[HSF] RE: CCTGA

[psimha]

There are two options  one is to do a double switch (if the LV is 
trained in view of LVOTO septal position in SAX view will give an idea) 
(Hemisenning + Glenn or a full Senning +Rastelli) or else do a VSD 
closure and partial ASD closure and an LV PA conduit.
When placing an LV PA conduit in  cTGV the lie has to be such that 
conduit compression does bnot ocur and requires a "c" shaped placement 
of conduit, release of posterior pericardium etc. If thePS is not that 
much and the pulmonary annulus is adequate at times a Dor type of 
posterior spiral patch enlargement may be attempted.
Keep us informed.
Prasanna
Vitaly Demyanchuk wrote:
> Dear List Members,
>  
>  
> We have a patient with congenitally corrected TGA here. She is 8 yrs old and cyanotic. There are VSD, ASD and pulmonary trunk hypoplasia also. It is remarkable that RPA and LPA are dilated. 
>  
> I can assume that VSD closure and conduit is a good choice but is it simple to insert conduit between anatomically LV and PA. 
>  
> Any opinions would be greatly appreciated!
>  
> Sincerely,
>  
>  
> Vitaly Demyanchuk
> Kyiv, Ukraine
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