Dextro-transposition of the great arteries anatomy: Difference between revisions

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{{Transposition of the great vessels}}
{{Transposition of the great vessels}}


{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh@perfuse.org]; {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; '''Assistant Editor(s)-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@perfuse.org]
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com]; {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; '''Assistant Editor(s)-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]


==Overview==
==Overview==
In dextro-transposition of the great arteries there exist a arterial-ventricular discordance with atrial-ventricular concordance
 
==Anatomy and Anatomic Variations==
 
* The position of the aorta and the pulmonary artery are switched relative to the ventricular septum.
* The Atrio-Ventricular connections are normal.
* Differences in the shape of the atrial septum and/or ventricular outflow tracts affect the anatomical positions of the aorta and pulmonary artery.
* In the majority of d-TGA cases, the aorta is anterior and to the right of the pulmonary artery, but it can also be directly anterior or anterior and to the left.
* The aorta and pulmonary artery can also be side by side, with aorta on either side. This is a less common variant, and with this arrangement, an unusual coronary artery pattern is common.
* There are also some cases with aorta to the right and posterior to the pulmonary artery.<ref>'''Valdes-Cruz LM and Cayre RO''': Chapter 24 in ''Echocardiographic diagnosis of congenital heart disease''. Philadelphia 1998.</ref>
* The left coronary artery arises from the left aortic sinus and the right coronary artery from the posterior aortic sinus. In 31 of 149 cases, the circumflex originates from the posterior aortic sinus. <ref> Giuliani et al, Cardiology: Fundamentals and Practice, Second Edition, Mosby Year Book, Boston, 1991. </ref>


==References==
==References==
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*[http://www.kumc.edu/instruction/medicine/pedcard/cardiology/pedcardio/dtgadiagram.gif Diagram at kumc.edu]
*[http://www.kumc.edu/instruction/medicine/pedcard/cardiology/pedcardio/dtgadiagram.gif Diagram at kumc.edu]
*[http://www.med.umich.edu/cvc/mchc/partran.htm Diagram and description at umich.edu]
*[http://www.med.umich.edu/cvc/mchc/partran.htm Diagram and description at umich.edu]
*[http://www.pediheart.org/practitioners/defects/ventriculoarterial/l-TGA.htm Overview at pediheart.org]
*[http://www.rch.org.au/cardiology/defects.cfm?doc_id=5098 Royal Children's Hospital, Melbourne]
*[http://www.rch.org.au/cardiology/defects.cfm?doc_id=5098 Royal Children's Hospital, Melbourne]
*[http://www.mayoclinic.org/corrected-transposition-great-arteries Mayo Clinic, Arizona - Florida - Minnesota, USA]
*[http://www.mayoclinic.org/corrected-transposition-great-arteries Mayo Clinic, Arizona - Florida - Minnesota, USA]
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[[nl:Transpositie van de grote vaten]]
[[nl:Transpositie van de grote vaten]]
[[zh:大血管轉位]]
[[zh:大血管轉位]]
{{WH}}
{{WS}}


[[Category:DiseaseState]]
[[Category:Disease]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Congenital heart disease]]
[[Category:Congenital heart disease]]
{{WH}}
{{WS}}

Latest revision as of 13:57, 2 November 2012

Dextro-transposition of the great arteries Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Differentiating dextro-transposition of the great arteries from other Diseases

Epidemiology and Demographics

Screening

Pre-natal dextro-transposition of the great arteries
Post-natal dextro-transposition of the great arteries
Infants with dextro-transposition of the great arteries

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

Echocardiography or Ultrasound

Cardiac catheterization

Electrophysiology Testing

Treatment

Palliative treatment

Corrective surgery

Follow up

ACC/AHA recommendations for reproduction

Case Studies

Case #1

Dextro-transposition of the great arteries anatomy On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Dextro-transposition of the great arteries anatomy

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Dextro-transposition of the great arteries anatomy

CDC on Dextro-transposition of the great arteries anatomy

Dextro-transposition of the great arteries anatomy in the news

Blogs on Dextro-transposition of the great arteries anatomy

Directions to Hospitals Treating Type page name here

Risk calculators and risk factors for Dextro-transposition of the great arteries anatomy

Transposition of the great vessels Microchapters

Home

Patient Information

Overview

Historical perspective

Classification

Dextro-transposition of the great arteries
L-transposition of the great arteries

Pathophysiology

Causes

Differentiating Transposition of the great vessels from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

MRI

CT

Echocardiography

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Palliative care
Corrective surgery
Post-operative care
Follow up

Prevention

Reproduction

Case Studies

Case #1

Dextro-transposition of the great arteries anatomy On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Dextro-transposition of the great arteries anatomy

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Dextro-transposition of the great arteries anatomy

CDC on Dextro-transposition of the great arteries anatomy

Dextro-transposition of the great arteries anatomy in the news

Blogs on Dextro-transposition of the great arteries anatomy

Directions to Hospitals Treating Type page name here

Risk calculators and risk factors for Dextro-transposition of the great arteries anatomy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Keri Shafer, M.D. [4]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [5]

Overview

References

Acknowledgements and Initial Contributors to Page

Leida Perez, M.D.

External links

nl:Transpositie van de grote vaten Template:WH Template:WS