title: Intensive care management of neonates with d-transposition of the great arteries and common arterial trunk.
abstract: Although mortality rates for patients with d-transposition of the great arteries remain quite low, these patients have a unique circulation that requires careful management in the peri-operative period. Despite the improved mortality for patients with common arterial trunk, the course in the intensive care unit is remarkable for significant morbidity and utilisation of significant resources. Pre-operative patient management focuses on balancing competing circulations, pulmonary and systemic, which exist in parallel rather than in series, as in the normal circulation. Post-operative patient management in both lesions focuses on optimising systemic output, respiratory status, and mitigating the effects of cardiopulmonary bypass. In this article, we review pre- and post-operative intensive care management in neonates with d-transposition of the great arteries and common arterial trunk.
authors: The Heart Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati School of Medicine, Cincinnati, Ohio 45229, USA.
authors: Pirouz
authors: P
authors: Shamszad
authors: Ryan A
authors: RA
authors: Moore
authors: Nancy
authors: N
authors: Ghanayem
authors: David S
authors: DS
authors: Cooper
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D003422:Critical Care / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D014188:Transposition of Great Vessels / Q000401:mortality / Q000601:surgery*; D014339:Truncus Arteriosus, Persistent / Q000401:mortality / Q000601:surgery*