Late coronary artery lesions after neonatal arterial switch operation: results of surgical coronary revascularization

Raisky, Olivier; Bergoend, Éric; Agnoletti, Gabriella; Ou, Phalla; Bonnet, Damien; Sidi, Daniel; Vouhé, Pascal

doi:10.1016/j.ejcts.2007.02.003

Cited by 106 publications

(86 citation statements)

References 15 publications

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“…It is possible that this is a static minor vascular abnormality, but it could also represent as an early phase of progressive vascular remodeling. 20 Although these relatively minor coronary abnormalities are unlikely to develop into lethal events, we recommend careful long-term follow-up of patients who develop coronary artery problems after ASO.…”

Section: Discussionmentioning

confidence: 99%

“…18,20,31 Whereas the clinical significance of trivial-mild coronary abnormalities is not entirely clear, some coronary vascular changes may be progressive. 20 Post-ASO coronary artery abnormalities may not be detected reliably without specific coronary imaging. 16 It is misleading to assume that lack of clinical symptoms affirms absence of potentially lethal coronary abnormalities that may lead to myocardial ischemia, catastrophic ventricular arrhythmia, or even sudden death.…”

Section: Methodsmentioning

confidence: 99%

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Coronary Artery Problems Late After Arterial Switch Operation for Transposition of the Great Arteries

Tsuda

Bhat

Robinson

et al. 2015

Circ J

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Background:The incidence of late coronary artery abnormalities after arterial switch operation (ASO) for d-loop transposition of the great arteries may be underestimated. Methods and Results:We retrospectively reviewed coronary artery morphology in 40 of 97 patients who survived the first year after ASO. Seven asymptomatic patients developed significant late coronary artery abnormalities. One patient died suddenly at home with severe left coronary artery (LCA) ostial stenosis at age 3.8 years. The second patient collapsed during exercise at age 9.6 years due to ventricular fibrillation and severe LCA ostial stenosis despite prior negative exercise stress test (EST) and myocardial perfusion imaging (MPI). The third patient was found to have moderate ostial stenosis of the LCA with negative EST and MPI. The fourth patient with exercise-induced ST-T depression and myocardial perfusion defect was shown to have complete LCA occlusion with collateral vessel formation. Three other patients had complete proximal obliteration of either of the coronary arteries with collateral supply. An additional 4 asymptomatic patients had trivial-mild narrowing of the LCA on routine selective coronary angiogram. Conclusions:Incidence of late coronary stenosis or occlusion was not infrequent after ASO (11.3%) and presented usually without preceding symptoms and often after negative non-invasive screening. We advocate routine coronary imaging in all patients after ASO before they participate in competitive sports. 2373 Late Coronary Problems After ASO Laboratory). MPI was performed with technetium-99 m sestamibi injection, and perfusion imaging was obtained before and after exercise. Studies were read by a radiologist specialized in nuclear medicine. All cardiac catheterizations and angiograms were reviewed by W.R., Director of the Cardiac Catheterization Laboratory. All study results and original images were presented and carefully discussed in a weekly Multidisciplinary Case Conference at Nemours Cardiac Center for final consensus among the group, which included all attending cardiologists, intensivists, surgeons, and anesthesiologists prior to any critical decisions being made.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Coronary Artery Problems Late After Arterial Switch Operation for Transposition of the Great Arteries

Tsuda

Bhat

Robinson

et al. 2015

Circ J

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“…In a series of 755 arterial switch procedures, coronary perfusion issues were detected in 34 children, with documented ischemia in only 19. 33 There are no data available yet on the risk of coronary complications later in adulthood.…”

Section: Sommer Et Almentioning

confidence: 99%

Pathophysiology of Congenital Heart Disease in the Adult

2008

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“…Coronariatranszfer-műtétek: TGA-switch, Ross-műtét után jelentősen emelkedik a coronaria orifitium stenosisa [19][20][21][22][23], de ebben az esetben korrekt adatok még nincsenek, mert e populáció még nem érte el az időskort.…”

Section: Megbeszélésunclassified

Veleszületett szívhibák sebészi kezelése 60 éves kor felett

et al. 2016

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Bevezetés: A szívhibákkal született betegek száma és életkora növekszik. Célkitűzés: A szerzők arra a kérdésre kerestek választ, milyen számban és eredménnyel operálhatók az idős, 60 év felettiek veleszületett szívhibái. Módszer: 2013-2015 között 77 felnőtt, 36 negyvenévesnél fiatalabb és 41 idősebb, köztük 12 hatvanéves kor feletti beteget operál-tak. A különböző műtétek száma a következő volt (zárójelben az egyes korcsoportokban végzett műtétek száma): 5 (3, 2, 0) Ross, 19 (12, 1, 6) aortaműbillentyű-beültetés, 1 (0, 0, 1) subaorticus membránreszekció, 8 (4, 3, 1) Bentall/aorta ascendens cseréje, 5 (0, 3, 2) myectomia mitralisműbillentyű-beültetéssel vagy a nélkül, 1 (1, 0, 0) coarctatio aortae rekonstrukciója, 2 (1, 1, 0) ductus arteriosus ligatura, 4 (0, 3, 1) jobbkamra-kifolyási pálya rekonstrukciója biológiai műbillentyűvel, 5 (5, 0, 0) homograft, 1 (0, 1, 0) BioValsalva-beültetés, 3 (1, 2, 0) teljes atrioventricularis septumdefektus primer rekonstrukciója, 2 (1, 1, 0) műbillentyű-beültetés, 10 (4, 6, 0) kamrai septumdefektus, 5 (2, 3, 0) pitvari septumdefektus zárása, 1 (1, 0, 0) teljes cavopulmonalis anasztomózis, 1 (0, 1, 0) congenitalis korrigált nagyér-transzpozíció műbillentyű-beültetéssel, 2 (0, 1, 1) Ebstein-betegségben billentyűplasztika és 2 (1, 0, 1) műbillentyű-beültetés. Eredmények: Műtéti mortalitás nem volt, korai halálozás 1 esetben teljes cavopulmonalis anasztomózis műtét után fordult elő többszervi elégtelenség miatt. Következtetések: Számolni kell az egyre magasabb életkorú veleszületett szívhibás betegekkel, akiknél a szívbetegség jó eredménnyel korrigálható 60 éves életkor felett is a congenitalis és szerzett szívhibák megoldásában jártas szívsebészeti osztályon. Orv. Hetil., 2016, 157(21), 820-824. Kulcsszavak: veleszületett szívhibák sebészete időskorban Surgical management of congenital heart defects beyond the age of 60Introduction: The population with congenital heart disease is increasing and ageing. Aim: The aim of the authors was to examine the outcome of surgical management of congenital heart diseases beyond the age of 60 years. Method: Between 2013 and 2015, 77 adults were operated (36 younger, and 41 older than forty years, including 12 patients aged over 60 years. The numbers of procedures were as follows (in brackets the number of operations in the three age groups): Ross surgery 5 (3, 2, 0); aortic valve replacement 19 (12, 1, 6); subaortic membrane resection 1 (0, 0, 1); Bentall/ascending aortic plasty 8 (4, 3, 1); myectomy with or without mitral valve replacement in left ventricular outflow obstruction 5 (0, 3, 2); aortic coarctation 1 (1, 0, 0); ligation of ductus arteriosus 2 (1, 1, 0); reconstruction of right ventricular outflow tract with biological valve 4 (0, 3, 1); homograft 5 (5, 0, 0); BioValsalva graft 1 (0, 1, 0); primary reconstruction of complete atrioventricular septum defect 3 (1, 2, 0); valve replacement 2 (1, 1, 0); ventricular septum defect 10 (4, 6, 0); atrial septum defect closure 5 (2, 3, 0); total cavopulmonal anastomosis 1 (1, 0, 0); valve replac...

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Late coronary artery lesions after neonatal arterial switch operation: results of surgical coronary revascularization

Cited by 106 publications

References 15 publications

Coronary Artery Problems Late After Arterial Switch Operation for Transposition of the Great Arteries

Coronary Artery Problems Late After Arterial Switch Operation for Transposition of the Great Arteries

Pathophysiology of Congenital Heart Disease in the Adult

Veleszületett szívhibák sebészi kezelése 60 éves kor felett

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