keyword
https://read.qxmd.com/read/38161672/risk-stratification-for-sudden-cardiac-death-in-repaired-tetralogy-of-fallot
#21
REVIEW
Jayant Kakarla, Nathan C Denham, Ayako Ishikita, Erwin Oechslin, Rafael Alonso-Gonzalez, Krishnakumar Nair
There has been significant progress in the prevention of sudden cardiac death in repaired tetralogy of Fallot. Contemporary cohorts report greater survival attributable to improved surgical techniques, heart failure management, and proactive strategies for risk stratification and management of ventricular arrhythmias including defibrillator implantation and ablation technology. Over the last 25 years, our understanding of predictive risk factors has also improved from invasive and more limited measures to individualized risk prediction scores based on extensive demographic, imaging, electrophysiological, and functional data...
December 2023: CJC Pediatr Congenit Heart Dis
https://read.qxmd.com/read/38161671/pregnancy-considerations-in-tetralogy-of-fallot
#22
REVIEW
Maria L Garagiola, Sara A Thorne
The majority of women with repaired tetralogy of Fallot are able to tolerate pregnancy with a low risk of cardiovascular events. However, proactive contraceptive advice, prepregnancy counselling, and care by a pregnancy heart team with expertise in congenital heart disease are key to ensuring a good outcome for mother and baby. Maternal and fetal risks are increased in the presence of severe valvular stenosis, poorly tolerated arrhythmia, significant ventricular dysfunction, and cyanosis. It is unusual to see cyanotic adults with tetralogy of Fallot, whether unoperated or shunt palliated; pregnancy risks are greatly reduced by completing their repair before pregnancy is undertaken...
December 2023: CJC Pediatr Congenit Heart Dis
https://read.qxmd.com/read/38161668/access-to-specialized-care-across-the-lifespan-in-tetralogy-of-fallot
#23
REVIEW
Andrew S Mackie, Katia Bravo-Jaimes, Michelle Keir, Christina Sillman, Adrienne H Kovacs
Individuals living with tetralogy of Fallot require lifelong specialized congenital heart disease care to monitor for and manage potential late complications. However, access to cardiology care remains a challenge for many patients, as does access to mental health services, dental care, obstetrical care, and other specialties required by this population. Inequities in health care access were highlighted by the COVID-19 pandemic and continue to exist. Paradoxically, many social factors influence an individual's need for care, yet inadvertently restrict access to it...
December 2023: CJC Pediatr Congenit Heart Dis
https://read.qxmd.com/read/38161667/use-of-cardiovascular-magnetic-resonance-for-risk-stratification-in-repaired-tetralogy-of-fallot
#24
REVIEW
Sarah Ghonim, Sonya V Babu-Narayan
The risk of premature death in adult patients with repaired tetralogy of Fallot is real and not inconsiderable. From the third decade of life, the incidence of malignant ventricular arrhythmia (VA) is known to exponentially rise. Progressive adverse mechanoelectrical modelling because of years of volume and/or pressure overload from residual pulmonary valve dysfunction and ventricular scar creates the perfect catalyst for VA. Although potentially lifesaving, implantable cardiac defibrillators are associated with substantial psychological and physical morbidity...
December 2023: CJC Pediatr Congenit Heart Dis
https://read.qxmd.com/read/38128927/a-noninvasive-circulating-signature-of-combined-right-ventricular-pressure-and-volume-overload-in-tetralogy-of-fallot-pulmonary-atresia-major-aortopulmonary-collateral-arteries
#25
JOURNAL ARTICLE
Katie L Clouthier, Anne C Taylor, Ji Xuhuai, Yuhan Liu, Sarah Parker, Jennifer Van Eyk, Sushma Reddy
Background: Despite surgical advances, children with tetralogy of Fallot/pulmonary atresia/major aortopulmonary collaterals (TOF/PA/MAPCAs) are subject to chronic right ventricular (RV) pressure and volume overload. Current diagnostic tools do not identify adverse myocardial remodeling and cannot predict progression to RV failure. We sought to identify a noninvasive, circulating signature of the systemic response to right heart stress to follow disease progression. Methods: Longitudinal data were collected from patients with TOF/PA/MAPCAs (N = 5) at the time of (1) early RV pressure overload and (2) late RV pressure and volume overload...
December 21, 2023: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/38117377/prognostic-value-of-left-atrial-strain-in-patients-with-tetralogy-of-fallot
#26
JOURNAL ARTICLE
Ferit Onur Mutluer, Daniel J Bowen, Roderick W J van Grootel, Isabella Kardys, Jolien W Roos-Hesselink, Annemien E van den Bosch
To demonstrate prognostic utility of left atrial strain (LAS) in adult patients with repaired Tetralogy of Fallot (rTOF). Adults patients with rTOF were prospectively enrolled in this study between years 2011 and 2015. Left atrium (LA) phasic functions were assessed using 2D speckle tracking echocardiography. Association of LA strain (LAS) with primary (any cardiovascular event) and secondary (death, heart failure or arrhythmia) composite endpoints was assessed using Cox regression analysis. Hundred-and-twelve rTOF patients, in whom LAS was feasible and were in sinus rhythm, were included in the final analysis (age 33 ± 10 years, 68[61%] male)...
December 20, 2023: International Journal of Cardiovascular Imaging
https://read.qxmd.com/read/38055085/aortic-valve-replacement-in-a-41-year-old-woman-with-uncorrected-tetralogy-of-fallot-pulmonary-atresia-and-major-aortopulmonary-collateral-arteries-a-case-report
#27
JOURNAL ARTICLE
Kazutomo Saito, Yudai Iwasaki, Takahiro Tasaki, Hidehisa Saito, Hiroaki Toyama, Yutaka Ejima, Masanori Yamauchi
BACKGROUND: Tetralogy of Fallot (TOF) is a complex cyanotic congenital heart disease. As most patients with TOF undergo palliative or radical surgical repair during childhood, cardiac surgery under cardiopulmonary bypass (CPB) for adult survivors with unrepaired TOF is exceedingly rare. CASE PRESENTATION: A 41-year-old woman with unrepaired TOF, pulmonary atresia (PA), and major aortopulmonary collateral arteries (MAPCAs) developed acute infectious endocarditis (IE)...
December 6, 2023: JA Clinical Reports
https://read.qxmd.com/read/38048843/impact-of-pulmonary-valve-replacement-on-ventricular-function-and-cardiac-events-in-patients-with-tetralogy-of-fallot-a-retrospective-cohort-study
#28
JOURNAL ARTICLE
Francisco Javier Ruperti-Repilado, Nora Haag, Thomas Fischer, Bruno Santos Lopes, Lukas Meier, Kerstin Wustmann, Francesca Bonassin, Christine Attenhofer Jost, Fabienne Schwitz, Markus Schwerzmann, Daniel Tobler, Stefanie Von Felten, Matthias Greutmann
INTRODUCTION AND OBJECTIVES: Our aim was to assess the impact of prosthetic pulmonary valve replacement (PVR) in patients with repaired tetralogy of Fallot (rTOF) on changes in biventricular volumes and function and on adverse cardiac events. METHODS: Adults with rTOF were identified from the SACHER-registry. Data from serial cardiac magnetic resonance imaging, echocardiography, exercise capacity and n-terminal pro b-type natriuretic peptide (NT-proBNP) were collected...
December 2, 2023: Revista Española de Cardiología
https://read.qxmd.com/read/38040460/acr-appropriateness-criteria%C3%A2-congenital-or-acquired-heart-disease
#29
JOURNAL ARTICLE
Rajesh Krishnamurthy, Garima Suman, Sherwin S Chan, Jacobo Kirsch, Ramesh S Iyer, Michael A Bolen, Richard K J Brown, Ahmed H El-Sherief, Mauricio S Galizia, Kate Hanneman, Joe Y Hsu, Veronica Lenge de Rosen, Prabhakar Shantha Rajiah, Rahul D Renapurkar, Raymond R Russell, Margaret Samyn, Jody Shen, Todd C Villines, Jessica J Wall, Cynthia K Rigsby, Suhny Abbara
Pediatric heart disease is a large and diverse field with an overall prevalence estimated at 6 to 13 per 1,000 live births. This document discusses appropriateness of advanced imaging for a broad range of variants. Diseases covered include tetralogy of Fallot, transposition of great arteries, congenital or acquired pediatric coronary artery abnormality, single ventricle, aortopathy, anomalous pulmonary venous return, aortopathy and aortic coarctation, with indications for advanced imaging spanning the entire natural history of the disease in children and adults, including initial diagnosis, treatment planning, treatment monitoring, and early detection of complications...
November 2023: Journal of the American College of Radiology: JACR
https://read.qxmd.com/read/38040450/incremental-value-of-machine-learning-for-risk-prediction-in-tetralogy-of-fallot
#30
JOURNAL ARTICLE
Ayako Ishikita, Chris McIntosh, S Lucy Roche, David J Barron, Erwin Oechslin, Lee Benson, Krishnakumar Nair, Myunghyun M Lee, Michael N Gritti, Kate Hanneman, Gauri Rani Karur, Rachel M Wald
OBJECTIVE: Machine learning (ML) can facilitate prediction of major adverse cardiovascular events (MACEs) in repaired tetralogy of Fallot (rTOF). We sought to determine the incremental value of ML above expert clinical judgement for risk prediction in rTOF. METHODS: Adult congenital heart disease (ACHD) clinicians (≥10 years of experience) participated (one cardiac surgeon and four cardiologists (two paediatric and two adult cardiology trained) with expertise in heart failure (HF), electrophysiology, imaging and intervention)...
December 1, 2023: Heart
https://read.qxmd.com/read/38031461/neurocognitive-function-and-health-related-quality-of-life-in-adolescents-and-young-adults-with-chd-with-pulmonary-valve-dysfunction
#31
JOURNAL ARTICLE
Jeffrey D Zampi, Kimberley P Heinrich, Lisa Bergersen, Bryan H Goldstein, Sarosh P Batlivala, Stephanie Fuller, Andrew C Glatz, Michael L O'Byrne, Bradley Marino, Katherine Afton, Ray Lowery, Sunkyung Yu, Caren S Goldberg
BACKGROUND: Neurocognitive impairment and quality of life are two important long-term challenges for patients with complex CHD. The impact of re-interventions during adolescence and young adulthood on neurocognition and quality of life is not well understood. METHODS: In this prospective longitudinal multi-institutional study, patients 13-30 years old with severe CHD referred for surgical or transcatheter pulmonary valve replacement were enrolled. Clinical characteristics were collected, and executive function and quality of life were assessed prior to the planned pulmonary re-intervention...
November 30, 2023: Cardiology in the Young
https://read.qxmd.com/read/37972793/the-role-of-speckle-tracking-echocardiography-in-predicting-mortality-and-morbidity-in-patients-with-congenital-heart-disease-a-systematic-review-and-meta-analysis
#32
JOURNAL ARTICLE
Dan M Dorobantu, Nurul H Amir, Curtis A Wadey, Chetanya Sharma, A Graham Stuart, Craig A Williams, Guido E Pieles
BACKGROUND: Speckle tracking echocardiography (STE) is now routinely included in cardiac evaluations, but its role in predicting mortality and morbidity in congenital heart disease (CHD) is not well described. We conducted a systematic review to evaluate the prognostic value of STE in patients with CHD. METHODS: EMBASE, Medline, Web of Science, Scopus and CENTRAL databases were searched from inception to January 2023, for terms related to all CHD, STE and prognosis...
November 14, 2023: Journal of the American Society of Echocardiography
https://read.qxmd.com/read/37964350/short-term-outcomes-following-total-correction-of-tetralogy-of-fallot-in-adult-patients
#33
JOURNAL ARTICLE
Zahra Khajali, Nasibeh Mohammadi, Yaser Toloueitabar, Majid Maleki, Sedigheh Saedi, Zeinab Norouzi, Saeedeh Mazloum-Zadeh, Maryam Chenaghlou, Amirhossein Jalali, Hassan Tatari, Maryam Aliramezany
OBJECTIVES: Tetralogy of Fallot (TOF) is a common congenital heart disease which should be corrected. The recommended time for the Tetralogy of Fallot Total Correction (TFTC) surgery is during the infancy for the possible difficulties during the surgery and the related issues. However, sometimes TOF is diagnosed and managed during the adulthood. METHODS: This study is a descriptive and retrospective one which included all patients who underwent TFTC at the age of 15-year and older in 10 years (between the years 2010 and 2020) to identify short-term (in-hospital mortality, ICU stay, postoperative bleeding, respiratory complications after the surgery such as pulmonary edema, pneumonia, etc...
November 14, 2023: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/37933694/t-remodeling-of-the-pulmonary-artery-bifurcation-for-pulmonary-artery-origin-stenosis
#34
REVIEW
Wayne C Zheng, Edward Buratto, Federica Caldaroni, Shuta Ishigami, Igor E Konstantinov, Yves d'Udekem
BACKGROUND: Various surgical techniques are utilized for reconstructing hypoplastic pulmonary arteries (PAs) in patients with conotruncal anomalies and at times, may be susceptible to restenosis and reoperation. We reviewed our experience with a simple technique of T-shaped remodeling of the PA bifurcation. METHODS: Between 2005 and 2019, 31 patients underwent T-remodeling of central PAs by a single cardiac surgeon. The PA bifurcation was opened cranially, and the opening was augmented with an oval-shaped patch effectively transforming the V-shaped bifurcation into a T-shaped bifurcation...
November 2023: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/37921218/pulmonary-valve-replacement-in-tetralogy-of-fallot-who-and-how
#35
JOURNAL ARTICLE
Catarina M Costa, Cristina Cruz, Teresa Pinho, Sofia Torres, João C Silva, José A Madureira, Elson Salgueiro, Jorge Casanova, Paulo Pinho, Filipe Macedo
BACKGROUND AND AIM: Pulmonary regurgitation is the most common complication in repaired tetralogy of Fallot patients. Severe chronic pulmonary regurgitation can be tolerated for decades, but if not treated, it can progress to symptomatic, irreversible right ventricular dilatation and dysfunction. We investigated clinical associations with pulmonary valve replacement among patients with significative pulmonary regurgitation and how interventional developments can change their management...
November 3, 2023: Cardiology in the Young
https://read.qxmd.com/read/37917236/significantly-elevated-hepatic-extracellular-volume-in-adult-patients-with-a-fontan-circulation-and-its-correlation-with-impaired-functional-capacity
#36
JOURNAL ARTICLE
Surachai Kongrat, Tananya Lueangklanlayanakhun, Varinsawat Prakongwong, Watcharee Prasertkulchai, Tarinee Tangcharoen
Fontan-associated liver disease is a major concern in patients who have undergone the procedure. Regular imaging of the liver is currently recommended for Fontan patients, but not other congenital heart diseases. The extracellular volume (ECV) of the liver obtained during CMR scanning and studies can show the high liver ECV in Fontan patients. However, the correlation between the liver ECV and the functional capacity of Fontan patients has not yet been reported. This study aimed to compare the liver ECV between Fontan patients and other congenital heart diseases with significant pulmonic regurgitation (PR) or tricuspid regurgitation (TR), and to evaluate the correlation between the liver ECV in adult Fontan patients and their functional capacity as well as clinical characteristics...
November 2, 2023: International Journal of Cardiovascular Imaging
https://read.qxmd.com/read/37908505/midterm-prognosis-following-total-correction-of-tetralogy-of-fallot-in-adult-patients
#37
JOURNAL ARTICLE
Zahra Khajali, Nasibeh Mohammadi, Yaser Toloueitabar, Majid Maleki, Sedigheh Saedi, Zeinab Nourouzi, Saeideh Mazloum-Zadeh, Maryam Chenaghloo, Amirhossein Jalali, Hassan Tatari, Maryam Aliramezany
BACKGROUND: Tetralogy of Fallot is a common congenital heart disease characterized by cyanosis. The primary treatment approach involves corrective surgery typically performed within the first year of life to achieve complete resolution. However, certain patients may undergo surgery at an older age. This study seeks to assess the efficacy of surgery by examining the midterm outcomes of total correction of Tetralogy of Fallot when performed in older individuals. METHODS: This interventional-longitudinal study focused on patients who underwent complete surgery to correct tetralogy of Fallot at an advanced age of over 15 years...
2023: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/37901980/-management-of-postoperative-arrhythmias-in-the-tetralogy-of-fallot-a-literature-review
#38
REVIEW
Massimo Zoni Berisso, Fabrizio Drago, Alberto Battaglia, Elisabetta Mariucci, Gianluca Mirizzi, Gabriele Vignati, Berardo Sarubbi
Tetralogy of Fallot (ToF) occurs in about 4 births/1000/year and represents about one tenth of all congenital heart diseases. Nowadays 86% of patients reach adulthood with corrective surgery. Before the 1980s, these patients were treated only with "surgical palliation", which consisted in the creation of a systemic to pulmonary artery shunt or a pulmonary valvulotomy, whereas after the introduction of extracorporeal circulation, corrective surgery is performed electively between 3 and 6 months of life. After repair patients during their life may develop hemodynamic lesions, including right ventricular outflow tract dysfunction, and arrhythmias which can occur in over 30% of cases...
November 2023: Giornale Italiano di Cardiologia
https://read.qxmd.com/read/37899596/primary-or-delayed-repair-for-complete-atrioventricular-septal-defect-tetralogy-of-fallot-and-ventricular-septal-defect-relationship-to-country-economic-status
#39
JOURNAL ARTICLE
Brian P Bateson, Luqin Deng, Brittany Ange, Erle Austin, Robert Dabal, Taylor Bowser, John Pennington, Sivalingam Sivakumar, Cheul Lee, Nguyen Ly Thinh Truong, Jeffery Jacobs, Jorge Cervantes, B R Jagannath, Richard A Jonas, James K Kirklin, James St Louis
OBJECTIVE: Primary repair in the first six months of life is routine for tetralogy of Fallot, complete atrioventricular septal defect, and ventricular septal defect in high-income countries. The objective of this analysis was to understand the utilization and outcomes of palliative and reparative procedures in high versus middle-income countries. METHODS: The World Database of Pediatric and Congenital Heart Surgery identified patients who underwent surgery for: tetralogy of Fallot, complete atrioventricular septal defect, and ventricular septal defect...
October 30, 2023: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/37885932/trans-aortic-dorv-repair
#40
Amitabh Satsangi, Hari Prasad, Sheikh Mohd Murtaza, V Devagourou
UNLABELLED: Double-outlet right ventricle (DORV) is a group of complex ventriculoarterial connections. In the literature, there are reports of trans-aortic correction of tetralogy of Fallot, as well as ventricular septal defects and complex DORV without right ventricular outflow tract obstruction. However, a pure trans-aortic approach for DORV ventricular septal defect (VSD) right ventricular outflow tract obstruction repair is not reported in the literature. We present a case of pure trans-aortic repair of DORV VSD pulmonary stenosis (PS) in an adult...
November 2023: Indian Journal of Thoracic and Cardiovascular Surgery
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