Which of the following is the treatment of choice for the neonate with transposition of the great arteries (TGA)?
a. Fontan procedure c. Norwood procedure
b. arterial switch d. Glenn shunt
B
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A Incorrect. The Fontan procedure is the final palliative procedure for children with tricuspid atresia.
B Correct. The treatment of choice for the neonate with transposition of the great arteries (TGA) is arterial switch. The aorta is resected from the aortic trunk and the pulmonary artery is resected from the pulmonary trunk. These vessels are then switched, resulting in anatomic correction.
C Incorrect. The Norwood procedure is used for hypoplastic left heart syndrome.
D Incorrect. The Glenn shunt is used in repair of tricuspid atresia.
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