Transposition of the great arteries (TGA) is a congenital cardiac defect in which the aorta and pulmonary artery, the great arteries that take blood away from the left and right ventricles, respectively, are reversed (or transposed) in the formation of the heart. This requires surgical intervention to allow these children to survive; unrepaired TGA creates 2 separate circulations in parallel without significant communication, so that the systemic blood remains without oxygen and the pulmonary blood keeps all the oxygen but can’t get out to the body. Historically, the main surgical interventions for TGA were the Senning or the Mustard operations, which rerouted the blood inside the heart. These have numerous long term complications, including arrhythmias, heart failure, and sudden death. However, around the time that you describe, the Jatene, or arterial switch, operation was being performed at increasing numbers of hospitals with increasing success. This surgery actually switches the great arteries as well as the coronary arteries to essentially their correct positions. This seems to have fewer complications overall, although it is not without complications.
Since you do not tell me which operation was performed, when it was performed, at what age, if there were complications, and where it was performed, it is difficult to say what the life expectancy is for someone with TGA. Finally, there is a somewhat different entity called “congenitally corrected TGA”, in which the ventricular attachments to the atria and the great arteries are inverted. These also have a very different life expectancy, depending on intervention, etc. Overall, patients who have undergone an arterial switch at birth and have had no significant complications seem to be doing well into their mid-adult years, at this point. There are some concerns with regard to neurologic executive function and/or attention deficit disorder, depending on the type of heart-lung bypass performed, and there are increasing concerns about what happens to the coronary arteries and their blood flow over the long term after they have been manipulated.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.