Influence of Different Implantation Techniques on Long-term Survival After Orthotopic Heart Transplantation: An Echocardiographic Study

Sun, Jing Ping; Niu, Jianli; Banbury, Michael K.; Zhou, Lingmei; Taylor, David O.; Starling, Randall C.; García, Mario J.; Stewart, William J.; Thomas, James D.

doi:10.1016/j.healun.2007.09.016

Cited by 25 publications

(24 citation statements)

References 25 publications

(27 reference statements)

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“…OHTX has been a life‐saving procedure for patients with advanced heart failure. There are two predominant surgical techniques for OHTX, bicaval and biatrial anastomosis 1 . During the bicaval anastomosis, most of the right and left atria along with the interatrial septum are resected with the ventricles.…”

Section: Discussionmentioning

confidence: 99%

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Coronary Sinus Focus Acting as a Trigger for Atrial Fibrillation in a Patient with Orthotopic Heart Transplantation

Kanj

Biase

Wazni

2008

Cardiovasc electrophysiol

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Coronary Sinus Focus Acting as a Trigger for Atrial Fibrillation. We report the case of a 46-year-old man who presented for evaluation and ablation of paroxysmal atrial fibrillation, which he developed one year prior to presentation and that was refractory to antiarrhythmic drugs. His past medical and surgical history was significant for orthotopic heart transplantation (OHTX) and idiopathic nonfamilial dilated cardiomyopathy. We present the first case of post OHTX where the coronary sinus was acting as a trigger and driver for atrial fibrillation. This illustrates an unusual role of nonpulmonary vein foci in the etiology of atrial fibrillation in patients status post OHTX.

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Section: Discussionmentioning

confidence: 99%

“…The latter was performed using the bicaval technique. 1 Although he was not on any immune‐modulating medications, there was no clinical evidence of rejection. He has had left and right heart catheterization showing angiographically normal coronary arteries with normal filling pressures.…”

Section: Case Presentationmentioning

confidence: 99%

Coronary Sinus Focus Acting as a Trigger for Atrial Fibrillation in a Patient with Orthotopic Heart Transplantation

Kanj

Biase

Wazni

2008

Cardiovasc electrophysiol

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“…RAF was abnormal in PHTx patients transplanted with a bi‐atrial anastomosis, which is consistent with previous reports . The bi‐caval technique is currently the preferred surgical method for heart transplant with several studies demonstrating improved outcomes, including mortality for the bi‐caval vs bi‐atrial anastomosis in the adult population . Unfortunately, the bi‐caval technique can be challenging in infant recipients.…”

Section: Discussionmentioning

confidence: 84%

Right atrial function in pediatric heart transplant patients by echocardiographic strain measurements

Watanabe

Schäfer

Cassidy

et al. 2019

Pediatric Transplantation

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Background CAV is a major cause of mortality in PHTx patients. Research on echocardiographic indices to detect CAV focuses primarily on ventricular function and less is known about RAF. Thus, we primarily sought to evaluate RAF in PHTx patients with CAV. For secondary analysis, we compared RAF between PHTx patients and control patients and evaluated RAF with respect to rejection and surgical type. Methods We retrospectively evaluated echocardiography derived RA strain indices in recipients <18 years old and >1 year from time of transplant. The RA strain phases included, reservoir (εs), conduit (εe), pump (εa), and respective strain rate indices (SRs, SRe, SRa). Results There were 36 PHTx patients and 14 age‐, sex‐matched control patients. There was a significant reduction in εs, εe, SRs, and SRe (P < 0.001) in the PHTx patients when compared to controls. There was no difference between the CAV (+) and CAV (−) patients with respect to RAF indices. Furthermore, εs, εe, and SRe (P < 0.05) were lower in patients with acute rejection (n = 7) compared to those without (n = 26). Patients with a bi‐atrial anastomosis (n = 14) had decreased εs, εa, SRs, SRa (P < 0.05), compared to bi‐caval anastomosis (n = 24). Conclusion PHTx patients have decreased RAF compared to healthy children. RAF does not differentiate PHTx patients based on the presence of CAV. RAF is also decreased in PHTx patients with rejection and in those transplanted with a bi‐atrial anastomosis.

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“…This is in accordance with recent literature that has reported a higher rate of TR in biatrial implantation technique. [42][43][44] Sun et al 43 showed a significant higher rate of TR in patients with biatrial technique, and Goerler et al 5 reported that all but 1 case with tricuspid surgery occurred in patients transplanted in biatrial technique.…”

Section: Tricuspid Valvementioning

confidence: 99%

Cardiac Surgery after Heart Transplantation - Elective Operation or Last Exit Strategy?

Goekler

Aliabadi

Salameh

et al. 2016

The Journal of Heart and Lung Transplantation

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Influence of Different Implantation Techniques on Long-term Survival After Orthotopic Heart Transplantation: An Echocardiographic Study

Cited by 25 publications

References 25 publications

Coronary Sinus Focus Acting as a Trigger for Atrial Fibrillation in a Patient with Orthotopic Heart Transplantation

Coronary Sinus Focus Acting as a Trigger for Atrial Fibrillation in a Patient with Orthotopic Heart Transplantation

Right atrial function in pediatric heart transplant patients by echocardiographic strain measurements

Cardiac Surgery after Heart Transplantation - Elective Operation or Last Exit Strategy?

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