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2013 | OriginalPaper | Hoofdstuk

16. Congenitaal gecorrigeerde transpositie van de grote arteriën

Auteurs: J.W. Roos-Hesselink, A.P.J. van Dijk

Gepubliceerd in: Aangeboren hartafwijkingen bij volwassenen

Uitgeverij: Bohn Stafleu van Loghum

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Inleiding

Bij een congenitaal gecorrigeerde transpositie van de grote arteriën (ccTGA) is er een normale positie van de atria (situs solitus), maar zijn de atria aangesloten op de ‘verkeerde’ ventrikel (RA op LV en LA op RV), terwijl tevens de aorta uit de RV ontspringt en de art. pulmonalis uit de LV. Er zijn dus discordante AV-connecties en discordante VA-connecties. De circulatie is al tijdens de aanleg van het hart ‘gecorrigeerd’, omdat het bloed op zich goed circuleert: zuurstofarm bloed gaat naar de longen en zuurstofrijk bloed naar het lichaam. ‘Gecorrigeerd’ betekent in dit kader dus niet een operatie! Er is sprake van inversie van de ventrikels waardoor de anatomische RV moet functioneren als systeemventrikel. De LV is de subpulmonale ventrikel. De AV-kleppen volgen de ventrikels, dus de tricuspidalisklep is de systemische AV-klep (figuur 16.1).

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Literatuur
go back to reference Beauchesne LM, Warnes CA, Connolly HM, et al. Outcome of the unoperated adult who presents with congenitally corrected transposition of the great arteries. J Am Coll Cardiol.2002;40:285–290. PubMedCrossRef Beauchesne LM, Warnes CA, Connolly HM, et al. Outcome of the unoperated adult who presents with congenitally corrected transposition of the great arteries. J Am Coll Cardiol.2002;40:285–290. PubMedCrossRef
go back to reference Connelly MS, Liu PP, Williams WG, et al. Congenitally corrected transposition of the great arteries in the adult: functional status and complications. J Am Coll Cardiol. 1996; 27: 1238–1243. PubMedCrossRef Connelly MS, Liu PP, Williams WG, et al. Congenitally corrected transposition of the great arteries in the adult: functional status and complications. J Am Coll Cardiol. 1996; 27: 1238–1243. PubMedCrossRef
go back to reference Connolly HM, Grogan M, Warnes C. Pregnancy among women with congenitally corrected transposition of great arteries. J Am Coll Cardiol. 1999; 33: 1692–1695. PubMedCrossRef Connolly HM, Grogan M, Warnes C. Pregnancy among women with congenitally corrected transposition of great arteries. J Am Coll Cardiol. 1999; 33: 1692–1695. PubMedCrossRef
go back to reference Dore A, Houde C, Chan KL, et al. Angiotensin receptor blockade and exercise capacity in adults with systemic right ventricles. A multicenter, randomized, placebo-controlled clinical trial. Circulation. 2005; 112: 2411–2416. Dore A, Houde C, Chan KL, et al. Angiotensin receptor blockade and exercise capacity in adults with systemic right ventricles. A multicenter, randomized, placebo-controlled clinical trial. Circulation. 2005; 112: 2411–2416.
go back to reference Graham TP, Bernard YD, Mellen BG, et al. Long-term outcome in congenitally corrected transposition of the great arteries. A multi-institutional study. J Am Coll Cardiol. 2000; 36: 255–261. Graham TP, Bernard YD, Mellen BG, et al. Long-term outcome in congenitally corrected transposition of the great arteries. A multi-institutional study. J Am Coll Cardiol. 2000; 36: 255–261.
go back to reference Janousek J, Tomek V, Chaloupecky V, et al. Cardiac resynchronisation therapy: a novel adjunct to the treatment and prevention of systemic right ventricular failure. J Am Coll Cardiol. 2004; 44: 1927–1931. PubMedCrossRef Janousek J, Tomek V, Chaloupecky V, et al. Cardiac resynchronisation therapy: a novel adjunct to the treatment and prevention of systemic right ventricular failure. J Am Coll Cardiol. 2004; 44: 1927–1931. PubMedCrossRef
go back to reference Oliver JM, Gallego P, Gonzalez AE, et al. Comparison of outcomes in adults with congenitally corrected transposition with situs inversus versus situs solitus. Am J Cardiol. 2012; 110(11): 1687–1691. PubMedCrossRef Oliver JM, Gallego P, Gonzalez AE, et al. Comparison of outcomes in adults with congenitally corrected transposition with situs inversus versus situs solitus. Am J Cardiol. 2012; 110(11): 1687–1691. PubMedCrossRef
go back to reference Piran S, Veldtman G, Siu S, et al. Heart failure and ventricular dysfunction in patients with single or systemic right ventricles. Circulation. 2002; 105: 1189–1194. PubMedCrossRef Piran S, Veldtman G, Siu S, et al. Heart failure and ventricular dysfunction in patients with single or systemic right ventricles. Circulation. 2002; 105: 1189–1194. PubMedCrossRef
go back to reference Presbitero P, Somerville J, Rabajoli F, et al. Corrected transposition of the great arteries without associated defects in adult patients: clinical profile and follow up. Br Heart J. 1995; 74: 57–59. PubMedCrossRef Presbitero P, Somerville J, Rabajoli F, et al. Corrected transposition of the great arteries without associated defects in adult patients: clinical profile and follow up. Br Heart J. 1995; 74: 57–59. PubMedCrossRef
go back to reference Prieto LR, Hordof AJ, Secic M, et al. Progressive tricuspid valve disease in patients with congenitally corrected transposition of the great arteries. Circulation. 1998; 98: 997–1005. PubMedCrossRef Prieto LR, Hordof AJ, Secic M, et al. Progressive tricuspid valve disease in patients with congenitally corrected transposition of the great arteries. Circulation. 1998; 98: 997–1005. PubMedCrossRef
go back to reference Warnes CA. Transpostion of the great arteries. Circulation. 2006; 114: 1699–2709. CrossRef Warnes CA. Transpostion of the great arteries. Circulation. 2006; 114: 1699–2709. CrossRef
go back to reference Winlaw DS, McGuirck SP, Balmer C, et al. Intention-to-treat analysis of pulmonary artery banding in conditions with a morphological right ventricle in the systemic circulation with a view to anatomic biventricular repair. Circulation. 2005; 111(4): 405–411. PubMedCrossRef Winlaw DS, McGuirck SP, Balmer C, et al. Intention-to-treat analysis of pulmonary artery banding in conditions with a morphological right ventricle in the systemic circulation with a view to anatomic biventricular repair. Circulation. 2005; 111(4): 405–411. PubMedCrossRef
go back to reference Winter MM, Bom T van der, Vries LC de, et al. Exercise training improves exervise capacity in adult patients with a systemisc right ventricle: a randomized clinical trial. Eur Heart J. 2012; 33: 1378–1385. PubMedCrossRef Winter MM, Bom T van der, Vries LC de, et al. Exercise training improves exervise capacity in adult patients with a systemisc right ventricle: a randomized clinical trial. Eur Heart J. 2012; 33: 1378–1385. PubMedCrossRef
Metagegevens
Titel
Congenitaal gecorrigeerde transpositie van de grote arteriën
Auteurs
J.W. Roos-Hesselink
A.P.J. van Dijk
Copyright
2013
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-0307-6_16