Analysis of the 2020 European Society of Cardiology (ESC) Guidelines for the Management of Adults With Congenital Heart Disease (ACHD)

Windsor, Jimmy; Mukundan, Chaitra; Stopak, Joshua K.; Ramakrishna, Harish

doi:10.1053/j.jvca.2021.04.006

Cited by 3 publications

(5 citation statements)

References 136 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Indication for ASD closure was the presence of a hemodynamically significant left to right shunt (signs of right ventricle volume overload) regardless of age and symptoms. [ 9 ] The primary treatment strategy was transcatheter ASD closure when the defect morphology was appropriate; however, patients with unsuitable defect morphology underwent surgical treatment. A total of 547 adult patients (193 males, 354 females; median age: 37 years; range, 27.5 to 47 years) with secundum ASD were included in this study.…”

Section: Methodsmentioning

confidence: 99%

“…Diagnostic catheterization was performed only in selected patients with clinical or echocardiographic suspicion of PAH prior to ASD closure. [ 9 ]…”

Section: Methodsmentioning

confidence: 99%

“…Diagnostic catheterization was performed only in selected patients with clinical or echocardiographic suspicion of PAH prior to ASD closure. [9] Baseline clinical and demographic characteristics of the patients, symptoms and functional class, rhythm status, presence of risk factors contributing to PAH, cardiovascular medication, pre-and post-procedural echocardiographic studies were derived retrospectively with a detailed review of medical records.…”

Section: Thismentioning

confidence: 99%

“…This suggests that PAH develops as a result of multiple factors rather than a simple volume overload. [9] Although previous studies have shown that greater defect size, older age at the time of ASD closure, female sex, increased mean pulmonary artery pressure, and a higher degree of tricuspid regurgitation before ASD closure are associated with PAH, there is still insufficient data on associated risk factors for the evolution of PAH, late after ASD closure. [10][11][12][13] Furthermore, little is known about its relationship to clinical outcomes.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Predictors of pulmonary hypertension after atrial septal defect closure: Impact of atrial fibrillation

Çelık¹,

Yılmaz²,

Küp³

et al. 2022

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

Background: In this study, we aimed to evaluate the course of pulmonary artery systolic pressure, to identify factors associated with pulmonary arterial hypertension, and to determine the impact of atrial septal defect closure on clinical outcomes in long-term follow-up. Methods: Between March 2008 and August 2020, a total of 547 adult patients (193 males, 354 females; median age: 37 years; range, 27.5 to 47 years) with secundum atrial septal defect were retrospectively analyzed. Of these patients, 304 underwent percutaneous defect closure and 243 underwent isolated surgical repairs. Pulmonary arterial hypertension was defined as a noninvasively estimated pulmonary artery systolic pressure of ?40 mmHg at the final follow-up after atrial septal defect closure. Factors associated with pulmonary arterial hypertension were analyzed. Results: Sixty-nine (12.6%) patients presented with pulmonary arterial hypertension at the final follow-up. A total of 35 (6.4%) patients had persistent atrial fibrillation before atrial septal defect closure, and 22 of these 35 patients had pulmonary arterial hypertension during long-term follow-up. Older age at the time of atrial septal defect closure (HR: 4.76; 95% CI: 2.68-8.44; p<0.001), the presence of persistent atrial fibrillation (HR: 2.18; 95% CI: 1.21-3.91; p=0.009), and greater right ventricular basal diameter (HR: 4.78; 95% CI: 2.57-8.84; p<0.001) were found to be associated with late pulmonary arterial hypertension. Conclusion: The presence of persistent atrial fibrillation may be used to predict patients at higher risk for pulmonary arterial hypertension after atrial septal defect closure.

show abstract

Section: Methodsmentioning

confidence: 99%

“…Diagnostic catheterization was performed only in selected patients with clinical or echocardiographic suspicion of PAH prior to ASD closure. [ 9 ]…”

Section: Methodsmentioning

confidence: 99%

Section: Thismentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Predictors of pulmonary hypertension after atrial septal defect closure: Impact of atrial fibrillation

Çelık¹,

Yılmaz²,

Küp³

et al. 2022

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

show abstract

“…Сегодня лечение и наблюдение как детей, так и взрослых с ДМПП в мире и в Республике Беларусь проводится на основании положений и рекомендаций американских специалистов (2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease) [21] и европейских специалистов (2020-2022 ESC Guidelines for the management of adult congenital heart disease. The Task Force for the management of adult congenital heart disease of the European Society of Cardiology (ESC)) [22].…”

Section: резюме _____________________________________________________...unclassified

Atrial Septal Defect & Patent Foramen Ovale: Features of Ultrasound Diagnostics, Treatment and Monitoring in Children at the Present Stage

Дроздовская¹,

Касаб²,

Строгий³

2023

Педиатрия. Восточная Европа

View full text Add to dashboard Cite

Дефект межпредсердной перегородки является одним из наиболее распространенных врожденных пороков сердца не только в детском возрасте, но и среди взрослых. Такая особенность обусловлена поздней диагностикой порока на фоне длительного отсутствия клинических симптомов. Ведущим методом диагностики является ультразвуковое исследование сердца, которое способствует не только определению локализации и размеров дефекта, но и раннему установлению легочной гипертензии, что необходимо учитывать при проведении у детей хирургического лечения и дальнейшем ведении в послеоперационном периоде. Возникают трудности в определении показаний к закрытию дефекта межпредсердной перегородки и открытого овального окна у взрослых. К таким показаниям относят: перенесенный ранее инсульт, наличие фибрилляции предсердий, тромбофилии, тромбоэмболии легочной артерии и другие причины. Таким образом, актуальность проблемы ведения пациентов с дефектом межпредсердной перегородки и открытым овальным окном обусловлена широкой распространенностью данных межпредсердных коммуникаций, необходимостью их ранней диагностики и лечения в детском возрасте, у взрослого населения – особенностями наблюдения и хирургического лечения открытого овального окна и дефекта межпредсердной перегородки. Atrial septal defect is one of the most common congenital heart defects not only in childhood, but also among adults. This feature is due to the late diagnosis of the defect against the background of a long absence of clinical symptoms. The leading diagnostic method in this case is cardiac ultrasound, which contributes not only to determining defect localization and size, but also to early detection of pulmonary hypertension, which must be taken into account when performing surgical treatment in children and further management in postoperative period. Some difficulties arise in determining indications for closure of interatrial septal defect and open oval window in adults due to previous stroke, presence of atrial fibrillation, thrombophilia, pulmonary embolism in the history, and other reasons. Thus, the relevance of the considered issue of managing patients with atrial septal defect and patient foramen ovale is determined by the high prevalence of these interatrial communications, and the need for their early diagnosis and treatment in childhood, and by observational features and surgical treatment of patent foramen ovale and atrial septal defect in adults.

show abstract

Cardiac Surgery Anesthesia for Adult Congenital Heart Disease

WATANABE

2023

JJSCA

View full text Add to dashboard Cite

Analysis of the 2020 European Society of Cardiology (ESC) Guidelines for the Management of Adults With Congenital Heart Disease (ACHD)

Cited by 3 publications

References 136 publications

Predictors of pulmonary hypertension after atrial septal defect closure: Impact of atrial fibrillation

Predictors of pulmonary hypertension after atrial septal defect closure: Impact of atrial fibrillation

Atrial Septal Defect & Patent Foramen Ovale: Features of Ultrasound Diagnostics, Treatment and Monitoring in Children at the Present Stage

Cardiac Surgery Anesthesia for Adult Congenital Heart Disease

Contact Info

Product

Resources

About