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[Transposition of Great Artery].
Kyobu Geka 2015; 68(8):624-8KG

Abstract

Transposition of the great artery is one of common congenital cardiac disease resulting cyanosis. Death occurs easily in untreated patients with transposition and intact ventricular septal defect (VSD) in infancy at a few days of age when posterior descending coronary artery (PDA) closed. Since there are 2 parallel circulations, flow from pulmonary to systemic circulation is necessary for systemic oxygenation, and Balloon atrial septostomy or prostaglandin infusion should be performed especially if patient do not have VSD. Although the advent of fetal echocardiography, it is difficult to diagnose the transposition of the great arteries (TGA) as abnormality of great vessels is relatively undistinguishable. The diagnosis of transposition is in itself an indication for surgery, and arterial switch procedure is performed in the case the left ventricle pressure remains more than 2/3 of systemic pressure. Preoperative diagnosis is important as associated anomalies and coronary artery branching patterns are important to decide the operative indication and timing of surgery.

Authors+Show Affiliations

Division of Cardiovascular Surgery, Mie University, Tsu, Japan.No affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

26197905

Citation

Konuma, Takeshi, and Hideto Shimpo. "[Transposition of Great Artery]." Kyobu Geka. the Japanese Journal of Thoracic Surgery, vol. 68, no. 8, 2015, pp. 624-8.
Konuma T, Shimpo H. [Transposition of Great Artery]. Kyobu Geka. 2015;68(8):624-8.
Konuma, T., & Shimpo, H. (2015). [Transposition of Great Artery]. Kyobu Geka. the Japanese Journal of Thoracic Surgery, 68(8), pp. 624-8.
Konuma T, Shimpo H. [Transposition of Great Artery]. Kyobu Geka. 2015;68(8):624-8. PubMed PMID: 26197905.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Transposition of Great Artery]. AU - Konuma,Takeshi, AU - Shimpo,Hideto, PY - 2015/7/23/entrez PY - 2015/7/23/pubmed PY - 2016/1/5/medline SP - 624 EP - 8 JF - Kyobu geka. The Japanese journal of thoracic surgery JO - Kyobu Geka VL - 68 IS - 8 N2 - Transposition of the great artery is one of common congenital cardiac disease resulting cyanosis. Death occurs easily in untreated patients with transposition and intact ventricular septal defect (VSD) in infancy at a few days of age when posterior descending coronary artery (PDA) closed. Since there are 2 parallel circulations, flow from pulmonary to systemic circulation is necessary for systemic oxygenation, and Balloon atrial septostomy or prostaglandin infusion should be performed especially if patient do not have VSD. Although the advent of fetal echocardiography, it is difficult to diagnose the transposition of the great arteries (TGA) as abnormality of great vessels is relatively undistinguishable. The diagnosis of transposition is in itself an indication for surgery, and arterial switch procedure is performed in the case the left ventricle pressure remains more than 2/3 of systemic pressure. Preoperative diagnosis is important as associated anomalies and coronary artery branching patterns are important to decide the operative indication and timing of surgery. SN - 0021-5252 UR - https://www.unboundmedicine.com/medline/citation/26197905/[Transposition_of_Great_Artery]_ L2 - http://www.pieronline.jp/openurl?issn=0021-5252&volume=68&issue=8&spage=624 DB - PRIME DP - Unbound Medicine ER -