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

Christiane Haeffele; George K Lui

doi:10.1016/j.ccl.2015.07.012

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

Cardiol Clin. 2015 Nov;33(4):543-58, viii. doi: 10.1016/j.ccl.2015.07.012.

Authors

Christiane Haeffele¹, George K Lui²

Affiliations

¹ Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94304, USA. Electronic address: haeffele@stanford.edu.
² Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94304, USA; Division of Pediatric Cardiology, Department of Pediatrics, Stanford University School of Medicine, 725 Welch Road, Palo Alto, Stanford, CA 94304, USA.

PMID: 26471819
DOI: 10.1016/j.ccl.2015.07.012

Abstract

Over the last 50 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. Neither is without consequence and require long term follow up.

Keywords: Arterial switch; Atrial switch; Congenital heart disease; Transposition of great arteries.

Publication types

Review

MeSH terms

Adult
Arterial Switch Operation*
Humans
Transposition of Great Vessels / complications
Transposition of Great Vessels / diagnosis*
Transposition of Great Vessels / surgery*
Treatment Outcome