Neurocognitive and Psychological Outcomes in Adults With Dextro-Transposition of the Great Arteries Corrected by the Arterial Switch Operation

Kasmi, L.; Calderon, Johanna; Montreuil, Michèle; Geronikola, Nikoletta; Lambert, Virginie; Belli, Emrè; Bonnet, Damien; Kalfa, David

doi:10.1016/j.athoracsur.2017.06.055

Cited by 49 publications

(34 citation statements)

References 21 publications

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“…[9]) between ASO children and healthy controls [38]. (SD) below the expected mean values, suggestive of mild to moderate delays in cognitive, motor and language functions [46]. These contrast with our findings which do not show any statistically significant difference between mean values on the BSID reported by TGA patients post-ASO and their normal counterparts.…”

Section: Agreement and Disagreement With Other Reviewscontrasting

confidence: 99%

“…We identified several review articles which had attempted to summarise different outcomes following arterial switch operation [39][40][41][42][43][44][45][46]. However, most of these synthesized the data narratively, and none presented a complete overview of the different outcomes over the different timeframes evaluated in this review.…”

Section: Agreement and Disagreement With Other Reviewsmentioning

confidence: 99%

“…These contrast with our findings which do not show any statistically significant difference between mean values on the BSID reported by TGA patients post-ASO and their normal counterparts. The summary estimate provided by Kasmi et al [46] is based on a narrative synthesis of four studies, all of which were included in our meta-analysis, in addition to 13 other studies. Our findings suggest that these patients could have a normal neuropsychological life, at least in the medium term.…”

Section: Agreement and Disagreement With Other Reviewsmentioning

confidence: 99%

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Outcomes after corrective surgery for congenital dextro-transposition of the arteries using the arterial switch technique: a scoping systematic review

et al. 2020

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Background Dextro-transposition of the great arteries (d-TGA) is the most frequent cyanotic congenital heart pathology in neonates. Surgical correction of this condition is possible using the arterial switch operation (ASO) which was first performed by Jatene in 1975. Objectives The aim of this study was to summarise the evidence on short- (less than 1 year), medium- (1–20 years), and long-term (more than 20 years) outcomes of children with d-TGA treated with the ASO. The primary outcome was survival. Secondary outcomes were freedom from cardiac reoperations, occurrence of aortic insufficiency, pulmonary stenosis, coronary artery anomalies, neuropsychological development problems and quality of life. Methods We searched MEDLINE, EMBASE, CINAHL, LILACS, and reference lists of included articles for studies reporting outcomes after ASO for d-TGA. Screening, data extraction and risk of bias assessment were done independently by two reviewers. We pooled data using a random-effects meta-analysis of proportions and, where not possible, outcomes were synthesized narratively. We used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system to assess the certainty of the evidence for each outcome. Main results Following ASO for TGA, short-term survival was 92.0% (95% CI 91.0–93.0%; I2 = 85.8%, 151 studies, 30,186 participants; moderate certainty evidence). Medium-term survival was 90.0% (95% CI 89.0–91.0%; I2 = 84.3%, 133 studies; 23,686 participants, moderate certainty evidence), while long-term survival was 87.0% (95% CI 80.0–92.0 %; I2 = 84.5%, 4 studies, 933 participants, very low certainty evidence). Evaluation of the different secondary outcomes also showed satisfactory results in the short, medium and long term. Subgroup analysis suggests slightly higher survival following ASO for TGA in the second surgical era (1998 to 2018) than in the first surgical era (1975 to 1997) in the short and medium term [93.0% (95% CI 92.0–94.0) vs 90.0% (95% CI 89.0–92.0) and 93.0% (95% CI 91.0–94.0) vs 88.0% (87.0–90.0%) respectively] but not in the long term [81.0% (95% CI 76.0–86.0%) vs 89.0% (80.0–95.0%)]. Conclusions Pooled data from many sources suggests that the ASO for d-TGA leads to high rates of survival in the short, medium, and long term.

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Section: Agreement and Disagreement With Other Reviewscontrasting

confidence: 99%

Section: Agreement and Disagreement With Other Reviewsmentioning

confidence: 99%

Section: Agreement and Disagreement With Other Reviewsmentioning

confidence: 99%

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Outcomes after corrective surgery for congenital dextro-transposition of the arteries using the arterial switch technique: a scoping systematic review

et al. 2020

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“…Figures 1 and 2 show the prevalence of depression and anxiety among ACHD in recent studies extracted from the reviews. Three out of seven studies present lifetime prevalence rates on depression and anxiety disorders in ACHD (11)(12)(13). In comparison to the general population (18,19), ACHD show higher rates in depression (weighted prevalence ACHD: 24% vs. global prevalence: 15%) and anxiety (weighted prevalence ACHD: 38% vs. global prevalence: 34%).…”

Section: Prevalence Of Emotional Distress [Depression Anxiety Ptsd mentioning

confidence: 99%

“…The psycho-biological approach to depression provides evidence that repetitive stress events in early childhood lead to a neuro-transmitter imbalance in the brain. These events make individuals more vulnerable for developing Figure 2 Studies examining depression and anxiety in ACHD (current prevalence in %) (11)(12)(13)(14)(15)(16)(17). ACHD, adults with congenital heart disease.…”

Section: Etiology Of Emotional Distress In Achdmentioning

confidence: 99%

Current research status on the psychological situation of adults with congenital heart disease

Andonian

Beckmann

Biber

et al. 2018

Cardiovasc. Diagn. Ther

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Due to technological and medical advances the population of adults with congenital heart disease (ACHD) is growing. Worldwide, congenital heart disease (CHD) affects 1.35-1.5 million children each year and more than 90% reach adulthood. Given the heterogeneity of CHD, survivors are faced with not only complex medical but also psychological challenges which may manifest in mental health problems, such as depression, anxiety and posttraumatic stress disorder. This review focuses on the emotional dimension of CHD. More precisely, it summarizes the present state of research on the prevalence of emotional distress in ACHD. Theoretical models provide a framework for possible explanations of mental health issues in ACHD. Additionally, the review examines the relation between psychological processes and overall health considering the latest scientific findings on coping with chronic illness (illness identity). There is still insufficient knowledge on the psychosocial treatment of mental health issues in the growing population of ACHD. This review suggests a vital need to further investigate the psychological situation of ACHD on a large-scale basis in order to establish a holistic treatment approach to accommodate the patients' special needs.

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Transposition of the Great Arteries

Mavroudis

Backer

Herrmann

2023

Pediatric Cardiac Surgery

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Neurocognitive and Psychological Outcomes in Adults With Dextro-Transposition of the Great Arteries Corrected by the Arterial Switch Operation

Cited by 49 publications

References 21 publications

Outcomes after corrective surgery for congenital dextro-transposition of the arteries using the arterial switch technique: a scoping systematic review

Outcomes after corrective surgery for congenital dextro-transposition of the arteries using the arterial switch technique: a scoping systematic review

Current research status on the psychological situation of adults with congenital heart disease

Transposition of the Great Arteries

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