Severe Pulmonary Vascular Obstructive Disease After Neonatal Arterial Switch Operation for Simple Transposition of the Great Arteries.
Neonatal arterial switch operation for simple dextro-transposition of the great arteries (d-TGA) has almost eliminated the occurrence of pulmonary vascular obstructive disease compared to patients who underwent Mustard or Senning procedure at an older age. We report a case of a neonate with d-TGA and intact ventricular septum who underwent arterial switch operation and yet developed severe pulmonary vascular obstructive disease within two months.
1 Department of Pediatrics, Divisions of Pediatric Critical Care, University of Tennessee Health Sciences Center and Le Bonheur Children's Hospital, Memphis, TN, USA.
Dai
D
Kimura
2 Pediatric Cardiology, University of Tennessee Health Sciences Center and Le Bonheur Children's Hospital, Memphis, TN, USA.
Mario
M
Briceno-Medina
3 Cardiovascular Surgery, University of Tennessee Health Sciences Center and Le Bonheur Children's Hospital, Memphis, TN, USA.
T K Susheel
TK
Kumar
3 Cardiovascular Surgery, University of Tennessee Health Sciences Center and Le Bonheur Children's Hospital, Memphis, TN, USA.
Christopher J
CJ
Knott-Craig
D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology*; D000069278:Arterial Switch Operation / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011651:Pulmonary Artery; D012720:Severity of Illness Index; D014188:Transposition of Great Vessels / Q000601:surgery*
arterial switch; d-transposition of the great arteries; late complication; neonate; pulmonary hypertension; pulmonary vascular obstructive disease