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Late coronary complications after arterial switch operation and their treatment.

El-Segaier, Milad LU ; Lundin, Anders LU ; Hochbergs, Peter LU ; Jögi, Peeter and Pesonen, Erkki LU (2010) In Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 76. p.1027-1032
Abstract
OBJECTIVES:: To report the late coronary complications and their treatment after ASO. BACKGROUND:: Asymptomatic patients after arterial switch operation (ASO) may have coronary ostial stenosis or obstruction. METHODS:: Since 1980, 279 patients were operated with ASO. At the time of preparing this article, selective follow-up coronary angiograms were done on 81 patients. RESULTS:: Coronary stenosis was found in six patients. A six year-old patient with left coronary artery (LCA) ostial stenosis and a nine year-old patient with conus branch occlusion had good collaterals without a need for further treatment. One patient with LCA obstruction, myocardial infarction, and left ventricular failure was operated with osteoplasty at age of 16 years.... (More)
OBJECTIVES:: To report the late coronary complications and their treatment after ASO. BACKGROUND:: Asymptomatic patients after arterial switch operation (ASO) may have coronary ostial stenosis or obstruction. METHODS:: Since 1980, 279 patients were operated with ASO. At the time of preparing this article, selective follow-up coronary angiograms were done on 81 patients. RESULTS:: Coronary stenosis was found in six patients. A six year-old patient with left coronary artery (LCA) ostial stenosis and a nine year-old patient with conus branch occlusion had good collaterals without a need for further treatment. One patient with LCA obstruction, myocardial infarction, and left ventricular failure was operated with osteoplasty at age of 16 years. In three essentially asymptomatic patients stenting of LCA ostium stenosis was done: in two of them with drug-eluting stents at nine and ten years of age and in one with bare-metal stent at 18 years of age. One of these patients was earlier treated with balloon dilatation at five years of age which caused intimal dissection. CONCLUSIONS:: Asymptomatic patients with an uneventful course after ASO may have coronary obstruction. This necessitates follow-up coronary evaluation in all patients. Stenting of the coronary arteries is an option for treatment. (c) 2010 Wiley-Liss, Inc. (Less)
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organization
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type
Contribution to journal
publication status
published
subject
in
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
volume
76
pages
1027 - 1032
external identifiers
  • WOS:000284715800026
  • PMID:20506518
  • Scopus:78649662914
ISSN
1522-726X
DOI
10.1002/ccd.22605
language
English
LU publication?
yes
id
e5f86c8f-6537-48fa-af38-97b357ae848f (old id 1609829)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20506518?dopt=Abstract
date added to LUP
2010-06-02 14:52:40
date last changed
2016-10-13 04:27:38
@misc{e5f86c8f-6537-48fa-af38-97b357ae848f,
  abstract     = {OBJECTIVES:: To report the late coronary complications and their treatment after ASO. BACKGROUND:: Asymptomatic patients after arterial switch operation (ASO) may have coronary ostial stenosis or obstruction. METHODS:: Since 1980, 279 patients were operated with ASO. At the time of preparing this article, selective follow-up coronary angiograms were done on 81 patients. RESULTS:: Coronary stenosis was found in six patients. A six year-old patient with left coronary artery (LCA) ostial stenosis and a nine year-old patient with conus branch occlusion had good collaterals without a need for further treatment. One patient with LCA obstruction, myocardial infarction, and left ventricular failure was operated with osteoplasty at age of 16 years. In three essentially asymptomatic patients stenting of LCA ostium stenosis was done: in two of them with drug-eluting stents at nine and ten years of age and in one with bare-metal stent at 18 years of age. One of these patients was earlier treated with balloon dilatation at five years of age which caused intimal dissection. CONCLUSIONS:: Asymptomatic patients with an uneventful course after ASO may have coronary obstruction. This necessitates follow-up coronary evaluation in all patients. Stenting of the coronary arteries is an option for treatment. (c) 2010 Wiley-Liss, Inc.},
  author       = {El-Segaier, Milad and Lundin, Anders and Hochbergs, Peter and Jögi, Peeter and Pesonen, Erkki},
  issn         = {1522-726X},
  language     = {eng},
  pages        = {1027--1032},
  series       = {Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions},
  title        = {Late coronary complications after arterial switch operation and their treatment.},
  url          = {http://dx.doi.org/10.1002/ccd.22605},
  volume       = {76},
  year         = {2010},
}