FFR-Guided PCI in a 17-Year-Old Patient after Arterial Switch Operation forD-Transposition of the Great Arteries
Why the study?
Asymptomatic coronary artery obstruction presents a significant diagnostic challenge in patients with D-transposition of the great arteries and a history of arterial switch operation.
Population
A 17-year-old boy after neonatal arterial switch operation for D-transposition of the great arteries
Design
Case report
Authors
Discussion
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Member takes
Implication
Stress scintigraphy may detect silent ischemia missed by angiography post-ASO; leaves open standardized screening protocols for TGA survivors.
Structured PICO
P
Population
17-year-old boy with D-Transposition of the Great Arteries, history of neonatal Arterial Switch Operation, anomalous origin of left circumflex artery from the right coronary artery, and silent myocardial ischemia under stress (n=1)
I
Intervention
Fractional flow reserve (FFR)-guided percutaneous coronary intervention (PCI) with drug-eluting stent implantation
Invasive fractional flow reserve may be a useful tool to guide revascularization strategies in patients with intermediate coronary stenosis following an arterial switch operation.
Cite This Study
Sirico et al. (2020) studied this question.