Hostname: page-component-8448b6f56d-gtxcr Total loading time: 0 Render date: 2024-04-16T15:28:45.518Z Has data issue: false hasContentIssue false

Challenges facing the child, adolescent, and young adult after the arterial switch operation

Published online by Cambridge University Press:  08 September 2005

Kathleen Mussatto
Affiliation:
The Herma Heart Center at The Children's Hospital of Wisconsin and The Cardiac Center at The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America
Gil Wernovsky
Affiliation:
The Herma Heart Center at The Children's Hospital of Wisconsin and The Cardiac Center at The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America

Extract

The arterial switch operation is now recognized as the procedure of choice for treatment of infants and children born with the combination of concordant atrioventricular and discordant ventriculo-arterial connections, usually known simply as transposition. Although the Mustard and Senning atrial switch procedures achieved widespread acceptance and success, the accumulating observations at mid- to late follow-up of, first, the increasing frequency of arrhythmias and sudden death, second, late right ventricular dysfunction and severe tricuspid regurgitation and, third, high operative mortality in such patients with ventricular septal defects, have led to the worldwide use of the arterial switch operation for both simple and complex forms of transposition.1

Type
PART 3: TRANSPOSITION
Copyright
© 2005 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)