How i do the atrial switch operation
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How I do the atrial switch operation ?. Thaworn Subtaweesin Siriraj hospital . Transposition of the great arteries. History of atrial switch operation. 1950 Blalock-Hanlon operation 1954 Albert operation 1956 Baffes operation 1956 Creech operation 1957 Senning operation

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How I do the atrial switch operation ?

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How I do the atrial switch operation ?

Thaworn Subtaweesin

Siriraj hospital


Transposition of the great arteries


History of atrial switch operation

  • 1950 Blalock-Hanlon operation

  • 1954 Albert operation

  • 1956 Baffes operation

  • 1956 Creech operation

  • 1957 Senning operation

  • 1963 Mustard operation

  • 1965 Edwards’ operation

  • 1975 revival of Senning operation


Blalock-Hanlon

operation


Edwards operation


Albert operation


Baffes operation


Creech operation


atrial switch operation

  • Mustard operation

  • Senning operation & it’s modification


Mustard operation


Senning operation


Modified Senning operation


Longterm problems

  • Systemic venous pathway obstruction

  • Pulmonic venous pathway obstruction

  • Baffle leak

  • Atrial arrhythmia

  • Ventricular arrhythmia

  • Rt. Ventricular failure

  • Tricuspid valve regurgitation


Present indication

  • Anatomic repair for ccTGA

  • Isolated atrio-ventricular discordant

  • Difficult coronary transfer

  • Late presentation for dTGA


ccTGA


Double switch


Atrial switch + Rastelli


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