Abstract:

Transposition of Great Vessels (TGV) is a complex cardiac malformation featuring ventriculoarterial discordance. The elective surgical procedure is “arterial switch” operation, a complex intervention with survival rate 97-100%. We present a full-term child, diagnosed antenatally with TGV, who was urgently transferred, 6 days after birth, to Târgu-Mureş Emergency Institute for Cardiovascular Diseases and Transplantation. Emergency arterial switch surgery was performed. Postprocedural, re-intervention for hemostatic purpose was mandatory; afterwards, the patient developed renal failure. On postoperative day 14, the evolution was complicated by ceco-colic perforation. Further in evolution, seizures were noted along with upper caval thrombosis, right diaphragmatic paresis, and supraventricular arrhythmia. After 68 days of hospitalization and after suffering a range of complications, the patient was discharged being stable. In conclusion, acquiring the knowledge and practical experience required for the treatment of TGV leads to an increase in the survival rate.

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