{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:51:40Z","timestamp":1753876300691,"version":"3.41.2"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T00:00:00Z","timestamp":1717632000000},"content-version":"vor","delay-in-days":157,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Kinderherzen"},{"DOI":"10.13039\/501100003094","name":"F\u00f6rdergemeinschaft Deutsche Kinderherzzentren","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003094","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>In adult patients with transposition of the great arteries (dTGA) after arterial switch operation (ASO), the coronary artery circulation after neonatal surgical transfer remains a major culprit for long-term sequelae, including myocardial ischaemia and sudden cardiac death. As coronary imaging in paediatric age is often incomplete and classification mainly relies on the surgeon\u2019s description in the operation report, we intended to develop a systematic, understandable pattern of the coronary status for each young patient, combining unambiguous coding with non-invasive imaging.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>The monocentric prospective study evaluated 89 young adults (mean 23 years) after ASO for dTGA including cardiac magnetic resonance (CMR) coronary angiography. Following \u2018The Leiden Convention coronary coding system\u2019, we describe the systematic transformation process and provide a graphical illustration considering surgical and imaging views for the six main coronary types, followed by a comparison with adult CMR. Discordance between surgeon\u2019s and CMR classification is evaluated.<\/jats:p>\n                  <jats:p>In seven (7.9%) patients, a discordance between the surgeon\u2019s post-operative and the CMR classification was found; therefore, the initial classification had to be corrected according to adult CMR. Three cases (3.4%) with particularly challenging coronary variants (intramural and interarterial course, functional common ostium) are presented.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Considering the risks of a possible neonatal coronary misclassification and of increasing additional acquired coronary artery disease with age, reliable cooperation between surgeons, cardiologists, and imaging specialists must be ensured. Therefore, after completion of growth, a systematic pattern of the coronary artery status, combining unambiguous coding with CMR imaging, should be established for each patient.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjimp\/qyae055","type":"journal-article","created":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T14:42:44Z","timestamp":1717684964000},"source":"Crossref","is-referenced-by-count":0,"title":["Coronary coding in dTGA pre- and post-ASO\u2014verification and necessary corrections following adult CMR"],"prefix":"10.1093","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2220-1076","authenticated-orcid":false,"given":"Hedwig H","family":"H\u00f6vels-G\u00fcrich","sequence":"first","affiliation":[{"name":"Department of Paediatric Cardiology and Congenital Heart Defects, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"},{"name":"Superregional Centre for Adults with Congenital Heart Disease, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinna","family":"Lebherz","sequence":"additional","affiliation":[{"name":"Superregional Centre for Adults with Congenital Heart Disease, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"},{"name":"Department of Cardiology, Angiology and Intensive Care Medicine, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosalia","family":"Dettori","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care Medicine, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"P\u00fctz","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care Medicine, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anca","family":"Racolta","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology and Congenital Heart Defects, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"},{"name":"Superregional Centre for Adults with Congenital Heart Disease, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Linden","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology and Congenital Heart Defects, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"},{"name":"Superregional Centre for Adults with Congenital Heart Disease, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annemarie","family":"Kirschfink","sequence":"additional","affiliation":[{"name":"Superregional Centre for Adults with Congenital Heart Disease, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"},{"name":"Department of Cardiology, Angiology and Intensive Care Medicine, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ertunc","family":"Altiok","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care Medicine, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9","family":"R\u00fcffer","sequence":"additional","affiliation":[{"name":"Superregional Centre for Adults with Congenital Heart Disease, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"},{"name":", University Hospital, RWTH Aachen University Department of Cardiac Surgery for Congential Heart Defects , Pauwelsstr. 30, D-52074 Aachen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6141-634X","authenticated-orcid":false,"given":"Nikolaus","family":"Marx","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care Medicine, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9386-0258","authenticated-orcid":false,"given":"Ulrike","family":"Herberg","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology and Congenital Heart Defects, University Hospital, RWTH Aachen University , Pauwelsstr. 30, D-52074 Aachen , 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