CASE REPORT

Successful total correction of Transposition of Great Artery in Surabaya’s rural area experience: serial cases

Heroe Soebroto , Farhan Danisa, Arief Rakhman Hakim

Heroe Soebroto
Consultant at Department of Thoracic Cardiac and Vascular Surgery, Airlangga University, Dr.Soetomo-Surabaya General Hospital, Surabaya, Indonesia. Email: heroe.soebroto@fk.unair.ac.id

Farhan Danisa
Resident at Department of Thoracic Cardiac and Vascular Surgery, Airlangga University, Dr.Soetomo-Surabaya General Hospital, Surabaya, Indonesia

Arief Rakhman Hakim
Consultant at Department of Thoracic Cardiac and Vascular Surgery, Airlangga University, Dr.Soetomo-Surabaya General Hospital, Surabaya, Indonesia
Online First: January 25, 2021 | Cite this Article
Soebroto, H., Danisa, F., Hakim, A. 2021. Successful total correction of Transposition of Great Artery in Surabaya’s rural area experience: serial cases. Bali Medical Journal 10(1): 4-7. DOI:10.15562/bmj.v10i1.2005


Background: Transposition of the great arteries (TGA) is a cyanotic heart disorder characterized by the aorta being positioned to the pulmonary artery's right-anterior. Arterial switch operation (ASO) is the main surgical procedure for TGA correction that has favorable outcomes. This case report aims to explain the findings of TGA cases that were performed successfully by ASO surgery at Dr. Soetomo Hospital in Surabaya.

Case Presentation: We reported two cases of dextro-TGA, which were confirmed from anamnesis, physical examination and echocardiographic. Both cases have been successfully carried out with an arterial switch operation (ASO) procedure with a post-operative length of 14-15 days with stable hemodynamics.

Conclusion: TGA is a congenital heart defect with a rapid worsening of clinical signs if not detected early. The early correction will improve post-correction outcomes in patients.

References

Mavroudis C and Backer CL. Transposition of the Great Arteries in Pediatric Cardiac Surgery: Fourth Edition. 2013. Wiley-Blackwell Publishing Ltd: Oxford. Chapter 26, Pg 492-540.

Martins P dan Castela E. Review: Transposition of the great arteries. Orphanet J. Rare Dis. 2008;3:27

Xie LJ, Jiang L, Yang ZG, Xu HY, Shi K, Diao KY, Guo YK. Assessment of transposition of the great arteries associated with multiple malformations using dual-source computed tomography. PLoS ONE. 2017;12(11):e0187578

Anderson BR, Ciarleglio AJ, Hayes DA, Quaegebeur JM, Vincent JA, Bacha EA. Earlier arterial switch operation improves outcomes and reduces costs for neonates with transposition of the great arteries. J Am Coll Cardiol. 2014;63:481–7. doi: 10.1016/j.jacc.2013.08.1645.

Villafañe J, Lantin-Hermoso MR, Bhatt AB, Tweddell JS, et al. D-Transposition of the Great Arteries- The Current Era of the Arterial Switch Operation. JACC. 2014;64:5.

de Koning WB, van Osch-Gevers M, Harkel AD, van Domburg RT, Spijkerboer AW, Utens EM, Bogers AJ, Helbing WA: Follow-up outcomes 10 years after arterial switch operation for transposition of the great arteries: comparison of cardiological health status and health-related quality of life to those of the normal reference population. Eur J Pediatr 2008;167:995-1004.

Schidlow DN, Jenkins KJ, Gauvreau K, Croti UA, Giang DTC. Transposition of the Great Arteries in the Developing World. Surgery and Outcomes. Journal of The American College Of Cardiology. 2017;69:1.


No Supplementary Material available for this article.
Article Views      : 0
PDF Downloads : 0