Case 15

2013 ◽  
pp. 467-488
Author(s):  
Samuel J. Asirvatham ◽  
Yong-Mei Cha ◽  
Paul A. Friedman
Keyword(s):  
Atrial Fibrillation ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Atrial Flutter ◽  
Congenital Heart ◽  
Catheter Placement ◽  
Successful Ablation ◽  
History Of ◽  
Mapping Techniques ◽  
Case Presentations

Case presentations focus on mapping techniques, diagnosis, and proper catheter placement for successful ablation of arrhythmias. This case focuses on the adult with a history of congenital heart disease, tachypalpitations, atrial fibrillation, and atrial flutter.

Case 16

2013 ◽  
pp. 489-522
Author(s):  
Samuel J. Asirvatham ◽  
Yong-Mei Cha ◽  
Paul A. Friedman
Keyword(s):  
Atrial Fibrillation ◽  
Atrial Flutter ◽  
Catheter Placement ◽  
Cavotricuspid Isthmus ◽  
Successful Ablation ◽  
Mapping Techniques ◽  
Case Presentations

Case presentations focus on mapping techniques, diagnosis, and proper catheter placement for successful ablation of arrhythmias. This case focuses on atrial flutter, atrial fibrillation, the cavotricuspid isthmus, and intracardiac ultrasonography.

Case 10

2013 ◽  
pp. 377-390
Author(s):  
Samuel J. Asirvatham ◽  
Yong-Mei Cha ◽  
Paul A. Friedman
Keyword(s):  
Atrial Fibrillation ◽  
Atrial Flutter ◽  
Catheter Placement ◽  
Successful Ablation ◽  
Mapping Techniques ◽  
Case Presentations

Case presentations focus on mapping techniques, diagnosis, and proper catheter placement for successful ablation of arrhythmias. This case focuses on premature atrial contractions, tachycardia, atrial fibrillation, atrial flutter, and ectopy.

Case 4

2013 ◽  
pp. 309-316
Author(s):  
Samuel J. Asirvatham ◽  
Yong-Mei Cha ◽  
Paul A. Friedman
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Placement ◽  
Successful Ablation ◽  
Mapping Techniques ◽  
Case Presentations

Case presentations focus on mapping techniques, diagnosis, and proper catheter placement for successful ablation of arrhythmias. This case focuses on atrial fibrillation treated with ablation.

Case 17

2013 ◽  
pp. 523-533
Author(s):  
Samuel J. Asirvatham ◽  
Yong-Mei Cha ◽  
Paul A. Friedman
Keyword(s):  
Atrial Fibrillation ◽  
Heart Block ◽  
Accessory Pathway ◽  
Conduction Block ◽  
Catheter Placement ◽  
Junctional Tachycardia ◽  
Successful Ablation ◽  
Mapping Techniques ◽  
Case Presentations

Case presentations focus on mapping techniques, diagnosis, and proper catheter placement for successful ablation of arrhythmias. This case focuses on intractable atrial fibrillation, multiple atrial flutters, bilateral conduction block, accessory pathway conduction, junctional tachycardia, premature atrial contractions, H-A interval, H-H interval, H-V interval, A-H interval, and heart block.

scholarly journals THE RELATIONSHIP BETWEEN ATRIAL FLUTTER AND ATRIAL FIBRILLATION IN ADULTS WITH CONGENITAL HEART DISEASE

2015 ◽  
Vol 65 (10) ◽  
pp. A507 ◽  
Author(s):  
Elmar Malek ◽  
Duc Do ◽  
George Lui ◽  
Daniel Murphy ◽  
Jamil Aboulhosn ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Atrial Flutter ◽  
Congenital Heart ◽  
The Relationship

scholarly journals Familial congenital heart disease in Bandung, Indonesia

2013 ◽  
Vol 53 (3) ◽  
pp. 173
Author(s):  
Sri Endah Rahayuningsih
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Dilated Cardiomyopathy ◽  
Congenital Heart ◽  
Family Studies ◽  
Recurrence Risk ◽  
Descriptive Study ◽  
Pedigree Analysis ◽  
Tricuspid Atresia ◽  
History Of

Background Congenital heart disease (CHD) may occur inseveral members of a family. Studies have shown that familialgenetic factor play a role in CHD.Objective To identify familial recurrences of CHD in familieswith at least one member treated for CHD in Dr. Hasan SadikinHospital, Bandung Indonesia.Methods In this descriptive study, subjects were CHD patientshospitalized or treated from January 2005 to December 2011. Weconstructed family pedigrees for five families.Results During the study period, there were 1,779 patients withCHD. We found 5 families with 12 familial CHD cases, consistingof 8 boys and 4 girls. Defects observed in these 12 patients weretetralogy of Fallot, transposition of the great arteries, persistentductus arteriosus, ventricular septa! defect, tricuspid atresia,pulmonary stenos is, and dilated cardiomyopathy. Persistent ductusarteriosus was the most frequently observed defect (4 out of 12subjects) . None of the families had a history of consanguinity. Therecurrence risk of CHD among siblings was calculated to be 0.67%,and the recurrence risk ofCHD among cousins was 0.16%.Conclusion Familial CHD may indicate the need for geneticcounseling and further pedigree analysis.

Percutaneous Transhepatic Access for Ablation of Atypical Atrial Flutter in Complex Congenital Heart Disease

2012 ◽  
Vol 24 (5) ◽  
pp. 589-590 ◽  
Author(s):  
SÉBASTIEN KNECHT ◽  
MARC LAUREYS ◽  
JOSE CASTRO-RODRIGUEZ ◽  
HUGUES DESSY ◽  
MATTHEW WRIGHT ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Atrial Flutter ◽  
Congenital Heart ◽  
Complex Congenital Heart Disease ◽  
Transhepatic Access

scholarly journals Double Inlet Left Ventricle with Eisenmenger Syndrome in an Adult – A Case Report

2017 ◽  
Vol 5 (1) ◽  
pp. 53-56
Author(s):  
Rahul Regi Abraham ◽  
Rahul Regi Abraham
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Left Ventricle ◽  
Congenital Heart ◽  
Pulmonary Stenosis ◽  
Eisenmenger Syndrome ◽  
Tertiary Center ◽  
History Of ◽  
Double Inlet Left Ventricle

Background: Patient diagnosed with double inlet left ventricle (prevalent in 5 – 10 in 100,000 newborns) complicated with Eisenmenger syndrome had a median survival age of 14 years without corrective surgery. Congenital heart disease such as this is usually treated by multiple surgeries during early childhood. A surgically uncorrected case in adults is not of common occurrence. Further, generalized itching after coming in contact with water (aquagenic pruritis) presented an interesting conundrum to treat. Case: A 29-year-old patient in India presented at a primary health care center with a history of difficulty breathing and discoloration of extremities since birth. He also gave a history of itching which commonly occurred after taking bath, hemoptysis and history of turning blue in color after birth. Patient had received no treatment besides regular phlebotomies. On examination, there was grade IV clubbing and conjunctival congestion. Cardiovascular examination revealed an enlarged heart, heaving apex beat and a pan-systolic murmur. A provisional diagnosis of a congenital cyanotic heart disease was made. Investigations revealed hemoglobin of 16.8g/dl. X–ray and electrocardiogram showed hypertrophy of the ventricles. An echocardiogram showed double inlet left ventricle with L-malposed vessels but without pulmonary stenosis. A final diagnosis of congenital heart disease; double inlet left ventricle, L-malposed vessels without pulmonary stenosis, Eisenmenger Syndrome and absolute erythrocytosis was made. Patient was advised for further management with a cardiologist in a tertiary center but the patient did not follow up. Conclusion: Unlike in high-income countries where most congenital heart diseases are detected and dealt with at birth whereas low-and middle-income nations often have to deal with cases that present much later and should often be included in the differential diagnosis. Inability to follow up cases, centers that are poorly equipped and lack of facilities for investigations, patient’s lack of medical awareness, and financial restrictions are major barriers to providing optimal treatment.

Abstract 13468: Effect of Listing Criteria on Transplant Rate and Early Outcomes in Adults With Congenital Heart Disease

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Wagih m Zayed ◽  
Neha Bansal ◽  
Snehal R Patel ◽  
Jacqueline M Lamour ◽  
Daniel J GOLDSTEIN ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Primary Diagnosis ◽  
Organ Allocation ◽  
Transplant Recipients ◽  
Allocation Policy ◽  
Kaplan Meier ◽  
Allocation Criteria ◽  
History Of

Introduction: Heart failure (HF) is the leading cause of death in adults with congenital heart disease (ACHD). Heart transplant (HT) is one of the few options for the treatment of advanced HF in this growing population. In October 2018, the United Network for Organ Sharing (UNOS) implemented a change in organ allocation criteria. The effect of this change on outcomes in ACHD patients (pts) after listing and transplant has not been evaluated. Hypothesis: Change in organ allocation criteria negatively impacts outcomes in ACHD patients. Methods: Data from the Scientific Registry of Transplant Recipients in pts age > 18 years old listed for HT between Oct. 2016 and 0ct. 2019 and followed through March 2020 were analyzed. Pts were grouped by diagnosis (ACHD and non-ACHD) and by the time of listing (pre- and post-change in allocation criteria). Differences in comorbidities, outcomes while listed, and 1-year Kaplan Meier survival post-HT were compared among groups. For comparison, post-change criteria (status 1-6) were equated to pre-change criteria (status 1A, 1B, 2). Results: Over 3 years, 11,931 patients were listed for HT; 459 had a primary diagnosis of ACHD. ACHD was present in 279/7942 pts listed in the 2 years pre-change and 180/3989 pts in the year post-change. ACHD pts listed post-change were less likely to have a history of cardiac surgery (88% vs. 79%, p=0.01) and more likely to have an abnormal BMI (p=0.015) than ACHD pts pre-change. Post-change, ACHD pts were listed at a higher priority status compared to pre-change ACHD. (Figure). The proportion of pts transplanted with ACHD increased slightly pre- and post-change (3.7% vs. 4.1%). There was no difference in 1-year survival in ACHD pts transplanted pre- and post-change (Figure). Conclusions: Recent changes to the UNOS organ allocation policy increased the proportion of ACHD patients transplanted with no change in early post-HT survival.

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