Abstract
[first paragraph of article] There is a continuing need to perform inflow correction of “simple” TGA in a large subset of patients, who are not candidates for the arterial switch operation, particularly in developing countries. This is because of a lack of resources, centres and expertise to perform the neonatal switch operation. This subsequently results in the “late” presentation of patients who are severely cyanosed and have thin-walled, banana-shaped left ventricles which are not suitable for switching.
Highlights
There is a continuing need to perform inflow correction of “simple” TGA in a large subset of patients, who are not candidates for the arterial switch operation, in developing countries
We have previously described the three dimensional shape and function of the atria and ventricles following the unmodified Mustard operation[6]
This study serves to document for the first time the three-dimensional structure of the neo-atrial components after the modified Mustard operation and discuss their functional significance
Summary
There is a continuing need to perform inflow correction of “simple” TGA in a large subset of patients, who are not candidates for the arterial switch operation, in developing countries. Echo showed transposition of the great arteries with the aorta anterior and to the right, good size inter-atrial communication and deconditioned left ventricle. IMAGING AND 3D MODELLING The size and shape of the intra-atrial channels and of both ventricles during the different parts of the cardiac cycle play an important part in the Mustard operation.
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