Exercise Capacity After Repair of Ebstein Anomaly in Adults

Morrical, Brandon D.; Dearani, Joseph A.; Bonnichsen, Crystal R.; Taggart, Nathaniel W.

doi:10.1007/s00246-019-02056-9

Cited by 6 publications

(2 citation statements)

References 11 publications

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“…484 In Ebstein malformation, not a few reports describe that the peak V ˙O2 value is 50-60% of normal when surgical intervention is decided. [485][486][487] Functional class improves after surgery, whereas peak V ˙O2 does not improve drastically. In most patients, the value remains within a subnormal range.…”

Section: ▋ 62 Exercise Tolerance In Chd Patientsmentioning

confidence: 91%

“…In most patients, the value remains within a subnormal range. 485 This is an obvious contrast to the favorable recovery after repair of ASD, despite the fact that the hemodynamic background is volume overload to the right heart in both diseases. 486 Impaired exercise tolerance is almost always the case in asymptomatic children with Ebstein malformation.…”

Section: ▋ 62 Exercise Tolerance In Chd Patientsmentioning

confidence: 98%

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JCS 2022 Guideline on Management and Re-Interventional Therapy in Patients With Congenital Heart Disease Long-Term After Initial Repair

Ohuchi

Kawata²,

Uemura

et al. 2022

Circ J

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9JCS 2022 Guideline on Management/Re-Intervention in ACHD comorbidity, 172 and cardiac catheterization is fundamental for its evaluation. 173 ▋ 3.4.4 Left Heart Catheterization and Coronary Angiography Echocardiography, CT, and MRI are often substituted for left ventriculography, aortography, or coronary angiography. CT precisely illustrates abnormal origins and courses of the coronary arteries in many cases, which is why coronary angiography is not recommended as a routine examination (Class III). In some patients, nonetheless, coronary angiography is quite informative beyond CT resolution; for example, anastomotic stenosis at the coronary arterial origin would be better demonstrated by catheter angiography after the arterial switch procedure. 174 ▋ 3.4.5 Endomyocardial Biopsy Endomyocardial biopsy is rarely required in patients with postoperative CHD. ▋ 3.4.6 Catheter InterventionTranscatheter closure of atrial septal defect or patent ductus arteriosus is carried out routinely in the cardiac catheterization room, as is percutaneous pulmonary angioplasty. Interventional closure of ventricular septal defect needs more evidence before becoming established in Japan.Transcatheter pulmonary valve replacement will be introduced in the near future.Electrophysiological study and catheter ablation are common practices for arrhythmias in the CHD field. Recent advances in technology and devices, such as 3D mapping systems, have contributed to notable results in anti-arrythmic treatments in patients with repaired CHD. 175

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