Abstract
Nowadays, the transposition of the great arteries arteries (TMA) is successfully eliminated by arterial switch. However, in clinical
practice it is still necessary to deal with patients for whom the operation was not performed in a timely manner. Patients with TMA,
ventricular septal defect (VSD) and irreversible pulmonary vascular disease can have palliative atrial and arterial switch, in which
hypoxemia is significantly reduced (or practically eliminated), and the VSD is open to ensure cross-sectional or veno-arterial resection blood. The hemodynamics created at the same time is identical to the Eisenmenger syndrome with isolated VSD. The review
presents the published international experience of palliative atrial and arterial switch. With a sufficiently high frequency of remote
complications, palliative atrial switch achieved a long-term increase in systemic saturation and quality of life in an extremely difficult
category of patients with congenital heart defects and “transposition” hemodynamics, in which other corrective operations are
impossible and the drug therapy is ineffective. The advantage of palliative arterial switch was the absence of heart rhythm disturbances
and obstruction of the outflow tracts from the pulmonary and systemic veins in the late postoperative period.
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About the authors
- Sergey V. Gorbachevskiy, Dr Med. Sc., Professor, Head of Department, Chair Professor, orcid.org/0000-0002-4193-3320;
-
Anton A. Shmalts, Dr Med. Sc., Leading Researcher, Associate Professor, orcid.org/0000-0001-8937-1796
