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Delayed Arterial Switch in D-transposition of the Great Arteries – Salvage Solution or Compromise? (Abstract)

Horatiu Suciu¹, Anca Sglimbea², Radu Deac¹
¹ 2nd Department of Cardiovascular Surgery for Adults and Children
² 3rd Department of Cardiology-Children
Emergency Institute for Cardiovascular Diseases and Transplantation Tg. Mures, Romania



Arterial switch operation for d-transposition of the great arteries performed at 2-3 weeks of life is the surgical gold standard. As some patients fall out of this timing, an alternative method of late arterial switching after conditioning the left ventricle is still giving the patient the chance for an anatomical correction. We are presenting the case of a 3 month old infant with d-transposition of the great arteries. Operations preparing for and late arterial switch were performed in this patient. Technique and outcome of the two steps are presented and indications and peculiarities of the two step switch are discussed.

Key words: arterial switch, d-transposition of great arteries


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