Dextro-transposition of the great arteries history and symptoms: Difference between revisions

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{{Dextro-transposition of the great arteries}}
{{Dextro-transposition of the great arteries}}
{{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==
 
Dextro-transposition of the great arteries present as a cyanotic heart disease
== Symptoms ==
==Symptoms==
 
* '''Cyanosis''' will appear soon, due to the low oxygen saturation of the blood. Peripheral areas such as around the mouth and lips, fingertips, and toes are affected first because they are furthest from the heart, and since the circulated blood is not fully oxygenated to begin with, very little oxygen reaches the peripheral arteries.  
'''Cyanosis''' will appear soon, due to the low oxygen saturation of the blood. Peripheral areas such as around the mouth and lips, fingertips, and toes are affected first because they are furthest from the heart, and since the circulated blood is not fully oxygenated to begin with, very little oxygen reaches the peripheral arteries.  
* Clubbing of the fingers and toes.
 
* Indrawing beneath the ribcage and rapid breathing; this is likely a homeostatic reflex of the autonomic nervous system in response to hypoxic hypoxia.  
A d-TGA baby will exhibit indrawing beneath the ribcage and rapid breathing; this is likely a homeostatic reflex of the autonomic nervous system in response to hypoxic hypoxia. The infant will be easily fatigued and may experience weakness, particularly during feeding or playing; this interruption to feeding combined with hypoxia can cause failure to thrive. If d-TGA is not diagnosed and corrected early on, the infant may eventually experience syncopic episodes and develop clubbing of the fingers and toes.
* Fatigue and weakness, particularly during feeding or playing
* Failure to thrive.  
* Syncopic episodes  


==References==
==References==
{{reflist|2}}
{{reflist|2}}


==Acknowledgements and Initial Contributors to Page==
{{WH}}
Leida Perez, M.D.
{{WS}}
 
==External links==
*[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.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.mayoclinic.org/corrected-transposition-great-arteries Mayo Clinic, Arizona - Florida - Minnesota, USA]


[[fr:Transposition des gros vaisseaux]]
[[Category:Disease]]
[[nl:Transpositie van de grote vaten]]
[[zh:大血管轉位]]
 
[[Category:DiseaseState]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Congenital heart disease]]
[[Category:Congenital heart disease]]
{{WH}}
{{WS}}

Latest revision as of 13:59, 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

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Case #1

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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

Dextro-transposition of the great arteries present as a cyanotic heart disease

Symptoms

  • Cyanosis will appear soon, due to the low oxygen saturation of the blood. Peripheral areas such as around the mouth and lips, fingertips, and toes are affected first because they are furthest from the heart, and since the circulated blood is not fully oxygenated to begin with, very little oxygen reaches the peripheral arteries.
  • Clubbing of the fingers and toes.
  • Indrawing beneath the ribcage and rapid breathing; this is likely a homeostatic reflex of the autonomic nervous system in response to hypoxic hypoxia.
  • Fatigue and weakness, particularly during feeding or playing
  • Failure to thrive.
  • Syncopic episodes

References

Template:WH Template:WS