Hostname: page-component-6587cd75c8-vj8bv Total loading time: 0 Render date: 2025-04-24T08:48:25.121Z Has data issue: false hasContentIssue false
  • English
  • Français

Usefulness of percutaneous transluminal coronary balloon angioplasty for coronary artery stenosis after surgery for CHD

Published online by Cambridge University Press:  07 October 2024

Etsuko Tsuda Open the ORCID record for Etsuko Tsuda [Opens in a new window] ,
Masataka Kitano ,
Toru Iwasa ,
Heima Sakaguchi ,
Hideo Ohuchi  and
Kenichi Kurosaki
Etsuko Tsuda*
Affiliation:
Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
Masataka Kitano
Affiliation:
Department of Pediatric Cardiology, Okinawa Nanbu Children’s Medical Center, Okinawa, Japan
Toru Iwasa
Affiliation:
Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
Heima Sakaguchi
Affiliation:
Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
Hideo Ohuchi
Affiliation:
Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
Kenichi Kurosaki
Affiliation:
Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
*
Corresponding author: Etsuko Tsuda; Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Coronary artery involvements occur rarely both during cardiac repair and in the late period after surgery, and it may result in myocardial ischaemia and infarction. We present six cases who underwent percutaneous transluminal coronary balloon angioplasty for coronary artery stenosis in the late period after surgery. The patients included four boys and two girls. Post-operative states involving anomalous origin of the left coronary artery from the pulmonary artery and d-transposition of the great arteries were observed in two patients each. Two patients with univentricular heart had coronary artery injuries during surgery. The age at the angioplasty ranged from 1 month to 14 years, with a median of 3 years. The interval from the operation to angioplasty ranged from 37 days to 14 years (median 8 months). The interval from the angioplasty to follow-up coronary angiography ranged from 2 months to 14 years (median 11 months). The follow-up period ranged from 2 months to 20 years (median 8 years). One patient underwent a stent implantation because of post-procedure recoil. Coronary artery stenosis improved immediately after procedure in the six patients without complication, and restenosis occurred post-procedure in one patient. Five patients had no cardiac events. Although the angioplasty’s initial effect may not be dramatic, it can improve late after the procedure. It was considered that the optimal balloon-reference vessel ratio to obtain a minimal effective lumen diameter was about 1.0. Angioplasty post-surgery for CHD in children was feasible and without complications.

Keywords

Percutaneous transluminal coronary balloon angioplastycoronary artery stenosispercutaneous coronary intervention
Type
Original Article
Information
Cardiology in the Young , Volume 34 , Issue 12 , December 2024 , pp. 2551 - 2556
Check for updates
Copyright
© The Author(s), 2024. Published by Cambridge University Press

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.)

Article purchase

Temporarily unavailable

References

Bonhoeffer, P, Bonnet, D, Piechaud, JF et al. Coronary artery obstruction after the arterial switch operation for transposition of the great arteries in newborns. J Am Coll Cardiol 1997; 29: 202–206.CrossRefGoogle ScholarPubMed
Haas, F, Wottke, M, Poppert, H, Meisner, H. Long-term survival and functional follow-up in patients after the arterial switch operation. Ann Thorac Surg 1999; 68: 1692–1697.CrossRefGoogle ScholarPubMed
Angeli, E, Formigari, R, Pace Napoleone, C et al. Long-term coronary artery outcome after arterial switch operation for transposition of the great arteries. Eur J Cardiothorac Surg 2010; 38: 714–720.CrossRefGoogle ScholarPubMed
Legendre, A, Losay, J, Touchot-Kone, A et al. Coronary events after arterial switch operation for transposition of the great arteries. Circulation 2003; 108 Suppl 1: Ii186–190.CrossRefGoogle ScholarPubMed
Kirklin, JW, Blackstone, EH, Tchervenkov, CI, Castaneda, AR. Clinical outcomes after the arterial switch operation for transposition. Patient, support, procedural, and institutional risk factors. Congenital heart surgeons society. Circulation 1992; 86: 1501–1515. CrossRefGoogle ScholarPubMed
Tsuda, E, Imakita, M, Yagihara, T et al. Late death after arterial switch operation for transposition of the great arteries. Am Heart J 1992; 124: 1551–1557.CrossRefGoogle ScholarPubMed
Tsuji, N, Tsuda, E, Asaumi, Y, Yamada, O. Usefulness of percutaneous transluminal coronary balloon angioplasty for the left coronary artery stenosis 10 years more than after arterial switch operation. Pediatr Cardiol 2016; 37: 751–755.CrossRefGoogle Scholar
Allada, V, Jarmakani, JM, Yeatman, L. Percutaneous transluminal coronary angioplasty in an infant with coronary artery stenosis after arterial switch operation. Am Heart J 1991; 122: 1464–1465.CrossRefGoogle Scholar
Kampmann, C, Kuroczynski, W, Trubel, H, Knuf, M, Schneider, M, Heinemann, MK. Late results after ptca for coronary stenosis after the arterial switch procedure for transposition of the great arteries. Ann Thorac Surg 2005; 80: 1641–1646.CrossRefGoogle ScholarPubMed
Hausdorf, G, Kampmann, C, Schneider, M. Coronary angioplasty for coronary stenosis after the arterial switch procedure. Am J Cardiol 1995; 76: 621–623.CrossRefGoogle ScholarPubMed