scholarly journals Prosthetic valves in the pulmonary position

2021 ◽  
Author(s):  
◽  
Hanna Pragt
Keyword(s):  
Quality Of Life ◽  
Prosthetic Valve ◽  
Congenital Heart ◽  
Pulmonary Valve ◽  
Prosthetic Heart Valve ◽  
Pulmonary Valve Replacement ◽  
Prosthetic Valves ◽  
Mechanical Prosthetic Valve ◽  
The Right

In this thesis the prosthetic heart valve in the pulmonary position has been analyzed. The results in this thesis demonstrate that there is a need for a suitable valve for the pulmonary position, tailored to the physiological circumstances of the right ventricle and the young age of this population. Currently available valve types each have its own limitation that tend to be more prone in the pulmonary position. We have demonstrated that a mechanical prosthetic valve can be a suitable option for pulmonary valve replacement. furthermore, we have demonstrated that the hemodynamic conditions in which the valve is placed influence the functionality of valve. Our results showed that the quality of life of congenital heart disease patients with a prosthetic valve is comparable to the general population. Overall, we can conclude that the use of prosthetic valves in the pulmonary valve is suboptimal, while life expectancy increases and in particular the Quality of Life of patients with a pulmonary prosthetic valve does not seem to be affected.

Advantages of a mini right axillary thoracotomy for congenital heart defect repair in children

2021 ◽  
pp. 1-6
Author(s):  
Jannika Dodge-Khatami ◽  
Ali Dodge-Khatami
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Global Health ◽  
Congenital Heart ◽  
Surgical Repair ◽  
Median Sternotomy ◽  
Axillary Approach ◽  
Post Operative Pain ◽  
The Right

Abstract Objectives: The mini right axillary thoracotomy is an alternative surgical approach to repair certain congenital heart defects. Quality-of-life metrics and clinical outcomes in children undergoing either the right axillary approach or median sternotomy were compared. Methods: Patients undergoing either approach for the same defects between 2018 and 2020 were included. Demographic details, operative data, and outcomes were compared between both groups. An abbreviated quality of life questionnaire based on the Infant/Toddler/Child Health Questionnaires focused on the patient’s global health, physical activity, and pain/discomfort was administered to all parents/guardians within two post-operative years. Results: Eighty-seven infants and children underwent surgical repair (right axillary thoracotomy, n = 54; sternotomy, n = 33) during the study period. There were no mortalities in either group. The right axillary thoracotomy group experienced significantly decreased red blood cell transfusion, intubation, intensive care, and hospital durations, and earlier chest tube removal. Up to 1 month, parents’ perception of their child’s degree and frequency of post-operative pain was significantly less after the right axillary thoracotomy approach. No difference was found in the patient’s global health or physical activity limitations beyond a month between the two groups. Conclusions: With the mini right axillary approach, surrogates of faster clinical recovery and hospital discharge were noted, with a significantly less perceived degree and frequency of post-operative pain initially, but without the quality of life differences at last follow-up. While providing obvious cosmetic advantages, the minimally invasive right axillary thoracotomy approach for the surgical repair of certain congenital heart lesions is a safe alternative to median sternotomy.

Exercise capacity, quality of life, and resilience after repair of tetralogy of Fallot: a cross-sectional study of patients operated between 1964 and 2009

2013 ◽  
Vol 24 (1) ◽  
pp. 79-86 ◽  
Author(s):  
Alessandra Frigiola ◽  
Catherine Bull ◽  
Jo Wray
Keyword(s):  
Quality Of Life ◽  
Tetralogy Of Fallot ◽  
Valve Replacement ◽  
Pulmonary Valve ◽  
Pulmonary Valve Replacement ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Tetralogy Of Fallot Repair

AbstractIntroductionPatients with repaired tetralogy of Fallot have good long-term survival but less is known about the subjectively assessed quality of life or objectively measured functional status of those who have not required subsequent pulmonary valve replacement. We assessed these parameters in a group of children and adults free from pulmonary valve replacement after tetralogy of Fallot repair.Methods and resultsA random sample of 50 subjects – 16 children and 34 adults, aged 4.1–56.7 years – who had undergone tetralogy of Fallot repair and were free from subsequent pulmonary valve replacement underwent cardiopulmonary exercise testing and completed standardised questionnaires assessing health-related quality of life and resilience. Patients were generally asymptomatic (median New York Heart Association class = I). Exercise capacity was within two standard deviations of normal for most children and adults (mean z VO2max: 0.20 ± 1.5; mean z VE/VCO2: −0.9 ± 1.3). Children reported a total health-related quality of life score similar to healthy norms (78 ± 10 versus 84 ± 1, p = 0.73). Adult survivors also reported quality of life scores comparable to healthy norms. Resilience was highly correlated with all domains of health-related quality of life (r = 0.713, p < 0.0001).ConclusionsPatients who have undergone tetralogy of Fallot repair in childhood and have not required pulmonary valve replacement have a good long-term health-related quality of life. The finding that patients with greater resilience had better health-related quality of life suggests that it may be beneficial to implement interventions to foster resilience.

Prosthetic pulmonary valve and conduit endocarditis in congenital heart disease

2019 ◽  
Vol 27 (4) ◽  
pp. 265-270
Author(s):  
Fernando Rebollal-Leal ◽  
Raúl Felipe-Abella ◽  
Francisco Gutierrez-García ◽  
Carlos A. Mestres ◽  
Victor Bautista-Hernandez
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Prosthetic Valve ◽  
Congenital Heart ◽  
Pulmonary Valve ◽  
Prosthetic Valve Endocarditis ◽  
Rare Condition ◽  
Pulmonary Valve Replacement ◽  
Review Management ◽  
Life Threatening

Background Pulmonary valve replacement is one of the most common procedures in patients with congenital heart disease. Little is known about prosthetic valve endocarditis in this population. Objectives To review management and outcomes of pediatric and adult patients with a prosthetic pulmonary valve or right ventricle-to-pulmonary artery conduit infective endocarditis. Methods and results A multiinstitutional cohort of 10 patients is reported. Median age at endocarditis was 24 years (range 8–41 years). The most common causative organisms were Staphylococcus ( n = 4) and Streptococcus species ( n = 2). In addition to medical treatment, 5 patients required surgery. Majors complications such as renal damage, life-threatening hemoptysis, and septic shock were observed. No patient died in hospital or during follow-up. Conclusions Pulmonary prosthetic valve endocarditis is a rare condition associated with significant morbidity and a high risk of requiring operative intervention. Larger studies are required to optimize the management.

Cardiovascular Physiology and Disease in Youth

2015 ◽  
Vol 27 (1) ◽  
pp. 39-41
Author(s):  
Thomas Rowland
Keyword(s):  
Quality Of Life ◽  
Tetralogy Of Fallot ◽  
Valve Replacement ◽  
Pulmonary Valve ◽  
Pulmonary Valve Replacement ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Tetralogy Of Fallot Repair

Introduction:Patients with repaired tetralogy of Fallot have good long-term survival but less is known about the subjectively assessed quality of life or objectively measured functional status of those who have not required subsequent pulmonary valve replacement. We assessed these parameters in a group of children and adults free from pulmonary valve replacement after tetralogy of Fallot repair.Methods and Results:A random sample of 50 subjects—16 children and 34 adults, aged 4.1-56.7 years—who had undergone tetralogy of Fallot repair and were free from subsequent pulmonary valve replacement underwent cardiopulmonary exercise testing and completed standardized questionnaires assessing health related quality of life and resilience. Patients were generally asymptomatic (median New York Heart Association class = 1). Exercise capacity was within two standard deviations of normal for most children and adults (mean z VO2max: 0.20 + 1.5; mean z VO2max: 0.20 + 1.5; mean z VE/VCO2 −0.9 + 1.3). Children reported a total health-related quality of life score similar to healthy norms (78 + 10 versus 84 + 1, p = .73). Adult survivors also reported quality of life scores comparable to healthy norms. Resilience was highly correlated with all domains of health-related quality of life (r = .713, p < .0001).Conclusions:Patients who have undergone tetralogy of Fallot repair in childhood and have not required pulmonary valve replacement have a good long-term health-related quality of life. The finding that patients with greater resilience had better health-related quality of life suggests that it may be beneficial to implement interventions to foster resilience.

scholarly journals QUALITY OF LIFE AFTER PULMONARY VALVE REPLACEMENT IN PATIENTS WITH TETRALOGY OF FALLOT

2011 ◽  
Vol 57 (14) ◽  
pp. E463
Author(s):  
Harsimran S. Singh ◽  
Jonathan Ginns ◽  
Zhezhen Jin ◽  
Jan M. Quaegebeur ◽  
Deborah R. Gersony ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Tetralogy Of Fallot ◽  
Valve Replacement ◽  
Pulmonary Valve ◽  
Pulmonary Valve Replacement

scholarly journals Health-Related Quality of Life and Congenital Heart Disease in Australia

2012 ◽  
Vol 21 ◽  
pp. S293
Author(s):  
K. Eagleson ◽  
R. Justo ◽  
F. Boyle ◽  
R. Ware ◽  
S. Johnson
Keyword(s):  
Quality Of Life ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related
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