scholarly journals Atrial Fibrillation-Induced Cardiac Shock: First Manifestation of a Congenitally Corrected Transposition of the Great Arteries in a 45-Year-Old Man

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
M. Graf ◽  
M. Zaczkiewicz ◽  
J. Torzewski ◽  
O. Zimmermann

Background.The congenitally corrected transposition of the great arteries (L-TGA) is a very rare congenital heart defect, which often remains undetected for several decades of life.Case Presentation.We report on a 45-year-old man without prior history of heart disease, presenting with cardiac shock related to a first episode of tachycardic atrial fibrillation. The diagnostic work-up identified a L-TGA as the underlying cause for acute heart failure.Discussion.L-TGA is a very rare congenital heart defect, which is characterized by an atrioventricular as well as a ventriculoarterial discordance. By this means, the physiological sequence of pulmonary and systemic circulation is still maintained. On the basis of an ongoing strain of the right ventricle, which has to carry the burden of the systemic blood pressure, after more than four decades without symptoms, acute heart failure was triggered by a tachycardic atrial fibrillation.

Cor et Vasa ◽  
2018 ◽  
Vol 60 (5) ◽  
pp. e512-e517 ◽  
Author(s):  
Kristýna Bayerová ◽  
Gabriela Dostálová ◽  
Zuzana Hlubocká ◽  
Tomáš Paleček ◽  
Jaroslav Hlubocký ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Takekazu Miyoshi ◽  
Hiroshi Hosoda ◽  
Naoto Minamino

Fetal heart failure is mainly caused by congenital heart defect and arrhythmia. It is difficult to appropriately diagnose the severity of fetal heart failure simply by ultrasonography because the development of a fetal heart in fetoplacental circulation and how well the fetal myocardium can adapt to postnatal cardiopulmonary circulation are challenging to assess. In adult cardiology, natriuretic peptides (NPs) are the most useful biomarker of heart failure; however, studies investigating NP levels in the fetuses and amniotic fluid are quite limited. Furthermore, little is known about their production and metabolism. This review summarized the most relevant findings on NP levels in the umbilical cord blood and amniotic fluid. The findings can then extend their use as a diagnostic biomarker of heart failure in fetuses with congenital heart defect and/or arrhythmia.


Kardiologiia ◽  
2021 ◽  
Vol 61 (9) ◽  
pp. 73-76
Author(s):  
V. P. Podzolkov ◽  
Mikhail Ramazovich Chiaureli ◽  
Anton Vladimirovich Minaev ◽  
Evgenii Pavlovich Golubev ◽  
Sergei Yurievich Serguladze

Long-term, natural course of congenital heart defect often results in secondary hemodynamic and functional disorders in adult life. In such cases, first clinical manifestations are generally due to age-related accompanying or secondary pathology rather than with the defect itself. In the presence of concomitant ischemic heart disease (IHD), leading manifestations may be those of angina, which mask manifestations of the heart defect and complicate the diagnosis. Not infrequently in practice, patients refuse surgery in a younger age, which is usually due to their satisfactory condition and an absence of complaints. However, the wait and see tactics is not always justified since over time, hemodynamic disturbances progress, complications of the defect may develop, coronary arteries lesions join with age, and their correction requires an integrated approach. The presented clinical case describes a possibility of successful one-stage surgical correction of an atrial septal defect, tricuspid valve regurgitation, atrial fibrillation, and IHD in a 62-old female patient.


2021 ◽  
Vol 16 (4) ◽  
pp. 333-355
Author(s):  
Cheryl Raskind-Hood ◽  
Kashaine A. Gray ◽  
Jayne Morgan ◽  
Wendy M. Book

2020 ◽  
Vol 14 (13) ◽  
pp. 1197-1205
Author(s):  
Ewa Kowalik ◽  
Beata Kuśmierczyk-Droszcz ◽  
Anna Klisiewicz ◽  
Aleksandra Wróbel ◽  
Anna Lutyńska ◽  
...  

Aim: To assess galectin-3 (Gal-3) levels and their relationship with clinical status and right ventricular (RV) performance in adults with RV pressure overload of various mechanisms due to congenital heart disease. Materials & methods: A cross-sectional study was conducted. Patients underwent clinical examination, blood testing and transthoracic echocardiography. Results: The study included 63 patients with congenitally corrected transposition of the great arteries, 41 patients with Eisenmenger syndrome and 20 healthy controls. Gal-3 concentrations were higher in patients compared with controls (7.83 vs 6.11 ng/ml; p = 0.002). Biomarker levels correlated with age, New York Health Association class, N-terminal probrain natriuretic peptide and RV function only in congenitally corrected transposition of the great arteries patients. Conclusion: Gal-3 profile in congenital heart disease patients and pressure-overloaded RV differs according to the cause of pressure overload.


2017 ◽  
Vol 106 (6) ◽  
pp. 444-456 ◽  
Author(s):  
Gerasimos Filippatos ◽  
Dimitrios Farmakis ◽  
Marco Metra ◽  
Gad Cotter ◽  
Beth A. Davison ◽  
...  

Global Heart ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e4
Author(s):  
M.U. Sani ◽  
O.S. Ogah ◽  
B.A. Davison ◽  
G. otter ◽  
A. Damasceno ◽  
...  

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