76
Specific Conditions
Table 38. Patients With d-TGA and Rastelli Operation:
Routine Follow-Up and Testing Intervals
Type of Follow-Up
or Testing
Physiological
Stage A* (mo)
Physiological
Stage B* (mo)
Physiological
Stage C* (mo)
Physiological
Stage D* (mo)
Outpatient ACHD
cardiologist
N/A 12–24
12
3–6
Electrocardiogram N/A 12–24
12 12
Transthoracic
echocardiogram
N/A 12–24
12 12
For recommendations about timing of cardiac CT and CMR imaging, see supportive text for
recommendation #1.
* See Section 2.2 for details on the ACHD anatomic and physiological classification system.
ACHD indicates adult congenital heart disease; d-TGA, dextro-transposition of the great
arteries; and N/A, not applicable.
4.4.1.3. Patients With d-TGA and Rastelli Repair
COR LOE
Recommendation
1 B-NR
1. In adults with d-TGA and Rastelli repair, imaging is
recommended to ensure timely identification of complications,
including stenosis and/or regurgitation of the RV-to-PA conduit,
residual VSDs, LVOT obstruction, and RV dysfunction.
4.4.2. Management of CCTGA
COR LOE
Recommendations
Diagnostic
1 B-NR
1. In adults with congenital CCTGA, periodic* transthoracic
echocardiography is recommended to assess chamber
function, systemic tricuspid valve function, and associated
anatomic lesions such as septal defects and LVOT stenosis.
2a B-NR
2. In adults with CCTGA, periodic cross-sectional imaging
(preferably, CMR) is reasonable to assess systemic ventricular
volumes and function, quantify the severity of systemic
tricuspid regurgitation, and assess the severity of associated
anatomic lesions.
2a B-NR
3. In adults with CCTGA without symptoms, periodic
ambulatory rhythm monitoring is reasonable to screen for
high-grade atrioventricular block.
