Open AccessSurgery for transposition of great arteries: A historical perspective
Author(s) -
Supreet P Marathe,
Sachin Talwar
Publication year - 2015
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/0974-2069.157025
Subject(s) - great arteries , medicine , transposition (logic) , cardiac surgery , surgery , vascular surgery , perspective (graphical) , general surgery , heart disease , cardiology , visual arts , art , linguistics , philosophy
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.