Decline in ventricular function and clinical condition after Mustard repair for transposition of the great arteries (a prospective study of 22–29 years)

Roos-Hesselink, J.W.; Meijboom, Folkert J.; Spitaels, Silja

doi:10.1016/j.accreview.2004.11.018

Cited by 80 publications

(104 citation statements)

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“…Important but less common complications include PAH, residual VSD, dynamic subpulmonic stenosis, and a host of conduction and arrhythmia disturbances with the potential for implantation of permanent pacemakers or sudden death. 37,108,111,[551][552][553][554][555][556][557][558] …”

Section: Clinical Features and Evaluation Of Dextro-transposition Of mentioning

confidence: 99%

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

Warnes¹,

Williams²,

Bashore³

et al. 2008

Circulation

892

365

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Section: Clinical Features and Evaluation Of Dextro-transposition Of mentioning

confidence: 99%

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

Warnes¹,

Williams²,

Bashore³

et al. 2008

Circulation

892

365

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“…13 The long-term prognosis must be guarded, and in later decades it is possible that many will require cardiac transplantation. 20 The assessment of RV function is challenging, and the most commonly used modality is still 2-dimensional echocardiography, albeit qualitative rather than quantitative because of the complex geometry of the RV. Other echo-Doppler parameters can also be followed, such as the index of myocardial performance 21 and the dP/dT with the use of the tricuspid regurgitant velocity.…”

Section: Systemic Ventricular Dysfunction and Tricuspid Regurgitationmentioning

confidence: 99%

Transposition of the Great Arteries

2006

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Abstract-Many patients with ventriculoarterial discordance have survived to adulthood. Those with complete transposition of the great arteries have often had an atrial switch procedure (Mustard or Senning operation) performed, which leaves the morphological right ventricle (RV) supporting the systemic circulation. RV failure and tricuspid regurgitation are common. Some patients may ultimately require cardiac transplantation. Sinus node dysfunction is increasingly common with longer follow-up, and some patients need pacemaker implantation. Atrial arrhythmias are frequent, and atrial flutter may be a marker for sudden death. Patients with an arterial switch procedure are also surviving to adulthood. Long-term problems include coronary stenoses, distortion of the pulmonary arteries, dilatation of the neoaortic root, and aortic regurgitation. Patients with congenitally corrected transposition have both atrioventricular and ventriculoarterial discordance and therefore also have a morphological RV and delicate tricuspid valve in the systemic circulation. Associated defects, such as abnormalities of the tricuspid valve, ventricular septal defect, and pulmonary stenosis, occur in the majority of patients. Heart block occurs with increasing age. Atrial arrhythmias occur frequently, and their occurrence should prompt a search for a hemodynamic problem. Progressive tricuspid regurgitation occurs with age and is associated with deterioration of RV function. Surgical treatment should be considered at the earliest sign of RV dilatation or dysfunction. All patients should be seen periodically in a center where expertise in the clinical evaluation, imaging, and hemodynamic assessment of adult congenital heart disease is available.

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“…8, 9 The causes are multifactorial, including hypoxia, ventricular septal defect and abnormal ventricular geometry. 1, [8][9][10][11] Echocardiographic data show that all heart chambers increase in size during the course of a normal pregnancy, which Heart failure during third pregnancy Medical abortion necessary in the 16th week *ACE inhibitor was part of the regular medication but discontinued during pregnancy. ACE, angiotensin-converting enzyme; FC, functional class; SSS, sick sinus syndrome; TGA, transposition of the great arteries; VSD, ventricular septal defect.…”

Section: Trigas V Et Almentioning

confidence: 99%

Pregnancy-Related Obstetric and Cardiologic Problems in Women After Atrial Switch Operation for Transposition of the Great Arteries

Trigas

Nagdyman

Steinburg

et al. 2014

Circ J

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Decline in ventricular function and clinical condition after Mustard repair for transposition of the great arteries (a prospective study of 22–29 years)

Cited by 80 publications

References 0 publications

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

Transposition of the Great Arteries

Pregnancy-Related Obstetric and Cardiologic Problems in Women After Atrial Switch Operation for Transposition of the Great Arteries

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