Atrial switch explained

Atrial switch
Specialty:Cardiology

Atrial switch is a heart operation performed to treat dextro-Transposition of the great arteries.[1] [2] It involves the construction of an atrial baffle which redirects the blood coming into the atria to restore the connection between systemic and pulmonary circulation.[3]

Two variants of the atrial switch operation developed – the Senning procedure (1950s) which uses the patient's own tissue (pericardium) to construct the baffle, and the Mustard procedure (1960s), which uses a synthetic material.[4] It has largely been replaced by the arterial switch operation.[4] The operation is more commonly performed in developing countries, where the condition frequently presents late.[5]

Notes and References

  1. Book: Frandson . Eric . Files . Matthew D. . Raja . Shahzad G. . Cardiac Surgery: A Complete Guide . 2020 . Springer . Switzerland . 978-3-030-24176-6 . 735–748 . https://books.google.com/books?id=kcPPDwAAQBAJ&pg=PA897 . en . 99. Transposition of the great arteries.
  2. Breinholt . JP . John . S . Management of the Adult with Arterial Switch. . Methodist DeBakey Cardiovascular Journal . April 2019 . 15 . 2 . 133–137 . 10.14797/mdcj-15-2-133 . 31384376 . 6668747 .
  3. Web site: d-Transposition of the Great Arteries . www.heart.org . 25 October 2022 . en . 22 January 2022 . https://web.archive.org/web/20220122180832/https://www.heart.org/en/health-topics/congenital-heart-defects/about-congenital-heart-defects/d-transposition-of-the-great-arteries . live .
  4. Prokšelj . Katja . Brida . Margarita . Atrial switch operation for transposition of the great arteries: tricuspid regurgitation matters . Heart . 18 July 2022 . 10.1136/heartjnl-2022-321398 . 35851320 . 250642197 . en . 1355-6037.
  5. Talwar. Sachin. July 2016. Atrial switch procedure in children more than 5 years of age: mid-term results. Interactive CardioVascular and Thoracic Surgery. 23. 5 . 694–698. 10.1093/icvts/ivw189 . 27430553 . Oxford Academic. free.