PDF(Pubmed)
Abstract：
Transposition of the great arteries (TGA), also termed complete transposition, is a congenital cardiac defect, and it is subjected to the concordance of the atrioventricular system discordance of the ventriculoarterial (VA) system. Male babies have slightly more preponderance than female babies. In almost half of the cases reported, the discordance in the VA system is the sole finding. In 10% of cases, TGA is often caused by other cardiac deformities, which incorporate defects in the septum of the ventricular chamber and stenosis in the left ventricular outlet. Eventually, these recite the progression, prognosis, and clinical presentation. In most cases, the onset is as soon as the birth. However, it may vary and depend on the difference in the anatomical and functional types, which determine the level of amalgamation between the oxygenated and deoxygenated blood. The etiology of the following condition is still unknown, but this defect is known to have a genetic preponderance. The definitive management of this condition is surgery, but medical management is optional and is prescribed according to the clinical evaluation and includes furosemide. Surgical correction can be performed in the later course of time, ensuring the fitness of the child. The procedure of choice is the arterial switch operation. This case report emphasizes the vital function of extensive critical care of newborns and prompt antenatal screening of high-risk pregnancies. It also highlights the importance of quick healthcare practices for newborns with congenital disabilities.
摘要：
大动脉转位(TGA),也称为完全转座，是先天性心脏缺陷,并且它受到房室系统与心室动脉（VA）系统不一致的影响。男性婴儿比女性婴儿略占优势。在报告的几乎一半的病例中，VA系统中的不一致是唯一的发现。在10%的案例中,TGA通常由其他心脏畸形引起，其中包括室间隔缺损和左心室出口狭窄。最终,这些背诵的进展，预后,和临床表现。在大多数情况下,一出生就发病。然而,它可能会有所不同，并取决于解剖和功能类型的差异，这决定了含氧和脱氧血液之间的汞齐化水平。以下疾病的病因尚不清楚，但是已知这种缺陷具有遗传优势。这种情况的最终管理是手术，但医疗管理是可选的，根据临床评估规定，包括呋塞米。手术矫正可以在以后的时间进行，确保孩子的健康。选择的程序是动脉转换操作。该病例报告强调了对新生儿进行广泛重症监护的重要功能，并迅速对高危妊娠进行产前筛查。它还强调了快速医疗保健实践对先天性残疾新生儿的重要性。
