Abstract
Heart valve pathology in patients with congenital heart defects includes a wide range of morphological anomalies, including those developed as a secondary process, against the background on the underlying heart lesions. Surgical approach could also vary in different cases, depending on primary heart pathology. One of such lesions is systemic atrioventricular valve insufficiency in patients with congenitally corrected transposition of great arteries (CCTGA). Until now, there is no exact answer on what is primary – valve insufficiency or systemic ventricle dysfunction, however, their combination forms a vicious circle leading to the development of severe heart failure. This article presents a short literature review, describing morphology, clinical presentation, natural history and surgical strategy in patients with CCTGA and systemic (left) heart valve insufficiency.
References
- Anderson J.H., Cetta F. Imaging the adult with transposition of the great arteries. Curr. Opin. Cardiol. 2017; 32 (5): 482–9. DOI: 10.1097/HCO.0000000000000420
- Wallis G.A., Debich-Spicer D., Anderson R.H. Congenitally corrected transposition. Orph. J. Rare Dis.2011; 6: 22. DOI: 10.1186/1750-1172-6-22
- Mongeon F.P., Connolly H.M., Dearani J.A., Li Z., Warnes C.A. Congenitally corrected transposition of the great arteries ventricular function at the time of systemic atrioventricular valve replacement predicts long-term ventricular function. J. Am. Coll. Cardiol. 2011; 57 (20): 2008–17. DOI: 10.1016/j.jacc.2010.11.021
- Connelly M.S., Liu P.P., Williams W.G., Webb G.D., Robertson P., McLaughlin P.R. Congenitally corrected transposition of the great arteries in the adult: Functional status and complications. J. Am. Coll. Cardiol. 1996; 27 (5): 1238–43. DOI: 10.1016/0735-1097(95) 00567-6
- Petit J., Lancelin B., Cabanis C., Lecannelier E., Charpentier A., Guize L., Maurice P. Hisian tachycardia in an adult with corrected transposition of great vessels. Arch. Val. Coeur. Vaiss. 2004; 72 (1): 113–7.
- Iriart X., Roubertie F., Jalal Z., Thambo J.B. Quantification of systemic right ventricle by echocardiography. Arch. Cardiovasc. Dis. 2016; 109 (2): 120–7. DOI: 10.1016/j.acvd.2015.11.008
- Huhta J. The natural history of congenitally corrected transposition of the great arteries. World J. Pediatr. Congenit. Heart Surg. 2011; 2 (1): 59–63. DOI: 10.1177/2150135110387620
- Bukharin V.A., Podzolkov V.P. Congenital heart defects with location anomalies. Thoracic Surgery. 1969; 4: 118–21 (in Russ.).
- Myers P.O., Bautista-Hernandez V., Baird C.W., Emani S.M., Marx G.R., del Nido P.J. Tricuspid regurgitation or Ebsteinoid dysplasia of the tricuspid valve in congenitally corrected transposition: Is valvuloplasty necessary at anatomic repair? J. Thorac. Cardiovasc. Surg. 2014; 147 (2): 576–80. DOI: 10.1016/j.jtcvs.2013.10.014
- Said S.M., Burkhart H.M., Schaff H.V., Dearani J.A. Congenitally corrected transposition of great arteries: Surgical options for the failing right ventricle and/or severe tricuspid regurgitation. World J. Pediatr. Congenit. Heart Surg. 2011; 2 (1): 64–79. DOI: 10.1177/ 2150135110386977
- Davies B., Oppido G., Wilkinson J.L., Brizard C.P. Aortic translocation, Senning procedure and right ventricular outflow tract augmentation for congenitally corrected transposition, ventricular septal defect and pulmonary stenosis. Eur. J. Cardiothorac. Surg. 2008; 33 (5): 934–6. DOI: 10.1016/j.ejcts.2008.01.061
- Graham T.P. Jr, Bernard Y.D., Mellen B.G., Celermajer D., Baumgartner H., Cetta F. et al. Long-term outcome in congenitally corrected transposition of the great arteries. J. Am. Coll. Cardiol. 2000; 36 (1): 255–61. DOI: 10.1016/s0735-1097(00)00682-3
- Prieto L.R., Hordof A.J., Secic M., Rosenbaum M.S., Gersony W.M. Progressive tricuspid valve disease in patients with congenitally corrected transposition of the great arteries. Circulation.1998; 98 (10): 997–1005. DOI: 10.1161/01.cir.98.10.997
- Bukharin V.A., Podzolkov V.P. Abnormalities of the intrathoracic position of the heart. Мoscow: Meditsina; 1979 (in Russ.).
- Van Son J.A., Danielson G.K., Huhta J.C., Warnes C.A., Edwards W.D., Schaff H.V. et al. Late results of systemic atrioventricular valve replacement in corrected transposition. J. Thorac. Cardiovasc. Surg. 1995; 109 (4): 642–52. DOI: 10.1016/S0022-5223(95)70345-4
- Deng L., Xu J., Tang Y., Sun H., Liu S., Song Y. Longterm outcomes of tricuspid valve surgery in patients with congenitally corrected transposition of the great arteries. J. Am. Heart Assoc. 2018; 7 (6). DOI: 10.1161/JAHA. 117.008127
- Koolbergen D.R., Ahmed Y., Bouma B.J., Scherptong R.W., Bruggemans E.F., Vliegen H.W. et al. Followup after tricuspid valve surgery in adult patients with systemic right ventricles. Eur. J. Cardiothorac. Surg. 2016; 50 (3): 456–63. DOI: 10.1093/ejcts/ezw059
- Podzolkov V.P., Hassan Ali, Vaulina T.N. Atrioventricular discordance: choice of surgical tactics. Russian Journal of Thoracic and Cardiovascular Surgery. 1999; 6: 75–9 (in Russ.).
- Stark J., Pacifico A.D. Reoperations in cardiac surgery. Spring-Verlag; 1989.
- Zin'kovskiy M.F. Congenital heart disease. Ed. A.F. Vozianov. Kiev: Kniga plyus; 2008 (in Russ.).
- Bockeria L.A., Shatalov K.V. (Eds) Pediatric cardiac surgery: a guide for physicians. Moscow; 2016 (in Russ.).
- Acar P., Sidi D., Bonnet D., Aggoun Y., Bonhoeffer P., Kachaner J. Maintaining tricuspid valve competence in double discordance: A challenge for the paediatric cardiologist. Heart. 1998; 80: 479–83. DOI: 10.1136/ hrt.80.5.479
- Bockeria L.A., Grigoryan Sh.G., Shatalov K.V. Congenitally corrected transposition. Children's Heart and Vessels Diseases. 2005; 4: 12–25 (in Russ.).
- Imai Y., Seo K., Aoki M., Shin’oka T., Hiramatsu K., Ohta A. Double-switch operation for congenitally corrected transposition. Semin. Thorac. Cardiovasc. Surg. Pediatr. Card. Surg. Annu. 2001; 4: 16–33.
- Flakskampf F.A. Practical echocardiography: Guide to echocardiographic diagnosis. Moscow: MEDpressinform; 2019 (in Russ.).
-
Filippov A.A., Del Nido P.J., Vasilyev N.V. Management of systemic right ventricular failure in patients with congenitally corrected transposition of the great arteries. Circulation. 2016; 134 (17): 1293–302. DOI: 10.1161/ CIRCULATIONAHA.116.022106
- Scherptong R.W., Vliegen H.W., Winter M.M., Holman E.R., Mulder B.J., van der Wall E.E. et al. Tricuspid valve surgery in adults with a dysfunctional systemic right ventricle: repair or replace? Circulation. 2009; 119 (11): 1467–72. DOI: 10.1161/CIRCULATIONAHA.108. 805135
- Asada D., Ikeda K., Yamagishi M. Successful replacement of the systemic tricuspid valve with a mechanical valve in a 3-month-old boy with congenitally corrected transposition of the great arteries having a dysplastic tricuspid valve. Cardiol. Young. 2017; 27 (3): 597–9. DOI: 10.1017/S1047951116001578
- Bacha E. Patients with congenitally corrected transposition of the great arteries and systemic tricuspid valve regurgitation should be referred for surgical consultation as soon as the diagnosis of regurgitation is made. J. Am. Coll. Cardiol. 2011; 57 (20): 2018–9. DOI: 10.1016/ j.jacc.2010.12.008
- Hraska V., Duncan B.W., Mayer J.E. Jr, Freed M., del Nido P.J., Jonas R.A. Long-term outcome of surgically treated patients with corrected transposition of the great arteries. J. Thorac. Cardiovasc. Surg. 2005; 129 (1): 182–91. DOI: 10.1016/j.jtcvs.2004.02.046
- Castaneda A.R., Jonas R.A., Mayer J.E. et al. Cardiac surgery of neonate and infant. WB Saunders Company; 1994: 187–201.
- Jahangiri M., Redington A.N., Elliott M.J., Stark J., Tsang V.T., de Leval M.R. A case for anatomic correction in atrioventricular discordance? Effects of surgery on tricuspid valve function. J. Thorac. Cardiovasc. Surg. 2001; 121 (6): 1040–5. DOI: 10.1067/mtc. 2001.113174
- Stephens E.H., Han J., Ginns J., Rosenbaum M., Chai P., Bacha E. et al. Outcomes and prognostic factors for adult patients with congenital heart disease undergoing primary or reoperative systemic atrioventricular valve surgery. World J. Pediatr. Congenit. Heart Surg. 2017; 8 (3): 346–53. DOI: 10.1177/ 2150135117692974
- Podzolkov V.P., Samsonov V.B., Mataev V.S., Danilov T.Yu., Nezhlukto A.A., Gadzhieva A.Sh. Experience of prosthetic systemic atrioventricular valve in patients with corrected transposition of great vessels. Russian Journal of Thoracic and Cardiovascular Surgery. 2018; 60 (2): 124–8 (in Russ.). DOI: 10.24022/0236-27912018-60-2-124-128
About the authors
- Sarmat G. Khasiev, Postgraduate, orcid.org/0000-0001-6468-0875
- Viktor S. Mataev, Researcher, orcid.org/0000-0003-4386-1233
