Transposition of the great vessels historical perspective

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Dextro-transposition of the great arteries
L-transposition of the great arteries

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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]; Kristin Feeney, B.S. [5]

Overview

The TGA was first described in 1797 by Matthew Baillie as a "singular malformation". The word transposition was coined by Farre in 1814.

Historical Perspective

  • The TGA was first described in 1797 by Matthew Baillie as a "singular malformation".[1][2][3][4]
  • In 1814 Farre described it as transposition.
  • No treatment was available until the middle of the 20th century.
  • In the 1950s, surgical atrial septectomy was developed followed by balloon atrial septostomy in the 1960s. These surgical therapies were not curative, but were palliative. They were later followed by physiological procedures.
  • Today, the survival rate for infants with TGA is greater than 90%.


Major Historical Events in TGA
Year Author Contribution
1797 Baillie First morphological description of TGA
1814 Farre First used the term TGA
1948 Hanlon and Blalock Artirial septectomy
1953 Lilehei and Varco Partial venous switch
1955 Thomas Baffes Baffes operation
1957 Ake Senning Atrial switch using atrial flaps
1963 Wiliam Mustard Atrial switch using pericardium
1966 Rashkind and Miler Introduced balloon atrial septostomy
1975 Jatene Successful arterial switch
1976 Magdi Yocoub Left ventricular training and arterial switch
1981 Lecompte Lecompte maneuver
1984 Castenada Neonatal arterial switch
1989 Jonas Rapid two stage arterial swtich

References

  1. Van Praagh R, Perez-Trevino C, Lõpez-Cuellar M, Baker FW, Zuberbuhler JR, Quero M, Perez VM, Moreno F, Van Praagh S (December 1971). "Transposition of the great arteries with posterior aorta, anterior pulmonary artery, subpulmonary conus and fibrous continuity between aortic and atrioventricular valves". Am. J. Cardiol. 28 (6): 621–31. doi:10.1016/0002-9149(71)90049-x. PMID 5124722.
  2. Hanlon CR, Blalock A (March 1948). "Complete Transposition of the Aorta and the Pulmonary Artery: Experimental Observations on Venous Shunts as Corrective Procedures". Ann. Surg. 127 (3): 385–97. doi:10.1097/00000658-194803000-00001. PMC 1513835. PMID 17859086.
  3. BLALOCK A, HANLON CR (January 1950). "The surgical treatment of complete transposition of the aorta and the pulmonary artery". Surg Gynecol Obstet. 90 (1): 1–15, illust. PMID 15396549.
  4. Weldon CS (April 1987). "The Blalock-Hanlon operation". Ann. Thorac. Surg. 43 (4): 448–9. doi:10.1016/s0003-4975(10)62834-2. PMID 3551863.



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