Atrial switch

Atrial switch
Medical illustration of the Arterial Switch Operation
SpecialtyCardiology

Atrial switch is a heart operation performed to treat dextro-Transposition of the great arteries.[1][2] It involves the construction of an atrial baffle which redirects the blood coming into the atria to restore the connection between systemic and pulmonary circulation.[3]

Two variants of the atrial switch operation developed – the Senning procedure (1950s) which uses the patient's own tissue (pericardium) to construct the baffle, and the Mustard procedure (1960s), which uses a synthetic material.[4] It has largely been replaced by the arterial switch operation.[4] The operation is more commonly performed in developing countries, where the condition frequently presents late.[5]

References

  1. ^ Frandson, Eric; Files, Matthew D. (2020). "99. Transposition of the great arteries". In Raja, Shahzad G. (ed.). Cardiac Surgery: A Complete Guide. Switzerland: Springer. pp. 735–748. ISBN 978-3-030-24176-6.
  2. ^ Breinholt, JP; John, S (April 2019). "Management of the Adult with Arterial Switch". Methodist DeBakey Cardiovascular Journal. 15 (2): 133–137. doi:10.14797/mdcj-15-2-133. PMC 6668747. PMID 31384376.
  3. ^ "d-Transposition of the Great Arteries". www.heart.org. Archived from the original on 22 January 2022. Retrieved 25 October 2022.
  4. ^ a b Prokšelj, Katja; Brida, Margarita (18 July 2022). "Atrial switch operation for transposition of the great arteries: tricuspid regurgitation matters". Heart. doi:10.1136/heartjnl-2022-321398. ISSN 1355-6037. PMID 35851320. S2CID 250642197.
  5. ^ Talwar, Sachin (July 2016). "Atrial switch procedure in children more than 5 years of age: mid-term results". Interactive CardioVascular and Thoracic Surgery. 23 (5): 694–698. doi:10.1093/icvts/ivw189. PMID 27430553 – via Oxford Academic.
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