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Engele LJ, Mulder BJM, Schoones JW, Kiès P, Egorova AD, Vliegen HW, Hazekamp MG, Bouma BJ, Jongbloed MRM. The Coronary Arteries in Adults after the Arterial Switch Operation: A Systematic Review. J Cardiovasc Dev Dis 2021; 8:jcdd8090102. [PMID: 34564120 PMCID: PMC8468869 DOI: 10.3390/jcdd8090102] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 08/19/2021] [Accepted: 08/21/2021] [Indexed: 01/11/2023] Open
Abstract
Coronary artery status in adults long after the arterial switch operation (ASO) is unclear. We conducted a systematic review to provide an overview of coronary complications during adulthood and to evaluate the value of routine coronary imaging in adults after ASO, in light of current guidelines. Articles were screened for the inclusion of adult ASO patients and data on coronary complications and findings of coronary imaging were collected. A total of 993 adults were followed with a median available follow-up of only 2.0 years after reaching adulthood. Myocardial ischemia was suspected in 17/192 patients (8.9%). The number of coronary interventions was four (0.4%), and coronary death was reported in four (0.4%) patients. A lack of ischemia-related symptoms cannot be excluded because innervation studies indicated deficient cardiac innervation after ASO, although data is limited. Anatomical high-risk features found by routine coronary computed tomography (cCT) included stenosis (4%), acute angle (40%), kinking (24%) and inter-arterial course (11%). No coronary complications were reported during pregnancy (n = 45), although, remarkably, four (9%) patients developed heart failure. The 2020 European Society of Cardiology (ESC) guidelines state that routine screening for coronary pathologies is questionable. Based on current findings and in line with the 2018 American ACC/AHA guidelines a baseline assessment of the coronary arteries in all ASO adults seems justifiable. Thereafter, an individualized coronary follow-up strategy is advisable at least until significant duration of follow-up is available.
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Affiliation(s)
- Leo J Engele
- Center for Congenital Heart Disease Amsterdam-Leiden (CAHAL), Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Heart Centre, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands
- Netherlands Heart Institute, 3511 EP Utrecht, The Netherlands
| | - Barbara J M Mulder
- Center for Congenital Heart Disease Amsterdam-Leiden (CAHAL), Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Heart Centre, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands
- Netherlands Heart Institute, 3511 EP Utrecht, The Netherlands
| | - Jan W Schoones
- Directorate of Research Policy, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands
| | - Philippine Kiès
- Center for Congenital Heart Disease Amsterdam-Leiden (CAHAL), Department of Cardiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands
| | - Anastasia D Egorova
- Center for Congenital Heart Disease Amsterdam-Leiden (CAHAL), Department of Cardiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands
| | - Hubert W Vliegen
- Center for Congenital Heart Disease Amsterdam-Leiden (CAHAL), Department of Cardiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands
| | - Mark G Hazekamp
- Center for Congenital Heart Disease Amsterdam-Leiden (CAHAL), Department of Cardiothoracic Surgery, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands
| | - Berto J Bouma
- Center for Congenital Heart Disease Amsterdam-Leiden (CAHAL), Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Heart Centre, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands
- Netherlands Heart Institute, 3511 EP Utrecht, The Netherlands
| | - Monique R M Jongbloed
- Center for Congenital Heart Disease Amsterdam-Leiden (CAHAL), Department of Cardiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands
- Center for Congenital Heart Disease Amsterdam-Leiden (CAHAL), Department of Anatomy and Embryology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands
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Veeram Reddy SR, Nugent AW, Zellers TM, Dimas VV. Invasive Hemodynamics of Adult Congenital Heart Disease: From Shunts to Coarctation. Interv Cardiol Clin 2018; 6:345-358. [PMID: 28600089 DOI: 10.1016/j.iccl.2017.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Adults with congenital heart disease are a growing population with increasingly more complex disease, in large part due to improvements in delivery of care to the pediatric population. Cardiac catheterization is an integral component of diagnosis and management in these patients. Careful attention to detail and a thorough understanding of intracardiac hemodynamics are critical to performing complete diagnostic evaluations. This article outlines the most commonly encountered lesions with guidelines for invasive assessment to help guide further therapy.
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Affiliation(s)
- Surendranath R Veeram Reddy
- Division of Cardiology, Department of Pediatrics, University of Texas Southwestern Medical Center, Children's Health System of Texas, 1935 Medical District Drive, Dallas, TX 75235, USA
| | - Alan W Nugent
- Division of Cardiology, Department of Pediatrics, University of Texas Southwestern Medical Center, Children's Health System of Texas, 1935 Medical District Drive, Dallas, TX 75235, USA
| | - Thomas M Zellers
- Division of Cardiology, Department of Pediatrics, University of Texas Southwestern Medical Center, Children's Health System of Texas, 1935 Medical District Drive, Dallas, TX 75235, USA
| | - V Vivian Dimas
- Division of Cardiology, Department of Pediatrics, University of Texas Southwestern Medical Center, Children's Health System of Texas, 1935 Medical District Drive, Dallas, TX 75235, USA.
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3
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Talwar S, Siddarth B, Choudhary SK, Airan B. Multiple saccular aortic aneurysms following the arterial switch operation. J Card Surg 2018; 33:156-159. [PMID: 29486518 DOI: 10.1111/jocs.13552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
We report a 3-month-old male presenting with multiple aortic aneurysms arising de novo 2 months following the arterial switch operation. Successful repair of the aneurysms was performed under total circulatory arrest and at seven years follow-up, the patient has no recurrence.
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Affiliation(s)
- Sachin Talwar
- Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India
| | - Bharat Siddarth
- Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India
| | - Shiv K Choudhary
- Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India
| | - Balram Airan
- Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India
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Yoneyama F, Okamura T, Harada Y, Okita Y. Valve-sparing reimplantation for neoaortic root dilatation and regurgitation with an unbalanced cusp after the arterial switch operation. J Card Surg 2018; 33:122-125. [DOI: 10.1111/jocs.13543] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Fumiya Yoneyama
- Department of Cardiovascular Surgery; Kobe University Graduate School of Medicine; Japan
| | - Toru Okamura
- Department of Cardiovascular Surgery; Kobe University Graduate School of Medicine; Japan
| | - Yorikazu Harada
- Department of Cardiovascular Surgery; Kobe University Graduate School of Medicine; Japan
| | - Yutaka Okita
- Kobe University Graduate School of Medicine; Nagano Children's Hospital; Japan
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5
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Lazar HL. Coronary artery revascularization in infants, children, and adolescents: The internal mammary artery is still the conduit of choice. J Card Surg 2018; 33:35. [PMID: 29409169 DOI: 10.1111/jocs.13524] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Harold L Lazar
- Division of Cardiac Surgery, The Boston University School of Medicine, Boston, Massachusetts
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Arnaz A, Sarioglu T, Yalcinbas Y, Erek E, Turkoz R, Oktay A, Saygili A, Altun D, Sarioglu A. Coronary artery bypass grafting in children. J Card Surg 2018; 33:29-34. [DOI: 10.1111/jocs.13510] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Ahmet Arnaz
- Department of Cardiovascular Surgery; School of Medicine; Acibadem University; Istanbul Turkey
| | - Tayyar Sarioglu
- Department of Cardiovascular Surgery; School of Medicine; Acibadem University; Istanbul Turkey
| | - Yusuf Yalcinbas
- Department of Cardiovascular Surgery; Acibadem Bakirkoy Hospital; Istanbul Turkey
| | - Ersin Erek
- Department of Cardiovascular Surgery; School of Medicine; Acibadem University; Istanbul Turkey
| | - Riza Turkoz
- Department of Cardiovascular Surgery; Acibadem Bakirkoy Hospital; Istanbul Turkey
| | - Ayla Oktay
- Department of Pediatric Cardiology; Acibadem Bakirkoy Hospital; Istanbul Turkey
| | - Arda Saygili
- Department of Pediatric Cardiology; School of Medicine; Acibadem University; Istanbul Turkey
| | - Dilek Altun
- Department of Anesthiology and Reanimation; Acibadem Bakirkoy Hospital; Istanbul Turkey
| | - Ayse Sarioglu
- Department of Pediatric Cardiology; Acibadem Bakirkoy Hospital; Istanbul Turkey
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7
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Ishii H, Aomi S, Tomioka H, Umeda E, Higashi R, Yamazaki K. Root aneurysm following aortic valve replacement 20 years after an arterial switch operation. J Card Surg 2017; 32:721-723. [DOI: 10.1111/jocs.13226] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Hikaru Ishii
- Department of Cardiovascular Surgery; Tokyo Women's Medical University; Tokyo Japan
| | - Shigeyuki Aomi
- Department of Cardiovascular Surgery; Tokyo Women's Medical University; Tokyo Japan
| | - Hideyuki Tomioka
- Department of Cardiovascular Surgery; Tokyo Women's Medical University; Tokyo Japan
| | - Etsuji Umeda
- Department of Cardiovascular Surgery; Tokyo Women's Medical University; Tokyo Japan
| | - Rihito Higashi
- Department of Cardiovascular Surgery; Tokyo Women's Medical University; Tokyo Japan
| | - Kenji Yamazaki
- Department of Cardiovascular Surgery; Tokyo Women's Medical University; Tokyo Japan
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