Evidence map›Paper›PMID 29090351›Full record

ArticlePediatric cardiology2018

Usefulness of Routine Coronary CT Angiography in Patients with Transposition of the Great Arteries After an Arterial Switch Operation.

Konrad Szymczyk, Maciej Moll, Katarzyna Sobczak-Budlewska, Jadwiga A Moll, Ludomir Stefańczyk, Piotr Grzelak, Jacek J Moll, Krzysztof W Michalak

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Konrad SzymczykDepartment of Diagnostic Imaging, Medical University, Lodz, Poland.
Maciej MollDepartment of Cardiac Surgery, Polish Mother's Memorial Hospital, Lodz, Poland.
Katarzyna Sobczak-BudlewskaDepartment of Cardiology, Polish Mother's Memorial Hospital, Research Institute, ul. Rzgowska 281/289, 93-338, Lodz, Poland.
Jadwiga A MollDepartment of Cardiology, Polish Mother's Memorial Hospital, Research Institute, ul. Rzgowska 281/289, 93-338, Lodz, Poland.
Ludomir StefańczykDepartment of Diagnostic Imaging, Medical University, Lodz, Poland.
Piotr GrzelakDepartment of Diagnostic Imaging, Polish Mother's Memorial Hospital, Lodz, Poland.
Jacek J MollDepartment of Cardiac Surgery, Polish Mother's Memorial Hospital, Lodz, Poland.
Krzysztof W MichalakDepartment of Cardiology, Polish Mother's Memorial Hospital, Research Institute, ul. Rzgowska 281/289, 93-338, Lodz, Poland. krzysztof.michalak@iczmp.edu.pl.
Polish Mother’s Memorial Hospital Research Institute · PLMedical University of Lodz · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary complications in patients with transposition of the great arteries (TGA) after an arterial switch operation (ASO) are relatively rare, but of all the possible postoperative adverse events, they are potentially the most dangerous. The fate of the coronary arteries, which are transplanted during the neonatal ASO, remains uncertain. There is also no consensus regarding their postoperative evaluation, especially in asymptomatic patients. The aim of this study was to present the early results of routinely performed coronary computed tomography angiography (CCTA) in asymptomatic adolescents and young adults with TGA after an ASO. An initial series of 50 CCTAs performed in asymptomatic patients with TGA after an ASO were evaluated. In each case, a detailed examination of the coronary anatomy, its relationship to the surrounding structures, its exact position in the neoaortic sinus, and the presence of significant coronary abnormalities was performed. The CT scans revealed significant coronary abnormalities in 12 asymptomatic patients: three had acute proximal angulation and stenosis, four had an intra-arterial course, seven had a muscular bridge, one had a left anterior descending artery with an intramuscular course, and one had coronary fistulas to the pulmonary arteries. Additionally, in 25 patients, proximal acute angulation of at least one coronary artery was detected, and four of them had a high ellipticity index. Most of the potentially severe anatomical features were related to the left coronary artery or the left anterior descending artery. CCTA routinely performed on asymptomatic patients with TGA after an ASO provides accurate and useful information for postoperative management. The frequency of coronary anomalies and potentially dangerous anatomical features in this group of patients is high, and their impact on postoperative follow-up remains unknown.

Indexed as

AdolescentAdultArterial Switch OperationComputed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseCoronary VesselsHumansInfant, NewbornPostoperative ComplicationsTransposition of Great VesselsYoung AdultArterial switch operationCongenital heart defectsCoronary complicationsCoronary computed tomography angiographyTransposition of the great arteries

Identifiers

PMID29090351
PMCPMC5797754
OpenAlexW2767012081

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.