Physiologic repair of congenitally corrected transposition of the great arteries

Sameh M. Said, Joseph A. Dearani

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Surgery for congenitally corrected transposition of the great arteries (ccTGA) has evolved overtime. Anatomical repair of ccTGA is now performed with quite satisfactory outcomes in children. The double switch operation has become the preferred surgical procedure in selected cases. Nevertheless, a number of patients with ccTGA still require physiological repair due to complex cardiac associations or impaired systemic ventricular function. This chapter outlines the mechanisms of right ventricular failure in ccTGA. Several "old techniques of repair" were abandoned. The introduction of PA banding has reduced the occurrence of tricuspid regurgitation and has allowed, in some cases, anatomical repair after proper LV retraining. The indications for TV repair and replacement, the place of the Fontan operation or heart transplantation are discussed. The decision to proceed with physiologic versus anatomic repair and the timing of operation is individualized.

Original languageEnglish (US)
Title of host publicationSurgery of Conotruncal Anomalies
PublisherSpringer International Publishing
Pages495-515
Number of pages21
ISBN (Electronic)9783319230573
ISBN (Print)9783319230566
DOIs
StatePublished - Jan 1 2016

Keywords

  • Anatomical repair
  • Cardiac surgery
  • ccTGA
  • Complex CHD
  • Double switch
  • LV retraining
  • PA banding
  • Physiologic repair

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Said, S. M., & Dearani, J. A. (2016). Physiologic repair of congenitally corrected transposition of the great arteries. In Surgery of Conotruncal Anomalies (pp. 495-515). Springer International Publishing. https://doi.org/10.1007/978-3-319-23057-3_29