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d-Transposition of the great arteries in a 12-year-old child: is arterial switch still an option?

Published online by Cambridge University Press:  21 July 2011

Jayaranganath Mahima ,
Devananda Nijagal Shivanna  and
Anand Subramanian
Jayaranganath Mahima
Affiliation:
Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India
Devananda Nijagal Shivanna
Affiliation:
Department of Cardiac Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India
Anand Subramanian*
Affiliation:
Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India
*
Correspondence to: Dr. Anand Subramanian, Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bannerghatta Road, Bangalore, India. Tel: +91 9740510350; Fax: +91 80 26534477; E-mail: s_anand80@hotmail.com
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Abstract

Arterial switch surgery for d-transposition of great arteries is usually performed in the first 2 weeks of life before the left ventricle regresses. The arterial switch surgery that helps achieve anatomic and physiologic correction of this condition has better long-term outcomes than other surgical approaches. The procedure may still be attempted at an older age where the left ventricle has not regressed. We report a rare case of a 12-year-old child with d-transposition of great arteries, a remote muscular ventricular septal defect and isolated valvar pulmonic stenosis, which was corrected by an arterial switch surgery.

Keywords

Arterial switchpulmonary valve stenosisolder children
Type
Brief Reports
Information
Cardiology in the Young , Volume 22 , Issue 1 , February 2012 , pp. 113 - 115
Copyright
Copyright © Cambridge University Press 2011

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References

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