Abstract
Transposition of the great arteries is a complex congenital heart anomaly, both for cardiologists and pediatric cardiosurgeons, in
which, on the one hand, there is a high risk of death, and on the one hand, the ability to restore the normal anatomy of the heart and
blood vessels with single operation - arterial switching. After a radical anatomical correction of the transposition of the great arteries,
the patient may develop various complications at various times, related both to the features of the operation and the anatomical variants
of the development of the defect. All patients who undergo the arterial switching operation require a dynamic observation
throughout their lives and, if necessary, treatment. The most common complications in the long-term period are pulmonary artery
stenosis at various levels. The article presents a case of successful elimination of obstruction of pulmonary blood flow after an arterial
switching operation.
References
Anderson R.H., Macartney F.J., Shinebourne E.A., Tynan M.
Complete transposition. In: Anderson R.H. (ed.) Pediatric
Cardiology. Edinburg: Churchill Livingstone; 1987: 829–65.
Samanek M. Congenital heart malformations: prevalence,
severity, survival, and quality of life. Cardiol. Young. 2000; 10:
179–85.
Long J., Ramadhani T., Mitchell L.E. Epidemiology of nonsyndromic
conotruncal heart defects in Texas, 1999–2004. Birth.
Defects Res. A. Clin. Mol. Teratol. 2010; 88: 971–9.
Digilio M.C., Casey B., Toscano A. et al. Complete transposition
of the great arteries: patterns of congenital heart disease in
familial precurrence. Circulation. 2001; 104: 2809–14.
Castaneda A.R., Trusler G.A., Paul M.H., Biackstone E.H.,
Kirklin J.W. The early results of treatment of simple transposition
in the current era. Thorac. Cardiovasc. Surg. 1988;
95 (1): 14–28.
Pretre R., Tamisier D., Bonhoeffer Ph., Mauriat Ph., Pouard Ph.,
Vouhe P. Results of the arterial switch operation in neonates
with transposed great arteries. Lancet. 2001; 357: 1826–30.
Brown J.W., Park H.J., Turrentine M.W. Arterial switch operation:
factors impacting survival in the current era. Ann. Thorac.
Surg. 2001; 71: 1978–84.
Kirklin J.W., Barratt-Boyes B.G. Cardiac Surgery. N.Y.:
Churchill Livingstone; 2013.
Mavroudis C. Pediatric cardiac surgery. Mosby; 2013.
Подзолков В.П., Кокшенев И.В., Чиаурели М.Р., Пурсанов М.Г., Самсонов В.Б., Данилов Т.Ю. и др. Устранение
обструкции легочного кровотока после операции артериального переключения при транспозиции магистральных артерий. Детские болезни сердца и сосудов. 2014; 3: 12–8.
Losay J., Touchol A., Serraf A., Litvinova A., Lambert V.,
Plot J.D. et al. Late outcome after switch operation for transposion
of great arteries. Circulation. 2001; 104 (12 Suppl. 1):
121–6.
Подзолков В.П., Кокшенев И.В., Чиаурели М.Р., Самсонов В.Б., Данилов Т.Ю., Пурсанов М.Г. и др. Непосредственные результаты устранения обструкции легочного
кровотока после операции Мастарда и артериального переключения при транспозиции магистральных сосудов.
Бюллетень НЦССХ им. А.Н. Бакулева РАМН. Приложение. 2014; 15 (3): 4.
Vango P., Mavroudis C., Steward R.D., Backer C.L. Late complications
following the arterial switch operation. World
J. Pediatr. Congenit. Heart Surg. 2011; 2 (1): 37–42.
Алекян Б.Г., Подзолков В.П., Пурсанов М.Г., Сандодзе Т.С.
Транслюминальная баллонная ангиопластика при обструктивной патологии легочных артерий. М.: Litterra; 2017:
1–16.
Алекян Б.Г., Подзолков В.П., Пурсанов М.Г., Сандодзе Т.С.
Стентирование при сужениях и гипоплазиях легочных артерий у больных с врожденными пороками сердца. М.:
Litterra; 2017: 1–17.
Patel N.D., Damien K., Ismael G., Zahid A., Ilbawi M.N., Hijazi Z.M.
Single-center outcome analisis comparing reintervention rates
of surgical arterioplasty with stenting for branch pulmonary
artery stenosis in pediatric population. Pediatr. Cardiol. 2014;
35: 419–22.
About the authors
- Nefedova Inessa Evgen'evna, Cand. Med. Sc., Head of Department, orcid.org/0000-0002-9221-051X;
- Berishvili David Olegovich, Dr Med. Sc., Head of Department, orcid.org/0000-0001-7379-345Kh;
- Pursanov Manolis Georgievich, Dr Med. Sc., Head of Department, orcid.org/0000-0002-1421-1795
