Suraj Wasudeo Nagre*
Department of CVTS, Grant Medical College, Mumbai, India
Received: 02 June, 2016; Accepted: 22 July, 2016; Published: 23 July, 2016
Dr. Suraj Wasudeo Nagre, Assistant Professor, Department of CVTS, Grant Medical College, 31, Trimurti Building,J J Hospital compound, Byculla , Mumbai, Pin -400008, Tel: 09967795303; E-mail:
Nagre SW (2016) Historical Evolution of Surgery for Transposition of Great Arteries (TGA). J Cardiovasc Med Cardiol 3(1): 026-029. DOI: 10.17352/2455-2976.000026
© 2016 Nagre SW. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Congenital heart disease; Arterial switch; Atrial switch; Transposition of great arteries
The history of surgery for transposition of great arteries (TGA) has paralleled the history of cardiac surgery. In fact, it began before the birth of open heart surgery when the palliative Blalock-Hanlon septectomy was first performed in 1948. The atrial switch, which was an attempt to correct the physiology of transposition, had significant shortcomings. The arterial switch sought to address them. This has emerged as an anatomically as well as physiologically appropriate solution. This review traces the various milestones in this perpetual journey.
The science and art of cardiac surgery has made rapid development in the past 65 years. The surgery for transposition of great arteries (TGA) symbolises the manner in which cardiac surgery has progressed. The eventually successful solution in the form of the now popular arterial switch operation (ASO) was elucidated after multiple contributions from several surgical stalwarts and geniuses over more than 35 years (Figure 1). This review traces the various milestones along this journey.