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  1. Article ; Online: Congenitally corrected transposition of the great arteries: have we shifted the disease 'trajectory?

    Ladouceur, Magalie

    European heart journal

    2023  Volume 44, Issue 34, Page(s) 3292–3294

    MeSH term(s) Humans ; Congenitally Corrected Transposition of the Great Arteries ; Transposition of Great Vessels/complications ; Transposition of Great Vessels/diagnostic imaging ; Transposition of Great Vessels/surgery ; Arteries ; Heart Failure
    Language English
    Publishing date 2023-08-17
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 603098-1
    ISSN 1522-9645 ; 0195-668X
    ISSN (online) 1522-9645
    ISSN 0195-668X
    DOI 10.1093/eurheartj/ehad482
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  2. Article: Epidemiology and Definition of Heart Failure in Adult Congenital Heart Disease.

    Ladouceur, Magalie / Bouchardy, Judith

    Heart failure clinics

    2024  Volume 20, Issue 2, Page(s) 113–127

    Abstract: Adults with congenital heart disease (ACHD) are facing lifelong complications, notably heart failure (HF). This review focuses on classifications, incidence, prevalence, and mortality of HF related to ACHD. Diagnosing HF in ACHD is intricate due to ... ...

    Abstract Adults with congenital heart disease (ACHD) are facing lifelong complications, notably heart failure (HF). This review focuses on classifications, incidence, prevalence, and mortality of HF related to ACHD. Diagnosing HF in ACHD is intricate due to anatomic variations, necessitating comprehensive clinical evaluations. Hospitalizations and resource consumption for ACHD HF have significantly risen compared with non-ACHD HF patients. With more than 30% prevalence in complex cases, HF has become the leading cause of death in ACHD. These alarming trends underscore the insufficient understanding of ACHD-related HF manifestations and management challenges within the context of aging, complexity, and comorbidity.
    MeSH term(s) Humans ; Adult ; Heart Defects, Congenital/complications ; Heart Defects, Congenital/diagnosis ; Heart Defects, Congenital/epidemiology ; Hospitalization ; Heart Failure/diagnosis ; Heart Failure/epidemiology ; Heart Failure/etiology
    Language English
    Publishing date 2024-01-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2212019-1
    ISSN 1551-7136
    ISSN 1551-7136
    DOI 10.1016/j.hfc.2023.12.001
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  3. Article ; Online: Heart failure in adults with congenital heart disease: a call for action.

    Ladouceur, Magalie

    Heart (British Cardiac Society)

    2021  Volume 107, Issue 10, Page(s) 774–775

    MeSH term(s) Adult ; Disease Progression ; Health Services Needs and Demand ; Heart Defects, Congenital/epidemiology ; Heart Failure/etiology ; Heart Failure/prevention & control ; Heart Transplantation ; Heart-Assist Devices ; Hospitalization/statistics & numerical data ; Humans ; Patient Acuity ; United States/epidemiology
    Language English
    Publishing date 2021-02-23
    Publishing country England
    Document type Editorial
    ZDB-ID 1303417-0
    ISSN 1468-201X ; 1355-6037
    ISSN (online) 1468-201X
    ISSN 1355-6037
    DOI 10.1136/heartjnl-2020-318757
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  4. Article ; Online: Arrhythmia and advanced heart failure in complex congenital heart diseases: What should we do?

    Ladouceur, Magalie

    International journal of cardiology

    2020  Volume 310, Page(s) 94–95

    MeSH term(s) Arrhythmias, Cardiac/diagnosis ; Arrhythmias, Cardiac/epidemiology ; Arrhythmias, Cardiac/surgery ; Cardiomyopathies ; Catheter Ablation ; Heart Failure/diagnosis ; Heart Failure/epidemiology ; Humans
    Language English
    Publishing date 2020-01-13
    Publishing country Netherlands
    Document type Editorial ; Comment
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2020.01.022
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  5. Article ; Online: Grossesse et hypertension artérielle pulmonaire.

    Ladouceur, Magalie

    Presse medicale (Paris, France : 1983)

    2019  Volume 48, Issue 12, Page(s) 1422–1430

    Abstract: Pulmonary hypertension in pregnant women is associated with high mortality and morbidity despite significant improvement in prognosis. Women with pulmonary arterial hypertension (PAH) should be still advised against pregnancy and advised on effective ... ...

    Title translation Pregnancy and pulmonary arterial hypertension.
    Abstract Pulmonary hypertension in pregnant women is associated with high mortality and morbidity despite significant improvement in prognosis. Women with pulmonary arterial hypertension (PAH) should be still advised against pregnancy and advised on effective contraceptive methods. Pregnancy may be manageable in women with well controlled PAH or mild pulmonary hypertension (sPAP<50mmHg). When women with PAH choose to continue their pregnancy, they need: management by a multidisciplinary team in an expert centre; continuation or early introduction of targeted PAH therapy; early planned delivery.
    MeSH term(s) Delivery, Obstetric/methods ; Delivery, Obstetric/standards ; Directive Counseling/methods ; Female ; Humans ; Maternal Mortality ; Preconception Care/methods ; Pregnancy ; Pregnancy Complications, Cardiovascular/epidemiology ; Pregnancy Complications, Cardiovascular/therapy ; Pregnancy Outcome/epidemiology ; Prenatal Care/methods ; Prenatal Care/standards ; Pulmonary Arterial Hypertension/epidemiology ; Pulmonary Arterial Hypertension/therapy ; Risk Factors ; Vasodilator Agents/therapeutic use
    Chemical Substances Vasodilator Agents
    Language French
    Publishing date 2019-10-31
    Publishing country France
    Document type Journal Article ; Review
    ZDB-ID 120943-7
    ISSN 2213-0276 ; 0032-7867 ; 0755-4982 ; 0301-1518
    ISSN (online) 2213-0276
    ISSN 0032-7867 ; 0755-4982 ; 0301-1518
    DOI 10.1016/j.lpm.2019.08.007
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  6. Article ; Online: Predictive machine learning models for ascending aortic dilatation in patients with bicuspid and tricuspid aortic valves undergoing cardiothoracic surgery: a prospective, single-centre and observational study.

    Gaye, Bamba / Vignac, Maxime / Gådin, Jesper R / Ladouceur, Magalie / Caidahl, Kenneth / Olsson, Christian / Franco-Cereceda, Anders / Eriksson, Per / Björck, Hanna M

    BMJ open

    2024  Volume 14, Issue 3, Page(s) e067977

    Abstract: Objectives: The objective of this study was to develop clinical classifiers aiming to identify prevalent ascending aortic dilatation in patients with bicuspid aortic valve (BAV) and tricuspid aortic valve (TAV).: Design and setting: A prospective, ... ...

    Abstract Objectives: The objective of this study was to develop clinical classifiers aiming to identify prevalent ascending aortic dilatation in patients with bicuspid aortic valve (BAV) and tricuspid aortic valve (TAV).
    Design and setting: A prospective, single-centre and observational cohort.
    Participants: The study involved 543 BAV and 491 TAV patients with aortic valve disease and/or ascending aortic dilatation, excluding those with coronary artery disease, undergoing cardiothoracic surgery at the Karolinska University Hospital (Sweden).
    Main outcome measures: Predictors of high risk of ascending aortic dilatation (defined as ascending aorta with a diameter above 40 mm) were identified through the application of machine learning algorithms and classic logistic regression models.
    Exposures: Comprehensive multidimensional data, including valve morphology, clinical information, family history of cardiovascular diseases, prevalent diseases, demographic details, lifestyle factors, and medication.
    Results: BAV patients, with an average age of 60.4±12.4 years, showed a higher frequency of aortic dilatation (45.3%) compared with TAV patients, who had an average age of 70.4±9.1 years (28.9% dilatation, p <0.001). Aneurysm prediction models for TAV patients exhibited mean area under the receiver-operating-characteristic curve (AUC) values above 0.8, with the absence of aortic stenosis being the primary predictor, followed by diabetes and high-sensitivity C reactive protein. Conversely, prediction models for BAV patients resulted in AUC values between 0.5 and 0.55, indicating low usefulness for predicting aortic dilatation. Classification results remained consistent across all machine learning algorithms and classic logistic regression models.
    Conclusion and recommendation: Cardiovascular risk profiles appear to be more predictive of aortopathy in TAV patients than in patients with BAV. This adds evidence to the fact that BAV-associated and TAV-associated aortopathy involves different pathways to aneurysm formation and highlights the need for specific aneurysm preventions in these patients. Further, our results highlight that machine learning approaches do not outperform classical prediction methods in addressing complex interactions and non-linear relations between variables.
    MeSH term(s) Humans ; Middle Aged ; Aged ; Aortic Valve/surgery ; Heart Valve Diseases/complications ; Heart Valve Diseases/surgery ; Prospective Studies ; Dilatation ; Aortic Diseases/complications ; Bicuspid Aortic Valve Disease ; Aneurysm
    Language English
    Publishing date 2024-03-20
    Publishing country England
    Document type Observational Study ; Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2022-067977
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  7. Article ; Online: Increased aortic pressures and pulsatile afterload components promote concentric left ventricular remodeling in adults with transposition of the great arteries and arterial switch operation.

    Belhadjer, Zahra / Ladouceur, Magalie / Soulat, Gilles / Legendre, Antoine / Gencer, Umit / Dietenbeck, Thomas / Iserin, Laurence / Houyel, Lucile / Bonnet, Damien / Mousseaux, Elie

    International journal of cardiology

    2024  Volume 405, Page(s) 131969

    Abstract: Background: Functional abnormalities of the ascending aorta (AA) have been mainly reported in young patients who underwent arterial switch operation (ASO) for transposition of the great arteries (TGA).: Objectives: To compare systolic, diastolic ... ...

    Abstract Background: Functional abnormalities of the ascending aorta (AA) have been mainly reported in young patients who underwent arterial switch operation (ASO) for transposition of the great arteries (TGA).
    Objectives: To compare systolic, diastolic brachial and central blood pressures (bSBP, bDBP, cSBP, cDBP), aortic biomechanical parameters, and left ventricular (LV) afterload criteria in adult ASO patients with healthy controls and to assess their relationships with LV remodeling and aortic size.
    Materials and methods: Forty-one prospectively enrolled patients (16.8 to 35.8 years) and 41 age- and sex-matched healthy volunteers underwent cardiac MRI to assess LV remodeling with simultaneous brachial BP estimation. After MRI, carotid-femoral tonometry was performed to measure pulse wave velocity (cfPWV), cSBP and cDBP for further calculation of pulse pressure (cPP), AA distensibility (AA
    Results: bSBP, bDBP, cSBP,cDBP and cPP were all significantly higher in ASO group than in controls: cSBP (116.5 ± 13.8 vs 106.1 ± 12.0, p < 0.001), cDBP (72.5 ± 6.9 vs 67.1 ± 9.4, p = 0.002), cPP (44.0 ± 12.1 vs 39.1 ± 8.9, p = 0.003) and not related to aortic size. AA
    Conclusion: Even without reaching arterial hypertension, aortic sBP and PP are increased in the adult TGA population after ASO, altering the pulsatile components of afterload and contributing to LV concentric remodeling.
    MeSH term(s) Humans ; Transposition of Great Vessels/surgery ; Transposition of Great Vessels/physiopathology ; Transposition of Great Vessels/diagnostic imaging ; Male ; Female ; Adult ; Arterial Switch Operation ; Ventricular Remodeling/physiology ; Young Adult ; Prospective Studies ; Adolescent ; Arterial Pressure/physiology ; Aorta/diagnostic imaging ; Aorta/physiopathology ; Pulse Wave Analysis ; Magnetic Resonance Imaging, Cine/methods ; Pulsatile Flow/physiology
    Language English
    Publishing date 2024-03-14
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2024.131969
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  8. Article ; Online: Coronary artery disease in adults with Noonan syndrome: Case series and literature review.

    Ly, Reaksmei / Soulat, Gilles / Iserin, Laurence / Ladouceur, Magalie

    Archives of cardiovascular diseases

    2021  Volume 114, Issue 8-9, Page(s) 598–605

    Abstract: Noonan syndrome (NS) is a genetic disorder characterized by facial dysmorphism, congenital heart disease, and short stature. In very rare cases, patients with this syndrome have coronary disease. Their management and prognosis are currently unclear. We ... ...

    Abstract Noonan syndrome (NS) is a genetic disorder characterized by facial dysmorphism, congenital heart disease, and short stature. In very rare cases, patients with this syndrome have coronary disease. Their management and prognosis are currently unclear. We have described 4 cases of coronary aneurysms/coronary ectasia and 1 case of a single coronary artery in patients with adult Noonan syndrome, followed in a medical and surgical center of adult congenital heart disease. The average age was 49.4years old. The majority of them had both pulmonary stenosis and interauricular communication. None had symptoms of angina, at rest, or with stress. Only one patient who had any structural heart disease, had a thrombotic complication with chronic occlusion of the right coronary and anterior inter ventricular artery, fortuitous finding, with no ischemic signs to functional tests, treated only with anti-vitamin K. Finally, any deaths have also been reported in our series. Coronary artery diseases essentially coronary aneurysm/ectasia remain a rare condition in adult patients with NS. Evolution is unknown and complications such as coronary artery thrombosis do not necessarily require surgical treatment.
    MeSH term(s) Adult ; Coronary Aneurysm/diagnostic imaging ; Coronary Aneurysm/therapy ; Coronary Artery Disease/diagnosis ; Coronary Artery Disease/diagnostic imaging ; Heart Defects, Congenital ; Humans ; Middle Aged ; Noonan Syndrome/complications ; Noonan Syndrome/diagnosis ; Pulmonary Valve Stenosis
    Language English
    Publishing date 2021-09-14
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2408778-6
    ISSN 1875-2128 ; 1875-2136
    ISSN (online) 1875-2128
    ISSN 1875-2136
    DOI 10.1016/j.acvd.2021.06.006
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  9. Article ; Online: Cardiac Drugs in ACHD Cardiovascular Medicine.

    Ladouceur, Magalie / Valdeolmillos, Estibaliz / Karsenty, Clément / Hascoet, Sébastien / Moceri, Pamela / Le Gloan, Laurianne

    Journal of cardiovascular development and disease

    2023  Volume 10, Issue 5

    Abstract: Adult congenital heart disease (ACHD) is a growing population that requires life-long care due to advances in pediatric care and surgical or catheter procedures. Despite this, drug therapy in ACHD remains largely empiric due to the lack of clinical data, ...

    Abstract Adult congenital heart disease (ACHD) is a growing population that requires life-long care due to advances in pediatric care and surgical or catheter procedures. Despite this, drug therapy in ACHD remains largely empiric due to the lack of clinical data, and formalized guidelines on drug therapy are currently lacking. The aging ACHD population has led to an increase in late cardiovascular complications such as heart failure, arrhythmias, and pulmonary hypertension. Pharmacotherapy, with few exceptions, in ACHD is largely supportive, whereas significant structural abnormalities usually require interventional, surgical, or percutaneous treatment. Recent advances in ACHD have prolonged survival for these patients, but further research is needed to determine the most effective treatment options for these patients. A better understanding of the use of cardiac drugs in ACHD patients could lead to improved treatment outcomes and a better quality of life for these patients. This review aims to provide an overview of the current status of cardiac drugs in ACHD cardiovascular medicine, including the rationale, limited current evidence, and knowledge gaps in this growing area.
    Language English
    Publishing date 2023-04-24
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2777082-5
    ISSN 2308-3425 ; 2308-3425
    ISSN (online) 2308-3425
    ISSN 2308-3425
    DOI 10.3390/jcdd10050190
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  10. Article ; Online: Multimodality imaging before persistent truncus arteriosus repair in a 36-year-old woman.

    Ly, Reaksmei / Mousseaux, Elie / Iserin, Laurence / Ladouceur, Magalie

    European heart journal. Case reports

    2020  Volume 4, Issue 6, Page(s) 1–2

    Language English
    Publishing date 2020-11-09
    Publishing country England
    Document type Journal Article
    ISSN 2514-2119
    ISSN (online) 2514-2119
    DOI 10.1093/ehjcr/ytaa385
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