Dextro-transposition of the great arteries follow up


 * Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [mailto:psingh@perfuse.org]; ; Keri Shafer, M.D. [mailto:kshafer@bidmc.harvard.edu]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [mailto:kfeeney@perfuse.org]

Overview
ACC/AHA recommends patients with dextro-Transposition of the Great Arteries to have antibiotics prophylaxis to prevent endocarditis in certain conditions.

==(ACC/AHA) recommendations for Endocarditis Prophylaxsis in Dextro-Transposition of the Great Arteries (DONOT EDIT)==

Recommendations for Endocarditis Prophylaxis

Class IIa

1. Antibiotic prophylaxis before dental procedures that involve manipulation of gingival tissue or the periapical region of teeth or perforation of the oral mucosa is reasonable in those with the following indications:
 * 1. Prosthetic cardiac valve. (Level of Evidence: B)
 * 2. Previous infective endocarditis (IE). (Level of Evidence: B)
 * 3. Unrepaired and palliated cyanotic CHD, including surgically constructed palliative shunts and conduits. (Level of Evidence B)
 * 4. Completely repaired CHD with prosthetic materials, whether placed by surgery or by catheter intervention, during the first 6 months after the procedure. (Level of Evidence: B)
 * 5. Repaired CHD with residual defects at the site or adjacent to the site of a prosthetic patch or prosthetic device that inhibit endothelialization. (Level of Evidence: B)

2. It is reasonable to consider antibiotic prophylaxis against IE before vaginal delivery at the time of membrane rupture in select patients with the highest risk of adverse outcomes. This includes patients with the following indications:
 * 1. Prosthetic cardiac valve or prosthetic material used for cardiac valve repair. (Level of Evidence: C)
 * 2. Unrepaired and palliated cyanotic CHD, including surgically constructed palliative shunts and conduits. (Level of Evidence: C)

Class III

1. Prophylaxis against IE is not recommended for nondental procedures (such as esophagogastroduodenoscopy or colonoscopy) in the absence of active infection. (Level of Evidence: C)

For ACC/AHA Level of evidence and Classes click:ACC AHA Guidelines Classification Scheme