Clinical significance of right atrial volume in patients with repaired tetralogy of Fallot

被引：9
作者：
Kido, Takashi [1 ]
Ueno, Takayoshi [1 ]
Taira, Masaki [1 ]
Kanaya, Tomomitsu [1 ]
Okuda, Naoki [1 ]
Toda, Koichi [1 ]
Kuratani, Toru [1 ]
Sawa, Yoshiki [1 ]
机构：
[1] Osaka Univ, Grad Sch Med, Dept Cardiovasc Surg, 2-2 Yamada Oka, Suita, Osaka 5650871, Japan
来源：
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY | 2020年 / 30卷 / 02期
关键词：
Repaired tetralogy of Fallot; Atrial arrhythmia; Right atrial volume; Pulmonary valve replacement; VENTRICULAR DIASTOLIC FUNCTION; PULMONARY VALVE-REPLACEMENT; RESTRICTIVE PHYSIOLOGY; CORRECTED TETRALOGY; ADULTS LATE; ARRHYTHMIA; OUTCOMES; IMPACT; RISK; SIZE;
D O I：
10.1093/icvts/ivz254
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
OBJECTIVES: Atrial arrhythmia and right ventricular (RV) diastolic dysfunction are associated with increased morbidity and mortality in patients with repaired tetralogy of Fallot (TOF). This study was performed to determine whether the preoperative right atrial (RA) volume can predict the development of atrial arrhythmia after pulmonary valve replacement (PVR) in patients with TOF. METHODS: Forty-seven consecutive adult patients with repaired TOF underwent PVR from 2003 to 2018. Seventeen patients showed preoperative atrial arrhythmia and underwent the Maze procedure concomitantly. The preoperative RA volume was evaluated with computed tomography and image analysis software. RESULTS: The median follow-up period after PVR was 6.8 years. Among 17 patients who underwent the Maze procedure, recurrent atrial arrhythmia developed in 8 patients. Among 30 patients without preoperative atrial arrhythmia, novel atrial arrhythmia developed in 2 patients. The RA volume index was a significant predictor according to the multivariate analysis (P = 0.003). The RA volume index showed a significant positive correlation with the RV end-diastolic pressure (P < 0.001). CONCLUSIONS: The RA volume predicts the development of atrial arrhythmia after PVR in patients with repaired TOF. RA volume measurement is strongly recommended in the management of this patient population.
引用
收藏
页码：296 / 302
页数：7
相关论文
共 29 条
[1]   Right atrial area and right ventricular outflow tract akinetic length predict sustained tachyarrhythmia in repaired tetralogy of Fallot [J].
Bonello, Beatrice ;
Kempny, Aleksander ;
Uebing, Anselm ;
Li, Wei ;
Kilner, Philip J. ;
Diller, Gerhard-Paul ;
Pennell, Dudley J. ;
Shore, Darryl F. ;
Ernst, Sabine ;
Gatzoulis, Michael A. ;
Babu-Narayan, Sonya V. .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2013, 168 (04) :3280-3286
[2]   Right Atrial Size Relates to Right Ventricular End-Diastolic Pressure in an Adult Population with Congenital Heart Disease [J].
Do, Doan Hoa ;
Therrien, Judith ;
Marelli, Ariane ;
Martucci, Giuseppe ;
Afilalo, Jonathan ;
Sebag, Igal A. .
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 2011, 28 (01) :109-116
[3]   Atrial Fibrillation Therapy and Heart Failure Hospitalization in Adults With Tetralogy of Fallot [J].
Egbe, Alexander C. ;
Miranda, William R. ;
Ammash, Naser M. ;
Ananthaneni, Sindhura ;
Sandhyavenu, Harigopal ;
Abdelsamid, Mohamed Farouk ;
Yogeswaran, Vidhushei ;
Kapa, Suraj ;
Fatola, Ayotola ;
Kothapalli, Srikanth ;
Connolly, Heidi M. .
JACC-CLINICAL ELECTROPHYSIOLOGY, 2019, 5 (05) :618-625
[4]   Risk factors for arrhythmia and sudden cardiac death late after repair of tetralogy of Fallot: a multicentre study [J].
Gatzoulis, MA ;
Balaji, S ;
Webber, SA ;
Siu, SC ;
Hokanson, JS ;
Poile, C ;
Rosenthal, M ;
Nakazawa, M ;
Moller, JH ;
Gillette, PC ;
Webb, GD ;
Redington, AN .
LANCET, 2000, 356 (9234) :975-981
[5]   RIGHT-VENTRICULAR DIASTOLIC FUNCTION 15 TO 35 YEARS AFTER REPAIR OF TETRALOGY OF FALLOT - RESTRICTIVE PHYSIOLOGY PREDICTS SUPERIOR EXERCISE PERFORMANCE [J].
GATZOULIS, MA ;
CLARK, AL ;
CULLEN, S ;
NEWMAN, CGH ;
REDINGTON, AN .
CIRCULATION, 1995, 91 (06) :1775-1781
[6]  
Geva Tal, 2006, Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, P11
[7]   Preoperative Predictors of Death and Sustained Ventricular Tachycardia After Pulmonary Valve Replacement in Patients With Repaired Tetralogy of Fallot Enrolled in the INDICATOR Cohort [J].
Geva, Tal ;
Mulder, Barbara ;
Gauvreau, Kimberlee ;
Babu-Narayan, Sonya V. ;
Wald, Rachel M. ;
Hickey, Kelsey ;
Powell, Andrew J. ;
Gatzoulis, Michael A. ;
Valente, Anne Marie .
CIRCULATION, 2018, 138 (19) :2106-2115
[8]   Surgery for supraventricular tachycardia and congenital heart defects: long-term efficacy of the combined approach in adult patients [J].
Giamberti, Alessandro ;
Pluchinotta, Francesca R. ;
Chessa, Massimo ;
Varrica, Alessandro ;
Vitale, Raffaele ;
Frigiola, Alessandro ;
Pappone, Carlo ;
Ranucci, Marco .
EUROPACE, 2017, 19 (09) :1542-1548
[9]   Tetralogy of Fallot, pulmonary valve replacement, and right ventricular volumes: are we chasing the right target? [J].
Greutmann, Matthias .
EUROPEAN HEART JOURNAL, 2016, 37 (10) :836-839
[10]   Sustained atrial arrhythmias in adults late after repair of tetralogy of Fallot [J].
Harrison, DA ;
Siu, SC ;
Hussain, F ;
MacLoghlin, CJ ;
Webb, GD ;
Harris, L .
AMERICAN JOURNAL OF CARDIOLOGY, 2001, 87 (05) :584-588
123