Pregnancy Outcomes in Women After Arterial Switch Operation for Transposition of the Great Arteries: Results From ROPAC (Registry of Pregnancy and Cardiac Disease) of the European Society of Cardiology EURObservational Research Programme.
Details
State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_0B1F4485A59A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Pregnancy Outcomes in Women After Arterial Switch Operation for Transposition of the Great Arteries: Results From ROPAC (Registry of Pregnancy and Cardiac Disease) of the European Society of Cardiology EURObservational Research Programme.
Journal
Journal of the American Heart Association
Working group(s)
ROPAC (Registry of Pregnancy and Cardiac Disease) Investigators Group *
Contributor(s)
Gale C.P., Beleslin B., Budaj A., Chioncel O., Dagres N., Danchin N., Erlinge D., Emberson J., Glikson M., Gray A., Kayikcioglu M., Maggioni A., Nagy K.V., Nedoshivin A., Petronio A.S., Roos-Hesselink J., Wallentin L., Zeymer U., Hall R., Roos-Hesselink J., Stein J., Parsonage W.A., Budts W., De Backer J., Grewal J., Marelli A., Kaemmerer H., Jondeau G., Johnson M., Maggioni A.P., Tavazzi L., Thilen U., Elkayam U., Otto C., Sliwa K., Aquieri A., Saad A., Ruda Vega H., Hojman J., Caparros J.M., Vazquez Blanco M., Arstall M., Chung C.M., Mahadavan G., Aldridge E., Wittwer M., Chow Y.Y., Parsonage W.A., Lust K., Collins N., Warner G., Hatton R., Gordon A., Nyman E., Stein J., Donhauser E., Gabriel H., Bahshaliyev A., Guliyev F., Hasanova I., Jahangirov T., Gasimov Z., Salim A., Ahmed C.M., Begum F., Hoque M.H., Mahmood M., Islam M.N., Haque P.P., Banerjee S.K., Parveen T., Morissens M., De Backer J., Demulier L., de Hosson M., Budts W., Beckx M., Kozic M., Lovric M., Kovacevic-Preradovic T., Chilingirova N., Kratunkov P., Wahab N., McLean S., Gordon E., Walter L., Marelli A., Montesclaros A.R., Monsalve G., Rodriguez C., Balthazar F., Quintero V., Palacio W., Mejía Cadavid L.A., Munoz Ortiz E., Fortich Hoyos F., Arevalo Guerrero E., Gandara Ricardo J., Velasquez Penagos J., Vavera Z., Popelova J., Vejlstrup N., Grønbeck L., Johansen M., Ersboll A., Elrakshy Y., Eltamawy K., Gamal Abd-El Aziz M., El Nagar A., Ebaid H., Abo Elenin H., Saed M., Farag S., Makled W., Sorour K., Ashour Z., El-Sayed G., Abdel Meguid Mahdy M., Taha N., Dardeer A., Shabaan M., Saad A., Ali M., Moceri P., Duthoit G., Gouton M., Nizard J., Baris L., Cohen S., Ladouceur M., Khimoud D., Iung B., Berger F., Olsson A., Gembruch U., Merz W.M., Reinert E., Clade S., Kliesch Y., Wald C., Sinning C., Kozlik-Feldmann R., Blankenberg S., Zengin-Sahm E., Mueller G., Hillebrand M., Hauck P., von Kodolitsch Y., Zarniko N., Baumgartner H., Schmidt R., Hellige A., Tutarel O., Kaemmerer H., Kuschel B., Nagdyman N., Motz R., Maisuradze D., Frogoudaki A., Iliodromitis E., Anastasiou-Nana M., Triantafyllis D., Bekiaris G., Karvounis H., Giannakoulas G., Ntiloudi D., Mouratoglou S.A., Temesvari A., Balint H., Kohalmi D., Merkely B., Liptai C., Nemes A., Forster T., Kalapos A., Berek K., Havasi K., Ambrus N., Shelke A., Kawade R., Patil S., Martanto E., Aprami T.M., Purnomowati A., Cool C.J., Hasan M., Akbar R., Hidayat S., Dewi T.I., Permadi W., Soedarsono D.A., Ansari-Ramandi M.M., Samiei N., Tabib A., Kashfi F., Ansari-Ramandi S., Rezaei S., Ali Farhan H., Al-Hussein A., Al-Saedi G., Mahmood G., Yaseen I.F., Al-Yousuf L., AlBayati M., Mahmood S., Raheem S., AlHaidari T., Dakhil Z., Thornton P., Donnelly J., Bowen M., Blatt A., Elbaz-Greener G., Shotan A., Yalonetsky S., Goland S., Biener M., Egidy Assenza G., Bonvicini M., Donti A., Bulgarelli A., Prandstraller D., Romeo C., Crepaz R., Sciatti E., Metra M., Orabona R., Ait Ali L., Festa P., Fesslova V., Bonanomi C., Calcagnino M., Lombardi F., Colli C., Ossola M.W., Gobbi C., Gherbesi E., Tondi L., Schiavone M., Squillace M., Carmina M.G., Maina A., Macchi C., Gollo E., Comoglio F.M., Montali N., Re P., Bordese R., Todros T., Donvito V., Grosso Marra W., Sinagra G., D'Agata Mottolese B., Bobbo M., Gesuete V., Rakar S., Ramani F., Niwa K., Mekebekova D., Mussagaliyeva A., Lee T., Mirrakhimov E., Abilova S., Bektasheva E., Neronova K., Lunegova O., Žaliūnas R., Jonkaitienė R., Petrauskaitė J., Laucevicius A., Jancauskaite D., Lauciuviene L., Gumbiene L., Lankutiene L., Glaveckaite S., Laukyte M., Solovjova S., Rudiene V., Chee K.H., Yim C.C., Ang H.L., Kuppusamy R., Watson T., Caruana M., Estensen M.E., Mahmood Kayani MGA, Munir R., Tomaszuk-Kazberuk A., Sobkowicz B., Przepiesc J., Lesniak-Sobelga A., Tomkiewicz-Pajak L., Komar M., Olszowska M., Podolec P., Wisniowska-Smialek S., Lelonek M., Faflik U., Cichocka-Radwan A., Plaskota K., Trojnarska O., Guerra N., de Sousa L., Cruz C., Ribeiro V., Jovanova S., Petrescu V., Jurcut R., Ginghina C., Mircea Coman I., Musteata M., Osipova O., Golivets T., Khamnagadaev I., Golovchenko O., Nagibina A., Ropatko I., Gaisin I.R., Valeryevna Shilina L., Sharashkina N., Shlyakhto E., Irtyuga O., Moiseeva O., Karelkina E., Zazerskaya I., Kozlenok A., Sukhova I., Jovovic L., Prokšelj K., Koželj M., Askar A.O., Abdilaahi A.A., Mohamed M.H., Dirir A.M., Sliwa K., Manga P., Pijuan-Domenech A., Galian-Gay L., Tornos P., Subirana M.T., Subirana M.T., Murga N., Oliver J.M., Garcia-Aranda Dominguez B., Hernandez Gonzalez I., Delgado Jimenez J.F., Escribano Subias P., Elbushi A., Suliman A., Jazzar K., Murtada M., Ahamed N., Dellborg M., Furenas E., Jinesjo M., Skoglund K., Eriksson P., Gilljam T., Thilen U., Tobler D., Wustmann K., Schwitz F., Schwerzmann M., Rutz T., Bouchardy J., Greutmann M., Santos Lopes B.M., Meier L., Arrigo M., de Boer K., Konings T., Wajon E., Wagenaar L.J., Polak P., Pieper EPG, Roos-Hesselink J., Baris L., van Hagen I., Duvekot H., Cornette JMJ, De Groot C., van Oppen C., Sarac L., Batukan Esen O., Catirli Enar S., Mondo C., Ingabire P., Nalwanga B., Semu T., Salih B.T., Almahmeed WAR, Wani S., Mohamed Farook F.S., Ain A., Gerges F., Komaranchath A.M., Al Bakshi F., Al Mulla A., Yusufali A.H., Al Hatou E.I., Bazargani N., Hussain F., Hudsmith L., Thompson P., Thorne S., Bowater S., Money-Kyrle A., Clifford P., Ramrakha P., Firoozan S., Chaplin J., Bowers N., Adamson D., Schroeder F., Wendler R., Hammond S., Nihoyannopoulos P., Hall R., Freeman L., Veldtman G., Kerr J., Tellett L., Scott N., Bhatt A.B., DeFaria Yeh D., Youniss M.A., Wood M., Sarma A.A., Tsiaras S., Stefanescu A., Duran J.M., Stone L., Majdalany D.S., Chapa J., Chintala K., Gupta P., Botti J., Ting J., Davidson W.R., Wells G., Sparks D., Paruchuri V., Marzo K., Patel D., Wagner W., Ahanya S.N., Colicchia L., Jentink T., Han K., Loichinger M., Parker M., Wagner W., Longtin C., Yetman A., Erickson K., Cramer J., Tsai S., Fletcher B., Warta S., Cohen C., Lindblade C., Puntel R., Nagaran K., Croft N., Gurvitz M., Otto C., Talluto C., Murphy D., Perlroth M.G.
ISSN
2047-9980 (Electronic)
ISSN-L
2047-9980
Publication state
Published
Issued date
05/01/2021
Peer-reviewed
Oui
Volume
10
Number
1
Pages
e018176
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
Background In the past 3 decades, the arterial switch procedure has replaced the atrial switch procedure as treatment of choice for transposition of the great arteries. Although survival is superior after the arterial switch procedure, data on pregnancy outcomes are scarce and transposition of the great arteries after arterial switch is not yet included in the modified World Health Organization classification of maternal cardiovascular risk. Methods and Results The ROPAC (Registry of Pregnancy and Cardiac disease) is an international prospective registry of pregnant women with cardiac disease, part of the European Society of Cardiology EURObservational Research Programme. Pregnancy outcomes in all women after an arterial switch procedure for transposition of the great arteries are described. The primary end point was a major adverse cardiovascular event, defined as combined end point of maternal death, supraventricular or ventricular arrhythmias requiring treatment, heart failure, aortic dissection, endocarditis, ischemic coronary events, and thromboembolic events. Altogether, 41 pregnant women (mean age, 26.7±3.9 years) were included, and there was no maternal mortality. A major adverse cardiovascular event occurred in 2 women (4.9%): heart failure in one (2.4%) and ventricular tachycardia in another (2.4%). One woman experienced fetal loss, whereas no neonatal mortality was observed. Conclusions Women after an arterial switch procedure for transposition of the great arteries tolerate pregnancy well, with a favorable maternal and fetal outcome. During counseling, most women should be reassured that the risk of pregnancy is low. Classification as modified World Health Organization risk class II seems appropriate.
Keywords
arterial switch operation, pregnancy and cardiac disease, pregnancy outcomes, transposition of the great arteries
Pubmed
Web of science
Open Access
Yes
Create date
03/02/2021 10:47
Last modification date
05/09/2021 7:08
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