Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-18T23:44:08.166Z Has data issue: false hasContentIssue false
  • English
  • Français

Primary care management of patients with common arterial trunk and transposition of the great arteries*

Published online by Cambridge University Press:  18 January 2013

Jeffrey R. Boris
Jeffrey R. Boris*
Affiliation:
Division of Cardiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America
*
Correspondence to: Dr J. R. Boris, MD, Clinical Associate Professor of Paediatrics, Division of Cardiology, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, Pennsylvania 19104, United States of America. Tel: +1 215 590 3189; Fax: +1 267 426 5324; E-mail: borisj@email.chop.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Primary care cardiology, also known as ambulatory or outpatient cardiology, for the longitudinal management of patients with common arterial trunk or with transposition of the great arteries is both poorly described and has limited evidence to justify its basis. This article discusses some of the various complications that these patients can develop, reviews the medical literature, and describes a framework for care of these complex patients from infancy to transition to adult congenital cardiac specialist care.

Keywords

Ambulatory cardiologyoutpatient cardiologytruncus arteriosustransposition of the great vessels
Type
Original Article
Information
Cardiology in the Young , Volume 22 , Issue 6: A Lifelong Interdisciplinary Approach to Common Arterial Trunk, Transposition of the Great Arteries, and Other Evolving Challenges in Paediatric and Congenital Cardiac Disease , December 2012 , pp. 761 - 767
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Presented at: 12th Annual International Symposium on Congenital Heart Disease, February 17–21, 2012, All Children's Hospital, Saint Petersburg, Florida, United States of America.

References

1. Wernovsky, G, Rome, JJ, Tabbutt, S, et al. Guidelines for the outpatient management of complex congenital heart disease. Congenit Heart Dis 2006; 1: 10–26.CrossRefGoogle ScholarPubMed
2. Maron, BJ, Zipes, DP. Task Force 2: Congenital Heart Disease. 36th Bethesda Conference: eligibility recommendations for competitive athletes with cardiovascular abnormalities. J Am Coll Cardiol 2005; 45: 1326–1333.CrossRefGoogle Scholar
3. Talwar, S, Malankar, D, Choudhary, SK, Saxena, A, Airan, B. An alternative technique for the atrial switch operation for transposition of the great arteries in an unoperated adult patient. J Card Surg 2010; 25: 406–409.Google Scholar
4. Washington, RL, Bricker, JT, Alpert, BS, et al. Guidelines for exercise testing in the pediatric age group. From the Committee on Atherosclerosis and Hypertension in Children. Council on Cardiovascular Disease in the Young, the American Heart Association. Circulation 1994; 90: 2166–2179.Google Scholar
5. Li, W, Hornung, TS, Francis, DP, et al. Relation of biventricular function quantified by stress echocardiography to cardiopulmonary exercise capacity in adults with Mustard (atrial switch) procedure for transposition of the great arteries. Circulation 2004; 110: 1380–1386.CrossRefGoogle ScholarPubMed
6. Poirier, NC, Yu, JH, Brizard, CP, Mee, RB. Long-term results of left ventricular reconditioning and anatomic correction for systemic right ventricular dysfunction after atrial switch procedures. J Thorac Cardiovasc Surg 2004; 127: 975–981.CrossRefGoogle ScholarPubMed
7. Falkenberg, C, Hallhagen, S, Nilsson, K, Nilsson, B, Ostman-Smith, I. A study of the physiological consequences of sympathetic denervation of the heart caused by the arterial switch procedure. Cardiol Young 2010; 20: 150–158.Google Scholar
8. Weindling, SN, Wernovsky, G, Colan, SD, et al. Myocardial perfusion, function and exercise tolerance after the arterial switch operation. J Am Coll Cardiol 1994; 23: 424–433.CrossRefGoogle ScholarPubMed
9. Sterrett, LE, Schamberger, MS, Ebenroth, ES, Siddiqui, AR, Hurwitz, RA. Myocardial perfusion and exercise capacity 12 years after arterial switch surgery for D-transposition of the great arteries. Pediatr Cardiol 2011; 32: 785–791.CrossRefGoogle ScholarPubMed
10. Rickers, C, Sasse, K, Buchert, R, et al. Myocardial viability assessed by positron emission tomography in infants and children after the arterial switch operation and suspected infarction. J Am Coll Cardiol 2000; 36: 1676–1683.CrossRefGoogle ScholarPubMed
11. Hauser, M, Bengel, FM, Kühn, A, et al. Myocardial blood flow and flow reserve after coronary reimplantation in patients after arterial switch and ross operation. Circulation 2001; 10: 1875–1880.Google Scholar
12. Hui, L, Chau, AK, Leung, MP, Chiu, CS, Cheung, YF. Assessment of left ventricular function long term after arterial switch operation for transposition of the great arteries by dobutamine stress echocardiography. Heart 2005; 91: 68–72.CrossRefGoogle ScholarPubMed
13. Yates, RW, Marsden, PK, Badawi, RD, et al. Evaluation of myocardial perfusion using positron emission tomography in infants following a neonatal arterial switch operation. Pediatr Cardiol 2000; 21: 111–118.CrossRefGoogle ScholarPubMed
14. Oskarsson, G, Pesonen, E, Munkhammar, P, Sandström, S, Jögi, P. Normal coronary flow reserve after arterial switch operation for transposition of the great arteries: an intracoronary Doppler guidewire study. Circulation 2002; 106: 1696–1702.Google Scholar
15. Manso, B, Castellote, A, Dos, L, Casaldáliga, J. Myocardial perfusion magnetic resonance imaging for detecting coronary function anomalies in asymptomatic paediatric patients with a previous arterial switch operation for the transposition of great arteries. Cardiol Young 2010; 20: 410–417.CrossRefGoogle ScholarPubMed
16. Friedman, KG, Rathod, RH, Farias, M, et al. Resource utilization after introduction of a standardized clinical assessment and management plan. Congenit Heart Dis 2010; 5: 374–381.Google Scholar
17. Wilson, W, Taubert, KA, Gewitz, M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation 2007; 116: 1736–1754.Google Scholar
18. Warnes, C, Williams, RG, Bashore, TM, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults with Congenital Heart Disease). Developed in Collaboration with the American Society of Echocardiography, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 2008; 52: e143–e263.Google Scholar
19. Boris, JR. Primary care cardiology for hypoplastic left heart syndrome. Cardiol Young 2011; 21 (Suppl 2): 53–58.Google Scholar