Transposition with mustard operation patient with risk of sudden death: Case submitted by Jim T. Vehmeijer, MD, Barbara J.M. Mulder, MD, PhD, Joris R. de Groot, MD, PhD

Seshadri Balaji, Ravi Mandapati, Gary D. Webb

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

1. Patients with atrial switch (Mustard’s and Senning’s operations for transposition) and a combination of arrhythmias and systemic RV failure present extremely difficult management conundrums in adult congenital heart disease. 2. Ablation therapy for atrial arrhythmias is encouraging in this group and should be considered early. 3. The frequent presence of baffle stenosis and or baffle leaks should be considered in such patients prior to any interventional and/or device procedures. 4. In general, transplantation should be considered early in the course of patients with complex CHD and systemic ventricular failure.

Original languageEnglish (US)
Title of host publicationArrhythmias in Adult Congenital Heart Disease
Subtitle of host publicationA Case-Based Approach
PublisherElsevier
Pages93-99
Number of pages7
ISBN (Electronic)9780323485685
ISBN (Print)9780323496094
DOIs
StatePublished - Jan 1 2018

Keywords

  • Baffle obstruction
  • Endocarditis
  • Mustard
  • Pacemaker
  • S-ICD
  • Systemic right ventricular failure
  • Transposition of the great arteries

ASJC Scopus subject areas

  • Medicine(all)

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