Doctor insights on:
How Long Is The Recovery For A Baby With Transposition Of The Great Vessels
6 weeks: The most common type of transposition of the great vessels (also known as transposition of the great arteries) is d-transposition or d-tga. Infants with d-tga only are usually discharged from the hospital less than one week following surgery. The often require medication for a few weeks after surgery. The breast bone, which is divided to perform the surgery, fully heals in 6 weeks. ...Read moreSee 1 more doctor answer
Around 2-3 weeks: It really depends on the details and even so, there is significant variability. 2-3 weeks is a rough estimate, though. ...Read more
Uncommon: The incidence is about 20-30 per 100, 000 live births. ...Read more
What is the long term outlook for patients who had a Senning Repair to correct Transposition of the Great Arteries?
Good: The outlook for senning repair of transposition of great arteries is good specially if there are no other defects and no post-surgical complications . ...Read more
Can be normal.: The babies are unaffected until born .... This is because of the blood circulation system that is in place for the baby while still in utero. It isn't until after birth, that this circulation changes and from "fetal blood circulation" to "adult blood circulation." often times, these babies will have heart surgery with in just a few days of being born and go on to live very normal lives. ...Read more
See below: Once corrected, there should be no effect on life expectancy. ...Read more
What is the long term prognosis for transposition of the great vessel/ arterial switch done in 1997?
My son is having surgery for coarctation of the aorta. How invasive is this surgery and what is the expected recovery time? In hospital and home?
Depends: There are two ways to approach a coarctation, "from the front" (i.e. Through the sternum) or "the side" (i.e. Between ribs), both are safe and depend on the location of the coa. If a sternal approach, the recovery is a bit longer (~10-14 days) vs only a ~5-7 from the side. This also depends on your child's other conditions and assuming no post-op issues arise. Please discuss with cardiologist. ...Read moreSee 2 more doctor answers
Doc....Normally for how long it will stay the chest tube to the patient and is there a chance of surviving?
Certainly...: ...A chest tube is not a desperate measure, it does not mean someone is dying. As for how long it stays in, that depends of why it went in in the first place. Obviously someone who got it for an asthmatic or traumatic pneumothorax will walk away from the experience with more likelihood than someone with a malignant pleural effusion. ...Read more
Surgery: Initially at birth, medications are provided to prevent closure of the connections between the pulmonary and systemic circulations that are present in fetal life. This allows for some mixing of the oxygenated and un-oxygenated blood and buys time. The ultimate treatment is surgical correction of the defect. ...Read moreSee 1 more doctor answer
Congenital: Transposition of the great arteries is a congenital heart defect, meaning that it is an abnormality of cardiac development and is fully present at birth. Classic, or d-tga refers to a disease where the aorta arises from the rv and the pulmonary artery arises from the lv. Diagnosis is typically made early. Another form of tga (l-tga) is a different disease where the rv and the lv are "inverted. ...Read moreSee 1 more doctor answer
Blue newborn!: Tga is a very severe cardiovascular anomaly because it can cause very low oxygen concentration in the blood going to the coronaries and carotids and prove lethal if untreated promptly and expertly. If a ventricular septal defect is present, the newborn can be more stable and interventions can be more planned and less emergent. Fetal life is ok - trouble starts as soon as the cord is clamped. ...Read moreSee 1 more doctor answer
Depends on anatomy: Goal if possible is to achieve, atrioventricular and ventriculoarterial concordance as best possible.Some transpositions of the great arteries are congenitally corrected if baby born with atrioventricular and ventriculoarterial discordance. Is it d or l tga, how many concomitant anomalies are present. If d-tga, no vsd, good valves, no coronary anomalies, good lv and rv, ASD closure and jatene best. ...Read more
Cyanosis: Cyanosis, or blue-tinged skin or mucous membranes, is caused by low oxygen levels in the blood (hypoxemia). In transposition of the great arteries, cyanosis is due to the aorta arising from the right ventricle (and the pulmonary artery arising from the left ventricle) which leads to de-oxygenated systemic venous blood being redirected to the body (and oxygenated blood recirculating in the lungs). ...Read more
Generally good: An adult likely underwent a senning or mustard procedure (atrial switch operation) for tga. The 20 year survival is reported to be about 90%, but many patients have abnormal heart rhythms and some have abnormal heart function. This group of patients has a reduced life expectancy, estimated by some to be 45-50 years (63 years after an arterial switch operation). ...Read moreSee 2 more doctor answers
Does anyone have info on the janene heart operation for transposition of the great vessels? How does it work?
Jatene operation: This procedure is named after the surgeon who pioneered the technique. It is more commonly known as the arterial switch operation, because the transposed great arteries are "switched" back to where they belong. Moving the great arteries is a relatively easy procedure. The more difficult part of the procedure is relocating the coronary arteries, which are very small. ...Read moreSee 1 more doctor answer
TOF: Tof is a condition where there is a vsd (hole between bottom two pumping chambers or ventricle), a displaced aorta, right ventricular hypertrophy and restriction of blood flow to lungs. The early course is usually determined by amount of blood flow to lungs. If restricted, the child will appear blue (cyanotic), breathe fast, be very irritable. A child at baseline does not have pain. ...Read more
What are the main causes of a slap tear and how long is the recovery once it's repaired arthroscopicaly with a suture anchor?
Repetitive heavy: lifting, shoulder dislocation, age related, and traumatically induced are some of the reasons. Recovery depends on your overall medical condition, whether you smoke, and if you are compliant with physical therapy and follow up with home therapy, and your overall general mood an affect. Complex tears can take up to 6 months given good circumstances but noncompliance can result in longer recovery. ...Read more
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