Transposition with intact septum diagnosed at nine months: arterial switch?
A 9-month-old infant presented with transposition of the great arteries and intact ventricular septum. His left ventricle was thin and deconditioned. He underwent an arterial switch operation and was electively supported with a left ventricular assist device for 8 days. He subsequently made a full recovery. Elective use of left ventricular support allows an extension of the age limit for the arterial switch operation.
Department of Cardiac Surgery, Royal Children’s Hospital, The Murdoch Children’s Research Institute and the Department of Pediatrics, The University of Melbourne, Melbourne, Victoria, Australia.yves.dudekem@rch.org.au
Yves
Y
d'Udekem
Michael
M
Cheung
Warwick
W
Butt
Frank
F
Shann
Christian P
CP
Brizard
D006348:Cardiac Surgical Procedures; D006353:Heart-Assist Devices; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D018579:Patient Selection; D013318:Stroke Volume; D013997:Time Factors; D014188:Transposition of Great Vessels / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D016277:Ventricular Function, Left; D054088:Ventricular Septum / Q000473:pathology*