Abstract
An analysis of the causes of long-term complications' development in patients with the transposition of the great arteries (TGA),
which performed the arterial switching's operation. It was revealed that the main risk factors according to the data of different authors
are the anatomy of the main and coronary arteries' features, their spatial relationship and surgical features of the operation, especially
reimplantation of the coronary arteries. The risk factors for postoperative mortality in the postoperative period, according to a variety
of studies, include the scope of the experience of the institution, the level of the operating surgeon, the weight of the patient, the relationship
between the aorta and the pulmonary artery, the degree of left ventricular hypoplasia, the presence of left ventricular outflow
obstruction and coronary artery anomalies: and a single coronary artery. Given the lack of information on the impact of various risk
factors on the development of long-term complications, as well as the lack of an algorithm for the dynamic control of pathological
conditions peculiar to this category of patients, there is no doubt the relevance of performing research in this direction for analyzing
the results of treatment of children with simple TGA, studying pathogenesis and the definition of risk factors for the development of
complications in this group of patients, especially in the late period.
References
- Jatene A., Fontes V., Paulista P., Souza L.C., Neger F.,
Galantier M. et al. Anatomic correction of transposition of the
great vessels. J. Thorac. Cardiovasc. Surg. 1976; 72: 364–70.
- Бокерия Л.А., Ким А.И. Транспозиция магистральных со-
судов. В кн.: Бокерия Л.А., Шаталов К.В. (ред.) Детская
кардиохирургия: Руководство для врачей. М.: НЦССХ
им. А.Н. Бакулева МЗ РФ; 2016: 569–603 / Boсkeria L.A.,
Kim A.I. Transposition of the main vessels. In: Bockeria L.A.,
Shatalov K.V. (Eds.) Pediatric cardiac surgery: A Guide for
physicians. Moscow; 2016: 569–603 (in Russ.).
- Anderson B.R., Ciarleglio A.J., Hayes D.A., Quaegebeur J.M.,
Vincent J.A., Bacha E.A. Earlier arterial switch operation
improves outcomes and reduces costs for neonates with
transposition of the great arteries. J. Am. Coll. Cardiol. 2014;
63: 481–7.
- Cain M.T., Cao Y., Ghanayem N.S., Simpson P.M., Trapp K.,
Mitchell M.E. et al. Transposition of the great arteries – outcomes
and time interval of early neonatal repair. World J.
Pediatr. Congenit. Heart. Surg. 2014; 5: 241–7.
- Angeli E., Raisky O., Bonnet D., Sidi D., Vouhé P.R. Late reoperations
after neonatal arterial switch operation for transposition
of the great arteries. Eur. J. Cardiothorac. Surg. 2008; 34:
32–6.
- Legendre A., Losay J., Touchot-Kone A., Serraf A., Belli E.,
Piot J.D. et al. Coronary events after arterial switch operation
for transposition of the great arteries. Circulation. 2003;
108 (suppl. 1): II-186–90.
- Chang Y.H., Sung S.C., Lee H.D., Kim S., Woo J.S., Lee Y.S.
Coronary reimplantation after neoaortic reconstruction can yield
better result in arterial switch operation: comparison with open
trap door technique. Ann. Thorac. Surg. 2005; 80: 1634–40.
- Cleuziou J., Horer J., Henze R., Schreiber C., Lange R.
Surgical management of single intramural coronary artery in
Taussig–Bing anomaly detected at arterial switch operation.
Thorac. Cardiovasc. Surg. 2008; 56: 170–2.
- Jhang W.K., Shin H.J., Park J.J., Yun T.J., Kim Y.H., Ko J.K.
et al. The importance of neo-aortic root geometry in the arterial
switch operation with the trap-door technique in the subsequent
development of aortic valve regurgitation. Eur. J.
Cardiothorac. Surg. 2012; 42: 794–9.
- Bove E.L. Current technique of the arterial switch procedure
for transposition of the great arteries. J. Card. Surg. 1989; 4:
193–9.
- Sim E.K., van Son J.A., Edwards W.D., Puga F.J. Congenital
ostial membrane of right coronary artery in complete transposition
of the great arteries. J. Thorac. Cardiovasc. Surg. 1994;
107: 1538–9.
- Yacoub M.H., Radley-Smith R. Anatomy of the coronary arteries
in transposition of the great arteries and methods for their
transfer in anatomical correction. Thorax. 1978; 33: 418–24.
- Quaegebeur J.M., Rohmer J., Brom A.G. Revival of the
Senning operation in the treatment of transposition of the great
arteries. Preliminary report on recent experience. Thorax.
1977; 32: 517–24.
- Gittenberger-de Groot A., Sauer U., Oppenheimer-Dekker A.
Coronary arterial anatomy in transposition of the great arteries:
a morphologic study. Pediatr. Cardiol. 1983; 4 (Suppl. 1): 15–24.
- Yamaguchi M., Hosokawa Y., Imai Y., Kurosawa H., Yasui H.,
Yagihara T. et al. Early and midterm results of the arterial
switch operation for transposition of the great arteries in
Japan. J. Thorac. Cardiovasc. Surg. 1990; 100 (2): 261–9.
- Scheule A.M., Jonas R.A. Management of transposition of the
great arteries with single coronary artery. Semin. Thorac.
Cardiovasc. Surg. Pediatr. Card. Surg. Annu. 2001; 4: 34–57.
- Sachweh J.S., Tiete A.R., Jockenhoevel S., Mühler E.G.,
von Bernuth G., Messmer B.J. et al. Fate of intramural coronary
arteries after arterial switch operation. Thorac. Cardiovasc.
Surg. 2002; 50: 40–4.
- Bisoi A.K., Ahmed T., Malankar D.P., Chauhan S., Das S.,
Sharma P. et al. Midterm outcome of primary arterial switch
operation beyond six weeks of life in children with transposition
of great arteries and intact ventricular septum. World. J.
Pediatr. Congenit. Heart. Surg. 2014; 5: 219–25.
- Nathan M. Late arterial switch operation for transposition with
intact septum. World. J. Pediatr. Congenit. Heart. Surg. 2014;
5: 226–8.
- Huang J.B., Cao Y.T., Liang J., Lv X.D. Quality of life after children
undergo a radical arterial switch operation at an older age.
Heart. Surg. Forum. 2012; 15: E103–7.
- Bove T., De Meulder F., Vandenplas G., De Groote K., Panzer J.,
Suys B. et al. Midterm assessment of the reconstructed arteries
after the arterial switch operation. Ann. Thorac. Surg.
2008; 85: 823–30.
- Formigari R., Toscano A., Giardini A., Gargiulo G., Di Donato
R., Picchio F.M. et al. Prevalence and predictors of neoaortic
regurgitation after arterial switch operation for transposition
of the great arteries. J. Thorac. Cardiovasc. Surg. 2003;
126: 1753–9.
- Petit C.J., Rome J.J., Wernovsky G., Mason S.E., Shera D.M.,
Nicolson S.C. et al. Preoperative brain injury in transposition
of the great arteries is associated with oxygenation and time
to surgery, not balloon atrial septostomy. Circulation. 2009;
119: 709–16.
- Watanabe K., Matsui M., Matsuzawa J., Tanaka C., Noguchi K.,
Yoshimura N. et al. Impaired neuroanatomic development
in infants with congenital heart disease. J. Thorac. Cardiovasc.
Surg. 2009; 137: 146–53.
- Nevvazhay T., Chernogrivov A., Biryukov E., Biktasheva L.,
Karchevskaya K., Sulejmanov S. et al. Arterial switch in the
first hours of life; no need for Rashkind septostomy? Eur. J.
Cardiothorac. Surg. 2012; 42: 520–3.
- Kobayashi D., Sallaam S., Aggarwal S. et al. Catheterizationbased
intervention in low birth weight infants less than 2.5 kg
with acute and long-term outcome. Cathet. Cardiovasc. Int.
2013; 82: 802–10.
- Hickey E.J., Nosikova Y., Zhang H., Caldarone C.A., Benson
L., Redington A. et al. Very low-birth-weight infants with congenital
cardiac lesions: Is there merit in delaying intervention to
permit growth and maturation? J. Thorac. Cardiovasc. Surg.
2012; 143: 126–36.
- Khairy P., Clair M., Fernandes S.M., Blume E.D., Powell A.J.,
Newburger J.W. et al. Cardiovascular outcomes after the arterial
switch operation for D-transposition of the great arteries.
Circulation. 2013; 127: 331–9.
- Karamlou T., McCrindle B.W., Blackstone E.H. et al. Lesionspecific
outcomes in neonates undergoing congenital heart
surgery are related predominantly to patient and management
factors rather than institution or surgeon experience: a
Congenital Heart Surgeons Society Study. J. Thorac.
Cardiovasc. Surg. 2010; 139: 569–77.
- Lalezari S., Bruggemans E.F., Blom N.A., Hazekamp M.G.
Thirty-year experience with the arterial switch operation. Ann.
Thorac. Surg. 2011; 92: 973–9.
- Li J., Tulloh R., Cook A., Schneider M., Ho S., Anderson R.
Coronary arterial origins in transposition of the great arteries:
a morphologic study. Heart. 2000; 83: 320–5.
- Sarris G.E., Chatzis A.C., Giannopoulos N.M. et al. The arterial
switch operation in Europe for transposition of the great
arteries: a multi-institutional study from the European
Congenital Heart Surgeons Association. J. Thorac. Cardiovasc.
Surg. 2006; 132: 633–9.
- Losay J., Touchot A., Capderou A., Piot J-D., Belli E., Planche
C. et al. Aortic valve regurgitation after arterial switch
operation for transposition of the great arteries: incidence,
risk factors, and outcome. J. Am. Coll. Cardiol. 2006; 47:
2057–62.
- Fricke T.A., d’Udekem Y., Richardson M. et al. Outcomes
of the arterial switch operation for transposition of the great
arteries: 25 years of experience. Ann. Thorac. Surg. 2012;
94: 139–45.
- Daebritz S.H., Nollert G., Sachweh J.S. et al. Anatomical risk
factors for mortality and cardiac morbidity after arterial switch
operation. Ann. Thorac. Surg. 2000; 69: 1880–6.
- University college London. National institute for cardiovascular
outcomes research – NICOR. Web Portal. 2014. Available at:
http://nicor4.nicor.org.uk (дата обращения 20.06.2014/
accessed June 20, 2014).
About the authors
- Inessa E. Nefedova, Cand. Med. Sc., Head of Department, orcid.org/0000-0002-9221-051X;
-
David O. Berishvili, Dr Med. Sc., Head of Department, orcid.org/0000-0001-7379-345X
