Transposition of the Great Arteries Procedure Flashcards

(10 cards)

1
Q

What is TGA?

A

Transposition of the great arteries

A congenital heart defect where the aorta and pulmonary artery are switched.

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2
Q

What signs may indicate worsening cyanosis in an infant with TGA?

A

Cyanosis and respiratory distress

These signs occur if the ductus arteriosus closes or if the foramen ovale becomes restrictive.

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3
Q

What drug may be used to reduce cyanosis in infants with TGA?

A

Prostaglandin E1

This drug helps reopen the ductus arteriosus.

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4
Q

What is a Balloon Septostomy?

A

A procedure to create a larger opening in the atrial septum

It involves using a catheter with an uninflated balloon to tear the septum.

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5
Q

How is the Balloon Septostomy performed?

A

A catheter is inserted from a leg vein into the heart and through the foramen ovale, where the balloon is inflated and withdrawn

This creates a larger opening for better mixing of blood.

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6
Q

What is the purpose of the Balloon Septostomy?

A

To temporarily stabilize the neonate

It is not a permanent solution.

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7
Q

What surgical procedure is performed about one week after birth for infants with TGA?

A

Arterial Switch Operation

This procedure corrects the defect by re-routing blood flow to mimic a normal heart.

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8
Q

What does the Arterial Switch Operation involve?

A

Connecting the aorta to the left ventricle and the pulmonary artery to the right ventricle

It ensures proper blood flow in the heart.

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9
Q

What happens to the coronary arteries during the Arterial Switch Operation?

A

They are reconnected to the aorta

This allows the heart muscle to receive oxygenated blood.

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10
Q

What additional procedures are done during the Arterial Switch Operation?

A

Closure of the foramen ovale and patent ductus arteriosus (PDA)

These closures are part of the surgical repair.

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