How I do the atrial switch operation ?

Thaworn SubtaweesinSiriraj hospital

Transposition of the great arteries

History of atrial switch operation

•1950 Blalock-Hanlon operation

•1954 Albert operation

•1956 Baffes operation

•1956 Creech operation

•1957 Senning operation

•1963 Mustard operation

•1965 Edwards’ operation

•1975 revival of Senning operation

Blalock-Hanlon operation

Edwards operation

Albert operation

Baffes operation

Creech operation

•Mustard operation

•Senning operation & it’s modification

atrial switch operation

Mustard operation

Senning operation

Modified Senning operation

Longterm problems•Systemic venous pathway obstruction

•Pulmonic venous pathway obstruction

•Baffle leak

•Atrial arrhythmia

•Ventricular arrhythmia

•Rt. Ventricular failure

•Tricuspid valve regurgitation

Present indication •Anatomic repair for ccTGA

•Isolated atrio-ventricular discordant

•Difficult coronary transfer

•Late presentation for dTGA

ccTGA

Double switch

Atrial switch + Rastelli