Early and Mid-Term Results of the Arterial Switch Operation in Patients with Intramural Coronary Artery

Chen, Xinxin; Cui, Hujun; Chen, Weidan; Yang, Shengchun; Cui, Yanqin; Xia, Yuansheng; Ma, Li

doi:10.1007/s00246-014-0968-5

Cited by 10 publications

(13 citation statements)

References 15 publications

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“…Pasquali et al speculated that the preoperative imaging, along with operator experience, has likely contributed to decreased mortality in patients with intramural CA [11]. Chen et al emphasized the importance of preoperative diagnosis of IM type, although none of the seven patients with IM was diagnosed preoperatively [24]. Baslaim studied if preoperative delineation of CA is a prerequisite for ASO.…”

Section: Discussionmentioning

confidence: 99%

“…Legendre et al showed that CA types B and C were significantly correlated to coronary events [16]. However, other studies have failed to confirm an association between abnormal CA and increased mortality [7, 14, 24]. …”

Section: Discussionmentioning

confidence: 99%

“…Pasquali et al speculate that the vulnerable factor for single coronary is the sole source of blood flow to the whole cardium and consequently, if any events of kinking, stretching, or thrombosis will have a profound effect [11]. Several researchers have accounted surgical difficulties for the increased risk of morbidity related to intramural coronaries [14, 24, 26]. …”

Section: Discussionmentioning

confidence: 99%

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Preoperative Coronary Anatomy Assessment with Echocardiography and Morbidity After Arterial Switch Operation of Transposition of the Great Arteries

et al. 2018

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In transposition of the great arteries (TGA), certain coronary patterns have been associated with major adverse events early after the arterial switch operation (ASO). We sought to determine the impact of preoperative echocardiographic (ECHO) diagnosis on the intra and postoperative morbidity. All patients with TGA born between June 2001 and June 2017 and who underwent ASO were reviewed. Data on presumed coronary anatomy (CA) preoperatively were obtained from the preoperative ECHO report. Intraoperative CA was categorized according to Yacoub classification. Major postoperative morbidity included at least one of the following: delayed sternal closure (DSC), prolonged (> 72 h) mechanical ventilation, reintubation, peritoneal dialysis (PD), ECMO, reoperation, and readmission within 30 days after surgery. 240 patients with median age of 5 days (range 1–614) and mean weight at surgery was 3.6 kg (1.8–8.4) were included. Preoperative ECHO assessment of CA was available in 228 patients. Intraoperatively, 181 patients (75%) were found to have type A, 25 patients had type B or C or intramural (B–C–IM; 10%), and 34 patients had type D or E (D–E; 14%). Patients with types B, C, and intramural coronary (B–C–IM) had increased risk for delayed sternum closure (9/25 vs. 20/181 in type A and 8/34 in type D–E; p = 0.04), peritoneal dialysis (4/25 vs. 8/181 and 1/34; p = 0.04), and ECMO (2/25 vs. 1/131 and 1/34; p = 0.02). Within the B–C–IM group, preoperative ECHO raised suspicion of type A in 13 patients (i.e., incorrect diagnosis, ID; 52%), whereas non-A CA was suspected in 12 patients (i.e., correct diagnosis, CD; 48%). With the exception of reoperation, which was seen only in the ID subgroup (4/12 vs. 0/10 in the CD subgroup; p = 0.04), the intraoperative (cardiopulmonary bypass time and cross-clamp time) and postoperative morbidity indices were comparable in both ID and CD subgroups (p > 0.1). Although there is a significant risk for early postoperative morbidity in TGA patients with single, interarterial, and intramural CA, there seems to be relatively limited influence of preoperative ECHO assessment of coronary anatomy on this morbidity burden.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Preoperative Coronary Anatomy Assessment with Echocardiography and Morbidity After Arterial Switch Operation of Transposition of the Great Arteries

et al. 2018

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“…In this case the commissural area must be repaired. After unroofing, the coronary ostia are to be transferred normally using a trap-door technique [144, 160, 161].…”

Section: Surgery For Transposition Of the Great Arteries With Intact mentioning

confidence: 99%

“…Whenever great vessels are located side by side, and depending on special orientations, the Lecompte manoeuvre may or may not be performed [161, 167, 170, 171]. In cases where it is not performed, it is necessary to shift the pulmonary artery bifurcation, which is done by sliding the anastomosis to one of the pulmonary branches.…”

Section: Surgery For Transposition Of the Great Arteries With Intact mentioning

confidence: 99%

Clinical guidelines for the management of patients with transposition of the great arteries with intact ventricular septum

Sarris¹,

Balmer²,

Bonou³

et al. 2017

Cardiol Young

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The members of the Task Force have provided disclosure statements of all relationships that might be perceived as real or potential sources of conflicts of interest. These disclosure forms are kept on file at the headquarters of the EACTS/AEPC. The Committee report received its entire financial support from the EACTS and AEPC, without any involvement of the pharmaceutical, device or surgical industries

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Clinical Outcome of Patients with Transposition of the Great Arteries and Intramural Coronary Artery

et al. 2021

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Early and Mid-Term Results of the Arterial Switch Operation in Patients with Intramural Coronary Artery

Cited by 10 publications

References 15 publications

Preoperative Coronary Anatomy Assessment with Echocardiography and Morbidity After Arterial Switch Operation of Transposition of the Great Arteries

Preoperative Coronary Anatomy Assessment with Echocardiography and Morbidity After Arterial Switch Operation of Transposition of the Great Arteries

Clinical guidelines for the management of patients with transposition of the great arteries with intact ventricular septum

Clinical Outcome of Patients with Transposition of the Great Arteries and Intramural Coronary Artery

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