Advertisement

Double-Switch Procedure

  • Wojciech Mazur
  • Marilyn J. Siegel
  • Tomasz Miszalski-Jamka
  • Robert Pelberg
Chapter

Abstract

Until the mid-1990s, the standard surgical approach to repair congenitally corrected transposition of the great arteries was repair of the associated lesions (ventricular septal defect and pulmonary stenosis or atresia), allowing the right ventricle to remain as the systemic pump. Since this approach has a high prevalence of complications, surgical correction is now advocated in early childhood (several months to a few years of age). Correction is achieved with the double-switch procedure which uses a combination of the atrial switch and arterial switch surgeries previously described in Chaps. 23 and 24 [1–3]. Either a Mustard or Senning procedure is performed followed by either a Jatene switch or Rastelli-type procedure. The result of this operation is anatomically correct anatomy and removal of the systemic pressure load from the right ventricle. See Figs. 28.1 and 28.2.

References

  1. 1.
    Reddy VM, McElhinney DB, Silverman NH, Hanley FL. The double switch procedure for anatomical repair of congenitally corrected transposition of the great arteries in infants and children. Eur Heart J. 1997;18:1470–7.PubMedCrossRefGoogle Scholar
  2. 2.
    Imai Y. Double-switch operation for congenitally corrected transposition. Adv Card Surg. 1997;9:65–86.PubMedGoogle Scholar
  3. 3.
    Duncan BW, Mee RB, Mesia CI, Qureshi A, Rosenthal GL, Seshadri SG, et al. Results of the double switch operation for congenitally corrected transposition of the great arteries. Eur J Cardiothorac Surg. 2003;24:11–9; discussion 19–20.PubMedCrossRefGoogle Scholar
  4. 4.
    Pecoraro A, Sreeram N, Dodge-Khatami A, Hitchcock F, Bennink G. The double-switch procedure for atrioventricular and ventriculoarterial discordance. Neth Heart J. 2003;11:210–2.Google Scholar
  5. 5.
    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.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Wojciech Mazur
    • 1
  • Marilyn J. Siegel
    • 2
  • Tomasz Miszalski-Jamka
    • 3
    • 4
  • Robert Pelberg
    • 1
  1. 1.The Christ Hospital Heart and Vascular Center of Greater CincinnatiThe Lindner Center for Research and EducationCincinnatiUSA
  2. 2.Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisUSA
  3. 3.Department of Clinical Radiology and Imaging Diagnostics4th Military HospitalWrocławPoland
  4. 4.Center for Diagnosis Prevention and TelemedicineJohn Paul II HospitalKrakówPoland

Personalised recommendations