Fast-Track Arterial Switch Operation


This is the case of a 3. 3 kg, male neonate who was born with a prenatal diagnosis of dextro-transposition of the great arteries (d-TGA) and an intact ventricular septum. At birth, he was deeply cyanotic and was intubated and prostaglandin infusion was initiated to maintain ductal patency. Transthoracic echocardiogram confirmed the prenatal diagnosis and normal coronary pattern for d-TGA (1 LCx, 2RCA). Due to restricted atrial communication, a bedside echo-guided balloon atrial septostomy was performed. He was subsequently extubated and weaned off prostaglandins.

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