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The Transpositions D-TGA L-TGA Yankee Blue Right to Left Shunts Very low saturations No response to O2 Confederate Gray Left Heart Obstruction Poor Perfusion Poor Cardiac Output Saturations not so low Good response to O2 D (Dextro)-TGA • with VSD • with P.S. • with VSD & P.S. TGA Chest X-Ray “Egg on a String” Balloon Catheters TRANSPOSITION of GREAT ARTERIES Mustard/Senning Operation (Atrial Switch) TRANSPOSITION of GREAT ARTERIES ARTERIAL SWITCH L-TGA with Ventricular Inversion • • • • • Also called “Corrected Transposition” with VSD With P.S. with VSD & P.S. Left atrio-ventricular valve problems (Ebstein’s) • Arrhythmias