Related Experiment Video

Updated: Jul 13, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

18.5K

Percutaneous Coronary Intervention for Atherosclerotic Coronary Artery Disease After Arterial Switch Operation: A

Khaled A Shams1,2, Hossameldin Hussein1,3, Soha Romeih4,5

  • 1Department of Adult Cardiology, Aswan Heart Centre Egypt.

Interventional Cardiology (London, England)
|November 6, 2024
PubMed

Insights

Adults surviving arterial switch operations (ASO) need monitoring for coronary artery disease. Percutaneous coronary intervention is a viable treatment option for these complex cases, even decades later.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Adult Congenital Heart Disease

Background:

  • Late coronary complications can arise after arterial switch operation (ASO) due to anatomical issues.
  • Adult survivors of ASO often remain asymptomatic, necessitating proactive screening for coronary artery disease.
  • Surgical management has been the primary approach for coronary artery disease post-ASO.

Observation:

  • Complex aortic sinus anatomy and abnormal coronary origins in ASO patients pose challenges for percutaneous coronary intervention (PCI).
  • Difficulties in catheter engagement and support are common during PCI in these patients.
  • Multi-slice CT coronary angiography is crucial for pre-procedural planning and guidance.

Findings:

  • This case demonstrates successful percutaneous coronary intervention in an adult patient with coronary artery disease 33 years after an ASO.
  • PCI can be a feasible alternative to surgery for managing coronary artery disease in long-term ASO survivors.
  • Careful pre-procedural planning using advanced imaging is essential for successful PCI in this population.

Implications:

  • Highlights the importance of long-term surveillance for coronary artery disease in adult ASO survivors.
  • Suggests that PCI, when carefully planned, is a valuable therapeutic option for complex coronary lesions in this unique patient group.
  • Emphasizes the role of multi-slice CT coronary angiography in optimizing PCI outcomes for patients with congenital heart disease.

Keywords:
Transposition of the great arteriesarterial switch operationcoronary artery diseasecoronary atherosclerosispercutaneous coronary intervention

More Related Videos

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

4.8K
Author Spotlight: Enhancing Coronary Artery Revascularization05:25

Author Spotlight: Enhancing Coronary Artery Revascularization

Published on: September 15, 2023

641

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...