PMID- 29551876
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20191120
IS  - 1058-9813 (Print)
IS  - 1058-9813 (Linking)
VI  - 39
IP  - 2 Pt B
DP  - 2015 Dec
TI  - Mustard baffle obstruction and leak - How successful are percutaneous 
      interventions in adults?
PG  - 157-163
LID - 10.1016/j.ppedcard.2015.10.018 [doi]
AB  - Atrial switch operations for D-Transposition of the great arteries (D-TGA) were 
      performed until the late 20th century. These patients have substantial rates of 
      re-operation, particularly for baffle related complications. This study sought to 
      analyze the efficacy of percutaneous transcatheter intervention (PTI) for baffle 
      leak and/or stenosis in adult atrial switch patients. Adult patients with a prior 
      atrial switch operation who underwent heart catheterization (2002-2014) at a 
      tertiary adult congenital heart disease referral center were retrospectively 
      analyzed. In 58 adults (30 +/- 8 years, 75% men, 14% New York Heart Association 
      (NYHA) functional class >/=2) who underwent 79 catheterizations, PTI was attempted 
      in 50 (baffle leak (n = 10, 20%), stenosis (n = 27, 54%), or both (n = 13, 26%)). 
      PTI was successful in 45 and 5 were referred for surgery due to complex anatomy. 
      A total of 40 bare metal stents, 18 covered stents, 16 occlusion devices, 2 
      angioplasties, and 1 endovascular graft were deployed. In isolated stenosis, 
      there was improvement in NYHA functional class after PTI (8 vs. 0 patients were 
      NYHA FC > 2, p = 0.004), which was matched by improvement in maximal oxygen 
      consumption on exercise testing (VO(2)) (25.1 +/- 5.4 mL/kg/min vs. 27.9 +/- 9 
      mL/kg/min, p = 0.03). There were no procedure-related deaths or emergent 
      surgeries in this cohort. This single-center cohort is the largest reported 
      series of adult atrial switch operation patients who have undergone PTI for 
      baffle stenosis and/or leak. We demonstrate that PTI with an expert 
      multi-disciplinary team is a safe and effective alternative to surgery in adult 
      patients with an atrial switch operation.
FAU - Bradley, Elisa A
AU  - Bradley EA
AD  - Nationwide Children's Hospital Department of Pediatric Medicine & The Ohio State 
      University Department of Internal Medicine, Columbus, OH, USA.
FAU - Cai, Amanda
AU  - Cai A
AD  - Nationwide Children's Hospital Department of Pediatric Medicine & The Ohio State 
      University Department of Internal Medicine, Columbus, OH, USA.
FAU - Cheatham, Sharon L
AU  - Cheatham SL
AD  - Nationwide Children's Hospital Department of Pediatric Medicine & The Ohio State 
      University Department of Internal Medicine, Columbus, OH, USA.
FAU - Chisolm, Joanne
AU  - Chisolm J
AD  - Nationwide Children's Hospital Department of Pediatric Medicine & The Ohio State 
      University Department of Internal Medicine, Columbus, OH, USA.
FAU - Sisk, Tracey
AU  - Sisk T
AD  - Nationwide Children's Hospital Department of Pediatric Medicine & The Ohio State 
      University Department of Internal Medicine, Columbus, OH, USA.
FAU - Daniels, Curt J
AU  - Daniels CJ
AD  - Nationwide Children's Hospital Department of Pediatric Medicine & The Ohio State 
      University Department of Internal Medicine, Columbus, OH, USA.
FAU - Cheatham, John P
AU  - Cheatham JP
AD  - Nationwide Children's Hospital Department of Pediatric Medicine & The Ohio State 
      University Department of Internal Medicine, Columbus, OH, USA.
LA  - eng
GR  - L30 HL138804/HL/NHLBI NIH HHS/United States
PT  - Journal Article
DEP - 20151022
PL  - Netherlands
TA  - Prog Pediatr Cardiol
JT  - Progress in pediatric cardiology
JID - 9209539
PMC - PMC5856449
MID - NIHMS944248
OTO - NOTNLM
OT  - Baffle leak
OT  - Baffle stenosis
OT  - D-transposition of the great arteries
OT  - Mustard repair
OT  - Percutaneous intervention
EDAT- 2015/12/01 00:00
MHDA- 2015/12/01 00:01
PMCR- 2018/03/16
CRDT- 2018/03/20 06:00
PHST- 2018/03/20 06:00 [entrez]
PHST- 2015/12/01 00:00 [pubmed]
PHST- 2015/12/01 00:01 [medline]
PHST- 2018/03/16 00:00 [pmc-release]
AID - 10.1016/j.ppedcard.2015.10.018 [doi]
PST - ppublish
SO  - Prog Pediatr Cardiol. 2015 Dec;39(2 Pt B):157-163. doi: 
      10.1016/j.ppedcard.2015.10.018. Epub 2015 Oct 22.