Dextro-Transposition of the Great Arteries Long-term Sequelae of Atrial and Arterial Switch

被引:27
作者
Haeffele, Christiane [1 ]
Lui, George K. [1 ,2 ]
机构
[1] Stanford Univ, Sch Med, Dept Med, Div Cardiovasc Med, Stanford, CA 94304 USA
[2] Stanford Univ, Sch Med, Dept Pediat, Div Pediat Cardiol, Stanford, CA 94304 USA
关键词
Transposition of great arteries; Arterial switch; Atrial switch; Congenital heart disease; SYSTEMIC RIGHT VENTRICLE; CONGENITAL HEART-DISEASE; SUDDEN CARDIAC DEATH; MUSTARD PROCEDURE; MYOCARDIAL-PERFUSION; YOUNG-ADULT; OPERATION; REPAIR; SURGERY; MANAGEMENT;
D O I
10.1016/j.ccl.2015.07.012
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Over the last 60 years, improved surgical techniques and progressive medical management have allowed patients with complete or dextro-transposition of the great arteries (D-TGA) to survive into adulthood. Older adult patients underwent an atrial switch procedure (Mustard or Senning operation), whereas the younger cohort of patients with TGA has undergone the arterial switch operation (ASO). The Mustard/Senning maintains the right ventricle as the systemic ventricle, whereas the more recently adopted ASO attempts to restore normal physiologic and anatomic relationships. Neither operation is without consequence and both require long term follow up.
引用
收藏
页码:543 / +
页数:17
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