Hostname: page-component-848d4c4894-m9kch Total loading time: 0 Render date: 2024-06-08T01:46:17.425Z Has data issue: false hasContentIssue false
  • English
  • Français

The diagnostic evaluation of patients with complete transposition

Published online by Cambridge University Press:  19 August 2008

Michael L. Rigby  and
Kit-Yee Chan
Michael L. Rigby*
Affiliation:
Department of Paediatrics, National Heart & Lung Institute, Royal Brompton and National Heart Hospital, London, and the Department of Pediatrics, National University Hospital, Kent Ridge, Singapore
Kit-Yee Chan
Affiliation:
Department of Paediatrics, National Heart & Lung Institute, Royal Brompton and National Heart Hospital, London, and the Department of Pediatrics, National University Hospital, Kent Ridge, Singapore
*
Dr. Michael L. Rigby Department of Paediatrics, Royal Brompton and National Heart Hospital, Fulham Road, LondonSW3 6HP, United Kingdom
Get access Rights & Permissions [Opens in a new window]

Summary

The vast majority of patients with complete transposition present during either the neonatal period or early infancy. Almost always the diagnosis and the categorization of associated lesions can be established by cross-sectional echocardiography. Doppler techniques usually provide enough information about flows to allow palliative or radical surgery to be undertaken without formal cardiac catheterization, because balloon atrial septostomy is carried out with echocardiographic imaging, often on the intensive care unit. Angiography is occasionally performed to visualize the pulmonary arteries or the aorta, and, if there is suspicion of a significant elevation of the pulmonary vascular resistance, it must be measured at cardiac catheterization. Neither cross-sectional echocardiography nor aortography is entirely reliable in identifying those patterns of the coronary arteries which are a contraindication to the arterial switch operation. There is, as yet, no evidence that either magnetic resonance imaging or transesophageal echocardiography are superior to more conventional methods of preoperative diagnosis in complete transposition and it seems unlikely that they will be required.

Type
Original Articles
Information
Cardiology in the Young , Volume 1 , Issue 1 , January 1991 , pp. 26 - 40
Copyright
Copyright © Cambridge University Press 1991

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.)

References

1.Taussig, HB. Complete transposition of the great vessels: clinical and pathologic features. Am Heart J 1938; 16: 728–733.CrossRefGoogle Scholar
2.Scott, DJ, Rigby, ML, Miller, GAH, Shinebourne, EA. The presentation of symptomatic heart disease in infancy based on 10 years’ experience (1973–82): Implication for the provision of services. Br Heart J 1984; 52: 248–257.CrossRefGoogle ScholarPubMed
3.Fyler, DC, Buckley, LP, Hellenbrand, WE, Cohn, HE. Report of the New England Regional Infant Cardiac Program. Pedi atrics 1980; 65: 375–461.Google Scholar
4.Dickinson, DF, Arnold, R, Wilkinson, JL. Congenital heart disease among 160, 480 liveborn childre in Liverpool 1960 to 1969 Implications for surgical treatment. Br Heart J 1981; 46: 55–62.CrossRefGoogle Scholar
5.Anderson, RH, Allan, L. The Heart. In: Reed, GB, Claireaux, AE, Bain, AD. Diseases of the Fetus and Newborn, Pathology, Radiology and Genetics. Chapman and Hall Ltd., London, 1989; pp 217–246.Google Scholar
6.Allan, LD. A review of fetal echocardiography. Echocardiography 1985; 2: 351–360.Google Scholar
7.Burn, J. The etiology of congenital heart disease. In Anderson, RH, Macartney, FJ, Shinebourne, EA, Tynan, MJ (eds). Paediatric Cardiology. Churchill Livingstone, Edinburgh, 1987, pp 15–64.Google Scholar
8.Rudolph, AM. Congenital diseases of the heart. Year Book Medical Publishers Inc, Chicago, 1974.Google Scholar
9.Williams, WG, Trusler, GA, Kirklin, JW. Early and late results of a protocol for simple transposition leading to an atrial switch (Mustard repair). J Thorac Cardiavasc Surg 1988; 95: 717–724.CrossRefGoogle Scholar
10.Lakier, JB, Stanger, P, Heymann, MA, Hoffman, JIE, Rudolph, AM. Early onset ofpulmonary vascular obstruction in patients with aortopulmonary transposition and intact ventricular septum. Circulation 1975; 51: 875–880.CrossRefGoogle Scholar
11.Edwards, WD, Edwards, JE. Hypertensive pulmonary vascular disease in d-transposition of the great arteries. Am J Cardiol 1978; 41: 921–924.CrossRefGoogle Scholar
12.Newfleld, EA, Paul, MH, Muster, AJ, Idriss, FS. Pulmonary vascular disease in transposition of the great vessels and intact ventricular septum. Circulation 1979; 59: 525–530.Google Scholar
13.Haworth, SG. Morphological changes and progression of pulmonary vascular disease. In Anderson, RH, Macartney, FJ, Shinebourne, EA, Tynan, M. (eds). Paediatric Cardiology. Vol 5 Churchill, Livingstone. Edinburgh, 1983, pp 51–61.Google Scholar
14.Haworth, SG, Radley-Smith, R, Yacoub, M. Lung biopsy findings in transposition of the great arteries with ventricular septal defect: potentially reversible pulmonary vascular disease is not always synonymous with operability. J Am CoIl Cardiol 1987; 9: 327–333.CrossRefGoogle Scholar
15.Lev, M, Rimoldi, HJA, Paiva, R, Arcilla, PA. The quantitative anatomy of simple complete transposition. Am J Cardiol 1969; 23: 409–416.CrossRefGoogle ScholarPubMed
16.Bano-Rodrigo, A, Quero-Jimenez, M, Moreno-Grandado, F, Gamallo-Amat, C. Wall thickness of ventricular chambers in transposition of the great arteries. J Thorac Cardiavasc Surg 1980. 79: 592–597.CrossRefGoogle ScholarPubMed
17.Smith, A, Wilkinson, JL, Arnold, R, Dickinson, DF, Anderson, RH. Growth and development ofventricular wall in complete transposition of the great arteries with intact septum (simple transposition). Am J Cardiol 1982; 49: 362–368.CrossRefGoogle Scholar
18.Tynan, MJ. Transposition of the great arteries: changes in the circulation after birth. Circulation 1972; 46: 809–815.CrossRefGoogle ScholarPubMed
19.Beitzke, A, Suppan, CH. Use of prostaglandin E2 in manage ment of transposition of great arteries before balloon atrial septostomy. Br Heart J 1983; 49: 341–344.CrossRefGoogle Scholar
20.Bush, A, Busst, CM, Knight, WB, Carvalho, J, Rigby, ML, Shinebourne, EA. Preoperative measurement of pulmonary vascular resistance in complete transposition of the great arteries. Br Heart J 1990; 63: 300–303.CrossRefGoogle ScholarPubMed
21.Magno, MG, Fishman, AP. Origin, distribution and blood flow of bronchial circulation in anesthetized sheep. J Appl Physiol 1982. 53: 272–279.CrossRefGoogle ScholarPubMed
22.Keane, JF, Ellison, RC, Rudd, M, Nadas, AS. Pulmonary blood flow and left ventricular volumes in transposition of the great arteries and intact ventricular septum. Br Heart J 1973; 35: 521–526.Google Scholar
23.Graham, TP, Jarmakani, JM, Canent, RV, Jewett, PH. Quan tification of left heart volume and systolic output in transpo sition of the great arteries. Circulation 1971; 44: 899–909.Google Scholar
24.Henry, WL, Maron, BJ, Griffith, JM, Epstein, SE. Differential diagnosis of anomalies of the great arteries by real time two-dimensional echocardiography. Circulation 1975; 51: 283–289.Google Scholar
25.Bierman, FZ, Williams, RG. Prospective diagnosis of d-trans position of the great arteries in neonates by subxiphoid two-dimensional echocardiography. Circulation 1979; 60: 1496–1502.CrossRefGoogle Scholar
26.Hagler, DJ, Tajik, AJ, Seward, JB, Mair, DD, Ritter, DG. Wide angle two-dimensional echocardiographic profiles of conotruncal abnormalities. Mayo Clin Proc 1980; 55: 73–79.Google ScholarPubMed
27.Sanders, SP, Bierman, FZ, Williams, RG. Conotruncal malfor mations: diagnosis in infancy using subxiphoid 2-dimensional echocardiography. Am J Cardiol 1982; 50: 1361–1367.Google Scholar
28.Robinson, PJ, Wyse, RK, Macartney, FJ. Left ventricular out flow tract obstruction in complete transposition of the great arteries with ventricular septum. A cross sectional echocardiography study. Br Heart J 1985; 54: 201–208.Google Scholar
29.Marino, B, De Simone, G, Pasquini, L, Giannico, S, Marcelletti, C, Ammirari, A, Guccione, P, Boldrini, R, Ballerini, L. Complete transposition of the great arteries: Visualisation of left and right outflow tract obstruction by oblique subcostal two-dimensional echocardiography. Am J Cardiol 1985; 55: 1140–1145.Google Scholar
30.Chin, AJ, Yeager, SB, Sanders, SP, Williams, RG, Bierman, FZ, Burger, BM, Norwood, WI, Castaneda, AR. Accuracy of pro spective two-dimensional echocardiographic evaluation of left ventricular outflow tract in complete transposition of the great arteries. Am J Cardiol 1985; 55: 759–765.CrossRefGoogle Scholar
31.Vitarelli, A, D'Addio, AP, Gentile, R, Burattini, M. Echocardiographic evaluation of left ventricular outflow tract obstruction in complete transposition of the great arteries. Am Heart J 1984; 108: 531–538.Google Scholar
32.Moro, E, ten Cate, FJ, Tirtaman, C, Leonard, JJ, Roelandt, J. Doppler and two-dimensional echocardiographic observa tions of systolic anterior motion of the mitral valve in d transposition of the great arteries: an explanation of the left ventricular outflow tract gradient. J Am Coil Cardiol 1986; 7: 889–895.CrossRefGoogle Scholar
33. HuhtaJC, Edwards, WD, Danielson, GK, Feldt, RH. Abnor malities of the tricuspid valve in complete transposition of the great arteries with ventricular septal defect. J Thorac Cardiovasc Surg 1982; 83: 569–576.Google Scholar
34.Huhta, JC, Smallhorn, JE, Macartney, FJ. Two-dimensional echocardiographic diagnosis ofsitus. Br Heart J 1982; 48: 97–108.Google Scholar
35.Sutherland, GR, Godman, MJ, Smalihorn, JF, Guiterras, P, Anderson, RH, Hunter, S. Ventricular septal defects: two-dimensional echocardiographic and morphological correla tions. Br Heart J 1982; 47: 316–328.CrossRefGoogle Scholar
36.Castafleda, AR, Trusler, GA, Paul, MH, Blackstone, EH, Kirklin, JW. The early results of treatment of simple transposition in the current era. J Thorac Cardiavasc Surg 1988; 95: 14–21.CrossRefGoogle Scholar
37.Mayer, J. Jr, Jonas, RA, Castaneda, AR. Arterial switch opera tion for transposition ofthe great arteries with intact ventricular septum. J Card Surg 1986; 1: 97–104.CrossRefGoogle Scholar
38.Yacaub, MH, Radley-Smith, R, Hilton, CJ. Anatomical correc tion of complete transposition of the great arteries and ven tricular septal defect in infancy. Brit Med J 1976; 1: 1112–1124.Google Scholar
39.Pacifico, AD, Stewart, RW, Bargeron, LM. Jr, Repair of trans position of the great arteries with ventricular septal defect by an arterial switch operation. Circulation 1983; 68(Suppl II): II 49–55.Google Scholar
40.Jarene, A, Fontes, VF, Paulista, PP, Souza, LCB, Heger, F, Galantier, M, Souza, JEMR, Zerbini, EJ. Successful anatamic correction of transposition of the great vessels. J Thorac Cardiovasc Surg 1976; 72: 364–370.Google Scholar
41.Sanders, SP, Mayer, JE, Wernovsky, G, Parness, IA, Colan, SD. The role of two-dimensional and Doppler echocardiography in the preoperative evaluation of d-transposition of the great arteries. Cardiovasc Imag 1989; 1: 71–77.Google Scholar
42.Allan, LD, Leanage, R, Wainwright, R, Joseph, MC, Tynan, M. Balloon atrial seprostomy under two-dimensional echocardiographic control. Br Heart J 1982; 47: 41–43.Google Scholar