Early and midterm results of the arterial switch operation for transposition of the great arteries in Japan

Yamaguchi, Masahiro; Hosokawa, Y; Imai, Yasuharu; Kurosawa, Hiromi; Yasui, Hirofumi; Yagihara, Toshikatsu; Okamoto, F; Wakaki, Nobuo

doi:10.1016/s0022-5223(19)35566-7

Cited by 108 publications

(43 citation statements)

References 25 publications

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“…Reoperation is the main consequence of AR, done for this indication. Reintervention for AR was observed in 2.2% and 2.4% of the survivors in two reports 11,12 but was not reported in most of the publications in which followup was shorter [16][17][18] or AR was infrequent. 2,3,13 In our series, only two (0.6%) underwent aortic reoperations, and this is the lowest reported.…”

Section: Ar Outcomementioning

confidence: 90%

Fate of the Aortic Valve Following the Arterial Switch Operation

Walter

Huebler

Alexi-Meshkishvili

et al. 2010

Journal of Cardiac Surgery

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Section: Ar Outcomementioning

confidence: 90%

Fate of the Aortic Valve Following the Arterial Switch Operation

Walter

Huebler

Alexi-Meshkishvili

et al. 2010

Journal of Cardiac Surgery

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“…The arterial switch operation (ASO) is now considered the first-choice procedure for patients with transposition of the great arteries, but the onset of pulmonary valvular stenosis [1] or pulmonary branch obstruction, which is described in the literature with a 7% to 28% incidence at long-term follow-up [2,3], requires reoperation in up to 10% [4]. The impact of right ventricular hypertension on the clinical outcome of these patients [5][6][7] warrants a prompt and possibly definitive treatment.…”

Section: Introductionmentioning

confidence: 99%

Treatment of pulmonary artery stenosis after arterial switch operation: Stent implantation vs. balloon angioplasty

Formigari

Santoro

Guccione

et al. 2000

Cathet. Cardiovasc. Intervent.

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The development of pulmonary artery stenosis is a potential complication during the mid‐ to long‐term follow‐up after arterial switch operation (ASO) for transposition of the great arteries. Surgical results have been disappointing and conventional balloon dilation yields a fairly important incidence of failures and recurrences. We evaluated our results with implantation of balloon‐expandable stents in 5 out of 13 patients with a previously attempted unsuccessful conventional balloon dilation of pulmonary artery branch stenosis after ASO. In two more cases, stents were used as a primary procedure. Balloon angioplasty achieved a 15% increase in mean diameter of the stenosis vs. 124% with the use of stents (P < 0.01), a 10% decrease of the pressure gradient across the stenosis vs. 71% of stents (P < 0.01), and a 10% drop in RV/aorta pressure ratio vs. 43% of stents (P < 0.01). Compared to conventional balloon angioplasty in our series, stents were more effective in the treatment of patients with peripheral pulmonary artery stenosis after ASO. Balloon dilation should be considered in selected cases unsuitable for treatment with endovascular stents. Cathet. Cardiovasc. Intervent. 50:207–211, 2000. © 2000 Wiley‐Liss, Inc.

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“…2 In a multicenter study, Yamaguchi et al reported an increased risk for the ASO for the case of intramural coronaries. 3 Some techniques have been advocated to overcome this problem, even atrial switch has been recommended as an alternative approach in the past. 4 The surgical approach and technique in this challenging situation mostly depend on the anatomical relations of the coronary arteries and the time at which ASO was performed.…”

Section: Discussionmentioning

confidence: 99%

Two Challenging Translocation Procedures for Intramural Coronary Arteries in the Setting of Transposition of Great Arteries

Bilal¹,

Bakır²,

Aydemir³

et al. 2008

Congenital Heart Disease

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Translocation of the coronary arteries remains a technical challenge in anatomic correction of transposition of great arteries. Myocardial ischemia related to the difficulties with coronary relocation is an important factor in perioperative and postoperative morbidity and mortality, particularly in the patients with complex coronary artery anatomy. Intramural coronary artery is a rare anatomic variety which may complicate the arterial switch operation in 2% to 4.6% of the reported cases. Even in the hands of experts, the mortality rate may be in twofold in this subset of patients compared with simple transposition of great artery procedures. In this report, 2 successful translocation techniques for intramural coronary arteries in the setting of arterial switch operation are described.

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Early and midterm results of the arterial switch operation for transposition of the great arteries in Japan

Cited by 108 publications

References 25 publications

Fate of the Aortic Valve Following the Arterial Switch Operation

Fate of the Aortic Valve Following the Arterial Switch Operation

Treatment of pulmonary artery stenosis after arterial switch operation: Stent implantation vs. balloon angioplasty

Two Challenging Translocation Procedures for Intramural Coronary Arteries in the Setting of Transposition of Great Arteries

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