The transposition of the Big Condition of Heart Vessels Congenital
In the transposition of the big vessels, the aorta and the lung artery changes their normal positions. The aorta receives the blood of the just ventricule that does not have any a lot of oxygens, but it is carried return to the body without going through the lungs to receive more oxygen. All the same, the lung artery receives the high blood of oxygen of the left ventricule but the return door towards the lungs.
The patients with the transposition of the big vessels must have surgery early in the life to be able to survive. Some babies have a procedure in the laboratory of cardiac catheterization temporarily to delay their surgery until they withstand surgery tension. The procedure of catheterization enlarges the foramen between the right and left the superior rooms (the atriums) heart. This procedure allows the blood mixture together if some rich blood in oxygen and poor oxygens can be pumped to the correct side. This is a temporary measure.
There are two major surgical procedures that are used to correct the transposition.
1. The first is called a tunnel (or the procedure of Mustard, or the procedure of Senning). The surgeon creates a tunnel (aka confuses) between the two atriums. The tunnel reorientates oxygen the enriched blood towards the just ventricule and the aorta and the blood of poor oxygens towards the left ventricule and the lung artery. This operation is known as an atrial or the switch streaks.
2. The second type of surgical treatment is called a procedure of arterial switch. The lung artery and the aorta are changed return to their normal position. The aorta is attached by the surgeon to the left ventricule, and the lung artery is placed on the just ventricule. The coronary arteries, that carry oxygen the vital enriched blood that furnishes the heart muscle, must be transferred to the new aorta.
The problems That May Arrives Include:
Heart function can damage itself progressively.
The patients that had an operation of Mustard or Senning can test a significant decline in the function of muscle of heart or develop the problems of valve of heart. The reason for this decline is that the just ventricule pumps all the blood for the entire not just body the lungs. The drugs could be used to improve the function of muscle of heart, to avoid the fluid accumulation (the medicines diuretics). The check of arterial tension of ordinary one will help also. The patients that had an operation of arterial switch have less than difficulty with the decline of muscle of heart. They can always have the escape of valve. The coronary moved arteries can have also problems.
The Problems of Rhythm of heart (the Arrhythmias)
The people with the repaired transposition of the big vessels, are at the risk of problems of rhythm of heart in the process of development. This is the most common one with the procedures of Mustard or Senning. The heart arrhythmias ordinarily begin in the atriums of the heart (or the superior rooms). The cardiac rhythm can be too slow or also quickly. When the cardiac rhythm is slow, an electronic pacemaker can be necessary to press it. When the cardiac rhythm is too quick, the medicines could be used to slow down it. A third option of treatment of arrhythmia is an a cardiac catheterization to study and to treat these rhythm problems.
The pregnancy problems for Sick Corrected Transpositions
The women that have a repaired transposition of the big vessels can be able to carry a pregnancy to the full term. Pregnancy stresses the heart of the mother in a normal patient. If a patient has the problems of muscle of serious heart or the arrhythmias because of the transposition, they can have problems during pregnancy. The mother must speak with a cardiologist that treats patients with the congenital problems of heart before obtaining pregnant.
The item with the other information of disease of congenital hearts is at http://healthblaster.com/?page_id=14
Posted on February 5, 2010.
