Neonatal arterial switch operation for simple dextro-transposition of the great arteries (d-TGA) has almost eliminated the occurrence of pulmonary vascular obstructive disease compared to patients who underwent Mustard or Senning procedure at an older age. We report a case of a neonate with d-TGA and intact ventricular septum who underwent arterial switch operation and yet developed severe pulmonary vascular obstructive disease within two months.
MossAJAllenHD.Moss and Adams’ Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adult. UK: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2008.
2.
RivenesSMGrifkaRGFeltesTF. Development of advanced pulmonary vascular disease in D-transposition of the great arteries after the neonatal arterial switch operation. Tex Heart Inst J. 1998;25(3):201–205.
3.
NewfeldEAPaulMMMusterAJIdrissFS. Pulmonary vascular disease in complete transposition of the great arteries: a study of 200 patients. Am J Cardiol. 1974;34(1):75–82.
4.
YamakiSHoriuchiT. Quantitative analysis of postoperative changes in the pulmonary vasculature of patients with complete transposition of the great arteries and pulmonary hypertension. Am J Cardiol. 1979;44(2):284–289.
5.
ClarksonPMNeutzeJMWardillJCBarratt-BoyesBG. The pulmonary vascular bed in patients with complete transposition of the great arteries. Circulation. 1976;53(3):539–543.
6.
KumarATaylorGPSandorGGPattersonMW. Pulmonary vascular disease in neonates with transposition of the great arteries and intact ventricular septum. Br Heart J. 1993;69(5):442–445.
7.
SreeramNPetrosAPeartIArnoldR. Progressive pulmonary hypertension after the arterial switch procedure. Am J Cardiol. 1994;73(8):620–621.
8.
Di DonatoRMWernovskyGWalshEP. Results of the arterial switch operation for transposition of the great arteries with ventricular septal defect. Surgical considerations and midterm follow-up data. Circulation. 1989;80(6):1689–1705.
