Atrial arrhythmia predicts late events and mortality in patients with D-transposition of the great arteries and atrial switch repair.

ABSTRACT:

Aims

Patients with D-transposition of the great arteries (D-TGA) and atrial switch experience late morbidity and mortality related to atrial arrhythmias and systemic right ventricular (SRV) failure. We sought to analyze the influence of atrial arrhythmias on long-term outcomes in this group.

Methods

A retrospective review of all patients with D-TGA and atrial switch followed at a tertiary care center was performed.

Results

148 patients (63.5 % male; age 30.4 ± 10.6 years) were followed for 12 ± 9.8 years. Death or cardiac transplantation occurred in 22(15 %) patients and heart failure hospitalization occurred in 30(20 %) patients.Atrial arrhythmias were documented in 82(55.4 %) patients. Atrial fibrillation at the first visit (Kaplan-Meier estimate, p = 0.003) and atr

SUBMITTER: Chiriac A 

PROVIDER: S-EPMC11657481 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature