Infants are of normal birth weight or sometimes large for gestational age.
Association with maternal diabetes
Cyanosis
Tachypnea often without retractions
Poor feeding
General
...
Correction of metabolic acidosis, hypoglycemia, and hypocalcemia improves myocardial function. The neonate may require fluid resuscitation.
Prostaglandin E1 (PGE1) is used for sever...
Without treatment, mortality is 30% within the 1st week of life, 50% within the 1st month, 70% within the first 6 months, and 95% within the 1st year.
In most centers, the mortali...
Bellinger DC, Wypij D, duPlessis AJ, et al. Neurodevelopmental status at eight years in children with dextro-transposition of the great arteries: the Boston Circulatory Arrest Trial...
745.10 Complete transposition of great vessels
745.12 Corrected transposition of great vessels
Q20.3 Discordant ventriculoarterial connection
Q20.5 Discordant atrioventricular connection
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<bold>Fig CA 10-2 Transposition of great vessels.</bold> Typical oval or egg-shaped heart with a small aortic arch due to narrowing of the vascular pedicle resulting from superimposition of the abnormally positioned aorta and pulmonary artery.
<bold>Fig CA 10-2 Transposition of great vessels.</bold> Typical oval or egg-shaped heart with a small aortic arch due to narr...
<bold>Fig CA 5-3 Transposition of the great arteries.</bold> (A) Frontal and (B) lateral views from an angiocardiogram demonstrate contrast material in the right ventricle (RV), which is situated anteriorly and to the right. It communicates through a large ventricular septal defect with the left ventricle (LV), which is located posteriorly and to the left. The transposed aorta (AO) originates from the right ventricular infundibulum directly in front of the pulmonary artery (PA), which arises from...
<bold>Fig CA 5-3 Transposition of the great arteries.</bold> (A) Frontal and (B) lateral views from an angiocardiogram demonst...
A case of complex congenital heart disease. Patient has situs inversus, dextrocardia, is status-post tetralogy of Fallot repair, and presents with symptoms of right-sided heart failure. A: Axial gradient echo images showing dextrocardia and right ventricular dilation. B: Sagittal gradient-echo images showing free pulmonary regurgitation (arrow) at the site of previous infundibular resection.
A case of complex congenital heart disease. Patient has situs inversus, dextrocardia, is status-post tetralogy of Fallot repair, and prese...
<bold>Figure 33-18</bold> Echocardiographic subxiphoid view of a neonate with transposition of the great arteries. (AO aorta; ARCH, aortic arch; LA, left atrium; LV, left ventricle; PA, pulmonary artery; RV, right ventricle; TV, tricuspid valve.)
<bold>Figure 33-18</bold> Echocardiographic subxiphoid view of a neonate with transposition of the great arteries. (AO aorta; ...
<bold>Figure 34-12</bold> Restrictive atrial septum in a newborn with transposition of the great arteries. A. Two-dimensional echocardiogram with color Doppler from the subcostal window demonstrating a tiny patent foramen ovale with left to right flow across the atrial septum. B. Following successful balloon atrial septostomy, a wide communication now exists between the left and right atria. LA, left atrium; PFO, patent foramen ovale; RA, right atrium. (See color plate)
<bold>Figure 34-12</bold> Restrictive atrial septum in a newborn with transposition of the great arteries. A. Two-dimensional ...
A. Transposition of the great vessels. B. Pulmonary valvular atresia with a normal aortic root. The only access route to the lungs is by way of a patent ductus arteriosus.
A. Transposition of the great vessels. B. Pulmonary valvular atresia with a normal aortic root. The only access route to the lungs is by w...