Arterial Switch Surgery for TGA in Delhi

Arterial switch surgery is a life-saving open-heart procedure for newborns diagnosed with transposition of the great arteries (TGA), a critical congenital heart condition. Arterial switch surgery, also called the Jatene procedure, has a success rate of close to 99% at experienced paediatric cardiac centres, giving babies born with TGA the chance to grow, thrive, and lead normal, active lives.

Dr. Dinesh Kumar Mittal, Director and Head of Cardiothoracic and Vascular Surgery at Fortis Hospital, Shalimar Bagh, Delhi, has performed many paediatric heart surgeries, including complex neonatal arterial switch repairs, and is recognised as a pioneer of neonatal cardiac surgery in North India. Families across Delhi NCR and from abroad choose him for the accurate, timely diagnosis and skilled surgical correction that TGA in newborns demands.

What Is an Arterial Switch Surgery?

The arterial switch surgery, also known as the Jatene surgery, is the most effective treatment for babies born with transposition of the great arteries. It is a specialised paediatric cardiac surgery that corrects the position of the heart’s main arteries, ensuring that oxygen-rich blood flows properly to the body and vital organs.

In a healthy heart, oxygen-rich blood flows from the lungs to the body. However, in babies with TGA, this circulation is disrupted. The arterial switch surgery corrects this problem by restoring normal blood flow.

This surgery is usually performed within the first few days to one week after birth, once the baby is stable.

Before the surgery, doctors may temporarily improve the baby’s condition using:

• Prostaglandin medication, which helps keep blood flowing properly before the surgery
• Balloon atrial septostomy, a minor procedure that helps improve oxygen levels in the blood.

These steps help ensure the newborn is in the best possible condition for safe, successful surgery. By carefully combining these preparatory measures with expert surgical care, the arterial switch surgery provides newborns with TGA the best chance for a healthy, thriving life.

Why Is Arterial Switch Surgery Needed?

The arterial switch surgery is a life-saving surgery for newborns with transposition of the great arteries (TGA), a serious heart defect where the aorta and pulmonary artery are incorrectly connected. Without treatment, the body doesn’t receive enough oxygen, making the condition life-threatening.

In this condition:

• Oxygen-poor blood keeps circulating in the body
• Oxygen-rich blood does not reach vital organs

The arterial switch surgery corrects this by:

• Reconnecting the aorta to the correct heart chamber
• Repositioning the pulmonary artery so it carries blood to the lungs
• Restoring normal blood circulation throughout the body

This procedure restores proper blood flow to the brain and vital organs, supporting survival, healthy growth, and development. With the care of an experienced paediatric cardiac surgeon, the arterial switch surgery gives newborns with TGA a strong and healthy start in life.

Arterial Switch Surgery Procedure

Understanding the steps of the surgery can help parents feel more informed and reassured. The arterial switch surgery is a complex but well-established open-heart surgery performed by an experienced paediatric heart surgeon using advanced techniques and careful monitoring.

Step-by-step overview:

• The baby is given general anaesthesia to ensure they are completely comfortable and pain-free.
• A heart-lung machine (cardiopulmonary bypass) is used to maintain blood circulation.
• The heart is temporarily stopped to allow the surgeon to work safely.
• The aorta and pulmonary artery are carefully detached and repositioned.
• The coronary arteries are also reattached to ensure proper blood supply to the heart.
• The heart is then restarted, and its function is carefully monitored.
• Once everything is stable, the incision is gently closed

Every step is performed with precision to ensure the best possible outcome for your baby. The entire arterial switch surgery usually takes 3 to 6 hours, depending on the case’s complexity and the baby’s condition.

What Are the Risks of Arterial Switch Surgery?

It’s natural for parents to feel concerned about possible risks before any heart surgery. Like any major congenital heart surgery, the arterial switch surgery carries some risks. However, with modern techniques and experienced surgeons, serious complications are uncommon.

Possible risks include:

• Bleeding or infection
• Reaction to anaesthesia
• Irregular heart rhythms (arrhythmias)
• Coronary artery-related complications

Some babies may also experience minor and temporary issues such as:

• Feeding difficulties
• Nausea
• Bruising from IV lines

These risks are carefully monitored and managed throughout the treatment process. With proper monitoring and expert care, most of these issues are effectively managed, and the outcomes remain highly positive.

Preparation for Arterial Switch Surgery

Proper preparation helps ensure the surgery is as safe and smooth as possible for your baby. Before the arterial switch surgery, your baby will undergo a thorough evaluation to ensure they are stable and ready for surgery.

Common pre-surgery tests include:

• Blood tests to check overall health
• Chest X-ray to assess the heart and lungs
• Echocardiogram (heart ultrasound) to study heart structure and function
• ECG to monitor heart rhythm
• MRI or ultrasound, if needed for further evaluation

What parents can expect:

• A detailed discussion with the cardiac surgeon and anaesthesiologist
• Clear explanation of the procedure, possible risks, and recovery process
• Planning for blood transfusion, if required
• Guidance on the baby’s feeding and fasting before surgery

This preparation phase also gives parents the opportunity to ask questions and understand what to expect. The medical team ensures that parents feel informed, supported, and confident before the procedure.

What Happens During the Procedure?

Knowing what happens during surgery can help ease anxiety and build confidence in the process. During the arterial switch surgery, a specialised team works together to ensure your baby’s safety at every step. The procedure is performed under continuous monitoring and with advanced equipment.

• IV lines and monitoring devices are placed
• The baby is given general anaesthesia and closely monitored throughout
• The heart is connected to a heart-lung machine, which maintains blood flow and oxygen supply
• The surgeon carefully performs the arterial switch surgery to correct the position of the arteries
• After the repair, the heart is restarted, and its function is checked
• An echocardiogram confirms that the blood flow is normal

Each step is performed with precision to ensure the best possible outcome. The surgical team ensures everything is stable and functioning properly before completing the procedure.

Recovery After Arterial Switch Surgery

Recovery is a gradual process, and your baby will receive close care every step of the way. After the arterial switch surgery, your baby will be shifted to the Intensive Care Unit (ICU) for close monitoring.

Recovery involves:

• Continuous monitoring of heart rate, oxygen levels, and overall health
• Medications to manage pain and prevent infection
• Gradual introduction of feeding as your baby becomes stable
• Regular follow-ups with a paediatric cardiologist

As your baby recovers:

• Activity levels improve slowly
• Feeding becomes more regular
• Growth and development continue as expected

Parents are also supported throughout this journey, as recovery can be an emotional time for families. With proper care, follow-ups, and emotional support, most babies recover well after the arterial switch surgery and go on to live healthy, active lives.

Arterial Switch Surgery Cost in Delhi?

The cost of the arterial switch surgery in Delhi generally ranges from ₹3,80,000 to ₹5,50,000. This typically includes surgery and standard hospital care, but the exact amount may vary by patient.

The final cost depends on several factors, such as:

• Hospital and infrastructure
• Surgeon’s expertise
• ICU stay and medications
• Baby’s overall condition
• Any additional treatments required

Every baby’s condition is unique, so the treatment plan and cost can differ accordingly. A detailed cost estimate is usually provided after a complete evaluation, helping parents understand the expenses and plan the treatment with confidence.

Why Choose Dr. Dinesh Kumar Mittal for Arterial Switch Surgery in Delhi

When it comes to your child’s heart, choosing the right specialist makes all the difference.

Dr. Dinesh Kumar Mittal is a highly experienced paediatric cardiac surgeon in Delhi, known for successfully treating complex congenital heart conditions, including the arterial switch surgery in newborns. His expertise, precision, and compassionate approach make him a trusted choice for parents. People choose Dr. Dinesh Kumar Mittal because of:

• Extensive experience in arterial switch surgeries
• Successfully performed 500+ paediatric heart surgeries
• High success rates with excellent patient outcomes
• Special focus on newborn and infant heart surgery
• Clear, compassionate communication with families
• Use of advanced surgical techniques and safety protocols

Parents are guided and supported throughout the treatment journey. His dedication, experience, and patient-focused care provide families with confidence and reassurance during a challenging time.

Book a Consultation for Arterial Switch Surgery in Delhi

A diagnosis of TGA in your newborn can feel overwhelming, but early specialist consultation is the single most important step you can take. The first few days after birth are critical for baby’s stability, and timely surgery gives the best chance of a full, healthy recovery.

During your consultation, Dr. Dinesh Kumar Mittal will provide:

• Detailed review of echocardiography, ECG, and other diagnostic reports
• Clear explanation of your baby’s specific heart anatomy and TGA type
• Assessment of readiness for surgery, including any pre-surgical stabilisation needed (such as balloon atrial septostomy)
• Honest discussion of the procedure, risks, and expected recovery timeline
• Transparent breakdown of arterial switch surgery cost in Delhi
• Guidance and emotional support for the whole family through this journey

For families outside Delhi or India, remote pre-travel assessment is available, simply share your baby’s echocardiogram and diagnostic reports for an early opinion before making travel arrangements.

If your newborn has been diagnosed with TGA, or if a routine scan has raised concern, don’t wait. Early evaluation by an experienced paediatric cardiac surgeon significantly improves outcomes. Consult Now.