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Dextro-Transposition of Great Arteries and Neurodevelopmental Outcomes: A Review of the Literature

Background: Arterial switch operation (ASO) is the gold-standard surgical approach for dextro-transposition of the great arteries (D-TGA). It is performed during the neonatal period and has almost diminished the previously high mortality rate (from 90% if left untreated to <0.5%). Despite the imp...

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Autores principales: Kordopati-Zilou, Kalliopi, Sergentanis, Theodoros, Pervanidou, Panagiota, Sofianou-Petraki, Danai, Panoulis, Konstantinos, Vlahos, Nikolaos, Eleftheriades, Makarios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9027469/
https://www.ncbi.nlm.nih.gov/pubmed/35455546
http://dx.doi.org/10.3390/children9040502
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author Kordopati-Zilou, Kalliopi
Sergentanis, Theodoros
Pervanidou, Panagiota
Sofianou-Petraki, Danai
Panoulis, Konstantinos
Vlahos, Nikolaos
Eleftheriades, Makarios
author_facet Kordopati-Zilou, Kalliopi
Sergentanis, Theodoros
Pervanidou, Panagiota
Sofianou-Petraki, Danai
Panoulis, Konstantinos
Vlahos, Nikolaos
Eleftheriades, Makarios
author_sort Kordopati-Zilou, Kalliopi
collection PubMed
description Background: Arterial switch operation (ASO) is the gold-standard surgical approach for dextro-transposition of the great arteries (D-TGA). It is performed during the neonatal period and has almost diminished the previously high mortality rate (from 90% if left untreated to <0.5%). Despite the impressively high survival rates, the surgical procedure itself—along with the chronic post-operative complications and the perinatal impaired cerebral oxygen delivery—introduces multiple and cumulative risk factors for neurodevelopmental impairment. Method: This study is a review of English articles, using PUBMED and applying the following search terms, “transposition of the great arteries”, “neurodevelopment”, “autism”, “cerebral palsy”, and “attention-deficit hyperactivity disorder”. Data were extracted by two authors. Results: Even though general IQ is mainly found within the normal range, D-TGA children and adolescents display reduced performance in the assignments of executive functions, fine motor functions, attention, working memory, visual–spatial skills, and higher-order language skills. Moreover, D-TGA survivors may eventually struggle with inferior academic achievements and psychiatric disorders such as depression, anxiety, and ADHD. Conclusions: The existing literature concerning the neurodevelopment of D-TGA patients suggests impairment occurring during their lifespan. These findings underline the importance of close developmental surveillance so that D-TGA patients can better reach their full potential.
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spelling pubmed-90274692022-04-23 Dextro-Transposition of Great Arteries and Neurodevelopmental Outcomes: A Review of the Literature Kordopati-Zilou, Kalliopi Sergentanis, Theodoros Pervanidou, Panagiota Sofianou-Petraki, Danai Panoulis, Konstantinos Vlahos, Nikolaos Eleftheriades, Makarios Children (Basel) Review Background: Arterial switch operation (ASO) is the gold-standard surgical approach for dextro-transposition of the great arteries (D-TGA). It is performed during the neonatal period and has almost diminished the previously high mortality rate (from 90% if left untreated to <0.5%). Despite the impressively high survival rates, the surgical procedure itself—along with the chronic post-operative complications and the perinatal impaired cerebral oxygen delivery—introduces multiple and cumulative risk factors for neurodevelopmental impairment. Method: This study is a review of English articles, using PUBMED and applying the following search terms, “transposition of the great arteries”, “neurodevelopment”, “autism”, “cerebral palsy”, and “attention-deficit hyperactivity disorder”. Data were extracted by two authors. Results: Even though general IQ is mainly found within the normal range, D-TGA children and adolescents display reduced performance in the assignments of executive functions, fine motor functions, attention, working memory, visual–spatial skills, and higher-order language skills. Moreover, D-TGA survivors may eventually struggle with inferior academic achievements and psychiatric disorders such as depression, anxiety, and ADHD. Conclusions: The existing literature concerning the neurodevelopment of D-TGA patients suggests impairment occurring during their lifespan. These findings underline the importance of close developmental surveillance so that D-TGA patients can better reach their full potential. MDPI 2022-04-02 /pmc/articles/PMC9027469/ /pubmed/35455546 http://dx.doi.org/10.3390/children9040502 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Kordopati-Zilou, Kalliopi
Sergentanis, Theodoros
Pervanidou, Panagiota
Sofianou-Petraki, Danai
Panoulis, Konstantinos
Vlahos, Nikolaos
Eleftheriades, Makarios
Dextro-Transposition of Great Arteries and Neurodevelopmental Outcomes: A Review of the Literature
title Dextro-Transposition of Great Arteries and Neurodevelopmental Outcomes: A Review of the Literature
title_full Dextro-Transposition of Great Arteries and Neurodevelopmental Outcomes: A Review of the Literature
title_fullStr Dextro-Transposition of Great Arteries and Neurodevelopmental Outcomes: A Review of the Literature
title_full_unstemmed Dextro-Transposition of Great Arteries and Neurodevelopmental Outcomes: A Review of the Literature
title_short Dextro-Transposition of Great Arteries and Neurodevelopmental Outcomes: A Review of the Literature
title_sort dextro-transposition of great arteries and neurodevelopmental outcomes: a review of the literature
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9027469/
https://www.ncbi.nlm.nih.gov/pubmed/35455546
http://dx.doi.org/10.3390/children9040502
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