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How I do the atrial switch operation ?. Thaworn Subtaweesin Siriraj hospital . Transposition of the great arteries. History of atrial switch operation. 1950 Blalock-Hanlon operation 1954 Albert operation 1956 Baffes operation 1956 Creech operation 1957 Senning operation
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How I do the atrial switch operation ? Thaworn Subtaweesin Siriraj hospital
History of atrial switch operation • 1950 Blalock-Hanlon operation • 1954 Albert operation • 1956 Baffes operation • 1956 Creech operation • 1957 Senning operation • 1963 Mustard operation • 1965 Edwards’ operation • 1975 revival of Senning operation
Blalock-Hanlon operation
atrial switch operation • Mustard operation • Senning operation & it’s modification
Longterm problems • Systemic venous pathway obstruction • Pulmonic venous pathway obstruction • Baffle leak • Atrial arrhythmia • Ventricular arrhythmia • Rt. Ventricular failure • Tricuspid valve regurgitation
Present indication • Anatomic repair for ccTGA • Isolated atrio-ventricular discordant • Difficult coronary transfer • Late presentation for dTGA