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Levo-Transposition of the great arteries (also known as Levo-TGA, congenitally corrected TGA, double discordance, or ventricular inversion) is a rare, acyanotic heart defect in which the primary arteries are transposed, with the aorta anterior and to the left of the pulmonary artery, and the morphological left and right ventricles with their ...
Great vessels are the large vessels that bring blood to and from the heart. [1] These are: [1] [2] [3] Superior vena cava; Inferior vena cava; Pulmonary arteries; Pulmonary veins; Aorta; Transposition of the great vessels is a group of congenital heart defects involving an abnormal spatial arrangement of any of the great vessels. [4]
dextro-Transposition of the great arteries (d-TGA) levo-Transposition of the great arteries (l-TGA) Tricuspid atresia; Ventricular septal defect (VSD) Wolff–Parkinson–White syndrome (WPW) Some conditions affect the great vessels or other vessels in close proximity to the heart, but not the heart itself, but are often classified as ...
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.
Levo-Transposition of the great arteries is an acyanotic congenital heart defect in which the primary arteries (the aorta and the pulmonary artery) are transposed, with the aorta anterior and to the left of the pulmonary artery; the morphological left and right ventricles with their corresponding atrioventricular valves are also transposed.
The procedure was developed to treat transposition of the great vessels, eponymously known as blue baby syndrome. This is a condition in which the aorta and pulmonary artery are attached to the heart in an opposite order from what is usually present at birth, resulting in the aorta being the outflow tract for the right ventricle and the ...
In segmental analysis, this condition is described as ventriculoarterial discordance with atrioventricular concordance, or just ventriculoarterial discordance. d-TGA is often referred to simply as transposition of the great arteries (TGA); however, TGA is a more general term which may also refer to levo-transposition of the great arteries (l ...
there is an opening or passage between the atria, ventricles, and/or great vessels; and, right heart pressure is higher than left heart pressure and/or the shunt has a one-way valvular opening. Small physiological, or "normal", shunts are seen due to the return of bronchial artery blood and coronary blood through the Thebesian veins , which are ...