medigraphic.com
ISSN 0016-3813 (Impreso)

2016, Número 3

<< Anterior Siguiente >>

Gac Med Mex 2016; 152 (3)


Transposición corregida de las grandes arterias (TCGA), problema no resuelto

Alva-Espinosa C

Idioma: Español
Referencias bibliográficas: 51
Paginas: 397-406
Archivo PDF: 240.62 Kb.


RESUMEN

La TCGA es una de las más fascinantes entidades de las cardiopatías congénitas. La condición de corregida es solo aparente. Con el paso del tiempo la mayoría de los enfermos desarrollarán falla ventricular sistémica, aun cuando no tengan lesiones asociadas. Con los estudios de imagen actuales se obtienen imágenes precisas en cada caso, sin embargo el tema del tratamiento aún no está resuelto. En los casos sin lesiones asociadas y asintomáticos es importante el seguimiento focalizado a medir la función ventricular sistémica y el grado de insuficiencia tricuspídea. Mientras la insuficiencia sea leve y la función normal, no parece razonable intervenir quirúrgicamente. En los pacientes con lesiones asociadas significativas está indicado el tratamiento quirúrgico. El abordaje tradicional no puede evitar la insuficiencia tricuspídea y la falla ventricular sistémica a largo plazo. La corrección anatómica es la alternativa propuesta para aliviar la carga al ventrículo derecho (VD) y reestablecer la función sistémica del ventrículo izquierdo (VI), sin embargo es una operación de duración prolongada y no exenta de riesgo y complicaciones tardías. En esta revisión se abordan los aspectos clínicos, diagnósticos y terapéuticos a la luz de la bibliografía más reciente y significativa.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Šamánek M, Voríšková M. Congenital heart disease among 815,569 children born between 1980 and 1990 and their 15-year survival: a prospective Bohemia survival study. Pediatr Cardiol. 1999;20:411-7.

  2. Bjarke BB, Kidd BS. Congenitally corrected transposition of the great arteries. A clinical study of 101 cases. Acta Paediatr Scand. 1976;65: 153-60.

  3. Ferencz C, Rubin JD, McCarter RJ, et al. Congenital heart disease: prevalence at livebirth. The Baltimore-Washington Infant Study. Am J Epidemiol. 1985;121:31-6.

  4. Fyler DC. En: Fyler DC. Pediatric Cardiology. Boston: Mosby-Year Book; 1992. pp. 701-8.

  5. Alva C, Jimenez S, David F, et al. Atrioventricular discordance. Clinico- surgical experience 1990–2000. Arch Inst Cardiol Mex. 2000;70:561- 8.

  6. Di Donato RM, Wernovsky G, Jonas RA, Mayer JE, Jr., Keane JF, Castaneda AR. Corrected transposition in situs inversus. Biventricular repair of associated cardiac anomalies. Circulation.1991;84:III193-9.

  7. Attie F, Cerda J, Richheimer R, et al. Congenitally corrected transposition with mirror-image atrial arrangement. Int J Cardiol. 1987;14:169-75.

  8. Hraska V, Duncan BW, Mayer JE, Jr., Freed M, del Nido PJ, Jonas RA. Long-term outcome of surgically treated patients with corrected transposition of the great arteries. J Thorac Cardiovasc Surg. 2005;129: 182-91.

  9. Ruttenberg HD, Elliott LP, Anderson RC, Adams P, Jr., Tuna N. Congenital corrected transposition of the great vessels. Correlation of electrocardiograms and vector cardiograms with associated cardiac malformations and hemodynamic states. Am J Cardiol. 1966;17:339-54.

  10. Anderson RH, Becker AE, Arnold R, Wilkinson JL. The conducting tissues in congenitally corrected transposition. Circulation. 1974;50:911-23.

  11. Lev M, Fielding RT, Zaeske D. Mixed Levocardia with Ventricular Inversion (Corrected Transposition) with Complete Atrioventricular Block. A Histopathologic Study of the Conduction System. Am J Cardiol. 1963;12:875-83.

  12. Acar P, Bonnet D, Aggoun Y, et al. Double discordances with ventricular septal defect and pulmonary obstruction. A study of 72 cases. Arch Mal Coeur Vaiss.1997;90:625-9.

  13. Dubost C, Chauvaud S, Blondeau P, Piwnica A, Carpentier A. Atrioventricular discordance. Results of a series of 34 operations. Arch Mal Coeur Vaiss. 1981;74:255-63.

  14. Hiramatsu T, Matsumara G, Konuma T, Yamazaki K, Kurosawa H, Imai Y. Long-term prognosis of double-switch operation for congenitally corrected transposition of the great arteries. Eur J Cardiothorac Surg. 2012;42:1004-8.

  15. Van Praagh R, Papagiannis J, Grunenfelder J, Bartram U, Martanovic P. Pathologic anatomy of corrected transposition of the great arteries: medical and surgical implications. Am Heart J. 1998;135:772-85.

  16. Egloff L, Rothlin M, Schneider J, et al. Congenitally corrected transposition of the great arteries: a clinical and surgical study. Thorac Cardiovasc Surg. 1980;28:228-32.

  17. Lundstrom U, Bull C, Wyse RK, Somerville J. The natural and “unnatural” history of congenitally corrected transposition. Am J Cardiol. 1990;65:1222-9.

  18. Ellis K, Morgan BC, Blumenthal S, Andersen DH. Congenitally corrected transposition of the great vessels. Radiology. 1962;79:35-50.

  19. Graham TP, Jr., Bernard YD, Mellen BG, et al. Long-term outcome in congenitally corrected transposition of the great arteries: a multi-institutional study. J Am Coll Cardiol. 2000;36:255-61.

  20. Alva C, Horowitz E, Ho SY, Rigby ML, Anderson RH. The feasibility of complete anatomical correction in the setting of discordant atrioventricular connections. Heart. 1999;81:539-45.

  21. Chiappa E, Micheletti A, Sciarrone A, Botta G, Abbruzzese P. The prenatal diagnosis of, and short-term outcome for, patients with congenitally corrected transposition. Cardiol Young. 2004;14:265-76.

  22. Paladini D, Volpe P, Marasini M, et al. Diagnosis, characterization and outcome of congenitally corrected transposition of the great arteries in the fetus: a multicenter series of 30 cases. Ultrasound Obstet Gynecol. 2006;27:281-5.

  23. Zaidi SM, Al-Sharary MM, Al-Khuwaitir TS, Sajid NU. Congenitally corrected transposition of great arteries with ischemic symptoms in middle age. Saudi Med J. 2007;28:1597-9.

  24. Presbitero P, Somerville J, Rabajoli F, Stone S, Conte MR. Corrected transposition of the great arteries without associated defects in adult patients: clinical profile and follow up. Br Heart J. 1995;74:57-9.

  25. Gillette PC, Busch U, Mullins CE, McNamara DG. Electrophysiologic studies in patients with ventricular inversion and “corrected transposition”. Circulation. 1979;60:939-45.

  26. Daliento L, Corrado D, Buja G, John N, Nava A, Thiene G. Rhythm and conduction disturbances in isolated, congenitally corrected transposition of the great arteries. Am J Cardiol. 1986;58:314-8.

  27. Attie F, Miranda I, Zabal C, Buendia Hernandez A, Casanova JM. Corrected transposition of the great arteries. Arch Inst Cardiol Mex. 1992;62:345-50.

  28. Sutherland GR, Smallhorn JF, Anderson RH, Rigby ML, Hunter S. Atrioventricular discordance. Cross sectional echocardiographic-morphological correlative study. Br Heart J. 1983;50:8-20.

  29. Alva Espinosa C, Pérez Treviño C, Santamaría Díaz H, Jiménez Arteaga S, Martínez Sánchez A. Ecocardiografía bidimensional para el diagnóstico de transposición corregida de los grandes vasos. Two-dimensional echocardiographic diagnosis of the corrected transposition of great vessels. Rev Méd IMSS. 1982;20:639-46.

  30. Wei Li, Henein M, Gatzoulis MA. Congenitally Corrected Transposition of Great Arteries. En: Echocardiography in adult congenital heart disease. Londres: Springer-Verlag; 2007. pp.107-10.

  31. Termignon JL, Leca F, Vouhe PR, et al. “Classic” repair of congenitally corrected transposition and ventricular septal defect. Ann Thorac Surg. 1996;62:199-206.

  32. Beauchesne LM, Warnes CA, Connolly HM, Ammash NM, Tajik AJ, Danielson GK. Outcome of the unoperated adult who presents with congenitally corrected transposition of the great arteries. J Am Coll Cardiol. 2002;40:285-90.

  33. Biliciler-Denktas G, Feldt RH, Connolly HM, Weaver AL, Puga FJ, Danielson GK. Early and late results of operations for defects associated with corrected transposition and other anomalies with atrioventricular discordance in a pediatric population. J Thorac Cardiovasc Surg. 2001;122:234-41.

  34. Overgaard CB, Harrison DA, Siu SC, Williams WG, Webb GD, Harris L. Outcome of previous tricuspid valve operation and arrhythmias in adult patients with congenital heart disease. Ann Thorac Surg. 1999;68:2158- 63.

  35. Sano T, Riesenfeld T, Karl TR, Wilkinson JL. Intermediate-term outcome after intracardiac repair of associated cardiac defects in patients with atrioventricular and ventriculoarterial discordance. Circulation. 1995;92:II272-8.

  36. van Son JA, Danielson GK, Huhta JC, et al. Late results of systemic atrioventricular valve replacement in corrected transposition. J Thorac Cardiovasc Surg. 1995;109:642-52.

  37. Acar P, Sid D, Bonnet D, et al. Maintaining tricuspid valve competence in double discordance: a challenge for the pediatric cardiologist. Heart. 1998;80:479-83.

  38. Ilbawi MN, DeLeon SY, Backer CL, et al. An alternative approach to the surgical management of physiologically corrected transposition with ventricular septal defect and pulmonary stenosis or atresia. J Thorac Cardiovasc Surg. 1990;100:410-5.

  39. Alghamdi A, McCrindle B, Van Arsdell G. Physiologic versus anatomic repair of congenitally corrected transposition of the great arteries: meta- analysis of individual patient data. Ann Thorac Surg. 2006;81:1529-35.

  40. Metras D, Kreitmann B, Fraisse A, et al. Anatomic repair of corrected transposition or atrio-ventricular discordance: report of 8 cases. Eur J Cardiothorac Surg. 1998;13:117-23.

  41. Duncan BW, Mee RB, Mesia CI, et al. Results of the double switch operation for congenitally corrected transposition of the great arteries. Eur J Cardiothorac Surg. 2003;24:11-9.

  42. Bautista-Hernandez V, Marx GR, Gauvreau K, Mayer JE, Jr., Cecchin F, del Nido PJ. Determinants of left ventricular dysfunction after anatomic repair of congenitally corrected transposition of the great arteries. Ann Thorac Surg. 2006;82:2059-65.

  43. Karl TR, Weintraub RG, Brizard CP, Cochrane AD, Mee RB. Senning plus arterial switch operation for discordant (congenitally corrected) transposition. Ann Thorac Surg. 1997;64:495-502.

  44. Imai Y. Double-switch operation for congenitally corrected transposition. Adv Card Surg. 1997;9:65-86.

  45. Di Donato RM, Fujii AM, Jonas RA, Castaneda AR. Age-dependent ventricular response to pressure overload. Considerations for the arterial switch operation. J Thorac Cardiovasc Surg. 1992;104:713-22.

  46. Poirier NC, Yu JH, Brizard CP, Mee RB. Long-term results of left ventricular reconditioning and anatomic correction for systemic right ventricular dysfunction after atrial switch procedures. J Thorac Cardiovasc Surg. 2004;127:975-81.

  47. Padalino MA, Stellin G, Brawn WJ, et al. Arterial switch operation after left ventricular retraining in the adult. Ann Thorac Surg. 2000;70:1753-7.

  48. Shin´oka T, Kurosawa H, Imai Y, et al. Outcomes of definitive surgical repair for congenitally corrected transposition of the great arteries or double outlet right ventricle with discordant atrioventricular connections: risk analyses in 189 patients. J Thorac Cardiovasc Surg. 2007;133:1318-28.

  49. Ly M, Belli E, Leobon B, et al. Results of the double switch operation for congenitally corrected transposition of the great arteries. Eur J Cardiothorac Surg. 2009;35:879-84.

  50. Backer CL, Stewart RD, Mavroudis C. The classical and the one-and-half ventricular options for surgical repair in patients with discordant atrioventricular connections. Cardiol Young. 2006;16 Suppl 3:91-6.

  51. Zhu ZQ, Hong HF, Chen HW, et al. Intraatrial conduit Fontan procedure: indications, operative techniques, and clinical outcomes. Ann Thorac Surg. 2015;99:156-61.




2020     |     www.medigraphic.com