1. How I do the atrial switch operation ? Thaworn Subtaweesin Siriraj hospital

2. Transposition of the great arteries

3. History of atrial switch operation 1950 Blalock-Hanlon operation 1954 Albert operation 1956 Baffes operation 1956 Creech operation 1957 Senning operation 1963 Mustard operation 1965 Edwards’ operation 1975 revival of Senning operation

4. Blalock-Hanlon operation

5. Edwards operation

6. Albert operation

7. Baffes operation

8. Creech operation

9. Mustard operation Senning operation & it’s modification atrial switch operation

10. Mustard operation

15. Senning operation

23. Modified Senning operation

30. Longterm problems Systemic venous pathway obstruction Pulmonic venous pathway obstruction Baffle leak Atrial arrhythmia Ventricular arrhythmia Rt. Ventricular failure Tricuspid valve regurgitation

31. Present indication Anatomic repair for ccTGA Isolated atrio-ventricular discordant Difficult coronary transfer Late presentation for dTGA

32. ccTGA

33. Double switch

34. Atrial switch + Rastelli