Complications in the long-term period after the arterialswitch operation

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery of Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

Cite as: Nefedova I.E. Complications in the long-term period after the arterial switch operation. Children’s Heart and Vascular Diseases (Detskie Bolezni Serdtsa i Sosudov). 2018; 15 (2): 69–75 (in Russ.). DOI: 10.24022/1810-0686-2018-15-2-69-75

Received / Accepted: 10.11.2017/13.11.2017

Keywords: complications after switch operation complications in the long-term period complications after transposition of the great arteries repair

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Abstract

The arterial switching's operation is the gold standard of main arteries transposition's surgical treatment. Despite the seemingly anatomical version of the blemish's correction, where the complications' risks are leveled, they nevertheless develop and more depend on the main vessels and coronary arteries' variants of anatomy. The long-term results of the arterial switching operation in patients with the main arteries' transposition have significantly improved as a result of improvements in prenatal diagnostics, the possibility of performing atriosepstomy surgery in the first hours/days after birth, the possibility of using prostaglandin preparations, and improving surgical techniques and postoperative treatment options. According to the data of various authors, most often complications in the long-term period after the operation of arterial switching in patients with transposition of the great arteries are: pulmonary arteries stenosis, neoaortic valve insufficiency, dilatation of the root neoaorta, and ischemic heart disease. With a lower frequency: various forms of rhythm and conduction disorders and chronic heart failure may develop. Today, the issue of reducing the risks and frequency of complications in the long-term period, optimizing their diagnosis at the earliest possible time, and also selecting the necessary treatment remains topical.

References

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About the authors

Nefedova I.E., Cand. Med. Sc., Head of Department, orcid.org/0000-0002-9221-051X

Chief Editor

Konstantin V. Shatalov
MD, PhD, DSc, Professor
Bakoulev National Medical Research Center for Cardiovascular Surgery

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