Image Question-25
Contents
What is the most probable diagnosis?
A. Tetralogy of Fallot
B. Transposition of the great arteries
C. Corrected transposition of the great arteries
D. Total Anomalous Pulmonary Venous Connection
Hallmark of TGA
- ventriculoarterial discordance
- classic “egg on a string” appearance on chest roentgenograms
Found in one third of patients.
Egg-on-a-string sign
What is the management line for TGA?
Continuous infusion of prostaglandin E1 – Emergency
Arterial switch procedure
Continuous infusion of prostaglandin E1 is the mainstay of emergent treatment
Followed by surgical arterial switch procedure
Atrial switch – VS – Arterial switch : Which is better?
Arterial switch is accept as a better treatment option for TGA from anatomical and physiological point of view.
Atrial switch, which was an attempt to correct the physiology of transposition but there was significant shortcomings.
The arterial switch sought to address them.
Arterial switch has emerged as an anatomically as well as physiologically appropriate solution for Surgical management of TGA.
