Explain arterial switch operation surgery, Biology

Assignment Help:

Explain Arterial Switch Operation Surgery?

This is the operation of choice for simple transposition of the great arteries as it ensures anatomical correction. The approach is through midline incision and median sternotomy. It is usually done with a high ascending aortic cannula and direct cannulation of SVC and IVC. Patient is cooled down to 18 to 25°C and pel-fusion flow reduced. There is no need for resorting to circulatory arrest.

Alternately, the operation could be done with single light atrial cannula and resorting to brief period of circulatory arrest. Heart is arrested by cold cardioplegic solution administered ante-grade through the aortic root. It could also be supplemented by retrograde cardioplegia through the coronary sinus.

The ductus is suture ligated and divided. Mobilisation of ascending aorta, inain and branch pulmonary arteries are done before cardio-pulmonary bypass. Large piece of pericardium is harvested and preserved for reconstruction of the pulmonary artery. The aorta is transacted above the coronary ostia. Pulmonary artery is transacted proximal to bifurcation. Coronary buttons are raised from their respective sinuses. They are re-implanted into the neo aorta, which was the previous pulmonary artery. A Le Compte manoeuvre is done by taking the pulmonary artery bifurcation anterior to the aorta. Two ends of the aorta are anastornosed - proximal pulmonary artery (neo aorta) to distal aortic segment.

PFO or ASD present is closed. At this stage the baby is rewarmed and aortic clamp released and heart allowed to beat. Right atrium is closed. Pulmonary artery is reconstiucted using two pericardial patches to fill up the sinuses from where coronary buttons were raised. Left atrial pressure monitoring line is inserted either through the appendage or through right superior Pulmonary vein.
Atrial and ventricular pacing wires are inserted.

Tran oesophageal echocardiogram will help in deciding adequacy of coronary circulation by assessing global and regional wall motion. The success of arterial switch operation depends on coronary arterial button transfer; which in turn varies according to the type of origin of coronary arteries in transposition of the great arteries.


Related Discussions:- Explain arterial switch operation surgery

Explain about implant surgery, Explain about implant surgery Diagnosis ...

Explain about implant surgery Diagnosis and treatment planning for a patient who requires and is to receive dental implants. The actual process of dental implant placement begi

Explain cardiac calcification, Q. Explain Cardiac calcification? Peric...

Q. Explain Cardiac calcification? Pericardial Calcium is most dense in the atrioventricular grooves and is seen as thick oblique circles or arcs of calcification. From th

Explain scope of food science and technology as a subject, Explain Scope of...

Explain Scope of Food Science and Technology as a Subject? Food science and technology has developed as a discipline to systematically organize and link various kinds of knowle

How can we control the disease cholera, How can we control the disease Chol...

How can we control the disease Cholera Control: Individuals infected  with cholera require oral rehydration therapy  with NaCl plus sucrose, sodium bicarbonate and potassium ch

Explain the objectives of congenital heart disease, Explain the Objectives ...

Explain the Objectives of Congenital Heart Disease ? After reading this unit, you should be able to: 1 Comprehenced the epidemiologic significance of congenital heart disease (

Why do ribosomes move along mrna during translation, Q. Why do ribosomes mo...

Q. Why do ribosomes move along mRNA during translation? During translation the ribosome always exposes two mRNA codons to be translated by moving along the mRNA, when a peptide

Explain cholera, Cholera  The risk of infection with cholera is very lo...

Cholera  The risk of infection with cholera is very low in tourists. The parenteral vaccine licensed in the US is no longer available. One oral vaccine called Dukoral is availa

Species concept, SPECIE S CONCEPT - According to Davis and Heywood...

SPECIE S CONCEPT - According to Davis and Heywood species define as assemblage of individuals with morphological features in common and separable from other such assembla

Haemolysis-complications of prosthetic valves, Haemolysis :  Mechanical va...

Haemolysis :  Mechanical valves, bioprosthetic valves as well as valves repaired with annuloplasty rings may cause haemolysis and related anaemia. This is more common when there i

Proteins of plant origin - cereal proteins, Proteins of Plant Origin - Cere...

Proteins of Plant Origin - Cereal Proteins Cereal Proteins: Cereal grains, properly ripened and dried for optimum storage stability, have protein content ranging from 6-20%.

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd