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Surgical Approach to Corrected Transposition of the Great Arteries

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Late Presentation of a Congenitally Corrected Transposition of Great Arteries and Hemodynamically Balanced Ventricles Associated with a Large Ventricular Septal Defect and Severe Pulmonary Stenosis: A Case Report and a Multi-Imaging Approach.

Khaled Elenizi, Rasha Alharthi, Anthony Matta, Abdulrahman Aljuayli, Michel Galinier,

BACKGROUND Congenitally corrected transposition of great arteries (ccTGA) represents a distinct rare group of congenital heart diseases. Survival of unoperated ccTGA in the presence of large ventricular septal defect (VSD) is exceptional. Furthermore, late presentation of such patients in the absence of severe pulmonary hypertension or severe systemic right ventricle ... Read more >>

Am J Case Rep (The American journal of case reports)
[2020, 21:e920822]

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Urgent double switch operation in a patient with congenitally corrected transposition of great arteries and an untrained systemic ventricle.

Mehmet Salih Bilal, Arda Özyüksel, Mustafa Kemal Avşar, Özgür Yıldırım,

Congenitally corrected transposition of the great arteries is a rare cardiac abnormality. A nine-month-old male infant with the diagnosis of congenitally corrected transposition of the great arteries was admitted to our clinic with a history of pulmonary artery banding to train the left ventricle three months ago. On admission, he ... Read more >>

Turk Gogus Kalp Damar Cerrahisi Derg (Turk gogus kalp damar cerrahisi dergisi)
[2020, 28(1):197-200]

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Effectiveness of Bidirectional Glenn Shunt Placement for Palliation in Complex Congenitally Corrected Transposed Great Arteries.

Kai Ma, Lei Qi, Zhongdong Hua, Keming Yang, Hao Zhang, Shoujun Li, Sen Zhang, Fengpu He, Guanxi Wang,

Surgery for complex congenitally corrected transposed great arteries is one of the greatest challenges in cardiovascular surgery. We report our experience with bidirectional Glenn shunt placement as a palliative procedure for complex congenitally corrected transposition. We retrospectively identified 50 consecutive patients who had been diagnosed with congenitally corrected transposition accompanied ... Read more >>

Tex Heart Inst J (Texas Heart Institute journal)
[2020, 47(1):15-22]

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Prenatal diagnosis of congenitally corrected transposition of the great arteries.

Nathalie Jeanne Bravo-Valenzuela, Alberto Borges Peixoto, Edward Araujo Júnior,

Congenitally corrected transposition of the great arteries is a rare and complex congenital heart disease. It essentially occurs with atrioventricular and ventriculoarterial discordance, in which the great vessels become parallel. Cases of corrected transposition of the great arteries are more frequently associated with other cardiac anomalies. In the fetus, corrected ... Read more >>

J Ultrason (Journal of ultrasonography)
[2019, 19(79):314-317]

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EDUCATIONAL SERIES IN CONGENITAL HEART DISEASE: Echocardiographic assessment of transposition of the great arteries and congenitally corrected transposition of the great arteries

Meryl S Cohen, Luc L Mertens,

Echocardiographic assessment of patients with transposition of the great arteries and congenitally corrected transposition requires awareness of the morphology and commonly associated lesions. The pre-operative echocardiography should include a full segmental and sequential analysis. Post-operative assessment is not possible without awareness of the type of surgical procedure performed and consists ... Read more >>

Echo Res Pract (Echo research and practice)
[2019, 6(4):R107-R119]

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Systematic Evaluation of Systemic Right Ventricular Function.

Matthias Schneider, Matthias Beichl, Christian Nietsche, Dietrich Beitzke, Gerold Porenta, Gilbert Beran, Karin Vonbank, Jakob Hauser, Christian Hengstenberg, Georg Goliasch, Thomas Binder, Harald Gabriel,

BACKGROUND:The right ventricle serves as the subaortic systemic ventricle (sysRV) in patients with congenitally corrected transposition of the great arteries (ccTGA) and in patients with transposition of the great arteries (TGA) surgically repaired by an atrial switch. SysRV can lead to late complications, primarily heart failure, significant regurgitation of the ... Read more >>

J Clin Med (Journal of clinical medicine)
[2019, 9(1):]

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Ventricular assist device implantation in patients with a failing systemic right ventricle: a call to expand current practice.

T E Zandstra, M Palmen, M G Hazekamp, B Meyns, S L M A Beeres, E R Holman, P Kiès, M R M Jongbloed, H W Vliegen, A D Egorova, M J Schalij, L F Tops,

Ventricular assist device (VAD) implantation is an established treatment modality for patients with end-stage heart failure, and improves symptoms and survival. In the Netherlands, it is not yet routinely considered in patients with congenital heart disease and failing systemic right ventricle (SRV). Recently, a VAD was implanted in 2 SRV patients, one ... Read more >>

Neth Heart J (Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation)
[2019, 27(12):590-593]

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Iron-deficiency anaemia in children with congenital heart diseases at a teaching hospital in Ghana.

Inna Ossei, Kwame Ohene Buabeng, Paul Poku Sampene Ossei, Samuel Blay Nguah, William Gilbert Ayibor, Berko Panyin Anto, Agyemang-Duah Eric, Mahama Duwiejua,

Background:Uncorrected congenital heart lesions in children keep them in a state of constant hypoxia with compromised quality of life and reduced life expectancy. This requires early diagnosis and interventions including prevention and treatment of the resultant anaemia. Unfortunately, congenital heart disease (CHD) often goes unrecognized and thus untreated. Objectives:We determined ... Read more >>

Heliyon (Heliyon)
[2020, 6(2):e03408]

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Ventricular fibrillation in congenitally corrected transposition of great arteries treated with pacing: a case report.

Lei Zhang, Hongyang Liu, Qilin Wan, Xinqiang Han,

Background:Congenitally corrected transposition of the great arteries (CCTGA) is a rare form of congenital heart disease which may present with sudden death from malignant arrhythmias including complete heart block and ventricular tachyarrhythmias as late complications. Only few cases about ventricular tachyarrhythmias, usually in those with markedly depressed systemic ventricular function, ... Read more >>

Eur Heart J Case Rep (European heart journal. Case reports)
[2019, 3(4):1-6]

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Missing pouches in high-density mapping of atrial tachyarrhythmia in congenital heart diseases.

Sit-Yee Kwok, Tak-Cheung Yung, Ngai-Lun Ho, Jo-Jo Hai, Sabrina Tsao, Hung-Fat Tse,

Background:The use of high-density electroanatomical mapping in the Chinese population for congenital heart disease (CHD) is not well reported. Methods:Retrospective review of consecutive transcatheter ablation of atrial tachyarrhythmia using high-density mapping for CHD patients (at least moderate complexity) in the only tertiary congenital heart center in the territory from January ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2019, 35(6):821-829]

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Anatomically corrected malposition of great arteries: A nidus for the left ventricular outflow tract obstruction.

Palak Gupta, Kalyanraddi N Chikkagoudar, Nageswara Rao Koneti,

Ann Pediatr Cardiol (Annals of pediatric cardiology)
[2020, 13(1):105-106]

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L-looped Transposition of the Great Arteries in a Patient with Marfanoid Habitus: First Reported Case in Literature.

Abdul Majid, Syed Hamza Bin Waqar, Farah Yasmin, Osama Mohiuddin, Anosh Aslam Khan,

L-looped transposition of great arteries (L-TGA) is an extremely rare heart condition. It is associated with physiologically corrected transposition of great vessels, leading to the normal return of deoxygenated systemic venous blood to the heart and transport of oxygenated pulmonary venous blood to the main systemic circulation. Anatomic discordancy and ... Read more >>

Cureus (Cureus)
[2019, 11(8):e5416]

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Right Ventricular Failure: Pathophysiology, Diagnosis and Treatment.

Mattia Arrigo, Lars Christian Huber, Stephan Winnik, Fran Mikulicic, Federica Guidetti, Michelle Frank, Andreas J Flammer, Frank Ruschitzka,

The prognostic significance of the right ventricle (RV) has recently been recognised in several conditions, primarily those involving the left ventricle, the lungs and their vascular bed, or the right-sided chambers. Recent advances in imaging techniques have created new opportunities to study RV anatomy, physiology and pathophysiology, and contemporary research ... Read more >>

Card Fail Rev (Cardiac failure review)
[2019, 5(3):140-146]

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Predictors of Late Mortality in D-Transposition of the Great Arteries After Atrial Switch Repair: Systematic Review and Meta-Analysis.

Prashanth Venkatesh, Arthur T Evans, Anna M Maw, Raymond A Pashun, Agam Patel, Luke Kim, Dmitriy Feldman, Robert Minutello, S Chiu Wong, Judy C Stribling, Damian LaPar, Ralf Holzer, Jonathan Ginns, Emile Bacha, Harsimran S Singh,

Background Existing data on predictors of late mortality and prevention of sudden cardiac death after atrial switch repair surgery for D-transposition of the great arteries (D-TGA) are heterogeneous and limited by statistical power. Methods and Results We conducted a systematic review and meta-analysis of 29 observational studies, comprising 5035 patients, ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2019, 8(21):e012932]

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Pediatrics and GUCHs.

J Arrhythm (Journal of Arrhythmia)
[2019, 35(Suppl 1):693-711]

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Multicenter prospective clinical study to evaluate children short-term neurodevelopmental outcome in congenital heart disease (children NEURO-HEART): study protocol.

I Ribera, A Ruiz, O Sánchez, E Eixarch, E Antolín, E Gómez-Montes, M Pérez-Cruz, M Cruz-Lemini, M Sanz-Cortés, S Arévalo, Q Ferrer, E Vázquez, L Vega, P Dolader, A Montoliu, H Boix, R V Simões, N Masoller, J Sánchez-de-Toledo, M Comas, J M Bartha, A Galindo, J M Martínez, L Gómez-Roig, F Crispi, O Gómez, E Carreras, L Cabero, E Gratacós, E Llurba,

BACKGROUND:Congenital heart disease (CHD) is the most prevalent congenital malformation affecting 1 in 100 newborns. While advances in early diagnosis and postnatal management have increased survival in CHD children, worrying long-term outcomes, particularly neurodevelopmental disability, have emerged as a key prognostic factor in the counseling of these pregnancies. METHODS:Eligible participants ... Read more >>

BMC Pediatr (BMC pediatrics)
[2019, 19(1):326]

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Shotgun wound to manubrium sterni, right anterior neck, and right supraclavicular area.

David V Feliciano,

Trauma Surg Acute Care Open (Trauma surgery & acute care open)
[2020, 5(1):e000454]

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Early and Late Effects of Cardiac Resynchronization Therapy in Adult Congenital Heart Disease.

Yanrong Yin, Konstantinos Dimopoulos, Eriko Shimada, Karen Lascelles, Samuel Griffiths, Tom Wong, Michael A Gatzoulis, Sonya V Babu-Narayan, Wei Li,

Background There are limited data about cardiac resynchronization therapy (CRT) in adult congenital heart disease. We aimed to assess early and late outcomes of CRT among patients with adult congenital heart disease. Methods and Results We retrospectively studied 54 patients with adult congenital heart disease (median age, 46 years; range, 18-73 years; ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2019, 8(21):e012744]

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Emerging clinical applications of strain imaging and three-dimensional echocardiography for the assessment of ventricular function in adult congenital heart disease.

Michael Huntgeburth, Ingo Germund, Lianne M Geerdink, Narayanswami Sreeram, Floris E A Udink Ten Cate,

Management of congenital heart disease (CHD) in adults (ACHD) remains an ongoing challenge due to the presence of residual hemodynamic lesions and development of ventricular dysfunction in a large number of patients. Echocardiographic imaging plays a central role in clinical decision-making and selection of patients who will benefit most from ... Read more >>

Cardiovasc Diagn Ther (Cardiovascular diagnosis and therapy)
[2019, 9(Suppl 2):S326-S345]

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Tetralogy of Fallot with isolated levocardia in a young female.

Zeeshan Sattar, Hafez Muhammad Abdullah, Sohaib Roomi, Waqas Ullah, Adnan Khan, Ali Ghani, Asrar Ahmad,

Tetralogy of Fallot is the most common cyanotic congenital heart disease. It consists of right ventricular outflow tract obstruction, a ventricular septal defect, abnormally located aorta and right ventricular hypertrophy. It usually occurs as an isolated anomaly with a normally placed heart and abdominal viscera. We present a case of ... Read more >>

J Community Hosp Intern Med Perspect (Journal of community hospital internal medicine perspectives)
[2019, 9(3):275-278]

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Cyanotic Congenital Cardiac Disease and Scoliosis: Pre-Operative Assessment, Surgical Treatment, and Outcomes.

Athanasios I Tsirikos, George A Augustithis, Greg McKean, Christos Karampalis,

OBJECTIVE:Congenital heart disease (CHD) is associated with the development of scoliosis. Improvements in cardiac care have extended survival of children with cyanotic CHD which possess a need for correction of scoliosis. There is limited information on spinal care for these patients. We present 3 patients with CHD who underwent surgical ... Read more >>

Med Princ Pract (Medical principles and practice : international journal of the Kuwait University, Health Science Centre)
[2020, 29(1):46-53]

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Successful staged tricuspid valve replacement following cardiac resynchronization therapy in a congenitally corrected transposition of the great arteries.

Seiji Asagai, Daiji Takeuchi, Hisashi Sugiyama, Mitsugi Nagashima,

Simple tricuspid valve surgery for complex heart disease with systemic right ventricular dysfunction is a high-risk procedure; however, staged tricuspid valve surgery following cardiac resynchronization therapy seems to be a beneficial method to expect reverse systemic ventricular remodeling. ... Read more >>

Clin Case Rep (Clinical case reports)
[2019, 7(8):1484-1488]

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The science and art of aortic and/or pulmonary root translocation.

Supreet P Marathe, Sachin Talwar,

This review aims to present and compare different surgical techniques of root translocation of the great arteries except the Ross procedure. The historical aspects, technical considerations, and results are briefly elucidated. ... Read more >>

Ann Pediatr Cardiol (Annals of pediatric cardiology)
[2020, 13(1):56-66]

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Outcomes of arterial switch operation for Taussig-Bing anomaly versus transposition of great arteries and ventricular septal defect.

Ersin Erek, Dilek Suzan, Selim Aydın, Okan Yıldız, Barış Kırat, I Halil Demir, Ender Ödemiş,

Background:This study aims to present the outcomes of arterial switch operation for Taussig-Bing anomaly versus transposition of the great arteries and ventricular septal defect. Methods:Between November 2010 and December 2016, a total of 100 consecutive arterial switch operations in 42 pediatric patients (25 males, 17 females; median age 17 days; ... Read more >>

Turk Gogus Kalp Damar Cerrahisi Derg (Turk gogus kalp damar cerrahisi dergisi)
[2019, 27(3):266-273]

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Reversed vascularized second metatarsal flap for reconstruction of Manske type IIIB and IV thumb hypoplasia with reduced donor site morbidity.

De-Di Tong, Le-Hao Wu, Peng-Cheng Li, Yan-Bo Rong, Bo Liu, WPAndrew Lee, Qi-Pei Wei, Lu Liu, He-Jia Miao, Shan-Lin Chen,

BACKGROUND:The predominant method for Manske type IIIB and IV thumb hypoplasia is pollicization. However, for those who are not willing to sacrifice the index finger, a method that could reconstruct a functionally capable and aesthetically acceptable thumb remains desirable. This study aimed to investigate and assess the functional and radiographic ... Read more >>

Chin. Med. J. (Chinese medical journal)
[2019, 132(21):2565-2571]

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