HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Wlodzimierz Kuroczynski Markus K. Heinemann Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kampmann, C. Articles by Heinemann, M. K. Search for Related Content PubMed PubMed Citation Articles by Kampmann, C. Articles by Heinemann, M. K. Related Collections Congenital - cyanotic

Ann Thorac Surg 2005;80:1641-1646
© 2005 The Society of Thoracic Surgeons

---

Original article: Cardiovascular

Late Results After PTCA for Coronary Stenosis After the Arterial Switch Procedure for Transposition of the Great Arteries

^a Division of Pediatric Cardiology, Hospital for Sick Children, Mainz
^b Clinik for Heart and Cardiovascular Surgery, University Mainz, Mainz
^c University Hospital for Sick Children, Charité, Berlin, Germany

Accepted for publication November 17, 2004.

^_* Address correspondence to Dr Kampmann, Pediatric Cardiology, Hospital for Sick Children, University Mainz, Langenbeckstrasse 1, Mainz, D-55101 Germany (Email: kampmann{at}mail.uni-mainz.de).

BACKGROUND: The arterial switch operation has become the surgical approach of choice for d-transposition of the great arteries, but there is an increased awareness of adverse sequelae in some survivors. Long-term patency and normal function of the translocated coronary arteries must be achieved. It is reported that dependent of the prior coronary status, 3% to 11% of all survivors have proximal coronary stenosis or complete occlusion develop after arterial switch operations. However, treatment of these stenoses is still a matter of debate. Late results after percutaneous transluminal coronary angioplasty (PTCA) for coronary stenosis after the arterial switch operation for d-transposition of the great arteries are reported.

METHODS: Seven children after arterial switch operation for d-transposition of the great arteries who had subsequently undergone PTCA for coronary stenosis were angiographically re-evaluated 3 to 15 months after the initial PTCA and again after 3 to 5 years.

RESULTS: All children survived the initial PTCA procedure. There were no late deaths. The degree of stenosis before PTCA ranged from 74% to 97%; immediately after PTCA from 5% to 10%; at 3 to 15 months after PTCA from zero to 6%; and at 3 to 5 years after PTCA from zero to 3%. Three to 5 years after PTCA all children showed normal development of the treated coronary artery.

CONCLUSIONS: Primary PTCA of stenotic proximal coronary arteries after the arterial switch procedure for d-transposition of the great arteries seems to be an effective treatment with excellent long-term results.

This article has been cited by other articles:

				O. Raisky, E. Bergoend, G. Agnoletti, P. Ou, D. Bonnet, D. Sidi, and P. R. Vouhe Late coronary artery lesions after neonatal arterial switch operation: results of surgical coronary revascularization Eur. J. Cardiothorac. Surg., May 1, 2007; 31(5): 894 - 898. [Abstract] [Full Text] [PDF]

				T. P. Graham Jr The Year in Congenital Heart Disease J. Am. Coll. Cardiol., June 20, 2006; 47(12): 2545 - 2553. [Full Text] [PDF]

				R. Mee Invited commentary Ann. Thorac. Surg., November 1, 2005; 80(5): 1646 - 1646. [Full Text] [PDF]