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. 2025 May;16(3):402-408.
doi: 10.1177/21501351241311280. Epub 2025 Feb 6.

Long-Term Coronary Artery Complications Following the Arterial Switch Operation for Transposition of the Great Arteries-A Scoping Review

Rachel S Lim  1 , Jeffrey Lefkovits  2   3 , Samuel Menahem  3   4   5
Affiliations

Long-Term Coronary Artery Complications Following the Arterial Switch Operation for Transposition of the Great Arteries-A Scoping Review

Rachel S Lim et al. World J Pediatr Congenit Heart Surg. 2025 May.

Abstract

Coronary artery complications following the arterial switch operation (ASO) for transposition of the great arteries have become increasingly relevant as those affected are exposed to the comorbidities of later years. A scoping review was undertaken to explore the incidence, clinical features, and management of the long-term coronary complications after the ASO. The selection criteria yielded 73 articles They recorded few long-term coronary artery complications following the ASO, which were difficult to recognize as most affected patients' symptoms were absent or nonspecific. In patients with suspected coronary artery involvement, coronary angiography or computed tomography provided confirmation, with significant stenosis generally managed by percutaneous trans-catheter interventions.

Keywords: adult congenital heart; arterial switch operation; coronary artery complications; outcomes; transposition the great vessels.

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Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Study flowchart. Adapted from Page et al19.
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