دورية أكاديمية
Baffle Complications in Adults After Atrial Switch for Transposition of the Great Arteries.
| العنوان: | Baffle Complications in Adults After Atrial Switch for Transposition of the Great Arteries. |
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| المؤلفون: | Woudstra OI; Heart Centre, Department of Clinical Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands; Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands., Alban FTE; Heart Centre, Department of Clinical Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands., Bijvoet GP; Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands; Department of Cardiology, Maastricht University Medical Centre, Maastricht, The Netherlands., de Bruin-Bon RHACM; Heart Centre, Department of Clinical Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands., Planken RN; Department of Radiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Leiner T; Department of Radiology, University Medical Centre Utrecht, Utrecht, The Netherlands., Boekholdt SM; Heart Centre, Department of Clinical Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands., Warmerdam EG; Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands., Sieswerda GT; Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands., Mulder BJM; Heart Centre, Department of Clinical Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands., Bouma BJ; Heart Centre, Department of Clinical Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands. Electronic address: b.j.bouma@amsterdamumc.nl., Meijboom FJ; Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands. |
| المصدر: | The Canadian journal of cardiology [Can J Cardiol] 2022 Jan; Vol. 38 (1), pp. 68-76. Date of Electronic Publication: 2021 Oct 09. |
| نوع المنشور: | Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: England NLM ID: 8510280 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1916-7075 (Electronic) Linking ISSN: 0828282X NLM ISO Abbreviation: Can J Cardiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Jan./Feb. 2011- : Oxford, UK : Elsevier Original Publication: [Oakville, Ont. : Canadian Cardiology Publications Inc., c1984- |
| مواضيع طبية MeSH: | Registries*, Arterial Switch Operation/*adverse effects , Heart Atria/*surgery , Postoperative Complications/*epidemiology , Transposition of Great Vessels/*surgery, Adult ; Echocardiography ; Female ; Heart Atria/diagnostic imaging ; Humans ; Incidence ; Male ; Netherlands/epidemiology ; Prognosis ; Retrospective Studies ; Tomography, X-Ray Computed ; Transposition of Great Vessels/diagnosis ; Young Adult |
| مستخلص: | Background: Baffle complications, ie, leakage or stenosis, after an atrial switch operation (AtrSO) for transposition of the great arteries (TGA) are difficult to detect with the use of routine transthoracic echocardiography (TTE). We examined baffle interventions and the prevalence of baffle complications. Methods: This dual-centre study followed TGA-AtrSO patients for the occurrence of baffle interventions. In addition, in 2017-2019, prevalence of baffle complications was determined in patients undergoing routine contrast-enhanced (CE) TTE including various hemodynamic conditions and computed tomography (CT). Baffle leaks were defined as right-to-left shunting on CE-TTE and baffle stenosis as a systemic venous baffle diameter of < 10 mm on CT. Results: In total, 67 TGA-AtrSO patients were followed to a median age of 38 (interquartile range 34-42) years, for a median of 9 (6-13) years. Baffle interventions were documented in 24 patients (36%). Cumulative risk of baffle interventions was 25% after 15 years of follow-up. Prevalence of baffle complications was determined in 29/67 patients. In total, 4 (14%) had patent baffles, 11 (38%) had leakage only, 5 (17%) had stenosis only, and 9 (31%) had both, while 24/29 (84%) were asymptomatic. Although baffle leaks were not associated with clinical characteristics, peak work rate during exercise TTE was lower in patients with vs without stenosis (89 ± 24 W vs 123 ± 21 W; P < 0.001). Conclusions: Baffle complications are common in TGA-AtrSO. The cumulative risk of baffle interventions was 25% after 15 years of follow-up. CE-TTE uncovered asymptomatic baffle leakage in the majority of patients, especially with examination during exercise. CT revealed baffle stenosis in almost half of the patients, which was associated with decreased exercise tolerance. Awareness of these findings may alter clinical follow-up. (Copyright © 2021 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20211011 Date Completed: 20220223 Latest Revision: 20220223 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.cjca.2021.09.034 |
| PMID: | 34634378 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1916-7075 |
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| DOI: | 10.1016/j.cjca.2021.09.034 |