Development of advanced pulmonary vascular disease in D-transposition of the great arteries after the neonatal arterial switch operation.
We report the case of a neonate with D-transposition of the great arteries who, after undergoing an uneventful arterial switch operation at the age of 4 days, was found at the age of 42 months to have developed advanced pulmonary vascular disease. Because the arterial switch operation was performed when our patient was only 4 days old, this case challenges the hypothesis that postnatal hemodynamics alone dictate the development of advanced pulmonary vascular disease in infants and children with transposition of the great arteries.
Rivenes
S M
SM
Division of Pediatric Cardiology, Texas Children's Hospital, Baylor College of Medicine, Texas Heart Institute, Houston 77030, USA.
Grifka
R G
RG
Feltes
T F
TF
D005500:Follow-Up Studies; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D007231:Infant, Newborn; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D011652:Pulmonary Circulation / Q000502:physiology; D013997:Time Factors; D014188:Transposition of Great Vessels / Q000601:surgery*