In anatomical repair procedure of transposition of the great arteries ( @entity432 ), translocation of the coronary arteries is crucial and coronary complications remain the principal cause of @entity204 . The aim of this retrospective study was to assess the prevalence of @entity301 and to evaluate the diagnostic methods to prevent their consequences. From 1982 to 2001, 1,304 @entity1 were operated for transposition of the great arteries by the switch procedure at the Marie Lannelongue Surgical Centre. The average follow-up of the survivors was 59 months (3 days to 17 years) during which 324 @entity1 underwent coronary angiography. All had an ECG and an echocardiogram (N = 324); 174 underwent exercise stress testing and 115 had @entity296 . Of the 324 @entity1 who underwent coronary angiography, 22 had @entity301 (6.8%; 95% CI 5-10). In multivariate analysis a type II coronary network by the Marie Lannelongue Classification was related to the risk of @entity301 (OR = 0.28; p < 0.0002). Each non-invasive method studied separately had a low sensitivity (< 50%) for the detection of these lesions. The association of ECG, echocardiography and @entity296 had the best sensitivity at 75%. Therefore, after the @entity432 procedure non-invasive investigations are not sensitive enough to diagnose @entity301 and systematic coronary angiography and aortography should be performed in all @entity1 .

[Prevalence and diagnosis of @entity301 after XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity296 :: ('MESH:D009202', 'Disease') :: ['myocardial scintigraphy'] @entity301 :: ('MESH:D003327', 'Disease') :: ['coronary lesions'] @entity432 :: ('MESH:D001157', 'Disease') :: ['arterial switch'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity432 :: (MESH:D001157,Disease) :: ['arterial switch']
