PERIOPERATIVE MANAGEMENT OF AN ADOLESCENT WITH TRANSPOSITION OF THE GREAT ARTERIES, STATUS POST SENNING PROCEDURE, FOR POSTERIOR SPINAL FUSION

With advances in careful procedures and preoperative consideration, the survival rate of patients with intrinsic coronary disease keeps on expanding. All things considered, patients with vindicated or amended inborn coronary illness may exhibit for major surgeries. Albeit elective strategies are currently accessible for the anatomic fix of patients with transposition of the extraordinary corridors (TGA), an atrial dimension baffle (Mustard or Senning Method) was recently performed. As these patients age, long haul unfriendly impacts may happen including myocardial brokenness, cadence unsettling influences requiring pacemaker situation, pneumonic hypertension, and baffle impediment. We present a research study of a multiyear old young lady with TGA, who experienced a Senning system amid the earliest stages and now introduced for back spinal combination in the treatment of kyphoscoliosis. The preoperative consideration of such patients is talked about.

Keywords: Congenital Heart Disease; Transposition of the Great Arteries; Senning Procedure; Mustard Procedure; Myocardial Dysfunction; Pulmonary Hypertension; Baffle Obstruction.