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Hu Q, Deng C, Zhu Q, Yang X, Liu H, Liao H, Wang X, Yu H. Dextro-transposition of the great arteries in one twin: case reports and literature review. Transl Pediatr 2022; 11:601-609. [PMID: 35558975 PMCID: PMC9085950 DOI: 10.21037/tp-21-569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Accepted: 02/25/2022] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Dextro-transposition of the great arteries (D-TGA) is a rare congenital heart disease, as it affects only 0.02-0.05% of live births. It is the second most common cyanotic heart disease following Tetralogy of Fallot. It has a male predominance. Fetal echocardiography is an optimal method for prenatal diagnosis of fetal D-TGA. In twin pregnancies, fetal D-TGA in one twin is very rare, especially in monochorionic-diamniotic twin pregnancies. Herein, we report a case of D-TGA in one twin in two dichorionic-diamniotic twin pregnancies and one monochorionic-diamniotic twin pregnancy from January 2018 to June 2021. CASE DESCRIPTION One twin with D-TGA was diagnosed by fetal echocardiography in the second trimester, and the co-twin was normal in all three cases. A multidisciplinary team provided extensive counseling regarding the D-TGA twin and the co-twin, and adequate perinatal management was provided. In cases 1, 2, and 3, the mothers underwent cesarean sections at 37 weeks + 2 days, 34 weeks + 5 days, and 36 weeks + 1 day, respectively. In case 1, which involved a female D-TGA neonate with birth weight 2,410 g, an emergent atrial septostomy was performed at 20 h after birth, and the neonate underwent atrial switch operation (ASO) 24 days after birth. In case 2, involving a male D-TGA neonate with a birth weight of 2,380 g, ASO was performed 24 days after birth. In case 3, involving a female D-TGA neonate with birth weight 2,240 g, ASO was performed 19 days after birth and delayed sternal closure was performed 4 days later. All six infants showed normal development during follow-up. CONCLUSIONS Early antenatal diagnosis of D-TGA in one fetus of a twin pregnancy is significantly important. A multidisciplinary team should carry individual evaluation and integrated management of the D-TGA twin and co-twin during the pregnancy and perinatal period. After birth, delayed ductus arteriosus closure in the D-TGA twins should be performed when necessary and individualized timings for arterial switch operation should be considered.
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Affiliation(s)
- Qing Hu
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.,Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China
| | - Chunyan Deng
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.,Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China
| | - Qi Zhu
- Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.,Department of Ultrasonic Medicine, West China Second University Hospital, Sichuan University, Chengdu, China
| | - Xiaoyan Yang
- Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.,Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, China
| | - Hongyan Liu
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.,Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China
| | - Hua Liao
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.,Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China
| | - Xiaodong Wang
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.,Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China
| | - Haiyan Yu
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.,Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China
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Gittenberger-de Groot AC, Koenraadt WM, Bartelings MM, Bökenkamp R, DeRuiter MC, Hazekamp MG, Bogers AJC, Quaegebeur JM, Schalij MJ, Vliegen HW, Poelmann RE, Jongbloed MR. Coding of coronary arterial origin and branching in congenital heart disease: The modified Leiden Convention. J Thorac Cardiovasc Surg 2018; 156:2260-2269. [DOI: 10.1016/j.jtcvs.2018.08.009] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Revised: 07/15/2018] [Accepted: 08/02/2018] [Indexed: 11/16/2022]
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Shikata F, Okamura T, Higaki T, Okura M, Yajima C, Kojima A, Uchita S, Sakashita Y, Namiguchi K, Yasugi T, Izutani H. Aortopulmonary collateral arteries: a rare complication after arterial switch operation for transposition of the great arteries. Surg Case Rep 2016; 1:97. [PMID: 26943421 PMCID: PMC4595413 DOI: 10.1186/s40792-015-0098-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2015] [Accepted: 10/01/2015] [Indexed: 11/10/2022] Open
Abstract
Collateral vascular arteries from the descending aorta to the pulmonary arteries are uncommon after arterial switch operation. Here, we report the case of a baby girl treated with coil embolization for abnormal blood flow from the descending aorta to the pulmonary arteries after arterial switch operation. A baby girl weighing 1324 g was delivered at 32 weeks 4 days of gestation, and she had D-transposition of the great arteries and a ventricular septal defect. She underwent nitrogen inhalation to reduce pulmonary blood flow before arterial switch operation. After the operation, she presented with left heart failure due to the presence of abnormal blood flow from the descending aorta to the pulmonary arteries, and she was successfully treated with coil embolization. After the treatment, her condition improved dramatically, and she was discharged without any complications.
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Affiliation(s)
- Fumiaki Shikata
- Department of Cardiovascular Surgery, Ehime University, Shitsukawa, Toon, Ehime, 791-0295, Japan.
| | - Toru Okamura
- Department of Cardiovascular Surgery, Ehime University, Shitsukawa, Toon, Ehime, 791-0295, Japan
| | - Takashi Higaki
- Department of Pediatric Cardiology, Ehime University, Toon, Ehime, Japan
| | - Masahiro Okura
- Department of Cardiovascular Surgery, Ehime University, Shitsukawa, Toon, Ehime, 791-0295, Japan
| | - Chisato Yajima
- Department of Pediatric Cardiology, Ehime University, Toon, Ehime, Japan
| | - Ai Kojima
- Department of Cardiovascular Surgery, Ehime University, Shitsukawa, Toon, Ehime, 791-0295, Japan
| | - Shunji Uchita
- Department of Cardiovascular Surgery, Ehime University, Shitsukawa, Toon, Ehime, 791-0295, Japan
| | - Yuji Sakashita
- Department of Cardiovascular Surgery, Ehime University, Shitsukawa, Toon, Ehime, 791-0295, Japan
| | - Kenji Namiguchi
- Department of Cardiovascular Surgery, Ehime University, Shitsukawa, Toon, Ehime, 791-0295, Japan
| | - Takumi Yasugi
- Department of Cardiovascular Surgery, Ehime University, Shitsukawa, Toon, Ehime, 791-0295, Japan
| | - Hironori Izutani
- Department of Cardiovascular Surgery, Ehime University, Shitsukawa, Toon, Ehime, 791-0295, Japan
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Fujimoto Y, Suehiro S, Wada H, Oda T. Senning operation for very low birth weight infant with transposition of the great arteries: one of the smallest cases in the world. Gen Thorac Cardiovasc Surg 2014; 64:414-7. [PMID: 25392255 DOI: 10.1007/s11748-014-0496-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2014] [Accepted: 10/31/2014] [Indexed: 10/24/2022]
Abstract
We report a case of a Senning operation for very low birth weight infant weighing 1,168 g with transposition of the great arteries. The patient underwent a Senning operation on 62 days, 1,700 g after the first palliation. In this case, the orifice of the left anterior descending artery was located in sinus 1 (left posterior facing sinus), but we could not find orifices of both right coronary artery and left circumflex artery before the Senning operation. The surgical procedure of the Senning operation is typical one, but we used flesh autopericardial patch to cover the roof of the new pulmonary vein chamber to get an enough size. The patient recovered with no cardiac events after the repair.
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Affiliation(s)
- Yoshifumi Fujimoto
- Department of the Pediatric Cardiac Surgery and the Cardiovascular Surgery, Shimane University, 89-1 Enya-cho, Izumo, Shimane, 693-8501, Japan.
| | - Shoichi Suehiro
- Department of the Pediatric Cardiac Surgery and the Cardiovascular Surgery, Shimane University, 89-1 Enya-cho, Izumo, Shimane, 693-8501, Japan
| | - Hiromi Wada
- Department of the Pediatric Cardiac Surgery and the Cardiovascular Surgery, Shimane University, 89-1 Enya-cho, Izumo, Shimane, 693-8501, Japan
| | - Teiji Oda
- Department of the Pediatric Cardiac Surgery and the Cardiovascular Surgery, Shimane University, 89-1 Enya-cho, Izumo, Shimane, 693-8501, Japan
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