Intensive care management of neonates with d-transposition of the great arteries and common arterial trunk

Abstract Although mortality rates for patients with d-transposition of the great arteries remain quite low, these patients have a unique circulation that requires careful management in the peri-operative period. Despite the improved mortality for patients with common arterial trunk, the course in the intensive care unit is remarkable for significant morbidity and utilisation of significant resources. Pre-operative patient management focuses on balancing competing circulations, pulmonary and systemic, which exist in parallel rather than in series, as in the normal circulation. Post-operative patient management in both lesions focuses on optimising systemic output, respiratory status, and mitigating the effects of cardiopulmonary bypass. In this article, we review pre- and post-operative intensive care management in neonates with d-transposition of the great arteries and common arterial trunk.

[1]  N. Lundström,et al.  Long-Distance Transports of Newborn Infants with Congenital Heart Disease , 2001, Pediatric Cardiology.

[2]  M. Yacoub,et al.  Outcome in adult patients after arterial switch operation for transposition of the great arteries. , 2013, International journal of cardiology.

[3]  Yong Jin Kim,et al.  Long-term results of the arterial switch operation for ventriculo-arterial discordance. , 2013, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[4]  A. Bhutta,et al.  Impact of 22q11.2 Deletion on the Postoperative Course of Children After Cardiac Surgery , 2013, Pediatric Cardiology.

[5]  S. Ishikawa,et al.  Twenty-eight years' experience of arterial switch operation for transposition of the great arteries in a single institution. , 2012, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[6]  N. Artemiev,et al.  Arterial switch in the first hours of life: no need for Rashkind septostomy? , 2012, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[7]  T. Hulsey,et al.  Effect of prostaglandin duration on outcomes in transposition of the great arteries with intact ventricular septum. , 2012, Congenital heart disease.

[8]  C. Brizard,et al.  Outcomes of the arterial switch operation for transposition of the great arteries: 25 years of experience. , 2012, The Annals of thoracic surgery.

[9]  G. Cohen,et al.  Arterial switch operation in the first hours of life using autologous umbilical cord blood. , 2012, The Annals of thoracic surgery.

[10]  R. Lange,et al.  Dexamethasone pretreatment provides antiinflammatory and myocardial protection in neonatal arterial switch operation. , 2012, The Annals of thoracic surgery.

[11]  M. Jacobs,et al.  Outcomes of repair of common arterial trunk with truncal valve surgery: a review of the society of thoracic surgeons congenital heart surgery database. , 2012, The Annals of thoracic surgery.

[12]  Yibing Ding,et al.  Influence of Chromosome 22q11.2 Microdeletion on Postoperative Calcium Level After Cardiac-Correction Surgery , 2011, Pediatric Cardiology.

[13]  C. Brizard,et al.  Surgical repair of truncus arteriosus associated with interrupted aortic arch: long-term outcomes. , 2011, The Annals of thoracic surgery.

[14]  N. Silverman,et al.  Fetal predictors of urgent balloon atrial septostomy in neonates with complete transposition. , 2011, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[15]  L. Shulman.  Prenatal ultrasound screening of congenital heart disease in an unselected national population: a 21-year experience , 2011 .

[16]  Shengshou Hu,et al.  Do patients with complete transposition of the great arteries and severe pulmonary hypertension benefit from an arterial switch operation? , 2011, The Annals of thoracic surgery.

[17]  J. Marek,et al.  Prenatal ultrasound screening of congenital heart disease in an unselected national population: a 21-year experience , 2010, Heart.

[18]  C. Balmer,et al.  Do Predictors Exist for a Successful Withdrawal of Preoperative Prostaglandin E1 from Neonates with d-Transposition of the Great Arteries and Intact Ventricular Septum? , 2010, Pediatric Cardiology.

[19]  D. Lim,et al.  Incidence of stroke in patients with d‐transposition of the great arteries that undergo balloon atrial septostomy in the University Healthsystem Consortium Clinical Data Base/Resource Manager , 2010, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[20]  S. Masutani,et al.  Successful Management of the Persistent Pulmonary Hypertension of the Newborn with Transposition of the Great Arteries by Restricted Patency of the Ductus Arteriosus: A Simple and Rational Novel Strategy , 2009, Pediatric Cardiology.

[21]  T. Inder,et al.  Pre-operative brain injury in newborn infants with transposition of the great arteries occurs at rates similar to other complex congenital heart disease and is not related to balloon atrial septostomy. , 2009, Journal of the American College of Cardiology.

[22]  D. Shera,et al.  Preoperative Brain Injury in Transposition of the Great Arteries Is Associated With Oxygenation and Time to Surgery, Not Balloon Atrial Septostomy , 2009, Circulation.

[23]  C. Carraccio,et al.  The Residency Review and Redesign in Pediatrics (R3P) Project: Roots and Branches , 2009, Pediatrics.

[24]  G. Meckler,et al.  To Intubate or Not to Intubate? Transporting Infants on Prostaglandin E1 , 2009, Pediatrics.

[25]  M. Digilio,et al.  Cardiac defects and results of cardiac surgery in 22q11.2 deletion syndrome. , 2008, Developmental disabilities research reviews.

[26]  P. Tourneux,et al.  Persistent pulmonary hypertension of the newborn with transposition of the great arteries: successful treatment with bosentan , 2008, European Journal of Pediatrics.

[27]  R. Berger,et al.  Persistent pulmonary hypertension of the newborn with transposition of the great arteries. , 2007, The Annals of thoracic surgery.

[28]  Steven P. Miller,et al.  Balloon Atrial Septostomy Is Associated With Preoperative Stroke in Neonates With Transposition of the Great Arteries , 2006, Circulation.

[29]  C. Ruiz,et al.  Severe Truncal Valve Stenosis: Diagnosis and Management , 2005, Journal of cardiac surgery.

[30]  V. Kučera,et al.  Repair of persistent truncus arteriosus with interrupted aortic arch. , 2005, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[31]  L. Hellström-Westas,et al.  Nitric oxide in neonatal transposition of the great arteries , 2005, Acta paediatrica.

[32]  L. Storme,et al.  Preoperative ECMO in transposition of the great arteries with persistent pulmonary hypertension. , 2005, The Annals of thoracic surgery.

[33]  K. Maher,et al.  Aminophylline for the prevention of apnea during prostaglandin E1 infusion. , 2003, Pediatrics.

[34]  A. Redington,et al.  Bedside balloon atrial septostomy on neonatal units , 2003, Archives of disease in childhood. Fetal and neonatal edition.

[35]  D. Nelson,et al.  Combined Steroid Treatment for Congenital Heart Surgery Improves Oxygen Delivery and Reduces Postbypass Inflammatory Mediator Expression , 2003, Circulation.

[36]  D. Nelson,et al.  Efficacy and Safety of Milrinone in Preventing Low Cardiac Output Syndrome in Infants and Children After Corrective Surgery for Congenital Heart Disease , 2003, Circulation.

[37]  C. Ramaciotti,et al.  Bedside balloon atrial septostomy is safe, efficacious, and cost-effective compared with septostomy performed in the cardiac catheterization laboratory. , 2002, The American journal of cardiology.

[38]  Arthur J. Moss,et al.  Moss and Adams' heart disease in infants, children, and adolescents : including the fetus and young adult , 2016 .

[39]  E. Zackai,et al.  Cardiovascular anomalies in patients diagnosed with a chromosome 22q11 deletion beyond 6 months of age. , 2001, Pediatrics.

[40]  T. Spray,et al.  Necrotizing Enterocolitis in Neonates With Congenital Heart Disease: Risk Factors and Outcomes , 2000, Pediatrics.

[41]  A. Green,et al.  Spectrum of clinical features associated with interstitial chromosome 22q11 deletions: a European collaborative study. , 1997, Journal of medical genetics.

[42]  B. Emanuel,et al.  Genetic disorders of cardiac morphogenesis. The DiGeorge and velocardiofacial syndromes. , 1997, Circulation research.

[43]  G. Luciani,et al.  Surgical repair of transposition of the great arteries in neonates with persistent pulmonary hypertension. , 1996, The Annals of thoracic surgery.

[44]  J. Mayer,et al.  Postoperative course and hemodynamic profile after the arterial switch operation in neonates and infants. A comparison of low-flow cardiopulmonary bypass and circulatory arrest. , 1995, Circulation.

[45]  R. Sade.  Transposition of the Great Arteries , 1988 .

[46]  L. W. Perry,et al.  Congenital heart disease: prevalence at livebirth. The Baltimore-Washington Infant Study. , 1985, American journal of epidemiology.

[47]  F. Idriss,et al.  Pulmonary vascular disease in complete transposition of the great arteries: a study of 200 patients. , 1974, The American journal of cardiology.

[48]  J. Liebman,et al.  Natural History of Transposition of the Great Arteries: Anatomy and Birth and Death Characteristics , 1969, Circulation.

[49]  R. Praagh,et al.  The anatomy of common aorticopulmonary trunk (truncus arteriosus communis) and its embryologic implications. A study of 57 necropsy cases. , 1965 .

[50]  R. van Praagh,et al.  The anatomy of common aorticopulmonary trunk (truncus arteriosus communis) and its embryologic implications. A study of 57 necropsy cases. , 1965, The American journal of cardiology.

[51]  J. Edwards,et al.  Persistent Truncus Arteriosus: A Classification According to Anatomic Types , 1949 .