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Atrial septostomy is a surgical procedure in which a small hole is created between the upper two chambers of the heart, the atria.This procedure is primarily used to palliate dextro-Transposition of the great arteries or d-TGA (often imprecisely called transposition of the great arteries), a life-threatening cyanotic congenital heart defect seen in infants.
This surgery had not been possible prior to 1975 because of difficulty with re-implanting coronary arteries which perfuse the actual heart muscle itself , and even after it was first performed the excellent results from the Mustard operation meant that it was a long time before the Jatene procedure took over.
Transposition of the great vessels (TGV) is a group of congenital heart defects involving an abnormal spatial arrangement of any of the great vessels: superior and/or inferior venae cavae, pulmonary artery, pulmonary veins, and aorta. Congenital heart diseases involving only the primary arteries (pulmonary artery and aorta) belong to a sub ...
It involves the intentional creation of a septal defect in order to alter the flow of oxygenated blood. It was devised as a palliative correction for transposition of the great vessels. The Blalock–Hanlon procedure was a cardiothoracic procedure created in the 1950s. The Blalock–Hanlon procedure was created to enhance intracardiac ...
In dextro-transposition of the great arteries, at the initial arterial switch a Jatene procedure is normally done in conjunction to switch the coronary arteries as well, as they originate from the aorta. The Jatene procedure is ideally performed during the second week of life, before the left ventricle adjusts to the lower pulmonary pressure.
Coronary artery bypass graft surgery has been in practice since the 1960s. Historically, vessels—such as the great saphenous vein in the leg or the radial artery in the arm—were obtained using a traditional "open" procedure that required a single, long incision from groin to ankle, or a "bridging" technique that used three or four smaller incisions.
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