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Keywords tetralogy of fallot adult medi...

tetralogy of fallot adult medic treatment

https://read.qxmd.com/read/38439111/surgical-repair-of-tetralogy-of-fallot-in-a-78-year-old-woman-a-case-report
#1
JOURNAL ARTICLE
Yuzo Katayama, Sho Isobe, Tsukasa Ozawa, Takeshiro Fujii
BACKGROUND: Tetralogy of Fallot is a congenital heart disease mostly diagnosed and treated in early childhood. However, there are some adult cases receiving treatment. CASE PRESENTATION: We describe a 78-year-old Japanese woman who presented with severely hypertrophic right ventricle, ventricular septum defect, overriding aorta, and severe infundibular stenosis in the right ventricular outflow tract. As hypoxemia was mild and daily exertion was sufficiently possible, home oxygen therapy was introduced...
March 4, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38040460/acr-appropriateness-criteria%C3%A2-congenital-or-acquired-heart-disease
#2
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/37908505/midterm-prognosis-following-total-correction-of-tetralogy-of-fallot-in-adult-patients
#3
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/37097897/outcomes-of-transannular-repair-of-tetralogy-of-fallot-with-a-contegra-%C3%A2-monocuspid-patch
#4
JOURNAL ARTICLE
Aleksandra Wasiak, Radoslaw Jaworski, Andrzej Pastuszko, Mariusz Birbach, Michal Kozlowski, Malgorzata Mirkowicz-Malek, Joanna Friedman-Gruszczynska, Bohdan Maruszewski, Andrzej Kansy
BACKGROUND: Surgical repair of tetralogy of Fallot (ToF) depends on the anatomical variations of the heart defect. A group of patients with a hypoplastic pulmonary valve annulus required a transannular patch. This study aimed to evaluate the early and late outcomes of ToF repair with a transannular Contegra® monocuspid patch in a single center. METHODS: A retrospective review of medical records was conducted. This study included 224 children with a median age of 13 months who underwent ToF repair with a Contegra® transannular patch in over 20 years of observation...
April 25, 2023: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/37077441/infective-endocarditis-in-adults-with-congenital-heart-disease-never-stop-digging-the-role-of-multimodality-imaging
#5
JOURNAL ARTICLE
Anna Selvaggia Roma, Flavia Fusco, Davide D'Arienzo, Maria Luisa De Rimini, Giancarlo Scognamiglio, Berardo Sarubbi
A challenging case of infective endocarditis in a young woman with repaired tetralogy of Fallot and a diagnosis of ankylosing spondylitis is described. Despite the presence of multiple confounding factors, a multidisciplinary approach with the use of multimodality cardiac imaging allowed a correct diagnosis and effective medical treatment. ( Level of Difficulty: Intermediate. ).
April 5, 2023: JACC. Case reports
https://read.qxmd.com/read/36522807/the-american-association-for-thoracic-surgery-aats-2022-expert-consensus-document-management-of-infants-and-neonates-with-tetralogy-of-fallot
#6
JOURNAL ARTICLE
Jacob R Miller, Elizabeth H Stephens, Andrew B Goldstone, Andrew C Glatz, Lauren Kane, Glen S Van Arsdell, Giovanni Stellin, David J Barron, Yves d'Udekem, Lee Benson, James Quintessenza, Richard G Ohye, Sachin Talwar, Stephen E Fremes, Sitaram M Emani, Pirooz Eghtesady
OBJECTIVE: Despite decades of experience, aspects of the management of tetralogy of Fallot with pulmonary stenosis (TOF) remain controversial. Practitioners must consider newer, evolving treatment strategies with limited data to guide decision making. Therefore, the TOF Clinical Practice Standards Committee was commissioned by the American Association for Thoracic Surgery to provide a framework on this topic, focused on timing and types of interventions, management of high-risk patients, technical considerations during interventions, and best practices for assessment of outcomes of the interventions...
January 2023: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/34231957/bilateral-branch-pulmonary-artery-pulsta-valve-implantation-for-treatment-of-large-right-ventricular-outflow-tract-in-a-high-risk-patient
#7
JOURNAL ARTICLE
Jung Yoon Kim, Seong-Ho Kim, So Ick Jang
Percutaneous pulmonary valve implantation (PPVI) has been implemented as a novel alternative strategy to surgical pulmonary valve replacement. However, PPVI has an inevitable limitation: the large right ventricular outflow tract (RVOT) lesions exhibit variable geometry and significant pulmonary regurgitation (PR). To overcome this limitation, bilateral branch pulmonary artery (PA) valve implantations using Melody or Sapien valves have been attempted and have shown a reduction in right ventricular volume with clinical benefits in the intermediate term...
November 1, 2021: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/34102942/the-challenges-of-an-aging-tetralogy-of-fallot-population
#8
REVIEW
Jennifer P Woo, Doff B McElhinney, George K Lui
Introduction : Advancements in surgery and management have resulted in a growing population of aging adults with tetralogy of Fallot (TOF). As a result, there has been a parallel growth in late complications associated with the sequelae from the underlying cardiac anomalies as well as the surgical and other interventional treatments. Areas covered : Here, we review challenges related to an aging population of patients with TOF, particularly late complications, and highlight advances in management and key areas for future research...
July 2021: Expert Review of Cardiovascular Therapy
https://read.qxmd.com/read/33968633/therapy-of-supraventricular-and-ventricular-arrhythmias-in-adults-with-congenital-heart-disease-narrative-review
#9
REVIEW
Kristina Wasmer, Lars Eckardt, Helmut Baumgartner, Julia Köbe
Arrhythmias are among the most common late complications in adults with congenital heart disease (ACHD) and a frequent reason for hospital admission. Both, supraventricular and ventricular arrhythmias, not only cause debilitating symptoms, but may be life-threatening by increasing risk of stroke, causing or worsening heart failure and being associated with sudden death. Substrate and risk for arrhythmia differs widely between congenital defects with specific arrhythmias being much more common in some patients than others...
April 2021: Cardiovascular Diagnosis and Therapy
https://read.qxmd.com/read/33507368/extrasystoles-in-adults-with-congenital-heart-disease-treatment-options
#10
REVIEW
Joris Ector, Ivo Roca-Luque
The prevalence of congenital heart disease (CHD) is estimated to be almost one in 100 newborns, with > 90% of patients with CHD surviving into adulthood due to medical and surgical advances in recent decades. The rationale for treatment of ventricular premature beats (VPBs) in the general population without underlying structural heart disease is mainly based on the presence of symptoms and/or the risk for developing VPB-induced cardiomyopathy in patients with very frequent VPBs. In CHD, the same general principles apply, but the clinical picture is often more complicated due to the presence of symptoms and/or systolic dysfunction resulting from the underlying heart disease itself...
March 2021: Herzschrittmachertherapie & Elektrophysiologie
https://read.qxmd.com/read/33391897/an-adult-patient-with-a-tetralogy-of-fallot-case
#11
Wail Alkashkari, Faisal Al-Husayni, Ahmed Almaqati, Jamilah AlRahimi, Saad Albugami
Tetralogy of Fallot (ToF) is considered the most frequent cyanotic congenital heart abnormality with a low adulthood survival rate if kept untreated. The majority of cases are symptomatic during infancy and mandate early treatment. Few instances of survival to asymptomatic middle-age patients have been reported, and they are decreasing due to early detection. We reported a case of a middle-aged man who was asymptomatic during his life and recently diagnosed with ToF. The patient underwent surgical repair with excellent outcomes...
November 23, 2020: Curēus
https://read.qxmd.com/read/32672076/implantable-cardiac-devices-in-adult-patients-with-repaired-tetralogy-of-fallot
#12
MULTICENTER STUDY
Anette Sandström, Daniel Rinnström, Milos Kesek, Ulf Thilén, Mikael Dellborg, Peder Sörensson, Niels-Erik Nielsen, Christina Christersson, Bengt Johansson
Implantable cardiac devices are common in patients with tetralogy of Fallot (ToF) (18.3-21.3%) according to previous reports from large centres. We conducted this study to investigate the prevalence and incidence of cardiac devices in a less selected population of patients with ToF and assess factors other than arrhythmia associated with having a device. Design: 530 adult (≥18 years) patients with repaired ToF were identified in the national registry of congenital heart disease (SWEDCON) and matched with data from the Swedish pacemaker registry...
February 2021: Scandinavian Cardiovascular Journal: SCJ
https://read.qxmd.com/read/32073541/preprocedural-imaging-evaluation-of-pulmonary-valve-replacement-after-repair-of-tetralogy-of-fallot-what-the-radiologist-needs-to-know
#13
REVIEW
Lucia Flors, Juliana Bueno, David Gish, Shelby White, Patrick T Norton, Klaus D Hagspiel, Carlos Leiva-Salinas
Tetrallogy of Fallot (TOF) is the most frequent form of cyanotic congenital heart disease. Despite advances in surgical and medical treatment, mortality remains high. Residual dysfunction of the pulmonary valve (PV) after correction of right ventricular outflow tract obstruction is an important cause of morbidity, leading to irreversible right ventricular dysfunction, arrhythmias, heart failure and occasionally, death. The strategies for PVR have evolved over the last decades, and the timing of the intervention remains the foundation of the decision-making process...
May 2020: Journal of Thoracic Imaging
https://read.qxmd.com/read/31694766/-percutaneous-treatment-of-the-pulmonary-valve
#14
REVIEW
P Guerin, K Warin Fresse, O Razafimahatratra
Right ventricular outflow tract diseases are historically outcomes of surgical reconstruction for heart defects in neonates or children (Tetralogy of Fallot, Ross surgery). This kind of surgery performed during childhood lead often to dysfunctional right ventricular outflow tract (stenosis, leak) in older infants or young adults. In this case, reintervention on the right ventricular outflow tract would be associated with a high surgical risk. Development of the first percutaneous valves in the year 2000 paved the way for the pulmonary revalvulation...
December 2019: Annales de Cardiologie et D'angéiologie
https://read.qxmd.com/read/31568260/vacuum-assisted-closure-for-the-treatment-of-deep-sternal-wound-infection-after-pediatric-cardiac-surgery
#15
JOURNAL ARTICLE
Gilad Sherman, Orit Shulman-Manor, Ovadia Dagan, Gilat Livni, Oded Scheuerman, Gabriel Amir, George Frenkel, Itzhak Levy
OBJECTIVES: Vacuum-assisted closure is being increasingly used to treat deep sternal wound infection following cardiac surgery, but most of the data refer to adults. This study investigated the safety and efficacy of vacuum-assisted closure in pediatric patients. DESIGN: Retrospective file review. SETTING: Tertiary pediatric medical center. PATIENTS: All children with deep sternal wound infection treated with vacuum-assisted closure in 2003-2016...
February 2020: Pediatric Critical Care Medicine
https://read.qxmd.com/read/31272701/mechanism-and-risk-factors-for-death-in-adults-with-tetralogy-of-fallot
#16
JOURNAL ARTICLE
Alexander C Egbe, Srikanth Kothapalli, Barry A Borlaug, Naser M Ammash, Maria Najam, Numra Bajwa, Karim Tarek, Jessey Mathew, Heidi M Connolly
One of the goals of lifelong care in adults with tetralogy of Fallot (TOF) is early identification and treatment of patients at high risk for adverse events. Clinical risk stratification tools are critical for achieving this goal. We reviewed the Mayo Adult Congenital Heart Disease database and identified 465 TOF patients (age 37 ± 14 years, men 223 [48%]) seen at Mayo Clinic Rochester between 1990 and 2017. The aim was to determine the risk factors for death and/or heart transplant through a comprehensive analysis of 8 groups of variables (demographics, co-morbidities, medications, heart rhythm, echocardiography, cardiac magnetic resonance imaging, cardiac catheterization, and cardiopulmonary exercise test data) using univariable and multivariable Cox proportional hazard models...
September 1, 2019: American Journal of Cardiology
https://read.qxmd.com/read/31266910/-surgical-management-of-the-patients-with-tetralogy-of-fallot-long-term-after-initial-repair
#17
JOURNAL ARTICLE
Yasutaka Hirata, Minoru Ono
Almost 90% of children with congenital heart disease now reach adulthood due to the improved results of cardiac surgery and medical treatment. Among them, one of particular problems is pulmonary valve regurgitation after tetralogy of Fallot repair. About 20 years ago (1996), the mortality of tetralogy of Fallot has already been relatively good at about 5%, but now it is further reduced to about 2%. For this reason, it is conceivable that more and more adult patients with tetralogy of Fallot will increase in the future...
April 2019: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/31083772/coronary-artery-disease-in-adults-with-tetralogy-of-fallot
#18
JOURNAL ARTICLE
Alexander C Egbe, Sindhura Ananthaneni, Raja Jadav, Srikanth Kothapalli, Charanjit S Rihal, Muhammad Masood, Mounika Angirekula, Maria Najam, Numra Bajwa, Karim Tarek, Jessey Matthew, Heidi M Connolly
BACKGROUND: There are limited data about outcomes of coronary artery disease (CAD) in adults with repaired tetralogy of Fallot (TOF). The purpose of this study was to describe the prevalence and treatment of CAD in adults with TOF, and the impact of CAD on long-term survival. METHODS: Retrospective review of MACHD database for adults with repaired TOF who underwent aortic root/selective coronary angiogram, 1990-2017. Patients were categorized into three groups: (1) No CAD defined as normal coronary angiogram; (2) Mild CAD defined as ≤50% stenosis in all vessels; and, (3) Significant CAD defined as >50% stenosis in any vessel...
May 2019: Congenital Heart Disease
https://read.qxmd.com/read/30740320/aortic-dilatation-in-complex-congenital-heart-disease
#19
REVIEW
Koichiro Niwa
A bicuspid aortic valve and/or coarctation of the aorta (COA) are often associated with dilatation of the ascending aorta and para-coarctation. Congenital heart diseases (CHD), such as truncus arteriosus, transposition of the great arteries (TGA), tetralogy of Fallot (TOF), hypoplastic left heart syndrome (HLHS), single ventricle with pulmonary stenosis/atresia and the Fontan procedure, are also associated with aortic root dilatation, aneurysm and rarely, dissection, which can be fatal and require aortic valve and root surgery...
December 2018: Cardiovascular Diagnosis and Therapy
https://read.qxmd.com/read/29395214/transcatheter-pulmonary-valve-replacement-using-the-melody-valve-for-treatment-of-dysfunctional-surgical-bioprostheses-a-multicenter-study
#20
MULTICENTER STUDY
Allison K Cabalka, Jeremy D Asnes, David T Balzer, John P Cheatham, Matthew J Gillespie, Thomas K Jones, Henri Justino, Dennis W Kim, Te-Hsin Lung, Daniel R Turner, Doff B McElhinney
BACKGROUND: Stented bioprosthetic valves (BPVs) are commonly used for surgical pulmonary valve (PV) replacement in postoperative congenital heart disease, but develop structural failure in a time-related fashion. The Melody transcatheter PV (TPV) (Medtronic, Minneapolis, Minn) has been used to treat BPV dysfunction, but there have been few studies in this population. METHODS: We performed a retrospective, multicenter study to evaluate Melody valve function in patients who underwent TPV replacement (TPVR) into a dysfunctional pulmonary BPV...
April 2018: Journal of Thoracic and Cardiovascular Surgery
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