21 doctors weighed in:
What happens to children who have a transposition of the great arteries?
21 doctors weighed in

9 doctors agree
In brief: With immediate...
With immediate switch surgery, they do very well, usually without any consequences at all.
Delayed surgery carries significant risks, however.

In brief: With immediate...
With immediate switch surgery, they do very well, usually without any consequences at all.
Delayed surgery carries significant risks, however.
Dr. Anatoly Belilovsky
Dr. Anatoly Belilovsky
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2 comments
Dr. Dominic BLURTON
Studies have shown the least Morbity (illness) occurs when the diagnosis is made in fetal life. Things should be even better in that case.
Dr. Kenneth Dooley
To our knowledge, transposition repaired with a switch procedure early in life do very well. They should be monitored on a regular basis if for no other reason to be educated as we gain more knowledge about aging with this diagnosis and its repair
Dr. Alex Golden
Pediatrics - Cardiology
5 doctors agree
In brief: Many Factors
There are many variants of tga and often many associated lesions.
The most straightforward type usually requires an immediate catheter procedure called a "balloon septostomy" and a surgery within a week or two called the "arterial switch operation." there are other types that require other treatments. There'ss also a type called congenitally corrected tga that requires no treatment early on.

In brief: Many Factors
There are many variants of tga and often many associated lesions.
The most straightforward type usually requires an immediate catheter procedure called a "balloon septostomy" and a surgery within a week or two called the "arterial switch operation." there are other types that require other treatments. There'ss also a type called congenitally corrected tga that requires no treatment early on.
Dr. Alex Golden
Dr. Alex Golden
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Dr. Bert Mandelbaum
Pediatrics
3 doctors agree
In brief: Require surgery
These days, transposition of the great arteries (tga) is sometimes identified on prenatal ultrasounds and otherwise is identified within hours after birth.
In tga, the great arteries are reversed when leaving the heart, which means that oxygen-poor blood goes to the body. Tga is life-threatening if uncorrected, however there is a surgical procedure to correct the reversal.

In brief: Require surgery
These days, transposition of the great arteries (tga) is sometimes identified on prenatal ultrasounds and otherwise is identified within hours after birth.
In tga, the great arteries are reversed when leaving the heart, which means that oxygen-poor blood goes to the body. Tga is life-threatening if uncorrected, however there is a surgical procedure to correct the reversal.
Dr. Bert Mandelbaum
Dr. Bert Mandelbaum
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Dr. David Malpass
Pediatrics - Cardiology
2 doctors agree
In brief: Need to follow
Advances in heart surgery and postoperative care have significantly improved survival for individuals with tga.
Most do very well from a cardiovascular perspective. However, as many as 30-40% will have some degree of neurodevelopmental delay (learning disabilities, adhd, language delays, et al). More evident with age. All of these children should undergo a careful neurodevelopmental evaluation.

In brief: Need to follow
Advances in heart surgery and postoperative care have significantly improved survival for individuals with tga.
Most do very well from a cardiovascular perspective. However, as many as 30-40% will have some degree of neurodevelopmental delay (learning disabilities, adhd, language delays, et al). More evident with age. All of these children should undergo a careful neurodevelopmental evaluation.
Dr. David Malpass
Dr. David Malpass
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Dr. Fuad Kiblawi
Pediatrics - Cardiology
2 doctors agree
In brief: They do well
Babies born with transposition of the great arteries generally require surgery (arterial switch operation) within the first few days of life and the outcome these days is excellent.

In brief: They do well
Babies born with transposition of the great arteries generally require surgery (arterial switch operation) within the first few days of life and the outcome these days is excellent.
Dr. Fuad Kiblawi
Dr. Fuad Kiblawi
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Dr. Pasala Ravichandran
Surgery - Thoracic
1 doctor agrees
In brief: Early surgery
Surgery needs to be done in the neonatal period in most of the cases.
They do well. All patients need life long follow up because they may still develop heart failure and valve problems late in life.

In brief: Early surgery
Surgery needs to be done in the neonatal period in most of the cases.
They do well. All patients need life long follow up because they may still develop heart failure and valve problems late in life.
Dr. Pasala Ravichandran
Dr. Pasala Ravichandran
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Dr. David Greenfield
Surgery - Thoracic
In brief: Good prognosis
If there are no other cardiac defects or other congenital abnormalities, children with transposition have a very good prognosis and life expectancy if they undergo a successful arterial switch operation in the first several days of life

In brief: Good prognosis
If there are no other cardiac defects or other congenital abnormalities, children with transposition have a very good prognosis and life expectancy if they undergo a successful arterial switch operation in the first several days of life
Dr. David Greenfield
Dr. David Greenfield
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Dr. Jon Spiers
Surgery - Thoracic
In brief: Treated promptly...
They do well. Untreated they do poorly. Hope this helps m.

In brief: Treated promptly...
They do well. Untreated they do poorly. Hope this helps m.
Dr. Jon Spiers
Dr. Jon Spiers
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