Evolution of the surgical approach to congenitally corrected transposition of the great arteries.
The traditional surgical approach (physiologic repair) of congenitally corrected transposition of the great arteries (ccTGA) attempts at restoring normal physiology by repairing the associated lesions. It fails to address the most serious anatomic abnormality, mainly ventriculoarterial discordance, and results in less than optimal long-term outcomes. Anatomic repair was introduced to incorporate the left ventricle into the systemic circulation. The excellent short-term and intermediate results of the double switch operation and its modifications make it the procedure of choice for the treatment of ccTGA.
Division of Pediatric Cardiovascular Surgery, Advocate Children's Hospital, and the Department of Surgery, University of Illinois, Chicago, IL.
Chawki
C
El-Zein
Division of Pediatric Cardiovascular Surgery, Advocate Children's Hospital, and the Department of Surgery, University of Illinois, Chicago, IL.
Sujata
S
Subramanian
Division of Pediatric Cardiovascular Surgery, Advocate Children's Hospital, and the Department of Surgery, University of Illinois, Chicago, IL. Electronic address: Michel.Ilbawi@advocatehealth.com.
Michel
M
Ilbawi
D000069278:Arterial Switch Operation / Q000379:methods*; D000080041:Congenitally Corrected Transposition of the Great Arteries; D006801:Humans; D014188:Transposition of Great Vessels / Q000601:surgery*