Open Access
ARTICLE
Norihisa Toh1,*, Yasuhiro Kotani2, Teiji Akagi1, Yosuke Kuroko2, Kenji Baba3, Shin-ichi Otsuki3, Shingo Kasahara2, Hiroshi Ito1
Congenital Heart Disease, Vol.15, No.1, pp. 1-11, 2020, DOI:10.32604/CHD.2020.011579
Abstract Background: There is limited information on outcomes of adult
patients with pulmonary atresia with intact ventricular septum (PA-IVS) due to the
low incidence of disease and the large variation of surgical histories. Methods:
Among 58 patients with repaired PA-IVS, a total of 32 patients aged ≥16 years
and who were followed at our institution between January 2003 and December
2018 were reviewed. Surgical history, clinical outcomes, and laboratory,
echocardiographic and electrocardiographic data were obtained by chart review.
Results: Follow-up was from the age of 16 years and the median age at the latest
follow-up was 23.7 years. Twenty-four patients had… More >
Open Access
META-ANALYSIS
Alejandro E. Contreras1,*, Alejandro R. Peirone2, Eduardo Cuestas3
Congenital Heart Disease, Vol.15, No.1, pp. 13-20, 2020, DOI:10.32604/CHD.2020.011575
Abstract Introduction: We conducted a systematic review and meta-analysis of
published studies to determine the prevalence of troponin elevation after
percutaneous atrial septal defect closure (pASDc) as well as to describe the
association between troponin elevation and different anatomical risk factors for
erosion. Methods: A qualitative systematic review and meta-analysis was
undertaken. The selected studies included patients of any age receiving a pASDc;
performed under transesophageal echocardiography monitoring; reporting
troponin level measurement after the intervention; and indicating prevalence of
troponin elevation and/or the association with risk factors for erosion. Results: Six
studies were found which included 391 patients in total. The… More >
Open Access
REVIEW
Ata Firouzi1, Zahra Hosseini1, Zahra Khajali2, Sedigheh Saedi2, Mohammad Javad AlemzadehAnsari1,3,*
Congenital Heart Disease, Vol.15, No.1, pp. 21-31, 2020, DOI:10.32604/CHD.2020.011515
Abstract Coronary artery fistulae (CAFs) are anomalous connections that bypass
the myocardial capillary bed between 1 or more coronary arteries and other cardiac
chambers or other vessels. These fistulae are usually asymptomatic and are, thus,
diagnosed incidentally. However, larger CAFs can cause various symptoms such
as angina, exertional dyspnea, syncope, palpitation, and even sudden cardiac
death. Treatment options include surgical closure and percutaneous transcatheter
closure (TCC) with comparable safety and efficacy. The choice of device in TCC
depends on the anatomic characteristics of the CAF, the age and size of the patient,
the size of the occluded vessel, the appropriate size… More >
Open Access
ARTICLE
Michela Palma, Giancarlo Scognamiglio*, Flavia Fusco, Assunta Merola, Anna Correra, Diego Colonna, Emanuele Romeo, Berardo Sarubbi
Congenital Heart Disease, Vol.15, No.1, pp. 33-49, 2020, DOI:10.32604/CHD.2020.011523
Abstract Adults with congenital heart disease (ACHD) constitute a growing
population with complex cardiac physiopathology and frequent extra-cardiac
involvement. The recent dramatic improvement of their life expectancy has
resulted in an increasing proportion of ACHD patients requiring non-cardiac
surgery. While a large body of evidence demonstrated the importance of an
accurate risk assessment in patients with acquired heart disease before noncardiac surgery in order to reduce perioperative morbidity and mortality and
detailed algorithms have been released by international societies, no specific
guidelines are available for the perioperative management in this population.
Nonetheless, understanding the complex anatomy and unusual physiology of
both… More >
Open Access
ARTICLE
Matthias Schneider*, Miriam Moser, Varius Dannenberg, Andreas Mangold, Robert Schönbauer, Christian Hengstenberg, Harald Gabriel
Congenital Heart Disease, Vol.15, No.1, pp. 51-58, 2020, DOI:10.32604/CHD.2020.011712
Abstract Background: Predicting the probability for sudden cardiac death
(SCD) and thus evaluation of patients for electrical device therapy and/or ablation
is one of the main tasks in clinics for adults with congenital heart disease (ACHD)
following repaired tetralogy of Fallot (rTOF) patients. Previous data suggests that
QRS complex analysis can help identifying those patients who subsequently suffer
from SCD. We hypothesized that a long QRS duration is associated with adverse
rhythm events if caused by conduction abnormalities but not if caused by right
ventricular remodeling. Methods: A retrospective analysis was performed
entailing all rTOF patients who were seen at our… More >
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