Arterial Switch Operation & Complex Neonatal Cardiac Surgery
Complex neonatal open-heart surgical procedures (Arterial Switch Operation for TGA, Norwood / Glenn / Fontan stages for HLHS) and therapeutic pediatric cardiac catheterizations.
Paediatric cardiac surgery & catheterisation
Clinical Overview & Disease Information
Complex neonatal open-heart surgical procedures (Arterial Switch Operation for TGA, Norwood / Glenn / Fontan stages for HLHS) and therapeutic pediatric cardiac catheterizations.
Signs & Symptoms
- • Neonatal cyanosis unresponsive to 100% oxygen (transposition of great arteries)
- • Ductal-dependent systemic blood flow shock in first week of life
- • Severe tachypnea, intercostal retractions, and poor feeding
- • Weak femoral pulses (coarctation of aorta)
- • Heart failure with hepatomegaly
- • Neonatal cardiovascular collapse due to ductus arteriosus closure
Causes & Risk Factors
Primary Causes & Etiology
- Transposition of the Great Arteries (d-TGA)
- Hypoplastic Left Heart Syndrome (HLHS)
- Coarctation of the Aorta & Truncus Arteriosus
Who is at Higher Risk?
- Neonates and infants with critical congenital heart disease requiring emergency neonatal open-heart surgery
Diagnostic Evaluation & Testing
| Diagnostic Test | Clinical Purpose / What It Shows |
|---|---|
| Neonatal 3D Color Doppler Echocardiogram | Evaluates great artery spatial orientation, coronary artery branching patterns, and aortic arch obstruction |
| Pediatric Cardiac Catheterization & Balloon Atrial Septostomy (Rashkind) | Creates immediate inter-atrial mixing for oxygenation in TGA |
Comprehensive Treatment Options
Arterial Switch Operation (ASO) with Medial Coronary Transfer (Jatene Procedure)
Neonatal open-heart resection transposing aorta and pulmonary artery back to correct ventricles with coronary artery re-implantation.
Norwood Stage I / Bidirectional Glenn / Total Cavopulmonary Connection (Fontan)
Staged single-ventricle palliation for Hypoplastic Left Heart Syndrome.
Advanced Medical Technologies Available in Partner Hospitals
Possible Complications If Untreated
Recovery Timeline, Diet & Lifestyle Care
Recovery Timeline
| Procedure / Stage | Expected Recovery Duration |
|---|---|
| Neonatal Cardiac ICU Monitoring | 3 to 5 days |
| Step-Down Ward & Oral Feeding | 7 to 10 days |
| Full Anatomical Healing | 4 to 6 weeks |
Recommended Post-Treatment Diet
- High calorie infant formula via nasogastric tube or oral bottle feeding
Essential Lifestyle Changes
- Protect sternal incision during lifting
- Maintain warm ambient environment
- Strict pediatric cardiology follow-up
Prevention & Long-Term Health
Frequently Asked Questions
When should an Arterial Switch Operation be performed?
An Arterial Switch Operation is best performed within the first 7 to 14 days of life before the left ventricle loses muscle mass.
Top Recommended Specialists Available
Dr. Sanjay Sarup
Head – Orthopaedics (Unit-II) & Chief – Paediatric Orthopaedics & Spine Surgery
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Dr. Shubhra Shri Gupta
Principal Consultant - Neonatology & Incharge - Pediatric Cardiac Critical Care
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Dr. Snehal Deshpande
Consultant - Paediatric Physiotherapy & Neuro-Rehabilitation
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Dr. Subodh Chandra Pande
Chief - Radiation Oncology & Co-Chief - Cyberknife Centre
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Dr. Arun Singh Danewa
Senior Consultant – Pediatric-Haemato-Oncology & Bone Marrow Transplant (Unit II)
View Doctor Profile →Global Cost Comparison Matrix
| Procedure | USA (Avg) | India (ISG) | Turkey (Avg) | Thailand (Avg) |
|---|---|---|---|---|
| Paediatric cardiac surgery & catheterisation | $65,000 | $7,200 | $16,000 | $18,000 |
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Get Free Treatment EstimateCommonly Prescribed Medications
- Prostaglandin E1 (Alprostadil) IV
- Milrinone Infusion
- Furosemide
- Spironolactone
International Patient Guide
- Child Passport & Visa
- Fetal / Neonatal Echocardiogram Reports