching consensus on how best to describe the segmental combination in which the atrial chambers are joined to morphologically appropriate ventricle, but the ventricles support morphologically inappropriate arterial trunks. It is this particular morphological arrangement that, for the purposes of this section of our supplement, is described as “transposition”.

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Surgical management of transposition in the setting of obstruction within the aortic arch

Cited by 2 publications

References 40 publications

Transposition of the Great Arteries and Coarctation of the Aorta in an Infant Presenting with Bronchiolitis: An incidental finding

Transposition of the Great Arteries and Coarctation of the Aorta in an Infant Presenting with Bronchiolitis: An incidental finding

Transposition – Introduction

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