title: Modified blalock-taussig shunt and levosimendan for left ventricular preparation in a child with transposition of great arteries and regressed ventricle undergoing rapid 2 stage arterial switch operation.
abstract: Rapid two-stage arterial switch operation (ASO) is very relevant as many patients of transposition of great arteries (TGA) present late to the hospital when primary switch either is not possible or carries a high risk of morbidity and mortality. Hence, other means apart from the traditional methods of left ventricle preparedness should be tried to help this category of patients, who are to undergo rapid two-stage ASO. We successfully used levosimendan and continuous positive airway pressure after 1st stage operation in a patient with dTGA and regressed ventricle, which helped in left ventricular preparedness, and the child underwent rapid two-stage ASO uneventfully.
authors.affiliation: Department of CTVS, Intensive Care for CTVS, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Manoj Kumar
authors.initials: MK
authors.lastname: Sahu
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Anish
authors.initials: A
authors.lastname: Gupta
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Intekhab
authors.initials: I
authors.lastname: Alam
authors.affiliation: Department of CTVS, Intensive Care for CTVS, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sarvesh Pal
authors.initials: SP
authors.lastname: Singh
authors.affiliation: Department of CTVS, Intensive Care for CTVS, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Ramesh
authors.initials: R
authors.lastname: Menon
authors.affiliation: Department of CTVS, Intensive Care for CTVS, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: V
authors.initials: V
authors.lastname: Devagouru
mesh_terms: D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D000069278:Arterial Switch Operation / Q000379:methods*; D058366:Blalock-Taussig Procedure / Q000379:methods*; D017548:Echocardiography, Transesophageal; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D006835:Hydrazones / Q000627:therapeutic use*; D007223:Infant; D011175:Positive-Pressure Respiration; D011724:Pyridazines / Q000627:therapeutic use*; D000077464:Simendan; D014188:Transposition of Great Vessels / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000503:physiopathology*
chemical_list: D000889:Anti-Arrhythmia Agents; D006835:Hydrazones; D011724:Pyridazines; D000077464:Simendan