Late Results After PTCA for Coronary Stenosis After the Arterial Switch Procedure for Transposition of the Great Arteries Christoph Kampmann, MD, Wlodzimierz.

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Presentation transcript:

Late Results After PTCA for Coronary Stenosis After the Arterial Switch Procedure for Transposition of the Great Arteries Christoph Kampmann, MD, Wlodzimierz Kuroczynski, MD, Hubert Trübel, MD, Markus Knuf, MD, Martin Schneider, MD, Markus K. Heinemann, MD, PhD The Annals of Thoracic Surgery Volume 80, Issue 5, Pages 1641-1646 (November 2005) DOI: 10.1016/j.athoracsur.2004.11.061 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) A 9-day-old male child received the arterial switch operation for d-transposition of the great arteries with an originally inverted coronary artery pattern and had an uneventful early postoperative course. Subsequently, the patient was treated with digoxin and diuretics for severe ventricular dysfunction. Thirteen months after the arterial switch operation the child underwent cardiac catheterization. Selective coronary angiography revealed an 80% stenosis of the inverted left coronary artery. (B) In the same child, successful angioplasty was performed using a 2.33-mm rapid exchange balloon over a 0.014-inch floppy guide wire. (C) Angiography immediately after percutaneous transluminal coronary angioplasty without evidence of residual stenosis. (D) Follow-up control angiography at the age of 5.5 years (3.9 years after percutaneous transluminal coronary angioplasty) revealed a normal development of the coronary artery and a residual stenosis of less than 3%. Left ventricular dysfunction had normalized with time. The child was no longer receiving anti-congestive treatment. The Annals of Thoracic Surgery 2005 80, 1641-1646DOI: (10.1016/j.athoracsur.2004.11.061) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The coronary diameter at different times in box plots: at the time of percutaneous transluminal coronary angioplasty (PTCA), at the first follow-up, and at the second follow-up angiography. The Annals of Thoracic Surgery 2005 80, 1641-1646DOI: (10.1016/j.athoracsur.2004.11.061) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions