What is the recommended treatment for transposition of the great vessels?

Arterial switch operation. This is the most common surgery used to correct transposition of the great arteries. Surgeons usually perform this surgery within the first month of life.

How is TGA treated?

Supplemental oxygen or a ventilator. This is a machine that helps do the work of breathing for the baby.
Different types pf medicine given by IV. This will help your baby’s heart and lungs work better.
A medicine called prostaglandin E1. This is used to keep the ductus arteriosus open.

What drug is given immediately after diagnosis of transposition of the great arteries?

Medication: Doctors may administer an IV (intravenous) medication (prostaglandin E1) to keep open the infant’s ductus arteriosus (the prenatal connection between the aorta and the pulmonary artery, which usually closes shortly after birth, but which is now important as an alternative pathway for blood flow).

Are there any complications after the LeCompte maneuver?

However, because of the LeCompte maneuver, there may be a propensity for development of pulmonary artery stenosis. We encountered atypical complications of pulmonary artery stenting in patients after the ASO, including aorto-pulmonary fistula and coronary compression.

How is LeCompte maneuver used in palliative care?

LeCompte maneuver consists in positioning of the pulmonary artey and main right and left branches anteriorly to the aorta to avoid distortion. Atrial switch operation, also known as Mustard or Senning procedure: They were the palliative procedure of choice between 1960-1980’s.

How is the transposition of the great arteries done?

Nikaidoh procedure: It consists in mobilizing the aortic root and coronary arteries posteriorly, doing a LeCompte maneuver, resecting the main pulmonary artery and replacing it with a right ventricle to pulmonary artery conduit and closing the VSD with a patch.