Abstract
Arterial switch (Jatene) procedure, which was developed in the late 1970s, is currently the method of choice for treatment of transposition of the great arteries (TGA). It reestablishes the left ventricle as a systemic pump, avoiding systemic ventricular failure associated with the atrial switch operation. This procedure is indicated for patients with TGA with an intact ventricular septum or with a small ventricular septal defect (VSD). Patients with large nonrestrictive VSDs, left ventricular outflow obstruction, or increased pulmonary vascular resistance may not be candidates for the arterial switch procedure.
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References
Tobler D, Williams WG, Jegatheeswaran A, Van Arsdell GS, McCrindle BW, Greutmann M, et al. Cardiac outcomes in young adult survivors of the arterial switch operation for transposition of the great arteries. J Am Coll Cardiol. 2010;56:58–64. doi:10.1016/j.jacc.2010.03.031.
Bonnet D, Bonhoeffer P, Piechaud JF, Aggoun Y, Sidi D, Planche C, et al. Long-term fate of the coronary arteries after the arterial switch operation in newborns with transposition of the great arteries. Heart. 1996;76:274–9.
Legendre A, Losay J, Touchot-Kone A, Serraf A, Belli E, Piot JD, et al. Coronary events after arterial switch operation for transposition of the great arteries. Circulation. 2003;108 Suppl 1:II186–90. doi:10.1161/01.cir.0000087902.67220.2b.
Hausdorf G, Kampmann C, Schneider M. Coronary angioplasty for coronary stenosis after the arterial switch procedure. Am J Cardiol. 1995;76:621–3.
Prifti E, Bonacchi M, Luisi SV, Vanini V. Coronary revascularization after arterial switch operation. Eur J Cardiothorac Surg. 2002;21:111–3.
Pasquali SK, Hasselblad V, Li JS, Kong DF, Sanders SP. Coronary artery pattern and outcome of arterial switch operation for transposition of the great arteries: a meta-analysis. Circulation. 2002;106:2575–80.
Hutter PA, Kreb DL, Mantel SF, Hitchcock JF, Meijboom EJ, Bennink GB. Twenty-five years’ experience with the arterial switch operation. J Thorac Cardiovasc Surg. 2002;124:790–7.
Gaca AM, Jaggers JJ, Dudley LT, Bisset 3rd GS. Repair of congenital heart disease: a primer-part 1. Radiology. 2008;247:617–31. doi:10.1148/radiol.2473061909.
Hughes Jr D, Siegel MJ. Computed tomography of adult congenital heart disease. Radiol Clin North Am. 2010;48:817–35. doi:10.1016/j.rcl.2010.04.005.
Rodriguez E, Soler R, Fernandez R, Raposo I. Postoperative imaging in cyanotic congenital heart diseases: part 1, normal findings. AJR Am J Roentgenol. 2007;189:1353–60. doi:10.2214/07.2104.
Siegel MJ, Bhalla S, Gutierrez FR, Billadello JB. MDCT of postoperative anatomy and complications in adults with cyanotic heart disease. AJR Am J Roentgenol. 2005;184:241–7.
Siegel MJ. CT evaluation of congenital heart disease in adults. Appl Radiol. 2005;34:61–8.
Soler R, Rodriguez E, Alvarez M, Raposo I. Postoperative imaging in cyanotic congenital heart diseases: part 2, complications. AJR Am J Roentgenol. 2007;189:1361–9. doi:10.2214/AJR.07.2105.
Spevak PJ, Johnson PT, Fishman EK. Surgically corrected congenital heart disease: utility of 64-MDCT. AJR Am J Roentgenol. 2008;191:854–61. doi:10.2214/AJR.07.2889.
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Mazur, W., Siegel, M.J., Miszalski-Jamka, T., Pelberg, R. (2013). Arterial Switch Operation for Transposition of the Great Arteries. In: CT Atlas of Adult Congenital Heart Disease. Springer, London. https://doi.org/10.1007/978-1-4471-5088-6_24
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DOI: https://doi.org/10.1007/978-1-4471-5088-6_24
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