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Echocardiography of transposition of the great arteries*

Published online by Cambridge University Press:  18 January 2013

William T. Mahle ,
Javier H. Gonzalez ,
Joseph Kreeger ,
Gerald Marx ,
Gul Duldani  and
Norman H. Silverman
William T. Mahle*
Affiliation:
Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia, United States of America
Javier H. Gonzalez
Affiliation:
All Children's Hospital, Saint Petersburg, Florida, United States of America
Joseph Kreeger
Affiliation:
Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia, United States of America
Gerald Marx
Affiliation:
Boston Children's Hospital, Boston, Massachusetts, United States of America
Gul Duldani
Affiliation:
All Children's Hospital, Saint Petersburg, Florida, United States of America
Norman H. Silverman
Affiliation:
Stanford University School of Medicine and Lucille Packard Children's Hospital, Stanford, California, United States of America
*
Correspondence to: Dr W. T. Mahle, MD, Children's Healthcare of Atlanta, Emory University School of Medicine and Lucille Packard Children's Hospital, 1405 Clifton Road, NE, Atlanta, GA 30322-1062, United States of America. Tel: +1 404 315 2672; Fax: +1 404 325 6021; E-mail: mahlew@kidsheart.com
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Abstract

The successful diagnosis, surgical planning, and long-term care of children with transposition of the great arteries require high-quality cardiac imaging with echocardiography. Echocardiography must identify the relevant anatomic variants of transposition of the great arteries, such as of ventricular septal defects and aortic arch anomalies. Methodical and detailed imaging of the coronary arteries is particularly important, as translocation of the coronary arteries is a critical component of the arterial switch procedure. Familiarity with the potential coronary artery variants and the ideal imaging planes is essential for an echocardiographer. Knowledge of both the early and late complications following the arterial switch procedure is essential to optimise post-operative echocardiography. These complications can include residual lesions leading to haemodynamic compromise or progressive late phenomena, such as aortic root dilatation and aortic insufficiency. Echocardiography will continue to be the cornerstone to the lifelong management of transposition of the great arteries, and improvements in technology and increased familiarity with modalities such as stress echocardiography will enhance the role of advanced imaging even further.

Type
Original Article
Information
Cardiology in the Young , Volume 22 , Issue 6: A Lifelong Interdisciplinary Approach to Common Arterial Trunk, Transposition of the Great Arteries, and Other Evolving Challenges in Paediatric and Congenital Cardiac Disease , December 2012 , pp. 664 - 670
Copyright
Copyright © Cambridge University Press 2012

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Footnotes

*

Presented at: 12th Annual International Symposium on Congenital Heart Disease, February 17–21, 2012, All Children's Hospital, Saint Petersburg, Florida, United States of America.

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