Late Neo–Aortic Valve Regurgitation Long After Arterial Switch Operation

Nakayama, Yuki; Shinkawa, Takeshi; Matsumura, Goki; Hoki, Ryogo; Kobayashi, Kei; Niinami, Hiroshi

doi:10.1016/j.athoracsur.2019.04.009

Cited by 21 publications

(17 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 The first pulmonic and right-sided reinterventions occur between one and four years postoperatively, 24,25 while the first aortic and left-sided reinterventions occur between 9 and 17 years postoperatively. 6,26,27 Our findings are in line with these studies and provide additional evidence that right-sided reinterventions are required sooner than left-sided reinterventions.…”

Section: Commentsupporting

confidence: 89%

See 1 more Smart Citation

Risk Factors for Reoperation After Arterial Switch Operation

Patel

Herrmann

Bain

et al. 2021

World J Pediatr Congenit Heart Surg

View full text Add to dashboard Cite

Objective: The timing and nature of and risk factors for reoperation after the arterial switch operation in the setting of d-transposition of the great arteries requires further elucidation. Methods: A total of 403 patients who underwent arterial switch operation from 1986 to 2017 were reviewed. Institutional preference was for pulmonary artery reconstruction using a pantaloon patch of fresh autologous pericardium. The targets for coronary artery reimplantation were identified by intermittent root distension. Multivariable analysis was used to identify risk factors for reoperation. Results: Median follow-up was 8.6 years (interquartile range [IQR]: 2-16.9). Pulmonary arterioplasty was the most common reoperation (n = 11, 2.7%) at 3.3 years (IQR: 1.4-11.4) postoperatively. Subvalvar right ventricular outflow tract reconstruction (RVOTR) was required in nine (2.2%) patients at 2.5 years (IQR: 1.1-5.3) postoperatively. Aortic valve repair or replacement (AVR/r) was required in seven (1.7%) patients at 13.6 years (IQR: 10.0-15.8) postoperatively. Aortic root replacement (ARR) and Coronary Artery Bypass Graft/coronary patch arterioplasty were required in five (1.2%) patients each at 13.6 years (IQR: 11.0-15.3) and 11.3 years (IQR: 2.3-13.6) postoperatively, respectively. Taussig-Bing anomaly was a risk factor for any reoperation ( P = .034). Risk factors for specific reoperations included ventricular septal defect for AVR/r ( P = .038), Taussig-Bing anomaly for RVOTR ( P = .004), and pulmonary artery banding for ARR ( P = .028). Conclusions: Pantaloon patch pulmonary artery reconstruction and intermittent neo-aortic root distension during coronary reimplantation have minimized respective outflow tract reoperations. Certain anatomic subsets carry different risks for late reoperation, and pulmonary artery and/or RVOT reinterventions tend to occur sooner than aortic reinterventions. Special attention to these higher risk subpopulations will be critical to optimizing lifelong outcomes.

show abstract

Section: Commentsupporting

confidence: 89%

“…It has become increasingly clear that a subset of ASO patients require reoperation for right-and/ or left-sided lesions. [4][5][6] However, the nature and timing of these reoperations remain unclear.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Reoperation After Arterial Switch Operation

Patel

Herrmann

Bain

et al. 2021

World J Pediatr Congenit Heart Surg

View full text Add to dashboard Cite

show abstract

“…9 Nakayama and associates found pulmonary regurgitation before the ASO, concomitant relief of LVOT obstruction, and neoaortic regurgitation at discharge to be risk factors. 9 In the report by Patel et al, reoperation on the coronary arteries was only required in 1.3% of patients after ASO. Presence of anomalous coronary artery anatomy was a risk factor for future coronary artery reintervention.…”

Section: Doi: 101177/21501351211018202mentioning

confidence: 99%

The Arterial Switch Operation—Not the End of the Story?!

Herbst

2021

World J Pediatr Congenit Heart Surg

View full text Add to dashboard Cite

“…In reports of long-term outcomes, additional issues have been reported, namely, aortic root dilatation, aortic valve insufficiency, and coronary artery problems. 5,6 Though all these are reported, they are surprisingly infrequent. Is this because it is still too soon, and the prevalence will increase as more patients reach adulthood and older age?…”

mentioning

confidence: 99%

Commentary: Heroes of the arterial switch operation in the 1980s

Al‐Radi

2020

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

Late Neo–Aortic Valve Regurgitation Long After Arterial Switch Operation

Cited by 21 publications

References 26 publications

Risk Factors for Reoperation After Arterial Switch Operation

Risk Factors for Reoperation After Arterial Switch Operation

The Arterial Switch Operation—Not the End of the Story?!

Commentary: Heroes of the arterial switch operation in the 1980s

Contact Info

Product

Resources

About