Risk factors for arrhythmia and late death in patients with right ventricle to pulmonary artery conduit repair—Japanese multicenter study

Tateno, Shigeru; Niwa, Koichiro; Nakazawa, Makoto; Iwamoto, Mari; Yokota, Michio; Nagashima, Masami; Echigo, Shigeyuki; Kado, Hideaki; Shima, Masayuki

doi:10.1016/j.ijcard.2005.02.030

Cited by 19 publications

(9 citation statements)

References 27 publications

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“…Both supraventricular and ventricular arrhythmias can be seen with Rastelli-type operations. 9 Our study showed that early transient and late arrhythmias together have a significant relation with VSD enlargement. Furthermore, late arrhythmia was a predictor for late death.…”

Section: Discussionsupporting

confidence: 50%

“…Although right ventriculotomy might result in arrhythmogenic potential of the scar, both groups of our patients were similar for this myocardial resection. 10,11 Tateno and coworkers 9 reported older age at the time of operation as a predictive risk factor for supraventricular tachyarrhythmia. However, ventricular tachyarrhythmia or sudden death is also associated with right ventricular hypertension caused by progressive right ventricular outflow tract stenosis.…”

Section: Discussionmentioning

confidence: 99%

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The effect of ventricular septal defect enlargement on the outcome of Rastelli or Rastelli-type repair

Navabi

Shabanian

Kiani

et al. 2009

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

The effect of ventricular septal defect enlargement on the outcome of Rastelli or Rastelli-type repair

Navabi

Shabanian

Kiani

et al. 2009

The Journal of Thoracic and Cardiovascular Surgery

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“…In the modern era of PAH management, RV failure (36%) and sudden cardiac death (28%) together account for the majority of deaths in patients with PAH (15,16). However, in contrast to patients with advanced left heart disease, malignant ventricular arrhythmias such as ventricular tachycardia (VT) and ventricular fibrillation (VF) are relatively rare in patients with PAH.…”

Section: Ventricular Arrhythmias and Sudden Cardiac Deathmentioning

confidence: 99%

Arrhythmias in Pulmonary Arterial Hypertension

Rajdev

Garan

Biviano

2012

Progress in Cardiovascular Diseases

101

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Cardiac arrhythmias are important contributors to morbidity and mortality in patients with pulmonary arterial hypertension (PAH). Such patients manifest a substrate resulting from altered autonomics, repolarization abnormalities, and ischemia. Supraventricular arrhythmias such as atrial fibrillation and flutter are associated with worsened outcomes, and maintenance of sinus rhythm is a goal. Sudden death is a relatively common issue, though the contribution of malignant ventricular arrhythmias versus bradyarrhythmias differs from non-PAH patients. Congenital heart disease patients with PAH benefit from catheter ablation of medically refractory arrhythmias. Clinical studies of defibrillator/pacemaker therapy for primary prevention against sudden death in PAH patients are lacking.

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“…Catheter ablation or surgical antiarrhythmic maneuvers are to be planned in conjunction with hemodynamic offloading of the heart. A Japanese national study regarding arrhythmia after conduit repair 958 indicated that late death occurred in 9% of the cohort (including sudden death) and ventricular arrhythmia in 2%.…”

Section: Medical Treatmentmentioning

confidence: 99%

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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Risk factors for arrhythmia and late death in patients with right ventricle to pulmonary artery conduit repair—Japanese multicenter study

Cited by 19 publications

References 27 publications

The effect of ventricular septal defect enlargement on the outcome of Rastelli or Rastelli-type repair

The effect of ventricular septal defect enlargement on the outcome of Rastelli or Rastelli-type repair

Arrhythmias in Pulmonary Arterial Hypertension

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

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