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    Transposition of Great Arteries

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    parmeshori
    This document discusses transposition of the great arteries (TGA), a congenital heart defect where the pulmonary artery and aorta are switched. Key points: - TGA is the most common cyanotic congenital heart disease in newborns, occurring in 5-7% of congenital heart defects. - Causes include genetic factors and maternal illnesses during pregnancy like rubella or diabetes. - Untreated TGA is fatal as oxygenated and deoxygenated blood mix, depriving tissues of oxygen. - Symptoms of cyanosis, tachypnea and feeding difficulties appear at birth. Diagnosis involves echocardiography, chest x-rays and other tests.

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    Transposition of Great Arteries

    Uploaded by

    parmeshori
    1K views18 pages
    This document discusses transposition of the great arteries (TGA), a congenital heart defect where the pulmonary artery and aorta are switched. Key points: - TGA is the most common cyanotic congenital heart disease in newborns, occurring in 5-7% of congenital heart defects. - Causes include genetic factors and maternal illnesses during pregnancy like rubella or diabetes. - Untreated TGA is fatal as oxygenated and deoxygenated blood mix, depriving tissues of oxygen. - Symptoms of cyanosis, tachypnea and feeding difficulties appear at birth. Diagnosis involves echocardiography, chest x-rays and other tests.

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    This document discusses transposition of the great arteries (TGA), a congenital heart defect where the pulmonary artery and aorta are switched. Key points: - TGA is the most common cyanotic congenital heart disease in newborns, occurring in 5-7% of congenital heart defects. - Causes include genetic factors and maternal illnesses during pregnancy like rubella or diabetes. - Untreated TGA is fatal as oxygenated and deoxygenated blood mix, depriving tissues of oxygen. - Symptoms of cyanosis, tachypnea and feeding difficulties appear at birth. Diagnosis involves echocardiography, chest x-rays and other tests.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    1K views18 pages

    Transposition of Great Arteries

    Uploaded by

    parmeshori
    This document discusses transposition of the great arteries (TGA), a congenital heart defect where the pulmonary artery and aorta are switched. Key points: - TGA is the most common cyanotic congenital heart disease in newborns, occurring in 5-7% of congenital heart defects. - Causes include genetic factors and maternal illnesses during pregnancy like rubella or diabetes. - Untreated TGA is fatal as oxygenated and deoxygenated blood mix, depriving tissues of oxygen. - Symptoms of cyanosis, tachypnea and feeding difficulties appear at birth. Diagnosis involves echocardiography, chest x-rays and other tests.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 18

    PRESENTED BY:

    L Premeshwori Devi
    M.Sc nursing 2nd year

    The transposition of the great arteries


    is ventriculo arterial discordance, in which
    the aorta arises from the morphologic right
    ventricle and the pulmonary artery arises
    from the morphologic left ventricle.

    Transposition of the great arteries (TGA) is


    the most common cyanotic congenital heart
    lesion that presents in neonates.
    This lesion presents in 5-7% of all patients
    with congenital heart disease.
    The overall annual incidence is 20-30 per
    100,000 live births.

    A history of German measles (rubella) or


    another viral illness in the mother during
    pregnancy
    A family history of transposition of the great
    arteries or another congenital heart defect
    Poor nutrition during pregnancy
    Drinking alcohol during pregnancy
    A mother older than age 40
    A mother who has poorly controlled diabetes
    Down syndrome in the baby

    Etiology for transposition of the great


    arteries is unknown and is presumed to be
    multifactorial.
    This congenital heart defect is more common
    ininfants of diabetic mothers.

    (The pulmonary and systemic circulations


    function in parallel, rather than in series)
    Causes
    Transposition of great arteries
    Oxygenated pulmonary venous blood returns to the
    left atrium and left ventricle
    Recirculated to the pulmonary vascular bed via
    the abnormal pulmonary arterial connection to
    the left ventricle.

    Deoxygenated systemic venous blood returns


    to the right atrium and right ventricle
    pumped to the systemic circulation,
    effectively bypassing the lungs
    deficient oxygen supply to the tissues and an
    excessive right and left ventricular workload

    It is incompatible with prolonged survival


    unless
    mixing
    of
    oxygenated
    and
    deoxygenated blood occurs at some anatomic
    level like
    ASD
    VSD
    PDA

    Prominent and progressive cyanosis within


    the first 24 hours of life is the usual finding
    in infants.
    Tachypnea
    Tachycardia
    Diaphoresis
    Failure to gain weight

    History collection
    Physical examination
    ABG analysis
    Echocardiography
    Cardiac catheterization

    Chest radiography
    demonstrate
    the classic "egg on
    a
    string"
    appearance
    in
    approximately one
    third of patients.

    Immediate management includes


    Establishing safe oxygen level and
    maintaining stable cardiac and pulmonary
    function.

    Initial treatment consists of continuous


    intravenous (IV) prostaglandininfusion to
    promote pulmonary blood flow.
    Antibiotic Prophylactic Regimens for
    Endocarditis.
    Fluid replacement
    Bicarbonate administration- Acidosis
    Mechanical ventilation

    Ballon atrial septostomy.


    Arterial switch procedure

    Congestive heart failure


    Arrhythmia
    Eisenmenger syndrome (irreversible and
    progressive pulmonary vascular obstructive
    disease)

    THANK YOU

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