Patients with D-TGA with atrial level mixing of
systemic and pulmonary blood, the morphological left ventricle supports the low
pressure pulmonary circulation and regresses in mass and volume as time passes.
The LV once regressed is unable to support the high pressure systemic
circulation after ASO. These patients are candidates for early ASO, preferably
within 3 weeks of life. As age progresses, the scope of these surgical
procedures skews and an atrial switch remains the only option to improve
quality of life. In Atrial switch, the pulmonary and systemic circulation is returned
into an “in series” circulation and cyanosis is obliterated.
References
[1]
Hoffman, J.I. (2013) The Global Burden of Congenital Heart Disease. Cardiovascular Journal of Africa, 24, 141-145. https://doi.org/10.5830/CVJA-2013-028
[2]
Liebman, J., Cullum, L. and Belloc, N.B. (1969) Natural History of Transposition of the Great Arteries: Anatomy and Birth and Death Characteristics. Circulation, 40, 237-262. https://doi.org/10.1161/01.CIR.40.2.237
[3]
O’Brien, S.M., Clarke, D.R., Jacobs, J.P., Jacobs, M.L., Lacour-Gayet, F.G., Pizarro, C., et al. (2009) An Empirically Based Tool for Analyzing Mortality Associated with Congenital Heart Surgery. The Journal of Thoracic and Cardiovascular Surgery, 138, 1139-1153. https://doi.org/10.1016/j.jtcvs.2009.03.071
[4]
Sarris, G.E., Chatzis, A.C., Giannopoulos, N.M., Kirvassilis, G., Berggren, H., Hazekamp, M., et al. (2006) The Arterial Switch Operation in Europe for Transposition of the Great Arteries: A Multi-Institutional Study from the European Congenital Heart Surgeons Association. The Journal of Thoracic and Cardiovascular Surgery, 132, 633-639. https://doi.org/10.1016/j.jtcvs.2006.01.065
[5]
Frescura, C. and Thiene, G. (2016) The Spectrum of Congenital Heart Disease with Transposition of the Great Arteries from the Cardiac Registry of the University of Padua. Frontiers in Pediatrics, 4, 84. https://pubmed.ncbi.nlm.nih.gov/27713877
https://doi.org/10.3389/fped.2016.00084
[6]
Yamaki, S. and Tezuka, F. (1976) Quantitative Analysis of Pulmonary Vascular Disease in Complete Transposition of the Great Arteries. Circulation, 54, 805-809.
https://doi.org/10.1161/01.CIR.54.5.805
[7]
Newfeld, E.A., Paul, M.H., Muster, A.J. and Idriss, F.S. (1974) Pulmonary Vascular Disease in Complete Transposition of the Great Arteries: A Study of 200 Patients. American Journal of Cardiology, 34, 75-82.
https://doi.org/10.1016/0002-9149(74)90096-4
[8]
Clarkson, P.M., Neutze, J.M., Wardill, J.C. and Barratt-Boyes, B.G. (1976) The Pulmonary Vascular Bed in Patients with Complete Transposition of the Great Arteries. Circulation, 53, 539-543. https://doi.org/10.1161/01.CIR.53.3.539
[9]
Sharma, R., Choudhary, S.K., Bhan, A., Juneja, R., Kothari, S.S., Saxena, A., et al. (2002) Left Ventricle Is Better Suited as Pulmonary Ventricle in Simple Transposition with Severe Pulmonary Hypertension. The Annals of Thoracic Surgery, 74, 1612-1615. https://doi.org/10.1016/S0003-4975(02)03880-8
[10]
Burkhart, H.M., Dearani, J.A., Williams, W.G., Puga, F.J., Mair, D.D., Ashburn, D.A., et al. (2004) Late Results of Palliative Atrial Switch for Transposition, Ventricular Septal Defect, and Pulmonary Vascular Obstructive Disease. The Annals of Thoracic Surgery, 77, 464-469. https://doi.org/10.1016/S0003-4975(03)01349-3
[11]
Senning, Å. (1959) Surgical Correction of Transposition of the Great Vessels. Surgery, 45, 966-980.
[12]
Jatene, A.D., Fontes, V.F., Paulista, P.P., Souza, L.C.B., Neger, F., Galantier, M., et al. (1976) Anatomic Correction of Transposition of the Great Vessels. The Journal of Thoracic and Cardiovascular Surgery, 72, 364-370.
https://doi.org/10.1016/S0022-5223(19)40063-9
[13]
Junge, C., Westhoff-Bleck, M., Schoof, S., Danne, F., Buchhorn, R., Seabrook, J.A., et al. (2013) Comparison of Late Results of Arterial Switch versus Atrial Switch (Mustard Procedure) Operation for Transposition of the Great Arteries. American Journal of Cardiology, 111, 1505-1509.
https://doi.org/10.1016/j.amjcard.2013.01.307
[14]
Losay, J., Touchot, A., Serraf, A., Litvinova, A., Lambert, V., Piot, J.D., et al. (2001) Late Outcome after Arterial Switch Operation for Transposition of the Great Arteries. Circulation, 104, I-121-I-126. https://doi.org/10.1161/hc37t1.094716
[15]
Iyer, P.U., Moreno, G.E., Caneo, L.F., Faiz, T., Shekerdemian, L.S. and Iyer, K.S. (2017) Management of Late Presentation Congenital Heart Disease. Cardiology in the Young, 27, S31-S39. https://doi.org/10.1017/S1047951117002591
[16]
Penha, J.G., Zorzanelli, L., Barbosa-Lopes, A.A., Atik, E., Miana, L.A., Tanamati, C., et al. (2015) Palliative Senning in the Treatment of Congenital Heart Disease with Severe Pulmonary Hypertension. Arquivos Brasileiros de Cardiologia, 105, 353-361.
https://doi.org/10.5935/abc.20150097
[17]
Lindesmith, G.G., Stanton, R.E., Lurie, P.R., Takahashi, M., Tucker, B.L., Stiles, Q.R., et al. (1975) An Assessment of Mustard’s Operation as a Palliative Procedure for Transposition of the Great Vessels. The Annals of Thoracic Surgery, 19, 514-520.
https://doi.org/10.1016/S0003-4975(10)64425-6
