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How I do the atrial switch operation ? PowerPoint Presentation
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How I do the atrial switch operation ?

How I do the atrial switch operation ?

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How I do the atrial switch operation ?

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  1. How I do the atrial switch operation ? Thaworn Subtaweesin Siriraj hospital

  2. Transposition of the great arteries

  3. 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

  4. Blalock-Hanlon operation

  5. Edwards operation

  6. Albert operation

  7. Baffes operation

  8. Creech operation

  9. atrial switch operation • Mustard operation • Senning operation & it’s modification

  10. Mustard operation

  11. Senning operation

  12. Modified Senning operation

  13. Longterm problems • Systemic venous pathway obstruction • Pulmonic venous pathway obstruction • Baffle leak • Atrial arrhythmia • Ventricular arrhythmia • Rt. Ventricular failure • Tricuspid valve regurgitation

  14. Present indication • Anatomic repair for ccTGA • Isolated atrio-ventricular discordant • Difficult coronary transfer • Late presentation for dTGA

  15. ccTGA

  16. Double switch

  17. Atrial switch + Rastelli