Artikel ; Online: Decreased clinical performance in TGA-ASO patients after RVOT interventions; a multicenter European collaboration.
International journal of cardiology
2024 Band 407, Seite(n) 132027
Abstract: Background: In patients with transposition of the great arteries and an arterial switch operation (TGA-ASO) right ventricular outflow tract (RVOT) obstruction is a common complication requiring one or more RVOT interventions.: Objectives: We aimed to ...
| Abstract | Background: In patients with transposition of the great arteries and an arterial switch operation (TGA-ASO) right ventricular outflow tract (RVOT) obstruction is a common complication requiring one or more RVOT interventions. Objectives: We aimed to assess cardiopulmonary exercise capacity and right ventricular function in patients stratified for type of RVOT intervention. Methods: TGA-ASO patients (≥16 years) were stratified by type of RVOT intervention. The following outcome parameters were included: predicted (%) peak oxygen uptake (peak VO2), tricuspid annular plane systolic excursion (TAPSE), tricuspid Lateral Annular Systolic Velocity (TV S'), right ventricle (RV)-arterial coupling (defined as TAPSE/RV systolic pressure ratio), and N-terminal proBNP (NT-proBNP). Results: 447 TGA patients with a mean age of 25.0 (interquartile range (IQR) 21-29) years were included. Patients without previous RVOT intervention (n = 338, 76%) had a significantly higher predicted peak VO2 (78.0 ± 17.4%) compared to patients with single approach catheter-based RVOT intervention (73.7 ± 12.7%), single approach surgical RVOT intervention (73.8 ± 28.1%), and patients with multiple approach RVOT intervention (66.2 ± 14.0%, p = 0.021). RV-arterial coupling was found to be significantly lower in patients with prior catheter-based and/or surgical RVOT intervention compared to patients without any RVOT intervention (p = 0.029). Conclusions: TGA patients after a successful arterial switch repair have a decreased exercise capacity. A considerable amount of TGA patients with either catheter or surgical RVOT intervention perform significantly worse compared to patients without RVOT interventions. |
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| Mesh-Begriff(e) | Humans ; Male ; Female ; Transposition of Great Vessels/surgery ; Transposition of Great Vessels/physiopathology ; Adult ; Young Adult ; Europe/epidemiology ; Ventricular Outflow Obstruction/surgery ; Ventricular Outflow Obstruction/physiopathology ; Ventricular Outflow Obstruction/diagnostic imaging ; Arterial Switch Operation/methods ; Arterial Switch Operation/adverse effects ; Exercise Tolerance/physiology ; Exercise Test/methods ; Treatment Outcome ; Ventricular Function, Right/physiology ; Follow-Up Studies | |||||
| Sprache | Englisch | |||||
| Erscheinungsdatum | 2024-04-05 | |||||
| Erscheinungsland | Netherlands | |||||
| Dokumenttyp | Journal Article ; Multicenter Study | |||||
| ZDB-ID | 779519-1 | |||||
| ISSN | 1874-1754 ; 0167-5273 | |||||
| ISSN (online) | 1874-1754 | |||||
| ISSN | 0167-5273 | |||||
| DOI | 10.1016/j.ijcard.2024.132027 | |||||
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| Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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