Transposition of Great Arteries

Let me tell you something about motherhood. It is role that can make you completely whole while also breaking you into a million pieces - Christina Schuetz

Transposition of Great Arteries
Transposition of Great Arteries

image by: Amy Dryer, Fragments of Soul

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 Her broken heart strengthens mine: A family’s journey with Congenital Heart Disease

I remember the exact moment I knew something was terribly wrong with my baby. It was one of those moments that hangs suspended in the air, waiting for you to catch up to it, ready to bring your world crashing the moment you meet. All it took was one question from the doctor, “Is your daughter at home healthy?”

CHD, TGA, OMG!

One family's experience with Transposition of the Great Arteries.

Boston Children's Hospital

Within a baby's first one to two weeks, transposition of the great arteries is surgically repaired through a procedure called an “arterial switch,” which roughly describes the surgical process. A heart-lung machine does the work of the heart, while the aorta and pulmonary arteries are disconnected, “switched” and reconnected to their proper ventricles.

Children’s Hospital of Philadelphia

All children with transposition of the great arteries will require open heart surgery to treat the defect. Without surgical repair, the overwhelming majority of patients with TGA will not survive their first year. The surgery, known as the arterial switch operation, is typically performed within a few days of birth. Surgeons reconstruct the heart so that the aorta is attached to the left ventricle and the pulmonary artery is attached to the right ventricle.

Cincinnati Children's

In most cases of transposition, an arterial switch operation is performed. The arterial switch operation involves cutting off the aorta and pulmonary arteries just above the point where they leave the heart, and reconnecting them to the proper ventricle. The valve stays attached to the ventricle, so what was once the pulmonary valve is now the aortic valve and vice versa.

The Patient Guide to Heart, Lung, and Esophageal Surgery

Most children who undergo the arterial switch operation do not need any additional surgery, but sometimes patients who had an operation to repair TGA in infancy need additional surgery as they age.

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