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Arterial switch

C Planche1, F Lacour-Gayet, A Serraf

  • 1Department of Pediatric Cardiac Surgery, Paris Sud University, Marie-Lannelongue Hospital, 133 Avenue de la Résistance, 92350 Le Plessis-Robinson, France.

Pediatric Cardiology
|June 24, 1998
PubMed
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This study explores anatomical variations in discordant ventriculoarterial connections suitable for arterial switch operations. It focuses on specific congenital heart defects like transposition of the great arteries and double-outlet right ventricle.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Surgery
  • Cardiac Anatomy

Background:

  • Discordant ventriculoarterial connections present a spectrum of anatomical variations.
  • Understanding these variations is crucial for surgical planning and patient outcomes.

Purpose of the Study:

  • To delineate anatomical variants of discordant ventriculoarterial connections amenable to arterial switch operation.
  • To identify specific conditions within this spectrum that are suitable for this surgical approach.

Main Methods:

  • Review of anatomical variations in discordant ventriculoarterial connections.
  • Focus on cases selected for arterial switch operation.

Main Results:

  • Identified variants include transposition of the great arteries with intact ventricular septum (TGA IVS), TGA with ventricular septal defect (TGA VSD), double-outlet right ventricle with subpulmonary VSD (DORV VSD), and TGA or DORV with VSD and coarctation.

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  • Exclusion criteria involved double discordance with VSD and TGA with pulmonary stenosis, which are managed with different surgical strategies.

    • Conclusions:

    • The arterial switch operation is a viable repair for specific anatomical variants of discordant ventriculoarterial connections.
    • Accurate anatomic assessment guides the selection of appropriate surgical interventions for complex congenital heart disease.