Sudden Death Due to Coronary Artery Lesions Long-term After the Arterial Switch Operation: A Systematic Review

Wijk, Sebastiaan W.H. van; Stelt, Femke van der; Heide, Henriëtte ter; Schoof, Paul H.; Doevendans, Pieter A.; Meijboom, Folkert J.; Breur, Johannes M.P.J.

doi:10.1016/j.cjca.2017.02.017

Cited by 36 publications

(20 citation statements)

References 45 publications

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“…2 A recently published meta-analysis reported that the incidence of sudden cardiac death in this population is so low that routine coronary imaging is not justified. 3 Based on current guidelines, we can even qualify these patients for all competitive sport activities when clinical, electrocardiography and echocardiography examinations, and laboratory and exercise tests show no abnormalities. 2,4 In our centre, we initially had a programme for routine catheterisation in every patient at approximately the age of 6 years after an arterial switch operation, followed by repeated perfusion scintigraphy.…”

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confidence: 99%

Can we predict potentially dangerous coronary patterns in patients with transposition of the great arteries after an arterial switch operation?

et al. 2019

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Introduction:Coronary artery complications are the main reason for early mortality after an arterial switch operation. Late complications are relatively rare, and there is no consensus regarding the need or indications for routine follow-up coronary artery evaluations or the best first-line assessment modality. The aim of this study was to present the long-term post-operative frequency of coronary abnormalities in asymptomatic patients with transposition of the great arteries discovered by coronary CT angiography and potential “red flags” revealed by other examinations.Patients and methods:A group of 50 consecutive asymptomatic patients who underwent routine long-term coronary artery evaluation after an arterial switch operation according to our institutional protocol were qualified for this study. This routine in-hospital visit included a detailed medical interview, electrocardiography, echocardiography, Holter electrocardiography examinations, and laboratory and cardiopulmonary exercise tests. Patients who showed significant abnormalities were qualified for perfusion scintigraphy.Results:Unfavourable coronary abnormalities were detected in 30 patients (60%) and included ostial stenosis, muscular bridge, coronary fistula, interarterial course, proximal kinking, high ellipticity index, proximal acute angulation (<30 degree) of the left coronary artery, and proximal acute angulation of the right coronary artery. These features could not be predicted based on the medical interviews, surgical reports, or non-invasive screening test results.Conclusion:Complex coronary configurations with potentially dangerous coronary features are common in patients with transposition after an arterial switch operation. Such high-risk patients cannot be identified indirectly, and coronary CT angiography provides accurate information that is useful for post-operative management.

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confidence: 99%

Can we predict potentially dangerous coronary patterns in patients with transposition of the great arteries after an arterial switch operation?

et al. 2019

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“…Common ASO complications include neo-pulmonary stenosis and neo-aortic dilation which may impact long-term results [9]. Additionally, reports of ASO follow-up show that coronary artery obstruction are found at a low persistent rate [11,12,15], but late deaths due to myocardial infarction and sudden cardiac death in ASO patients are rare [11,16,17]. Nevertheless, coronary lesions and other ASO complications underlie concerns about the long-term results of the operation.…”

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confidence: 99%

Long-Term Survival After Arterial Versus Atrial Switch in d-Transposition of the Great Arteries

Kiener

Kelleman

McCracken

et al. 2018

The Annals of Thoracic Surgery

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“…Van Wijk and colleagues in the Netherlands performed a systematic literature search and identified 52 studies for data analysis. 96 Of the 8798 survivors with follow-up, 27 patients died more than 5 years post-ASO (0.3%). Of these patients, 10 were known to have relevant residual lesions.…”

Section: Adult Congenital Heart Diseasementioning

confidence: 99%

Noteworthy Literature published in 2017 for Congenital Cardiac Anesthesiologists

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Twite

2018

Semin Cardiothorac Vasc Anesth

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Sudden Death Due to Coronary Artery Lesions Long-term After the Arterial Switch Operation: A Systematic Review

Cited by 36 publications

References 45 publications

Can we predict potentially dangerous coronary patterns in patients with transposition of the great arteries after an arterial switch operation?

Can we predict potentially dangerous coronary patterns in patients with transposition of the great arteries after an arterial switch operation?

Long-Term Survival After Arterial Versus Atrial Switch in d-Transposition of the Great Arteries

Noteworthy Literature published in 2017 for Congenital Cardiac Anesthesiologists

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