Cardiac resynchronisation therapy associated with pulmonary artery banding in an adult with severe right ventricular dysfunction after Mustard repair for complete transposition of the great arteries: results after 2 years of follow-up

2013 ◽  
Vol 24 (1) ◽  
pp. 99-104 ◽  
Author(s):  
Luca Donazzan ◽  
Giovanni Stellin ◽  
Werner Guenther Rauhe ◽  
Lucio Bonazza ◽  
Josef Stuefer ◽  
...  

AbstractLate dysfunction of the systemic right ventricle in patients with complete transposition of the great arteries after Mustard or Senning procedures and progressive deterioration of the clinical status has been demonstrated. However, evidence-based data on the effective therapy for systemic right ventricular dysfunction in these patients are yet to be defined. Our patient shows an improvement in the right ventricular systolic function, with a reduction in tricuspid regurgitation and a consequent better exercise tolerance after a hybrid approach consisting of an upgrading of a previous transvenous-implanted dual-chamber Implantable Cardiac Defibrillator to biventricular pacing associated with pulmonary artery banding via an anterior thoracotomy.

2010 ◽  
Vol 55 (10) ◽  
pp. A154.E1446
Author(s):  
Gerin Rachel Stevens ◽  
Ana Garcia-Alvarez ◽  
Sean Pinney ◽  
Mario J. Garcia ◽  
Valentin Fuster ◽  
...  

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Alvionita Patandean ◽  
Frans E. N. Wantania ◽  
Luciana Rotty

Abstract: Right ventricular dysfunction is associated with chronic heart failure prognosis. TAPSE is one of the right ventricular systolic function tests which is routinely performed and adds prognostic information in patients with chronic heart failure (CHF). Gamma-glutamyl transferase (GGT) is a liver enzyme used to assess hepatobiliary dysfunction with high sensitivity. GGT is related to the severity of CHF and right ventricular dysfunction. This study aimed to determine the relationship of TAPSE and GGT in patients with CHF. This was an observational analytical study with a cross sectional design, conducted to CHF patients at Internal Medicine Department of Prof. Dr. R. D. Kandou Hospital Manado. The results showed 25 samples, aged 30-79 years. There were more males than females. The bivariate analysis showed the value of r = -0.212 and P = 0.156. Conclusion: There was no association between TAPSE and GGT in patients with chronic heart failure. Keywords: CHF, TAPSE, GGT, right ventricular dysfunction Abstrak: Disfungsi ventrikel kanan berhubungan dengan prognosis jangka panjang gagal jantung. TAPSE merupakan salah satu pemeriksaan fungsi sistolik ventrikel kanan yang rutin dilakukan dan menambah informasi prognostik pada pasien gagal jantung kronik (CHF). Gamma-glutamyl transferase (GGT) merupakan enzim hati untuk menilai fungsi hepatobiliaris dengan sensitifitas tinggi. GGT berhubungan dengan beratnya CHF dan disfungsi ventrikel kanan. Penelitian ini bertujuan untuk mengetahui hubungan TAPSE dan GGT pada pasien gagal jantung kronik. Jenis penelitian ialah observasional analitik dengan desain potong lintang terhadap pasien gagal jantung kronik di Bagian Ilmu Penyakit Dalam RSUP Prof. R. D. Kandou Manado. Hasil penelitian mendapatkan 25 sampel, usia 30-79 tahun. Jenis kelamin laki-laki lebih banyak daripada perempuan. Hasil analisis bivariat menunjukkan nilai r = -0,212 dan nilai P = 0,156 >0,05. Simpulan: Tidak terdapat hubungan antara TAPSE dan GGT pada pasien gagal jantung kronik.Kata kunci: gagal jantung kronik, TAPSE, GGT, disfungsi ventrikel kanan


2020 ◽  
Vol 17 (2) ◽  
pp. 66-68
Author(s):  
I. E. Chazova ◽  
T. V. Martynyuk ◽  
N. M. Danilov

Pulmonary hypertension (PH) is a group of diseases with a hemodynamic pattern of progressive increase in pulmonary vascular resistance (PVR) and pulmonary artery pressure (PAP), which leads to right ventricular dysfunction and the development of right ventricular heart failure.


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