Frequently Asked Questions about transposition of the great arteries

       1.What are the common symptoms of complete transposition of the great arteries?  Complete transposition of the great arteries (TGA) is the most common form of cyanotic congenital heart disease in the neonatal period. Children with TGA have cyanosis after birth, difficulty feeding during infancy, slow weight gain, shortness of breath, cough, and susceptibility to respiratory infections, and often develop heart failure within four months.  2.What are the common tests for transposition of the great arteries?  Ultrasound of the heart is the most common form of examination and can usually confirm the diagnosis. For children with complete transposition of the great arteries between the age of 6 months and about one year, cardiac catheterization is required in cases where the pulmonary artery pressure and the right ventricle pressure are not known. The purpose is to measure the pressure and, depending on the pressure, to choose the appropriate treatment plan.  3. Can transposition of the great arteries only be treated surgically? Are there any other options besides surgery?  Aortic transposition is divided into complete aortic transposition and corrected aortic transposition, and most of the children need surgery. 4. When is it better to operate for aortic transposition?  For children with complete transposition of the great arteries, the earlier the surgery is performed, the better the result. If there is no significant difference between atrial and ventricular defect surgery and general atrial defect surgery, surgery can be done later.  5.How much does the surgery cost?  The cost of aortic transposition surgery is usually around 50,000 RMB, depending on the region, and may be a little higher in first-tier cities such as Beijing and Shanghai.  FAQ after aortic transposition surgery 6. What are the complications of aortic transposition surgery?  For corrective aortic transposition surgery, the valve will be affected by the large pressure difference between the left and right ventricles due to the transposition of the left and right ventricles, and the patient will usually need valve replacement surgery when he/she reaches 30-40 years old.  There are many opinions, but according to my clinical practice, it is better to do aortic transposition.  7.After the aortic transposition surgery, there is still a murmur in the heart and there is still some purple around the lips, what should I do?  Generally, there is no heart murmur after surgery, but when combined with right ventricular double outlet, or other comorbidities such as Farrow’s triad, there will be this symptom.  8.How long do I have to rest before I can be active after surgery?  Usually, you can rest for 7-8 days after surgery, and the time from admission to examination, surgery, recovery, and discharge is about 2 weeks.  Postoperative care for children with transposition of the great arteries FAQ 9.Can children with transposition of the great arteries fly after surgery?  Yes, they can fly after recovery.  10.What are the dietary considerations for children with transposition of the great arteries after surgery?  There is no special attention to diet, just the same diet as normal children.  11.Is there any difference in the daily care for children after transposition of the great arteries?  There is no difference in care.