Surgery for transposition of great arteries: A historical perspective
- Resource Type
- article
- Authors
- Supreet P Marathe; Sachin Talwar
- Source
- Annals of Pediatric Cardiology, Vol 8, Iss 2, Pp 122-128 (2015)
- Subject
- Arterial switch
atrial switch
congenital heart disease
history of open-heart surgery
transposition of great arteries
Medicine
Pediatrics
RJ1-570
Diseases of the circulatory (Cardiovascular) system
RC666-701
- Language
- English
- ISSN
- 0974-2069
The history of surgery for transposition of great arteries (TGA) has paralleled the history of cardiac surgery. In fact, it began before the birth of open heart surgery when the palliative Blalock-Hanlon septectomy was first performed in 1948. The atrial switch, which was an attempt to correct the physiology of transposition, had significant shortcomings. The arterial switch sought to address them. This has emerged as an anatomically as well as physiologically appropriate solution. Today we continue to pursue technical refinements as well as try to expand the indications of the arterial switch. This review traces the various milestones in this perpetual journey.