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Arterial switch operation (ASO) or arterial switch, is an open heart surgical procedure used to correct dextro-transposition of the great arteries (d-TGA). [1] [2]Its development was pioneered by Canadian cardiac surgeon William Mustard and it was named for Brazilian cardiac surgeon Adib Jatene, who was the first to use it successfully.
This is the most common surgery done to correct dextro-TGA, and is considered the definitive treatment. The atrial switch operation is an alternative surgical option when the arterial switch is not feasible due to the particular coronary artery anatomy. This operation creates a tunnel (baffle) between the heart's two upper chambers (atria). [2]
In approximately 33% of individuals, the left coronary artery gives rise to the posterior descending artery [4] which perfuses the posterior and inferior walls of the left ventricle. Sometimes a third branch is formed at the fork between left anterior descending and left circumflex arteries, known as a ramus or intermediate artery. [5]
The Senning procedure is an atrial switch heart operation performed to treat transposition of the great arteries. It is named after its inventor, the Swedish cardiac surgeon Åke Senning (1915–2000), also known for implanting the first permanent cardiac pacemaker in 1958.
If both pulmonary arteries are not mobilized adequately, they can become stretched, leading to pulmonic stenosis. [2] Commonly, the maneuver is used during an arterial switch procedure (in which the pulmonary artery and aorta switch positions) or in surgery to correct absent pulmonary valve syndrome.
The arteries of the head and neck. The common carotid artery. The external carotid artery; The triangles of the neck; The internal carotid artery; The arteries of the brain; The arteries of the upper extremity The subclavian artery; The axilla. The axillary artery; The brachial artery; The radial artery; The ulnar artery; The arteries of the ...
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The anatomy of arteries can be separated into gross anatomy, at the macroscopic level, and microanatomy, which must be studied with a microscope.The arterial system of the human body is divided into systemic arteries, carrying blood from the heart to the whole body, and pulmonary arteries, carrying deoxygenated blood from the heart to the lungs.