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Echocardiographic assessment of transposition of the great arteries and congenitally corrected transposition of the great arteries

Echo Research & Practice volume 6, pages R107–R119 (2019)Cite this article

Abstract

Echocardiographic assessment of patients with transposition of the great arteries and congenitally corrected transposition requires awareness of the morphology and commonly associated lesions. The pre-operative echocardiography should include a full segmental and sequential analysis. Post-operative assessment is not possible without awareness of the type of surgical procedure performed and consists of assessing surgical connections and residual lesions.

References

  1. Mertens LL, Vogt MO, Marek J & Cohen MS. Transposition of the great arteries. In Echocardiography in Pediatric and Congenital Heart Disease: From Fetus to Adult, 2nd ed., pp 398–416. Eds, Lai WW, Mertens LL, Cohen MS &, Geva T. Hokoken, NJ, USA: Wiley-Blackwell, 2015.

    Google Scholar 

  2. Lisowski LA, Verheijen PM, Copel JA, Kleinman CS, Wassink S, Visser GH & Meijboom EJ. Congenital heart disease in pregnancies complicated by maternal diabetes mellitus. An international clinical collaboration, literature review, and meta-analysis. Herz 2010 19–26. https://doi.org/10.1007/s00059-010-3244-3)

    Google Scholar 

  3. Pasquini L, Sanders SP, Parness IA, Colan SD, Van Praagh S, Mayer JE Jr, Van Praagh R. Conal anatomy in 119 patients with d-loop transposition of the great arteries and ventricular septal defect: an echocardiographic and pathologic study. Journal of the American College of Cardiology 1993 1712–1721. https://doi.org/10.1016/0735-1097(93)90392-e)

    Google Scholar 

  4. Rudolph AM. Transposition of the Great Arteries (Aortopulmonary Transposition). Congenital Diseases of the Heart: Clinical-Physiological Considerations, Fully Revised and Updated, 2nd ed., pp 675–736. Armonk, NY, USA: Futura Publishing Company, 2001.

    Google Scholar 

  5. Day RW, Laks H & Drinkwater DC. The influence of coronary anatomy on the arterial switch operation in neonates. Journal of Thoracic and Cardiovascular Surgery 1992 706–712.

    Google Scholar 

  6. Pasquali SK, Hasselblad V, Li JS, Kong DF & Sanders SP. Coronary artery pattern and outcome of arterial switch operation for transposition of the great arteries: a meta-analysis. Circulation 2002 2575–2580. https://doi.org/10.1161/01.cir.0000036745.19310.bb)

    Google Scholar 

  7. Jatene AD, Fontes VF, Paulista PP, de Souza LC, Neger F, Galantier M & Sousa JE. Successful anatomic correction of transposition of the great vessels. A preliminary report. Arquivos Brasileiros de Cardiologia 1975 461–464.

    Google Scholar 

  8. Lecompte Y, Zannini L, Hazan E, Jarreau MM, Bex JP, Tu TV & Neveux JY. Anatomic correction of transposition of the great arteries. Journal of Thoracic and Cardiovascular Surgery 1981 629–631.

    Google Scholar 

  9. Senning A. Surgical correction of transposition of the great vessels. Surgery 1959 966–980.

    Google Scholar 

  10. Mustard WT, Keith JD, Trusler GA, Fowler R & Kidd L. The surgical management of transposition of the great vessels. Journal of Thoracic and Cardiovascular Surgery 1964 953–958.

    Google Scholar 

  11. Rashkind WJ & Miller WW. Creation of an atrial septal defect without thoracotomy. A palliative approach to complete transposition of the great arteries. JAMA 1966 991–992.

    Google Scholar 

  12. Lopez L, Houyel L, Colan SD, Anderson RH, Beland MJ, Aiello VD, Bailliard F, Cohen MS, Jacobs JP, Kurosawa H, et al. Classication of ventricular septal defects for the eleventh iteration of the international classication of diseases-striving for consensus: a report from the International Society for nomenclature of paediatric and congenital heart disease. Annals of Thoracic Surgery 2018 1578-1589.

    Google Scholar 

  13. Kumar B, Jayant A, Munirathinam GK & Mahajan S. Tricuspid valve straddling: an uncommon cause of left ventricular outflow tract obstruction in transposition of great artery with ventricular septal defect. Annals of Cardiac Anaesthesia 2018 61–64. https://doi.org/10.4103/aca.ACA_131_17)

    Google Scholar 

  14. Pretre R, Tamisier D, Bonhoeffer P, Mauriat P, Pouard P, Sidi D & Vouhé P. Results of the arterial switch operation in neonates with transposed great arteries. Lancet 2001 1826–1830. https://doi.org/10.1016/S0140-6736(00)04957-6)

    Google Scholar 

  15. Rivenes SM, Grifka RG & Feltes TF. Development of advanced pulmonary vascular disease in D-transposition of the great arteries after the neonatal arterial switch operation. Texas Heart Institute Journal 1998 201–205.

    Google Scholar 

  16. Lim JM, Porayette P, Marini D, Chau V, Au-Young SH, Saini A, Ly LG, Blaser S, Shroff M, Branson HM et al. Associations between age at arterial switch operation, brain growth, and development in infants with transposition of the great arteries. Circulation 2019 2728–2738. https://doi.org/10.1161/CIRCULATIONAHA.118.037495)

    Google Scholar 

  17. Legendre A, Losay J, Touchot-Kone A, Serraf A, Belli E, Piot JD, Lambert V, Capderou A & Planche C. Coronary events after arterial switch operation for transposition of the great arteries. Circulation 2003 (Supplement 1) II186–II190. https://doi.org/10.1161/01.cir.0000087902.67220.2b)

    Google Scholar 

  18. Nield LE, Dragulescu A, MacColl C, Manlhiot C, Brun H, McCrindle BW, Kuipers B, Caldarone CA, Miner SES & Mertens L. Coronary artery Doppler patterns are associated with clinical outcomes post-arterial switch operation for transposition of the great arteries. European Heart Journal: Cardiovascular Imaging 2018 461–468. https://doi.org/10.1093/ehjci/jex050)

    Google Scholar 

  19. Qamar ZA, Goldberg CS, Devaney EJ, Bove EL & Ohye RG. Current risk factors and outcomes for the arterial switch operation. Annals of Thoracic Surgery 2007 871–878; discussion 8–9. https://doi.org/10.1016/j.athoracsur.2007.04.102)

    Google Scholar 

  20. Bonhoeffer P, Bonnet D, Piéchaud JF, Stümper O, Aggoun Y, Villain E, Kachaner J & Sidi D. Coronary artery obstruction after the arterial switch operation for transposition of the great arteries in newborns. Journal of the American College of Cardiology 1997 202–206. https://doi.org/10.1016/s0735-1097(96)00433-0)

    Google Scholar 

  21. Tsuda T, Bhat AM, Robinson BW, Baffa JM & Radtke W. Coronary artery problems late after arterial switch operation for transposition of the great arteries. Circulation Journal 2015 2372–2379. https://doi.org/10.1253/circj.CJ-15-0485)

    Google Scholar 

  22. Marino BS, Wernovsky G, McElhinney DB, Jawad A, Kreb DL, Mantel SF, van der Woerd WL, Robbers-Visser D, Novello R, Gaynor JW, et al. Neo-aortic valvar function after the arterial switch. Cardiology in the Young 2006 481–489. https://doi.org/10.1017/S1047951106000953)

    Google Scholar 

  23. Schwartz ML, Gauvreau K, del Nido P, Mayer JE & Colan SD. Long-term predictors of aortic root dilation and aortic regurgitation after arterial switch operation. Circulation 2004 II128–II132. https://doi.org/10.1161/01.CIR.0000138392.68841.d3)

    Google Scholar 

  24. Koolbergen DR, Manshanden JS, Yazdanbakhsh AP, Bouma BJ, Blom NA, de Mol BA, Mulder BJ & Hazekamp MG. Reoperation for neoaortic root pathology after the arterial switch operation. European Journal of Cardio-Thoracic Surgery 2014 474–479; discussion 479. https://doi.org/10.1093/ejcts/ezu026)

    Google Scholar 

  25. Sampson C, Kilner PJ, Hirsch R, Rees RS, Somerville J & Underwood SR. Venoatrial pathways after the Mustard operation for transposition of the great arteries: anatomic and functional MR imaging. Radiology 1994 211–217. https://doi.org/10.1148/radiology.193.1.8090893)

    Google Scholar 

  26. Horer J, Karl E, Theodoratou G, Schreiber C, Cleuziou J, Prodan Z, Vogt M & Lange R. Incidence and results of reoperations following the Senning operation: 27 years of follow-up in 314 patients at a single center. European Journal of Cardio-Thoracic Surgery 2008 1061–1067; discussion 7–8. https://doi.org/10.1016/j.ejcts.2007.11.012)

    Google Scholar 

  27. Patel S, Shah D, Chintala K & Karpawich PP. Atrial baffle problems following the Mustard operation in children and young adults with dextro-transposition of the great arteries: the need for improved clinical detection in the current era. Congenital Heart Disease 2011 466–474. https://doi.org/10.1111/j.1747-0803.2011.00532.x)

    Google Scholar 

  28. De Pasquale G, Bonassin Tempesta F, Lopes BS, Babic D, Oxenius A, Seeliger T, Gruner C, Tanner FC, Biaggi P, Attenhofer Jost C, et al. High prevalence of baffle leaks after atrial switch operation for transposition of the great arteries. European Heart Journal: Cardiovascular Imaging 2017 531–535. https://doi.org/10.1093/ehjci/jew276)

    Google Scholar 

  29. Lubiszewska B, Gosiewska E, Hoffman P, Teresińska A, Rózański J, Piotrowski W, Rydlewska-Sadowska W, Kubicka K & Ruzyłło W. Myocardial perfusion and function of the systemic right ventricle in patients after atrial switch procedure for complete transposition: long term follow-up. Journal of the American College of Cardiology 2000 1365–1370. https://doi.org/10.1016/s0735-1097(00)00864-0)

    Google Scholar 

  30. Chaix MA, Dore A, Mercier LA, Mongeon FP, Marcotte F, Ibrahim R, Asgar AW, Shohoudi A, Labombarda F, Mondésert B, et al. Late onset postcapillary pulmonary hypertension in patients with transposition of the great arteries and mustard or senning baffles. Journal of the American Heart Association 2017 1–9. https://doi.org/10.1161/JAHA.117.006481)

    Google Scholar 

  31. Wallis GA, Debich-Spicer D & Anderson RH. Congenitally corrected transposition. Orphanet Journal of Rare Diseases 2011 22. https://doi.org/10.1186/1750-1172-6-22)

    Google Scholar 

  32. Spigel Z, Binsalamah ZM & Caldarone C. Congenitally corrected transposition of the great arteries: anatomic, physiologic repair, and palliation. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2019 32–42. https://doi.org/10.1053/j.pcsu.2019.02.008)

    Google Scholar 

  33. Winlaw DS, McGuirk SP, Balmer C, Langley SM, Griselli M, Stümper O, De Giovanni JV, Wright JG, Thorne S, Barron DJ, et al. Intention-to-treat analysis of pulmonary artery banding in conditions with a morphological right ventricle in the systemic circulation with a view to anatomic biventricular repair. Circulation 2005 405–411. https://doi.org/10.1161/01.CIR.0000153355.92687.FA)

    Google Scholar 

  34. Langley SM, Winlaw DS, Stumper O, Dhillon R, De Giovanni JV, Wright JG, Miller P, Sethia B, Barron DJ & Brawn WJ. Midterm results after restoration of the morphologically left ventricle to the systemic circulation in patients with congenitally corrected transposition of the great arteries. Journal of Thoracic and Cardiovascular Surgery 2003 1229–1241. https://doi.org/10.1016/s0022-5223(02)73246-7)

    Google Scholar 

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Authors and Affiliations

  1. Division of Cardiology, The Children’s Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA

    Meryl S. Cohen

  2. Division of Cardiology, The Hospital for Sick Children, Toronto, Ontario, Canada

    Luc L. Mertens

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Cohen, M.S., Mertens, L.L. Echocardiographic assessment of transposition of the great arteries and congenitally corrected transposition of the great arteries. Echo Res Pract 6, R107–R119 (2019). https://doi.org/10.1530/ERP-19-0047

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Echo Research & Practice

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