The impact of pulmonary artery banding and cardiac resynchronization therapy for the adult patient with congenitally corrected transposition of the great arteries

Research output: Contribution to journalArticle

Abstract

It has been controversial how to manage severe dysfunction of the systemic right ventricle and severe tricuspid regurgitation for adult patients with congenitally corrected transposition of the great arteries. We reported a 43-year-old man with these disorders, who received pulmonary artery banding and cardiac resynchronization therapy without cardiopulmonary bypass. The degree of the tricuspid regurgitation was improved to mild–moderate and systemic right ventricular ejection fraction was improved from 28 to 45% after surgery. Cardiopulmonary exercise testing showed that the predictive value of anaerobic threshold and peak oxygen uptake improved from 65 to 99% and 59 to 92%, respectively. In conclusion, pulmonary artery banding and cardiac resynchronization therapy can be the first choice of surgery for severe tricuspid regurgitation with severely impaired systemic right ventricular function. After improving systemic right ventricular dysfunction tricuspid surgery could be the next choice as a surgical intervention in the future.

Original languageEnglish
JournalGeneral Thoracic and Cardiovascular Surgery
DOIs
Publication statusPublished - Jan 1 2019

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Tricuspid Valve Insufficiency
Cardiac Resynchronization Therapy
Pulmonary Artery
Right Ventricular Dysfunction
Anaerobic Threshold
Right Ventricular Function
Cardiopulmonary Bypass
Stroke Volume
Heart Ventricles
Exercise
Oxygen
Congenitally corrected transposition of the great arteries

Keywords

  • Adult
  • Congenitally corrected transposition of the great arteries
  • Pulmonary artery banding
  • Right ventricular dysfunction
  • Tricuspid regurgitation

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "The impact of pulmonary artery banding and cardiac resynchronization therapy for the adult patient with congenitally corrected transposition of the great arteries",
abstract = "It has been controversial how to manage severe dysfunction of the systemic right ventricle and severe tricuspid regurgitation for adult patients with congenitally corrected transposition of the great arteries. We reported a 43-year-old man with these disorders, who received pulmonary artery banding and cardiac resynchronization therapy without cardiopulmonary bypass. The degree of the tricuspid regurgitation was improved to mild–moderate and systemic right ventricular ejection fraction was improved from 28 to 45{\%} after surgery. Cardiopulmonary exercise testing showed that the predictive value of anaerobic threshold and peak oxygen uptake improved from 65 to 99{\%} and 59 to 92{\%}, respectively. In conclusion, pulmonary artery banding and cardiac resynchronization therapy can be the first choice of surgery for severe tricuspid regurgitation with severely impaired systemic right ventricular function. After improving systemic right ventricular dysfunction tricuspid surgery could be the next choice as a surgical intervention in the future.",
keywords = "Adult, Congenitally corrected transposition of the great arteries, Pulmonary artery banding, Right ventricular dysfunction, Tricuspid regurgitation",
author = "Sachiko Kadowaki and Yasuhiro Kotani and Norihisa Toh and Yosuke Kuroko and Atsushi Tateishi and Teiji Akagi and Hiroshi Itoh and Shingo Kasahara",
year = "2019",
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doi = "10.1007/s11748-019-01171-x",
language = "English",
journal = "General Thoracic and Cardiovascular Surgery",
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T1 - The impact of pulmonary artery banding and cardiac resynchronization therapy for the adult patient with congenitally corrected transposition of the great arteries

AU - Kadowaki, Sachiko

AU - Kotani, Yasuhiro

AU - Toh, Norihisa

AU - Kuroko, Yosuke

AU - Tateishi, Atsushi

AU - Akagi, Teiji

AU - Itoh, Hiroshi

AU - Kasahara, Shingo

PY - 2019/1/1

Y1 - 2019/1/1

N2 - It has been controversial how to manage severe dysfunction of the systemic right ventricle and severe tricuspid regurgitation for adult patients with congenitally corrected transposition of the great arteries. We reported a 43-year-old man with these disorders, who received pulmonary artery banding and cardiac resynchronization therapy without cardiopulmonary bypass. The degree of the tricuspid regurgitation was improved to mild–moderate and systemic right ventricular ejection fraction was improved from 28 to 45% after surgery. Cardiopulmonary exercise testing showed that the predictive value of anaerobic threshold and peak oxygen uptake improved from 65 to 99% and 59 to 92%, respectively. In conclusion, pulmonary artery banding and cardiac resynchronization therapy can be the first choice of surgery for severe tricuspid regurgitation with severely impaired systemic right ventricular function. After improving systemic right ventricular dysfunction tricuspid surgery could be the next choice as a surgical intervention in the future.

AB - It has been controversial how to manage severe dysfunction of the systemic right ventricle and severe tricuspid regurgitation for adult patients with congenitally corrected transposition of the great arteries. We reported a 43-year-old man with these disorders, who received pulmonary artery banding and cardiac resynchronization therapy without cardiopulmonary bypass. The degree of the tricuspid regurgitation was improved to mild–moderate and systemic right ventricular ejection fraction was improved from 28 to 45% after surgery. Cardiopulmonary exercise testing showed that the predictive value of anaerobic threshold and peak oxygen uptake improved from 65 to 99% and 59 to 92%, respectively. In conclusion, pulmonary artery banding and cardiac resynchronization therapy can be the first choice of surgery for severe tricuspid regurgitation with severely impaired systemic right ventricular function. After improving systemic right ventricular dysfunction tricuspid surgery could be the next choice as a surgical intervention in the future.

KW - Adult

KW - Congenitally corrected transposition of the great arteries

KW - Pulmonary artery banding

KW - Right ventricular dysfunction

KW - Tricuspid regurgitation

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