Key result
A review of 73 articles found long-term coronary artery complications after the arterial switch operation are rare, often asymptomatic, and generally managed by percutaneous interventions.
Why the study?
Coronary artery complications after the arterial switch operation for transposition of the great arteries have become increasingly relevant as patients age and encounter comorbidities.
What are the incidence, clinical features, and management of long-term coronary complications following the arterial switch operation for transposition of the great arteries?
What are the incidence, clinical features, and management of long-term coronary complications following the arterial switch operation for transposition of the great arteries?
Long-term coronary complications after the arterial switch operation are rare and often asymptomatic, requiring imaging for confirmation and typically managed with percutaneous interventions.
Answers are grounded in this paper and cite their sources.
Supports selective imaging surveillance after arterial switch; leaves open need for prospective protocols to guide long-term follow-up.
Coronary artery complications following the arterial switch operation (ASO) for transposition of the great arteries have become increasingly relevant as those affected are exposed to the comorbidities of later years. A scoping review was undertaken to explore the incidence, clinical features, and management of the long-term coronary complications after the ASO. The selection criteria yielded 73 articles They recorded few long-term coronary artery complications following the ASO, which were difficult to recognize as most affected patients' symptoms were absent or nonspecific. In patients with suspected coronary artery involvement, coronary angiography or computed tomography provided confirmation, with significant stenosis generally managed by percutaneous trans-catheter interventions.
No takes yet. Share an insight, caveat, or question.
Lim et al. (2025) conducted a review in Transposition of the great arteries. Arterial switch operation was evaluated on Incidence, clinical features, and management of long-term coronary complications. A review of 73 articles found long-term coronary artery complications after the arterial switch operation are rare, often asymptomatic, and generally managed by percutaneous interventions.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: