Key result
The arterial switch operation has emerged as an anatomically and physiologically appropriate solution for transposition of great arteries, addressing the shortcomings of earlier procedures.
This historical review traces the evolution of surgical treatments for TGA, highlighting the arterial switch as the current anatomically and physiologically appropriate solution.
The history of surgery for transposition of great arteries (TGA) has paralleled the history of cardiac surgery. In fact, it began before the birth of open heart surgery when the palliative Blalock-Hanlon septectomy was first performed in 1948. The atrial switch, which was an attempt to correct the physiology of transposition, had significant shortcomings. The arterial switch sought to address them. This has emerged as an anatomically as well as physiologically appropriate solution. This review traces the various milestones in this perpetual journey.
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Suraj Wasudeo Nagre (2016) conducted a review in Transposition of great arteries (TGA). Surgery for transposition of great arteries was evaluated. The arterial switch operation has emerged as an anatomically and physiologically appropriate solution for transposition of great arteries, addressing the shortcomings of earlier procedures.
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