Document Detail


Evaluation and management of the adult patient with transposition of the great arteries following atrial-level (Senning or Mustard) repair.
MedLine Citation:
PMID:  18594551     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Atrial-level repair for transposition of the great arteries is one of the greatest achievements of modern cardiovascular medicine, transforming a once fatal congenital heart condition into one with excellent long-term survival. Although atrial-level repair has been supplanted by the arterial switch, there remains a population of patients who underwent atrial-level repair as children and now require ongoing care as adults. Survival slowly continues to decline in this population mainly owing to systemic right ventricular dysfunction and sudden death. Other problems include sinus node dysfunction, atrial arrhythmias, systemic atrioventricular valve regurgitation, baffle problems, and pulmonary hypertension. Evaluation and management of these late complications is addressed.
Authors:
Barry A Love; Davendra Mehta; Valentin F Fuster
Publication Detail:
Type:  Journal Article; Review     Date:  2008-07-01
Journal Detail:
Title:  Nature clinical practice. Cardiovascular medicine     Volume:  5     ISSN:  1743-4300     ISO Abbreviation:  Nat Clin Pract Cardiovasc Med     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-24     Completed Date:  2008-11-03     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  101226507     Medline TA:  Nat Clin Pract Cardiovasc Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  454-67     Citation Subset:  IM    
Affiliation:
Congenital Cardiac Catheterization Laboratory, Mount Sinai Medical Center, New York, NY 10029, USA. barry.love@mssm.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiovascular Surgical Procedures / adverse effects,  methods*
Heart Atria / surgery*
Humans
Postoperative Complications / etiology
Transposition of Great Vessels / epidemiology,  physiopathology,  surgery*
Ventricular Dysfunction, Right

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