Rest and exercise right and left ventricular function late after the mustard operation: Assessment by radionuclide ventriculography☆
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Cited by (53)
Stress Echocardiographic Evaluation for D-Transposition of the Great Arteries after Atrial Redirection: Unmasking Early Signs of Myocardial Dysfunction and Baffle Stenosis
2017, Journal of the American Society of EchocardiographyPregnancy in women with a systemic right ventricle after surgically and congenitally corrected transposition of the great arteries
2011, European Journal of Obstetrics and Gynecology and Reproductive BiologyCitation Excerpt :It is possible that the systemic RV has a limited ability to respond to the volume load of pregnancy, thereby compromising the anticipated increase of cardiac output in pregnancy and accounting for the low birth weight centiles in our series. Abnormal RV ejection fractions at rest and with exercise in patients with D-TGA after atrial switch and L-TGA have been reported, and RV dysfunction has been demonstrated throughout pregnancy [16]. Lower than average cardiac output has been demonstrated in mothers with idiopathic fetal growth restriction [17,18].
Improvement in long-term survival after hospital discharge but not in freedom from reoperation after the change from atrial to arterial switch for transposition of the great arteries
2009, Journal of Thoracic and Cardiovascular SurgeryCitation Excerpt :Despite the age-related incidence of baffle stenosis,13 however, the main disadvantage of the atrial switch operation is the incorporation of the right ventricle into the systemic circulation. With time, increasing numbers of patients with diminished exercise tolerance14 and impaired systemic right ventricular function15 have been reported. The arterial switch operation was introduced because of its potential advantage in incorporating the left ventricle into the systemic circulation.
Pregnancy Outcomes After Atrial Repair for Transposition of the Great Arteries
2006, American Journal of CardiologyCitation Excerpt :The concern centers on a morphologic right ventricle’s ability to sustain function as a systemic pump over an extended period of time and to be able to respond normally to increased workloads such as occur during pregnancy. Abnormal RV ejection fractions at rest and with exercise in patients with TGA after atrial repair have been reported by a number of different investigators.6–12 However, comparing groups of patients who underwent atrial repair, Graham et al13 found improved postoperative RV ejection fractions in patients operated on after 1974, suggesting that this RV dysfunction may be due to age at surgery and operative techniques, particularly myocardial protection.
International society for heart and lung transplantation: Practice guidelines for management of heart failure in children
2004, Journal of Heart and Lung TransplantationMyocardial flow reserve in patients with a systemic right ventricle after atrial switch repair
2001, Journal of the American College of Cardiology
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This study was supported in part by the Beaver County Heart Association, Beaver, Pennsylvania.