Arterial switch operation

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Which of the following is the Arterial switch operation?

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A. Senning procedure

B. Mustard procedure

C. Jatene procedure

D. Fontan procedure

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Jatene procedure is ideally performed in –

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A. First week of life

B. Second week of life

C. Third week of life

D. Fourth week of life

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Arterial switch operation

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Aorta and pulmonary artery are detached from their native roots and reattached to the opposite root

1. Pulmonary root becomes the neo-aorta,
2. Aortic root becomes the neo-pulmonary artery.
3. Coronary arteries are transplanted from the aorta/neo-pulmonary artery to the pulmonary artery/neo-aorta.

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Delayed diagnosis of D-TGA – What should be the procedure for Arterial switch operation?

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Event of sepsis or delayed diagnosis following procedure should be done to prepare the LV for atrerial switch procedure later in infancy.

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1. Combination of pulmonary artery banding
2. Shunt construction

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This procedure will increase the left ventricular mass sufficiently to make an arterial switch possible later in infancy

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