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January 1, 2015Circulation JournalOpen Access

Coronary Artery Problems Late After Arterial Switch Operation for Transposition of the Great Arteries

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Why the study?

What is the incidence of late coronary artery abnormalities in patients who survived the first year after arterial switch operation for transposition of the great arteries?

Population

40 patients who survived the first year after arterial switch operation for d-loop transposition of the…

Design

Cohort

Follow-up

Late after ASO (survived first year)

Authors

TTTakeshi TsudaDuPont (United States)ABAbdul BhatGovernment Medical CollegeJBJeanne M. BaffaAlfred I. duPont Hospital for Children

Discussion

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Overview

May warrant caution with non-invasive screening alone post-ASO; leaves open optimal surveillance strategies in survivors.

Structured PICO

What is the incidence of late coronary artery abnormalities in patients who survived the first year after arterial switch operation for transposition of the great arteries?

P
Population
40 patients who survived the first year after arterial switch operation (ASO) for d-loop transposition of the great arteries (out of a total of 97 survivors)
I
Intervention
Retrospective review of coronary artery morphology (coronary imaging)
O
Outcome
Incidence of late coronary artery abnormalities (stenosis or occlusion)surrogate

Late coronary stenosis or occlusion occurs in approximately 11.3% of patients after arterial switch operation, often without symptoms, highlighting the need for routine coronary imaging before competitive sports.

Cite This Study

Tsuda et al. (2015) studied this question.

synapsesocial.com/papers/6a86ad36a810ea404bcf7b21https://doi.org/10.1253/circj.cj-15-0485
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

  1. 1Long-term fate of the coronary arteries after the arterial switch operation in newborns with transposition of the great arteries.1996 · 138 citations