Cardiovascular Disorder - Transposition Of The Great Arteries (TOGA)

Question 1

Transposition means

Answer 1

Switch

Question 2

ToGA stands for

Answer 2

Transposition of the Great Arteries

Question 3

What arteries are switched in ToGA?

Answer 3

Pulmonary Artery and Aorta

Question 4

Is there mixing of deoxygenated blood and oxygenated blood?

Answer 4

None

Question 5

What’s the problem in Transposition of the Great Arteries?

Answer 5

From the word Trans which means switch among the great arteries namely pulmonary artery and aorta.

Deoxygenated which supposed to be in the right ventricle connected to pulmonary artery is connected to aorta instead. And oxygenated left ventricle which supposed to be connected to Aorta is connected to Pulmonary artery

Question 6

Cyanotic or Acyanotic?
Transposition of the Great Arteries (ToGA)

Answer 6

Cyanotic

Question 7

2nd most common CHD

Answer 7

Transposition of the Great arteries

Question 8

If ToGA is evident immediately at birth, is this dangerous or not?

Answer 8

It is dangerous

Question 9

Managements of ToGA

Answer 9

Prostaglandin infusion
Balloon Atrial Septostomy
Atrial switch: Jaylene procedure

Question 10

If prostaglandin is infused, what should be kept prepared in the bedside?

Answer 10

Ventilator

Question 11

What kind of room shall the patient stay in?

Answer 11

Room air only

Question 12

If prostaglandin is infused, what should we watch out for? And for how many hours?

Answer 12

Apnea and hypotension in 2 hours

Question 13

Temporary management for ToGA

Answer 13

Balloon Atrial Septostomy

Question 14

Where shall the patient with Balloon Atrial Septostomy be admitted?

Answer 14

ICU

Question 15

How many days should an Arterial switch with Jatene procedure be done in a baby?

Answer 15

Within 14 days of life