Juan Villafañe, M Regina Lantin-Hermoso, Ami B Bhatt, James S Tweddell, Tal Geva, Meena Nathan, Martin J Elliott, Victoria L Vetter, Stephen M Paridon, Lazaros Kochilas, Kathy J Jenkins, Robert H Beekman, Gil Wernovsky, Jeffrey A Towbin
This paper aims to update clinicians on "hot topics" in the management of patients with D-loop transposition of the great arteries (D-TGA) in the current surgical era. The arterial switch operation (ASO) has replaced atrial switch procedures for D-TGA, and 90% of patients now reach adulthood. The Adult Congenital and Pediatric Cardiology Council of the American College of Cardiology assembled a team of experts to summarize current knowledge on genetics, pre-natal diagnosis, surgical timing, balloon atrial septostomy, prostaglandin E1 therapy, intraoperative techniques, imaging, coronary obstruction, arrhythmias, sudden death, neoaortic regurgitation and dilation, neurodevelopmental (ND) issues, and lifelong care of D-TGA patients...
August 5, 2014: Journal of the American College of Cardiology