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  • Open Access

    ARTICLE

    Late-Onset Pulmonary Hypertension After the Atrial Switch Procedure for Transposition of the Great Arteries

    Masataka Ogiso1,2, Kei Inai1,*, Morio Shoda2, Nobuhisa Hagiwara2, Hisashi Sugiyama1

    Congenital Heart Disease, Vol.15, No.6, pp. 483-493, 2020, DOI:10.32604/CHD.2020.013058 - 02 November 2020

    Abstract Background: Pulmonary hypertension (PH) is one of the complications that can occur after the atrial switch procedure for transposition of the great arteries (TGA). This study aimed to assess the characteristics and prognosis of late-onset PH after the atrial switch procedure using catheterization data. Methods and Results: We retrospectively identified 40 patients with TGA after the atrial switch procedure that underwent catheterization between April 2007 and March 2020. Eligible patients were divided into two groups based on PH presence (PH group, n = 13 [33%]; non-PH group, n = 27 [67%]). Adverse events were defined as cardiac… More >

  • Open Access

    ARTICLE

    Abnormal Coronary Anatomy in Patients with Transposition of the Great Arteries and Atrial Switch: A Predictor of Serious Cardiac Adverse Events?

    Yoann Perreux1, Marie Alexandre Chaix2, Anna Kamp3, François-Pierre Mongeon2, Magali Pham2, Loïc Boussel1, Roland Henaine1, Annie Dore2, Blandine Mondésert2, Sylvie Di-Filippo1, Paul Khairy2, Francis Bessiere1,*

    Congenital Heart Disease, Vol.15, No.6, pp. 473-482, 2020, DOI:10.32604/CHD.2020.013032 - 02 November 2020

    Abstract Sudden cardiac death and heart failure are well known long-term complications after atrial switch for D-transposition of the great arteries (D-TGA). Right systemic ventricular dysfunction is common and myocardial ischemia has been implicated as a putative mechanism for sudden death, with coronary anomalies prevalent in 30% of cases. We sought to assess an association between adverse events and coronary anomalies in patients with D-TGA and atrial switch surgery. An observational study was conducted in 3 tertiary centers (Montreal Heart Institute, Canada, Nationwide Children’s hospital, Chicago, USA and Hopital cardiologique Louis Pradel de Lyon, France). Adults… More >

  • Open Access

    CASE REPORT

    FFR-Guided PCI in a 17-Year-Old Patient after Arterial Switch Operation for D-Transposition of the Great Arteries

    Domenico Sirico1, Biagio Castaldi1,*, Giuseppe Tarantini2, Giovanni Di Salvo1

    Congenital Heart Disease, Vol.15, No.6, pp. 441-445, 2020, DOI:10.32604/CHD.2020.012863 - 02 November 2020

    Abstract Asymptomatic coronary artery obstruction represents a significant diagnostic challenge in patients with Dextro-Transposition of the Great Arteries and history of Arterial Switch Operation. We report the case of a 17-year-old boy with anomalous origin of left circumflex artery from the right coronary artery, who underwent neonatal arterial switch operation and developed silent myocardial ischemia under stress on myocardial scintigraphy. Despite coronary angiogram and intravascular ultrasound showed only intermediate stenosis of the right coronary artery ostium, the physiological analysis, through the employment of pressure wire, demonstrated a severe reduction of coronary fractional flow reserve after pharmacologically More >

  • Open Access

    ARTICLE

    Comprehensive Long-Term Follow up of Adults with Arterial Switch Operation– European Collaboration for Prospective Outcome Research in Congenital Heart Disease (EPOCH-ASO)–Study Design and Protocols

    Francisco Javier Ruperti-Repilado1,#,*, Magalie Ladouceur2,#, Pastora Gallego3, Laura Dos4, Joaquin Rueda Soriano5, Berto Bouma6, Harald Gabriel7, Markus Schwerzmann1, Judith Bouchardy8,9, Daniel Tobler10,#, Matthias Greutmann11,#

    Congenital Heart Disease, Vol.15, No.5, pp. 309-338, 2020, DOI:10.32604/CHD.2020.012599 - 23 September 2020

    Abstract Background: Long-term outcomes in adults with prior arterial switch operation (ASO) have not yet been well defined. The aim of this study is to elucidate incidence and predictors of adverse cardiac outcomes in a prospectively followed cohort of adults after their ASO. Methods: The comprehensive longterm follow up of adults with ASO is a project within the European collaboration for prospective outcome research in congenital heart disease (EPOCH). It is designed as a prospective, international multicenter cohort study. Consecutive patients (age ≥ 16 years) with prior ASO will be included at 11 European tertiary care centers.… More >

  • Open Access

    ARTICLE

    A Novel Design of Mechanical Switch for the High Overload Environment

    Yu Wang1, Chen Liu1, Lei Wang2, Lihua Zhu1, *

    CMC-Computers, Materials & Continua, Vol.65, No.1, pp. 419-432, 2020, DOI:10.32604/cmc.2020.010911 - 23 July 2020

    Abstract The internal structure of the inertial measurement unit (IMU) in active state is easily damaged in the high overload environment. So that the IMU is usually required to be powered within the disappearance of the high overload. In this paper, a mechanical switch is designed to enable the IMU based on the analysis of the impact of high overload on the power-supply circuit. In which, parameters of mechanical switch are determined through theoretical calculation and data analysis. The innovation of the proposed structure lies in that the mechanical switch is triggered through the high overload More >

  • Open Access

    ARTICLE

    D-Transposition of the Great Arteries after Arterial Switch Operation: Usefulness of 3D-Echocardiography for Left Ventricle Function Evaluation

    Ylenia Bartolacelli*, Giulia Bragantini

    Congenital Heart Disease, Vol.15, No.2, pp. 59-68, 2020, DOI:10.32604/CHD.2020.011448 - 23 June 2020

    Abstract Objective: The objective of this study was to assess left ventricle (LV) function and remodeling by three-dimensional echocardiography (3DE) in patients who underwent arterial switch procedure (ASO) for transposition of great arteries (TGA) in long-term follow-up. Methods and Results: We studied 54 asymptomatic patients (39 male) who have undergone single-stage ASO for TGA, aged 13.7 ± 4.7 years, with a normal LV ejection fraction (EF), compared to healthy peers. We evaluated LV volume and function in asymptomatic patients with normal ejection fraction by 3DE. All patients had normal EF, measured by modified Simpson’s method (mean 60.9 ±… More >

  • Open Access

    ARTICLE

    Consensus of Multi-Agent Systems with Input Constraints Based on Distributed Predictive Control Scheme

    Yueqi Hou1, Xiaolong Liang1, 2, Lyulong He1, Jiaqiang Zhang1, *, Jie Zhu3, Baoxiang Ren3

    CMC-Computers, Materials & Continua, Vol.62, No.3, pp. 1335-1349, 2020, DOI:10.32604/cmc.2020.06869

    Abstract Consensus control of multi-agent systems has attracted compelling attentions from various scientific communities for its promising applications. This paper presents a discrete-time consensus protocol for a class of multi-agent systems with switching topologies and input constraints based on distributed predictive control scheme. The consensus protocol is not only distributed but also depends on the errors of states between agent and its neighbors. We focus mainly on dealing with the input constraints and a distributed model predictive control scheme is developed to achieve stable consensus under the condition that both velocity and acceleration constraints are included More >

  • Open Access

    ORIGINAL ARTICLE

    IL-10 induces TGF-β secretion, TGF-β receptor II upregulation, and IgA secretion in B cells

    Yasser Bagheri1,2,3, Fateme Babaha4, Reza Falak1,2, Reza Yazdani3, Gholamreza Azizi5, Maryam Sadri1, Hassan Abolhassani3,6, Mehdi Shekarabi1,2, Asghar Aghamohammadi3

    European Cytokine Network, Vol.30, No.3, pp. 107-113, 2019, DOI:10.1684/ ecn.2019.0434

    Abstract Background: Interleukin-10 (IL-10) is a pleiotropic cytokine, which has both regulatory and stimulatory effects on different immune cell types. Different studies have reported the importance of IL-10 and Transforming growth factor-beta (TGF-β) in the regulation of B cell class switching the production of immunoglobulin A (IgA); however, the underlying mechanisms remain to be fully elucidated. The objective of this study was to investigate the TGF-β response during B stimulation of human B cells by IL-10. Methods: Pan B cells of healthy donors were negatively purified by a magnetic cell separation technique. B cells were cultured… More >

  • Open Access

    ORIGINAL ARTICLE

    Interleukin-1β and interleukin-6 in Common Variable Immunodeficiency and their association with subtypes of B cells and response to the Pneumovax-23 vaccine

    Laleh Sharifi1,2, Asghar Aghamohammadi1,3, Nima Rezaei3,4,5, Reza Yazdani1, Farhad Rezaei6, Saied Bokaie7, Farzaneh Tofighi Zavareh2,8, Fatemeh Kiaee3, Ali N. Kamali9, Gholamreza Azizi10, Abbas Mirshafiey1,8

    European Cytokine Network, Vol.30, No.4, pp. 123-129, 2019, DOI:10.1684/ecn.2019.0435

    Abstract Introduction: Common Variable Immunodeficiency (CVID) is the most common symptomatic form of primary immunodeficiencies. Current research data show altered B cells, TLRs, and cytokine profile in CVID patients. The aim of this study was to determine levels of IL-1β and IL-6 in CVID patients in response to TLRs stimulation and the association of these cytokines with subtypes of B cells and response to Pneumovax-23 vaccination. Method: Peripheral blood mononuclear cells of CIVD patients were stimulated with and without TLR2 and TLR4 agonist and specific inhibitors including lipopolysaccharide (LPS), lipoteichoic (LTA), and OxPAPC. The levels of… More >

  • Open Access

    ARTICLE

    Echocardiography vs cardiac magnetic resonance imaging assessment of the systemic right ventricle for patients with d-transposition of the great arteries status post atrial switch

    Margaret M. Samyn1,2, Ke Yan1, Conor Masterson3, Benjamin H. Goot1,2, David Saudek1,2, Julie Lavoie2, Aaron Kinney2, Mary Krolikowski1, Kan Hor4,5, Scott Cohen1,2

    Congenital Heart Disease, Vol.14, No.6, pp. 1138-1148, 2019, DOI:10.1111/chd.12861

    Abstract Objective: Patients with Dextro-transposition of the great arteries status post atrial switch (dTGA s/p atrial switch) are “at-risk” for systemic right ventricular (RV) dysfunction. Due to complex RV geometry, echocardiography (Echo) does not allow accurate determination of ejection fraction (EF), but cardiac magnetic resonance imaging (CMR) allows quantitative right ventricular assessment. Measures of ventricular deformation may be precursors to global ventricular dysfunction. The primary aim of this study was to characterize imaging and clinical findings for adult patients with dTGA s/p atrial switch.
    Design: This was a retrospective cohort study of patients with dTGA s/p atrial switch… More >

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