1
|
Femenia V, Pommier V, Huguet H, Iriart X, Picot MC, Bredy C, Lorca L, De La Villeon G, Guillaumont S, Pasquie JL, Matecki S, Roubertie F, Leobon B, Thambo JB, Jalal Z, Thomas J, Mouton JB, Avesani M, Amedro P. Correlation between three-dimensional echocardiography and cardiopulmonary fitness in patients with univentricular heart: A cross-sectional multicentre prospective study. Arch Cardiovasc Dis 2023; 116:202-209. [PMID: 36966111 DOI: 10.1016/j.acvd.2023.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Revised: 02/12/2023] [Accepted: 02/13/2023] [Indexed: 03/11/2023]
Abstract
BACKGROUND The prognosis of patients with a functional single ventricle has improved, with better cardiopulmonary fitness, health-related quality of life and survival. Conventional echocardiography remains the first-line technique in single ventricle follow-up. Three-dimensional (3D) echocardiography has shown recent value in congenital cardiology, but its ability to predict functional status in patients with a single ventricle remains unknown. AIM To evaluate, in patients with a single ventricle, the association between 3D echocardiography variables and functional status determined by cardiopulmonary fitness. METHODS Children and adults with a functional single ventricle were prospectively enrolled in this multicentre study. Cardiopulmonary fitness was assessed by cardiopulmonary exercise test, with measures of maximum oxygen uptake (VO2max) and ventilatory efficiency (VE/VCO2 slope). 3D echocardiography was performed with off-line reproducibility analyses, using TomTec Arena™ software. Health-related quality of life was assessed using the SF-36 questionnaire. RESULTS A total of 33 patients were screened, and 3D echocardiography analyses were feasible in 22 subjects (mean age 28±9years). 3D echocardiography ejection fraction correlated with percent-predicted VO2max (r=0.64, P<0.01), VE/VCO2 slope (r=-0.41, P=0.05), two-dimensional echocardiography ejection fraction (r=0.55, P<0.01) and health-related quality of life physical functioning dimension (r=0.56, P=0.04). 3D echocardiography indexed end-systolic volume correlated with percent-predicted VO2max (r=-0.45, P=0.03) and VE/VCO2 slope (r=0.65, P<0.01). 3D echocardiography reproducibility was good. CONCLUSIONS Single ventricle ejection fraction and volumes measured by 3D echocardiography correlated with cardiopulmonary fitness, as determined by two main prognostic cardiopulmonary exercise test variables: VO2max and VE/VCO2 slope. Despite good reproducibility, 3D echocardiography feasibility remained limited. 3D echocardiography may be of value in single ventricle follow-up, provided that the technique and analysis software are improved.
Collapse
Affiliation(s)
- Valentin Femenia
- Department of Paediatric and Adult Congenital Cardiology, M3C National Reference Centre, Bordeaux University Hospital, 33604 Pessac, France; Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, University Hospital, 34295 Montpellier, France
| | - Victor Pommier
- Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, University Hospital, 34295 Montpellier, France; Paediatric Cardiology and Rehabilitation Unit, Saint-Pierre Institute, 34250 Palavas-Les-Flots, France
| | - Helena Huguet
- Department of Clinical Research, Biostatistics and Epidemiology, CHU Montpellier, University of Montpellier, 34295 Montpellier, France
| | - Xavier Iriart
- Department of Paediatric and Adult Congenital Cardiology, M3C National Reference Centre, Bordeaux University Hospital, 33604 Pessac, France; IHU Liryc, Electrophysiology and Heart Modelling Institute, Inserm 1045, University of Bordeaux, 33604 Pessac, France
| | - Marie-Christine Picot
- Department of Clinical Research, Biostatistics and Epidemiology, CHU Montpellier, University of Montpellier, 34295 Montpellier, France
| | - Charlene Bredy
- Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, University Hospital, 34295 Montpellier, France
| | - Laura Lorca
- Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, University Hospital, 34295 Montpellier, France
| | - Gregoire De La Villeon
- Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, University Hospital, 34295 Montpellier, France; Paediatric Cardiology and Rehabilitation Unit, Saint-Pierre Institute, 34250 Palavas-Les-Flots, France
| | - Sophie Guillaumont
- Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, University Hospital, 34295 Montpellier, France; Paediatric Cardiology and Rehabilitation Unit, Saint-Pierre Institute, 34250 Palavas-Les-Flots, France
| | - Jean-Luc Pasquie
- Paediatric and Congenital Cardiology Department, M3C Regional Reference Centre, University Hospital, 34295 Montpellier, France; PhyMedExp, CNRS, Inserm, University of Montpellier, 34090 Montpellier, France
| | - Stefan Matecki
- PhyMedExp, CNRS, Inserm, University of Montpellier, 34090 Montpellier, France; Department of Physiology, University Hospital, 34295 Montpellier, France
| | - François Roubertie
- Department of Paediatric and Adult Congenital Cardiology, M3C National Reference Centre, Bordeaux University Hospital, 33604 Pessac, France; IHU Liryc, Electrophysiology and Heart Modelling Institute, Inserm 1045, University of Bordeaux, 33604 Pessac, France
| | - Bertrand Leobon
- Department of Paediatric and Adult Congenital Cardiology, M3C National Reference Centre, Bordeaux University Hospital, 33604 Pessac, France; IHU Liryc, Electrophysiology and Heart Modelling Institute, Inserm 1045, University of Bordeaux, 33604 Pessac, France
| | - Jean-Benoît Thambo
- Department of Paediatric and Adult Congenital Cardiology, M3C National Reference Centre, Bordeaux University Hospital, 33604 Pessac, France; IHU Liryc, Electrophysiology and Heart Modelling Institute, Inserm 1045, University of Bordeaux, 33604 Pessac, France
| | - Zakaria Jalal
- Department of Paediatric and Adult Congenital Cardiology, M3C National Reference Centre, Bordeaux University Hospital, 33604 Pessac, France; IHU Liryc, Electrophysiology and Heart Modelling Institute, Inserm 1045, University of Bordeaux, 33604 Pessac, France
| | - Julie Thomas
- Department of Paediatric and Adult Congenital Cardiology, M3C National Reference Centre, Bordeaux University Hospital, 33604 Pessac, France
| | - Jean-Baptiste Mouton
- Department of Paediatric and Adult Congenital Cardiology, M3C National Reference Centre, Bordeaux University Hospital, 33604 Pessac, France
| | - Martina Avesani
- Department of Paediatric and Adult Congenital Cardiology, M3C National Reference Centre, Bordeaux University Hospital, 33604 Pessac, France
| | - Pascal Amedro
- Department of Paediatric and Adult Congenital Cardiology, M3C National Reference Centre, Bordeaux University Hospital, 33604 Pessac, France; IHU Liryc, Electrophysiology and Heart Modelling Institute, Inserm 1045, University of Bordeaux, 33604 Pessac, France.
| |
Collapse
|
2
|
Leobon B, Cousin G, Hadeed K, Breinig S, Alacoque X, Berthomieu L, Karsenty C. Tetralogy of Fallot: T-shaped infundibulotomy for pulmonary valve-sparing procedure. Interact Cardiovasc Thorac Surg 2021; 34:488-491. [PMID: 34606581 PMCID: PMC8922687 DOI: 10.1093/icvts/ivab275] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Revised: 08/25/2021] [Accepted: 09/14/2021] [Indexed: 11/18/2022] Open
Abstract
This new and easily reproducible pulmonary valve-sparing technique for the correction of Tetralogy of Fallot is based on a conservative management of the native pulmonary valve to preserve its growth potential. From July 2015 to December 2019, 67 children presenting with a Tetralogy of Fallot were operated consecutively in a single centre using this technique in all cases. A T-shaped infundibulotomy is used to release the anterior pulmonary annulus from any muscular attachment. After myocardial resection and ventricular septal defect closure, an extensive commissurotomy is achieved. Finally, the right ventricular outflow tract remodelling is completed by a shield-shaped bovine patch with an oversized square superior edge, attached directly on the pulmonary valve annulus, with an effect of systolic traction. Sixty patients (89.5%) had a Tetralogy of Fallot repair with preservation of the pulmonary valve. To date, with a median follow-up of 38.2 [14–64] months, no patient has needed a surgical or interventional procedure for pulmonary valve stenosis or regurgitation, with low residual gradients. This procedure could provide a significant increase in native pulmonary valve preservation. Long-term studies are needed to assess pulmonary valve growth and the consequent reduction in surgical or interventional reoperations.
Collapse
Affiliation(s)
- Bertrand Leobon
- Department of Congenital Cardiac Surgery, University Hospital of Toulouse, Toulouse, France
| | - Grégoire Cousin
- Department of Congenital Cardiac Surgery, University Hospital of Toulouse, Toulouse, France
| | - Khaled Hadeed
- Department of Pediatric Cardiology, University Hospital of Toulouse, Toulouse, France
| | - Sophie Breinig
- Department of Pediatric Reanimation, University Hospital of Toulouse, Toulouse, France
| | - Xavier Alacoque
- Department of Anaesthesiology, University Hospital of Toulouse, Toulouse, France
| | - Lionel Berthomieu
- Department of Pediatric Reanimation, University Hospital of Toulouse, Toulouse, France
| | - Clément Karsenty
- Department of Pediatric Cardiology, University Hospital of Toulouse, Toulouse, France
| |
Collapse
|
3
|
Karsenty C, Neily A, Guitarte A, Delepaul B, Blanc A, Dulac Y, Leobon B, Hadeed K, Acar P. 3D assessment of the residual cleft of the left atrioventricular valve after atrioventricular septal defect repair. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2021.06.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
4
|
Karsenty C, Vignaud P, Neily A, Guitarte A, Delepaul B, Blanc A, Dulac Y, Leobon B, Hadeed K, Acar P. 3D assessment of the residual cleft of the left atrioventricular valve after atrioventricular septal defect repair. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2021.04.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
5
|
Karsenty C, Neily A, Guitarte A, Delepaul B, Blanc A, Dulac Y, Leobon B, Hadeed K, Acar P. 3D assessment of the residual cleft of the left atrioventricular valve after atrioventricular septal defect repair. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
6
|
Cuttone F, Alacoque X, Leobon B, Karsenty C, Guitarte A, Dulac Y, Chausseray G, Acar P, Hadeed K. Aortic valve reconstruction in children: A new string to our bow. Arch Cardiovasc Dis 2019; 112:653-656. [PMID: 31708440 DOI: 10.1016/j.acvd.2019.09.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2019] [Accepted: 09/05/2019] [Indexed: 10/25/2022]
Affiliation(s)
- Fabio Cuttone
- Congenital Cardiac Surgery, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France.
| | - Xavier Alacoque
- Department of Congenital Cardiac Anaesthesiology, CHU de Toulouse, 31059 Toulouse, France
| | - Bertrand Leobon
- Congenital Cardiac Surgery, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France
| | - Clement Karsenty
- Congenital Cardiology, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France
| | - Aitor Guitarte
- Congenital Cardiology, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France
| | - Yves Dulac
- Congenital Cardiology, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France
| | - Gerald Chausseray
- Department of Congenital Cardiac Anaesthesiology, CHU de Toulouse, 31059 Toulouse, France
| | - Philippe Acar
- Congenital Cardiology, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France
| | - Khaled Hadeed
- Congenital Cardiology, Children's Hospital, CHU de Toulouse, 31059 Toulouse, France
| |
Collapse
|
7
|
Vidaurre AG, Karsenty C, Blanc A, Vincent R, Leobon B, Cuttone F, Dulac Y, Acar P, Hadeed K. Three-dimensional mitral annulus structure in repaired Atrio-Ventricular Septal Defect, a transthoracic echocardiographic comparison. Archives of Cardiovascular Diseases Supplements 2019. [DOI: 10.1016/j.acvdsp.2019.06.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
8
|
Cousin G, Ratsimandresy M, Leobon B, Cuttone F. Tetralogy of Fallot with critical biventricular dysfunction: is surgical correction achievable? Interact Cardiovasc Thorac Surg 2018; 27:622-623. [PMID: 29617802 DOI: 10.1093/icvts/ivy082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2017] [Accepted: 02/25/2018] [Indexed: 11/14/2022] Open
Abstract
We describe the case of a 32-month-old patient from a developing country with tetralogy of Fallot associated with a severe biventricular dysfunction. This association is rare but makes the surgical strategy complex and potentially contraindicated. An acute severe hypoxic episode led us to perform palliative rescue intervention involving the placement of an undersized systemic-to-pulmonary shunt. This surgery was well tolerated and allowed a fast and impressive recovery of the ventricular function, making complete repair possible.
Collapse
Affiliation(s)
- Grégoire Cousin
- Congenital Cardiac Surgery Department, Toulouse University Children's Hospital, Toulouse, France
| | - Miarisoa Ratsimandresy
- Congenital Cardiac Surgery Department, Toulouse University Children's Hospital, Toulouse, France
| | - Bertrand Leobon
- Congenital Cardiac Surgery Department, Toulouse University Children's Hospital, Toulouse, France
| | - Fabio Cuttone
- Congenital Cardiac Surgery Department, Toulouse University Children's Hospital, Toulouse, France
| |
Collapse
|
9
|
Abbo O, Pinnagoda K, Brouchet L, Leobon B, Savagner F, Oliver I, Galinier P, Castex MP, Pasquet M. Wilms tumor, pleuropulmonary blastoma, and DICER1: case report and literature review. World J Surg Oncol 2018; 16:164. [PMID: 30097050 PMCID: PMC6087000 DOI: 10.1186/s12957-018-1469-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 08/03/2018] [Indexed: 11/12/2022] Open
Abstract
Background Pleuroblastoma (PPB) is a rare pediatric tumor which, in 30% of cases, is associated with cystic nephroma. It has been recently linked to the DICER1 mutation as part of a predisposition syndrome for various tumors. However, if DICER 1 anomalies have been reported in patients with Wilms tumor (WT), to date, no cases of PPB, WT, and DICER1 mutations have been reported in the same patient. Case presentation We report the case of a 3-year-old patient, initially managed for metastatic WT. During his clinical course, the diagnosis of a PPB was made after detecting the DICER1 mutation and subsequent management was therefore modified. Conclusion This case highlights that in case of simultaneous discovery of a renal tumor and a pulmonary lesion in a child, the DICER 1 mutations should be looked for as these could help adapt management and schedule the surgical procedures.
Collapse
Affiliation(s)
- Olivier Abbo
- Pediatric Surgery Department, Children's Hospital of Toulouse, CHU Toulouse, 330 Avenue de Grande Bretagne, 31059, Toulouse, France.
| | - Kalitha Pinnagoda
- Pediatric Surgery Department, Children's Hospital of Toulouse, CHU Toulouse, 330 Avenue de Grande Bretagne, 31059, Toulouse, France
| | - Laurent Brouchet
- Thoracic Surgery Department, Hôpital Larrey, CHU Toulouse, Toulouse, France
| | - Bertrand Leobon
- Cardiac Surgery Department, Children's Hospital of Toulouse, CHU Toulouse, 330 Avenue de Grande Bretagne, 31059, Toulouse, France
| | - Frédérique Savagner
- Molecular Endocrinology-Institut Fédératif de Biologie, CHU Toulouse, 330 Avenue de Grande Bretagne, 31059, Toulouse, France
| | - Isabelle Oliver
- Endocrinology Department, Children's Hospital of Toulouse, CHU Toulouse, 330 Avenue de Grande Bretagne, 31059, Toulouse, France
| | - Philippe Galinier
- Pediatric Surgery Department, Children's Hospital of Toulouse, CHU Toulouse, 330 Avenue de Grande Bretagne, 31059, Toulouse, France
| | - Marie-Pierre Castex
- Pediatric Hemato-oncology Department, Children's Hospital of Toulouse, CHU Toulouse, 330 Avenue de Grande Bretagne, 31059, Toulouse, France
| | - Marlène Pasquet
- Pediatric Hemato-oncology Department, Children's Hospital of Toulouse, CHU Toulouse, 330 Avenue de Grande Bretagne, 31059, Toulouse, France
| |
Collapse
|
10
|
Tahhan N, Ba PS, Hadeed K, Dulac Y, Cuttone F, Leobon B. Cardiac strangulation: An atypical complication from epicardial pacemaker leads in a newborn. Ann Pediatr Cardiol 2018; 11:191-193. [PMID: 29922017 PMCID: PMC5963234 DOI: 10.4103/apc.apc_175_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
We report a rare and serious complication of cardiac strangulation arising from the implantation of epicardial pacing leads in a newborn. Patient's follow-up 9-month postsurgery revealed compression under the pulmonary valve annulus by a pacemaker lead, causing progressive stenosis of the right ventricular outflow tract. The epicardial leads were replaced to relieve compression, and stenosis of the right ventricular outflow tract was rectified. Pacemaker implantation in newborns is not without challenges; epicardial leads should be carefully positioned to avoid any compression of cardiac structures.
Collapse
Affiliation(s)
- Nabil Tahhan
- Department of Pediatric Cardiology, University Hospital, Toulouse, France
| | - Papa Salmane Ba
- Department of Pediatric Cardiac Surgery, University Hospital, Toulouse, France
| | - Khaled Hadeed
- Department of Pediatric Cardiology, University Hospital, Toulouse, France
| | - Yves Dulac
- Department of Pediatric Cardiology, University Hospital, Toulouse, France
| | - Fabio Cuttone
- Department of Pediatric Cardiac Surgery, University Hospital, Toulouse, France
| | - Bertrand Leobon
- Department of Pediatric Cardiac Surgery, University Hospital, Toulouse, France
| |
Collapse
|
11
|
Serre L, Girard M, Ramadan A, Menut P, Rouquié N, Lucca LE, Mahiddine K, Leobon B, Mars LT, Guerder S. Thymic-Specific Serine Protease Limits Central Tolerance and Exacerbates Experimental Autoimmune Encephalomyelitis. J Immunol 2017; 199:3748-3756. [PMID: 29061767 DOI: 10.4049/jimmunol.1700667] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2017] [Accepted: 09/25/2017] [Indexed: 12/20/2022]
Abstract
The genetic predisposition to multiple sclerosis (MS) is most strongly conveyed by MHC class II haplotypes, possibly by shaping the autoimmune CD4 T cell repertoire. Whether Ag-processing enzymes contribute to MS susceptibility by editing the peptide repertoire presented by these MHC haplotypes is unclear. Thymus-specific serine protease (TSSP) is expressed by thymic epithelial cells and thymic dendritic cells (DCs) and, in these two stromal compartments, TSSP edits the peptide repertoire presented by class II molecules. We show in this article that TSSP increases experimental autoimmune encephalomyelitis severity by limiting central tolerance to myelin oligodendrocyte glycoprotein. The effect on experimental autoimmune encephalomyelitis severity was MHC class II allele dependent, because the lack of TSSP expression conferred protection in NOD mice but not in C57BL/6 mice. Importantly, although human thymic DCs express TSSP, individuals segregate into two groups having a high or 10-fold lower level of expression. Therefore, the level of TSSP expression by thymic DCs may modify the risk factors for MS conferred by some MHC class II haplotypes.
Collapse
Affiliation(s)
- Laurent Serre
- INSERM, U1043, Toulouse F-31300, France.,CNRS, UMR5282, Toulouse F-31300, France.,Centre de Physiopathologie de Toulouse Purpan, Université Toulouse III Paul-Sabatier, Toulouse F-31300, France
| | - Maeva Girard
- INSERM, U1043, Toulouse F-31300, France.,CNRS, UMR5282, Toulouse F-31300, France.,Centre de Physiopathologie de Toulouse Purpan, Université Toulouse III Paul-Sabatier, Toulouse F-31300, France
| | - Abdoulraouf Ramadan
- INSERM, U1043, Toulouse F-31300, France.,CNRS, UMR5282, Toulouse F-31300, France.,Centre de Physiopathologie de Toulouse Purpan, Université Toulouse III Paul-Sabatier, Toulouse F-31300, France
| | - Paul Menut
- INSERM, U1043, Toulouse F-31300, France.,CNRS, UMR5282, Toulouse F-31300, France.,Centre de Physiopathologie de Toulouse Purpan, Université Toulouse III Paul-Sabatier, Toulouse F-31300, France
| | - Nelly Rouquié
- INSERM, U1043, Toulouse F-31300, France.,CNRS, UMR5282, Toulouse F-31300, France.,Centre de Physiopathologie de Toulouse Purpan, Université Toulouse III Paul-Sabatier, Toulouse F-31300, France
| | - Liliana E Lucca
- INSERM, U1043, Toulouse F-31300, France.,CNRS, UMR5282, Toulouse F-31300, France.,Centre de Physiopathologie de Toulouse Purpan, Université Toulouse III Paul-Sabatier, Toulouse F-31300, France
| | - Karim Mahiddine
- INSERM, U1043, Toulouse F-31300, France.,CNRS, UMR5282, Toulouse F-31300, France.,Centre de Physiopathologie de Toulouse Purpan, Université Toulouse III Paul-Sabatier, Toulouse F-31300, France
| | - Bertrand Leobon
- Department of Pediatric Cardiology and Cardiovascular Surgery, Children's Hospital of Toulouse, Toulouse F-31300, France
| | - Lennart T Mars
- INSERM, U1043, Toulouse F-31300, France.,CNRS, UMR5282, Toulouse F-31300, France.,Centre de Physiopathologie de Toulouse Purpan, Université Toulouse III Paul-Sabatier, Toulouse F-31300, France.,INSERM UMR995, Lille Inflammation Research International Center, F-59000 Lille, France; and.,Centre d'Excellence LICEND and FHU IMMINeNT, Université Lille, F-59000 Lille, France
| | - Sylvie Guerder
- INSERM, U1043, Toulouse F-31300, France; .,CNRS, UMR5282, Toulouse F-31300, France.,Centre de Physiopathologie de Toulouse Purpan, Université Toulouse III Paul-Sabatier, Toulouse F-31300, France
| |
Collapse
|
12
|
Leobon B, Cuttone F. Tetralogy of Fallot: is pulmonary valve sparing always feasible? Archives of Cardiovascular Diseases Supplements 2017. [DOI: 10.1016/s1878-6480(17)30889-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
13
|
Tahhan N, Fesseau R, Berthomieu L, Ratsimandresy M, Hadeed K, Acar P, Cuttone F, Leobon B, Dulac Y. The interest of antiviral treatment in fulminant viral myocarditis in children. Archives of Cardiovascular Diseases Supplements 2017. [DOI: 10.1016/s1878-6480(17)30930-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
14
|
Hadeed K, Amadieu R, Tahhan N, Dulac Y, Chausseray G, Fesseau R, Alacoque X, Cuttone F, Leobon B, Ph. Acar. Performing transesophageal echocardiography in small infants remains a challenge. Archives of Cardiovascular Diseases Supplements 2017. [DOI: 10.1016/s1878-6480(17)30026-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
15
|
Abstract
Invagination of an appendage into the left atrium is a rare complication. It occurs spontaneously or after open-heart surgery. In our case, a postoperative transesophageal echocardiogram, after closure of a ventricular septal defect in a 5-month-old infant, revealed a large mass in the left atrium. A diagnosis of a left appendage inversion was confirmed after external examination of the heart. Herein, we provide echocardiographic images before, during, and after manual reversion of the left appendage. Misdiagnosis of this complication could have led to an additional unnecessary surgical procedure that could have impacted on the patient's morbidity.
Collapse
Affiliation(s)
- Khaled Hadeed
- Pediatric Cardiology Unit, Children's Hospital, CHU Toulouse, Toulouse, France
| | - Bertrand Leobon
- Cardiac Surgery Unit, Children's Hospital, CHU Toulouse, Toulouse, France
| | - Yves Dulac
- Pediatric Cardiology Unit, Children's Hospital, CHU Toulouse, Toulouse, France
| | - Philippe Acar
- Pediatric Cardiology Unit, Children's Hospital, CHU Toulouse, Toulouse, France
| |
Collapse
|
16
|
Karsenty C, Hadeed K, Dulac Y, Semet F, Alacoque X, Breinig S, Leobon B, Acar P, Hascoet S. Two-dimensional right ventricular strain by speckle tracking for assessment of longitudinal right ventricular function after paediatric congenital heart disease surgery. Arch Cardiovasc Dis 2017; 110:157-166. [DOI: 10.1016/j.acvd.2016.09.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Revised: 05/31/2016] [Accepted: 09/06/2016] [Indexed: 10/20/2022]
|
17
|
Cuttone F, Hadeed K, Lacour-Gayet F, Lucron H, Hascoet S, Acar P, Leobon B, Van Praagh R. Isolated severe leftward displacement of the septum primum: anatomic and 3D echocardiographic findings and surgical repair. Interact Cardiovasc Thorac Surg 2017; 24:772-777. [DOI: 10.1093/icvts/ivx006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2016] [Accepted: 12/11/2016] [Indexed: 11/12/2022] Open
|
18
|
Hadeed K, Amadieu R, Tahhan N, Dulac Y, Chausseray G, Fesseau R, Cuttone P, Alacoque X, Leobon B, Acar P. Performing transesophageal echocardiography in infants remains a challenge. Archives of Cardiovascular Diseases Supplements 2017. [DOI: 10.1016/s1878-6480(17)30187-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
19
|
Hadeed K, Amadieu R, Tahhan N, Dulac Y, Chausseray G, Fesseau R, Alacoque X, Cuttone F, Leobon B, Acar P. Performing transesophageal echocardiography in infants remains a challenge. Archives of Cardiovascular Diseases Supplements 2016. [DOI: 10.1016/s1878-6480(16)30566-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
20
|
Alacoque X, Cuttone F, Hadeed K, Drzazga P, Fesseau R, Chausseray G, Leobon B, Acar P. Conquest of the (3D) space: CHD care excellence by essence. Archives of Cardiovascular Diseases Supplements 2016. [DOI: 10.1016/s1878-6480(16)30555-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
21
|
Breinig S, Amadieu R, Berthomieu L, Garnier A, Alacoque X, Hadeed K, Dulac Y, Acar P, Cuttone F, Leobon B. Acute Kidney Injury is an independent factor of morbimortality especially after Neonatal Cardiac Surgery. Archives of Cardiovascular Diseases Supplements 2016. [DOI: 10.1016/s1878-6480(16)30567-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
22
|
Alacoque X, Fesseau R, Chausseray G, Cuttone F, Hadeed K, Leobon B, Acar P. Washed red blood cell transfusion during CHD surgery: effect on blood potassium level. Archives of Cardiovascular Diseases Supplements 2016. [DOI: 10.1016/s1878-6480(16)30573-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
23
|
Hadeed K, Hascoet S, Amadieu R, Karsenty C, Cuttone F, Leobon B, Dulac Y, Acar P. Assessment of Ventricular Septal Defect Size and Morphology by Three-Dimensional Transthoracic Echocardiography. J Am Soc Echocardiogr 2016; 29:777-785. [DOI: 10.1016/j.echo.2016.04.012] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/29/2016] [Indexed: 12/01/2022]
|
24
|
Vuddamalay Y, Attia M, Vicente R, Pomié C, Enault G, Leobon B, Joffre O, Romagnoli P, van Meerwijk JPM. Mouse and human CD8(+) CD28(low) regulatory T lymphocytes differentiate in the thymus. Immunology 2016; 148:187-96. [PMID: 26924728 DOI: 10.1111/imm.12600] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2015] [Revised: 02/20/2016] [Accepted: 02/22/2016] [Indexed: 12/22/2022] Open
Abstract
Regulatory T (Treg) lymphocytes play a central role in the control of immune responses and so maintain immune tolerance and homeostasis. In mice, expression of the CD8 co-receptor and low levels of the co-stimulatory molecule CD28 characterizes a Treg cell population that exerts potent suppressive function in vitro and efficiently controls experimental immunopathology in vivo. It has remained unclear if CD8(+) CD28(low) Treg cells develop in the thymus or represent a population of chronically activated conventional T cells differentiating into Treg cells in the periphery, as suggested by their CD28(low) phenotype. We demonstrate that functional CD8(+) CD28(low) Treg cells are present in the thymus and that these cells develop locally and are not recirculating from the periphery. Differentiation of CD8(+) CD28(low) Treg cells requires MHC class I expression on radioresistant but not on haematopoietic thymic stromal cells. In contrast to other Treg cells, CD8(+) CD28(low) Treg cells develop simultaneously with CD8(+) CD28(high) conventional T cells. We also identified a novel homologous naive CD8(+) CD28(low) T-cell population with immunosuppressive properties in human blood and thymus. Combined, our data demonstrate that CD8(+) CD28(low) cells can develop in the thymus of mice and suggest that the same is true in humans.
Collapse
Affiliation(s)
- Yirajen Vuddamalay
- Institut National de la Santé et de la Recherche Médicale (Inserm) U1043, Toulouse, France.,Centre National de la Recherche Scientifique (CNRS) U5282, Toulouse, France.,Centre de Physiopathologie de Toulouse Purpan (CPTP), Université de Toulouse, Université Paul Sabatier, Toulouse, France
| | - Mehdi Attia
- Institut National de la Santé et de la Recherche Médicale (Inserm) U1043, Toulouse, France.,Centre National de la Recherche Scientifique (CNRS) U5282, Toulouse, France.,Centre de Physiopathologie de Toulouse Purpan (CPTP), Université de Toulouse, Université Paul Sabatier, Toulouse, France
| | - Rita Vicente
- Institut National de la Santé et de la Recherche Médicale (Inserm) U1043, Toulouse, France.,Centre National de la Recherche Scientifique (CNRS) U5282, Toulouse, France.,Centre de Physiopathologie de Toulouse Purpan (CPTP), Université de Toulouse, Université Paul Sabatier, Toulouse, France
| | - Céline Pomié
- Institut National de la Santé et de la Recherche Médicale (Inserm) U1043, Toulouse, France.,Centre National de la Recherche Scientifique (CNRS) U5282, Toulouse, France.,Centre de Physiopathologie de Toulouse Purpan (CPTP), Université de Toulouse, Université Paul Sabatier, Toulouse, France
| | - Geneviève Enault
- Institut National de la Santé et de la Recherche Médicale (Inserm) U1043, Toulouse, France.,Centre National de la Recherche Scientifique (CNRS) U5282, Toulouse, France.,Centre de Physiopathologie de Toulouse Purpan (CPTP), Université de Toulouse, Université Paul Sabatier, Toulouse, France
| | - Bertrand Leobon
- Department of Pediatric Cardiology and Cardiovascular surgery, Children Hospital, University Hospital of Toulouse, Toulouse, France
| | - Olivier Joffre
- Institut National de la Santé et de la Recherche Médicale (Inserm) U1043, Toulouse, France.,Centre National de la Recherche Scientifique (CNRS) U5282, Toulouse, France.,Centre de Physiopathologie de Toulouse Purpan (CPTP), Université de Toulouse, Université Paul Sabatier, Toulouse, France
| | - Paola Romagnoli
- Institut National de la Santé et de la Recherche Médicale (Inserm) U1043, Toulouse, France.,Centre National de la Recherche Scientifique (CNRS) U5282, Toulouse, France.,Centre de Physiopathologie de Toulouse Purpan (CPTP), Université de Toulouse, Université Paul Sabatier, Toulouse, France
| | - Joost P M van Meerwijk
- Institut National de la Santé et de la Recherche Médicale (Inserm) U1043, Toulouse, France.,Centre National de la Recherche Scientifique (CNRS) U5282, Toulouse, France.,Centre de Physiopathologie de Toulouse Purpan (CPTP), Université de Toulouse, Université Paul Sabatier, Toulouse, France
| |
Collapse
|
25
|
Cuttone F, Amadieu R, Labouret G, Berthomieu L, Breinig S, Hascoet S, Hadeed K, Roux D, Dulac Y, Acar P, Leobon B. Surgical treatment of congenital anomalies of the aortic arch : Long-term results. J Cardiothorac Surg 2015. [PMCID: PMC4693752 DOI: 10.1186/1749-8090-10-s1-a66] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
26
|
Karsenty C, Maury P, Blot-Souletie N, Ladouceur M, Leobon B, Senac V, Mondoly P, Elbaz M, Galinier M, Dulac Y, Carrié D, Acar P, Hascoet S. The medical history of adults with complex congenital heart disease affects their social development and professional activity. Arch Cardiovasc Dis 2015; 108:589-97. [DOI: 10.1016/j.acvd.2015.06.004] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2015] [Revised: 05/05/2015] [Accepted: 06/09/2015] [Indexed: 11/29/2022]
|
27
|
Karsenty C, Hascoet S, Hadeed K, Semet F, Amadieu R, Dulac Y, Fesseau R, Alacoque X, Chausseray G, Berthomieu L, Breinig S, Bloom MC, Leobon B, Acar P. 16 Right ventricular systolic strain evolution during peri-operative management of congenital heart diseases. Archives of Cardiovascular Diseases Supplements 2015. [DOI: 10.1016/s1878-6480(15)30254-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
28
|
Hascoët S, Alacoque X, Fesseau R, Heitz F, Amadieu R, Hadeed K, Leobon B, Dulac Y, Acar P. 0353 : Cerebral tissue oxygen saturation monitoring during balloon atrial septostomy in neonates with transposition of the great arteries. Preliminary data. Archives of Cardiovascular Diseases Supplements 2015. [DOI: 10.1016/s1878-6480(15)30217-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
29
|
Cazavet A, Alacoque X, Marcheix B, Chaufour X, Rousseau H, Glock Y, Leobon B. Aortic arch aneurysm: short- and mid-term results comparing open arch surgery and the hybrid procedure. Eur J Cardiothorac Surg 2015; 49:134-40. [DOI: 10.1093/ejcts/ezv024] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Accepted: 01/06/2015] [Indexed: 11/13/2022] Open
|
30
|
Karsenty C, Hascoët S, Hadeed K, Amadieu R, Alacoque X, Fesseau R, Dulac Y, Breinig S, Leobon B, Acar P. 0410: Right ventricular systolic strain evolution during peri-operative management of congenital heart diseases. Archives of Cardiovascular Diseases Supplements 2015. [DOI: 10.1016/s1878-6480(15)71758-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
31
|
Cazavet A, Hascoet S, Dulac Y, Alacoque X, Fesseau R, Berthomieu L, Chausseray G, Roux D, Leobon B, Acar P. 0362: Tetralogy of Fallot complete repair: humanitarian chains versus French native children. Archives of Cardiovascular Diseases Supplements 2015. [DOI: 10.1016/s1878-6480(15)71776-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
32
|
Domingos J, Augustine D, Leeson P, Noble J, Doan HL, Boubrit L, Cheikh-Khalifa R, Laveau F, Djebbar M, Pousset F, Isnard R, Hammoudi N, Lisi M, Cameli M, Di Tommaso C, Curci V, Reccia R, Maccherini M, Henein MY, Mondillo S, Leitman M, Vered Z, Rashid H, Yalcin MU, Gurses KM, Kocyigit D, Evranos B, Yorgun H, Sahiner L, Kaya B, Aytemir K, Ozer N, Bertella E, Petulla' M, Baggiano A, Mushtaq S, Russo E, Gripari P, Innocenti E, Andreini D, Tondo C, Pontone G, Necas J, Kovalova S, Hristova K, Shiue I, Bogdanva V, Teixido Tura G, Sanchez V, Rodriguez-Palomares J, Gutierrez L, Gonzalez-Alujas T, Garcia-Dorado D, Forteza A, Evangelista A, Timoteo AT, Aguiar Rosa S, Cruz Ferreira R, Campbell R, Carrick D, Mccombe C, Tzemos N, Berry C, Sonecki P, Noda M, Setoguchi M, Ikenouchi T, Nakamura T, Yamamoto Y, Murakami T, Katou Y, Usui M, Ichikawa K, Isobe M, Kwon B, Roh J, Kim H, Ihm S, Barron AJ, Francis D, Mayet J, Wensel R, Kosiuk J, Dinov B, Bollmann A, Hindricks G, Breithardt O, Rio P, Moura Branco L, Galrinho A, Cacela D, Pinto Teixeira P, Afonso Nogueira M, Pereira-Da-Silva T, Abreu J, Teresa Timoteo A, Cruz Ferreira R, Pavlyukova E, Tereshenkova E, Karpov R, Piatkowski R, Kochanowski J, Opolski G, Barbier P, Mirea O, Guglielmo M, Savioli G, Cefalu C, Pudil R, Horakova L, Rozloznik M, Balestra C, Rimbas R, Enescu O, Calin S, Vinereanu D, Karsenty C, Hascoet S, Hadeed K, Semet F, Dulac Y, Alacoque X, Leobon B, Acar P, Dharma S, Sukmawan R, Soesanto A, Vebiona K, Firdaus I, Danny S, Driessen MMP, Sieswerda G, Post M, Snijder R, Van Dijk A, Leiner T, Meijboom F, Chrysohoou C, Tsitsinakis G, Tsiachris D, Aggelis A, Herouvim E, Vogiatzis I, Pitsavos C, Koulouris G, Stefanadis C, Erdei T, Edwards J, Braim D, Yousef Z, Fraser A, Avenatti E, Magnino C, Omede' P, Presutti D, Moretti C, Iannaccone A, Ravera A, Gaita F, Milan A, Veglio F, Barbier P, Scali M, Simioniuc A, Guglielmo M, Savioli G, Cefalu C, Mirea O, Fusini L, Dini F, Okura H, Murata E, Kataoka T, Zaroui A, Ben Halima M, Mourali M, Mechmeche R, Rodriguez Palomares JF, Gutierrez L, Maldonado G, Garcia G, Otaegui I, Garcia Del Blanco B, Teixido G, Gonzalez Alujas M, Evangelista A, Garcia Dorado D, Godinho AR, Correia A, Rangel I, Rocha A, Rodrigues J, Araujo V, Almeida P, Macedo F, Maciel M, Rekik B, Mghaieth F, Aloui H, Boudiche S, Jomaa M, Ayari J, Tabebi N, Farhati A, Mourali S, Dekleva M, Markovic-Nikolic N, Zivkovic M, Stankovic A, Boljevic D, Korac N, Beleslin B, Arandjelovic A, Ostojic M, Galli E, Guirette Y, Auffret V, Daudin M, Fournet M, Mabo P, Donal E, Chin CWL, Luo E, Hwan J, White A, Newby D, Dweck M, Carstensen HG, Larsen LH, Hassager C, Kofoed KF, Jensen JS, Mogelvang R, Kowalczyk M, Debska M, Kolesnik A, Dangel J, Kawalec W, Migliore R, Adaniya M, Barranco M, Miramont G, Gonzalez S, Tamagusuku H, Davidsen ES, Kuiper KKJ, Matre K, Gerdts E, Igual Munoz B, Maceira Gonzalez A, Erdociain Perales M, Estornell Erill J, Valera Martinez F, Miro Palau V, Piquer Gil M, Sepulveda Sanchez P, Cervera Zamora A, Montero Argudo A, Placido R, Silva Marques J, Magalhaes A, Guimaraes T, Nobre E Menezes M, Goncalves S, Ramalho A, Robalo Martins S, Almeida A, Nunes Diogo A, Abid L, Ben Kahla S, Charfeddine S, Abid D, Kammoun S, Tounsi A, Abid L, Abid D, Charfeddine S, Hammami R, Triki F, Akrout M, Mallek S, Hentati M, Kammoun S, Sirbu CF, Berrebi A, Huber A, Folliguet T, Yang LT, Shih J, Liu Y, Li Y, Tsai L, Luo C, Tsai W, Babukov R, Bartosh F, Bazilev V, Muraru D, Cavalli G, Addetia K, Miglioranza M, Veronesi F, Mihaila S, Tadic M, Cucchini U, Badano L, Lang R, Miyazaki S, Slavich M, Miyazaki T, Figini F, Lativ A, Chieffo A, Montrfano M, Alfieri O, Colombo A, Agricola E, Liu D, Hu K, Herrmann S, Stoerk S, Kramer B, Ertl G, Bijnens B, Weidemann F, Brand M, Butz T, Tzikas S, Van Bracht M, Roeing J, Wennemann R, Christ M, Grett M, Trappe HJ, Scherzer S, Geroldinger A, Krenn L, Roth C, Gangl C, Maurer G, Rosenhek R, Neunteufl T, Binder T, Bergler-Klein J, Martins E, Pinho T, Leite S, Azevedo O, Belo A, Campelo M, Amorim S, Rocha-Goncalves F, Goncalves L, Silva-Cardoso J, Ahn H, Kim K, Jeon H, Youn H, Haland T, Saberniak J, Leren I, Edvardsen T, Haugaa K, Ziolkowska L, Boruc A, Kowalczyk M, Turska-Kmiec A, Zubrzycka M, Kawalec W, Monivas Palomero V, Mingo Santos S, Goirigolzarri Artaza J, Rodriguez Gonzalez E, Rivero Arribas B, Castro Urda V, Dominguez Rodriguez F, Mitroi C, Gracia Lunar I, Fernadez Lozano I, Palecek T, Masek M, Kuchynka P, Fikrle M, Spicka I, Rysava R, Linhart A, Saberniak J, Hasselberg N, Leren I, Haland T, Borgquist R, Platonov P, Edvardsen T, Haugaa K, Ancona R, Comenale Pinto S, Caso P, Coopola M, Arenga F, Rapisarda O, D'onofrio A, Sellitto V, Calabro R, Rosca M, Popescu B, Calin A, Mateescu A, Beladan C, Jalba M, Rusu E, Zilisteanu D, Ginghina C, Pressman G, Cepeda-Valery B, Romero-Corral A, Moldovan R, Saenz A, Orban M, Samuel S, Fijalkowski M, Fijalkowska M, Gilis-Siek N, Blaut K, Galaska R, Sworczak K, Gruchala M, Fijalkowski M, Nowak R, Gilis-Siek N, Fijalkowska M, Galaska R, Gruchala M, Ikonomidis I, Triantafyllidi H, Trivilou P, Tzortzis S, Papadopoulos C, Pavlidis G, Paraskevaidis I, Lekakis J, Kaymaz C, Aktemur T, Poci N, Ozturk S, Akbal O, Yilmaz F, Tokgoz Demircan H, Kirca N, Tanboga I, Ozdemir N, Greiner S, Jud A, Aurich M, Hess A, Hilbel T, Hardt S, Katus H, D'ascenzi F, Cameli M, Alvino F, Lisi M, Focardi M, Solari M, Bonifazi M, Mondillo S, Konopka M, Krol W, Klusiewicz A, Burkhard K, Chwalbinska J, Pokrywka A, Dluzniewski M, Braksator W, King GJ, Coen K, Gannon S, Fahy N, Kindler H, Clarke J, Iliuta L, Rac-Albu M, Placido R, Robalo Martins S, Guimaraes T, Nobre E Menezes M, Cortez-Dias N, Francisco A, Silva G, Goncalves S, Almeida A, Nunes Diogo A, Kyu K, Kong W, Songco G, Galupo M, Castro M, Shin Hnin W, Ronald Lee C, Poh K, Milazzo V, Di Stefano C, Tosello F, Leone D, Ravera A, Sabia L, Sobrero G, Maule S, Veglio F, Milan A, Jamiel AM, Ahmed AM, Farah I, Al-Mallah MH, Petroni R, Magnano R, Bencivenga S, Di Mauro M, Petroni S, Altorio S, Romano S, Penco M, Kumor M, Lipczynska M, Klisiewicz A, Wojcik A, Konka M, Kozuch K, Szymanski P, Hoffman P, Rimbas R, Rimbas M, Enescu O, Mihaila S, Calin S, Vinereanu D, Donal E, Reynaud A, Lund L, Persson H, Hage C, Oger E, Linde C, Daubert J, Maria Oliveira Lima M, Costa H, Gomes Da Silva M, Noman Alencar M, Carmo Pereira Nunes M, Costa Rocha M, Abid L, Charfeddine S, Ben Kahla S, Abid D, Siala A, Hentati M, Kammoun S, Kovalova S, Necas J, Ozawa K, Funabashi N, Takaoka H, Kobayashi Y, Matsumura Y, Wada M, Hirakawa D, Yasuoka Y, Morimoto N, Takeuchi H, Kitaoka H, Sugiura T, Lakkas L, Naka K, Ntounousi E, Gkirdis I, Koutlas V, Bechlioulis A, Pappas K, Katsouras C, Siamopoulos K, Michalis L, Naka K, Evangelou D, Kalaitzidis R, Bechlioulis A, Lakkas L, Gkirdis I, Tzeltzes G, Nakas G, Katsouras C, Michalis L, Generati G, Bandera F, Pellegrino M, Labate V, Alfonzetti E, Guazzi M, Zagatina A, Zhuravskaya N, Al-Mallah M, Alsaileek A, Qureshi W, Karsenty C, Hascoet S, Peyre M, Hadeed K, Alacoque X, Amadieu R, Leobon B, Dulac Y, Acar P, Yamanaka Y, Sotomi Y, Iwakura K, Inoue K, Toyoshima Y, Tanaka K, Oka T, Tanaka N, Orihara Y, Fujii K, Soulat-Dufour L, Lang S, Boyer-Chatenet L, Van Der Vynckt C, Ederhy S, Adavane S, Haddour N, Boccara F, Cohen A, Huitema M, Boerman S, Vorselaars V, Grutters J, Post M, Gopal AS, Saha S, Toole R, Kiotsekoglou A, Cao J, Reichek N, Meyer CG, Altiok E, Al Ateah G, Lehrke M, Becker M, Lotfi S, Autschbach R, Marx N, Hoffmann R, Frick M, Nemes A, Sepp R, Kalapos A, Domsik P, Forster T, Caro Codon J, Blazquez Bermejo Z, Lopez Fernandez T, Valbuena Lopez SC, Iniesta Manjavacas AM, De Torres Alba F, Dominguez Melcon F, Pena Conde L, Moreno Yanguela M, Lopez-Sendon JL, Nemes A, Lengyel C, Domsik P, Kalapos A, Orosz A, Varkonyi T, Forster T, Rendon J, Saldarriaga CI, Duarte N, Nemes A, Domsik P, Kalapos A, Forster T, Nemes A, Domsik P, Kalapos A, Sepp R, Foldeak D, Borbenyi Z, Forster T, Hamdy A, Fereig H, Nabih M, Abdel-Aziz A, Ali A, Broyd C, Wielandts JY, De Buck S, Michielsen K, Louw R, Garweg C, Nuyts J, Ector J, Maes F, Heidbuchel H, Gillis K, Bala G, Tierens S, Cosyns B, Maurovich-Horvat P, Horvath T, Jermendy A, Celeng C, Panajotu A, Bartykowszki A, Karolyi M, Tarnoki A, Jermendy G, Merkely B. Poster session 2: Thursday 4 December 2014, 08:30-12:30 * Location: Poster area. Eur Heart J Cardiovasc Imaging 2014. [DOI: 10.1093/ehjci/jeu252] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
33
|
Bura A, Planat-Benard V, Bourin P, Silvestre JS, Gross F, Grolleau JL, Saint-Lebese B, Peyrafitte JA, Fleury S, Gadelorge M, Taurand M, Dupuis-Coronas S, Leobon B, Casteilla L. Phase I trial: the use of autologous cultured adipose-derived stroma/stem cells to treat patients with non-revascularizable critical limb ischemia. Cytotherapy 2014; 16:245-57. [PMID: 24438903 DOI: 10.1016/j.jcyt.2013.11.011] [Citation(s) in RCA: 218] [Impact Index Per Article: 21.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2013] [Revised: 11/23/2013] [Accepted: 11/26/2013] [Indexed: 12/14/2022]
Abstract
BACKGROUND AIMS Non-revascularizable critical limb ischemia (CLI) is the most severe stage of peripheral arterial disease, with no therapeutic option. Extensive preclinical studies have demonstrated that adipose-derived stroma cell (ASC) transplantation strongly improves revascularization and tissue perfusion in ischemic limbs. This study, named ACellDREAM, is the first phase I trial to evaluate the feasibility and safety of intramuscular injections of autologous ASC in non-revascularizable CLI patients. METHODS Seven patients were consecutively enrolled, on the basis of the following criteria: (i) lower-limb rest pain or ulcer; (ii) ankle systolic oxygen pressure <50 or 70 mm Hg for non-diabetic and diabetic patients, respectively, or first-toe systolic oxygen pressure <30 mm Hg or 50 mm Hg for non-diabetic and diabetic patients, respectively; (iii) not suitable for revascularization. ASCs from abdominal fat were grown for 2 weeks and were then characterized. RESULTS More than 200 million cells were obtained, with almost total homogeneity and no karyotype abnormality. The expressions of stemness markers Oct4 and Nanog were very low, whereas expression of telomerase was undetectable in human ASCs compared with human embryonic stem cells. ASCs (10(8)) were then intramuscularly injected into the ischemic leg of patients, with no complication, as judged by an independent committee. Trans-cutaneous oxygen pressure tended to increase in most patients. Ulcer evolution and wound healing showed improvement. CONCLUSIONS These data demonstrate the feasibility and safety of autologous ASC transplantation in patients with objectively proven CLI not suitable for revascularization. The improved wound healing also supports a putative functional efficiency.
Collapse
Affiliation(s)
- Alessandra Bura
- Service de médecine vasculaire, Pôle cardiovasculaire et métabolique, Centre hospitalo-universitaire de Toulouse, Toulouse, France; Université de Toulouse III, Paul Sabatier, Toulouse, France
| | - Valerie Planat-Benard
- CNRS, Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France; EFS (Etablissement Français du Sang), STROMAlab, Toulouse, France; Inserm U1031 STROMAlab, Toulouse, France; Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France
| | - Philippe Bourin
- EFS (Etablissement Français du Sang), STROMAlab, Toulouse, France; CSA21, 7 chemin des silos, Toulouse, France
| | - Jean-Sebastien Silvestre
- INSERM UMRS 970, Paris Cardiovascular Research Center, Université Paris Descartes, Sorbonne Paris cité, Paris, France
| | - Fabian Gross
- Centre d'Investigation Clinique de Biothérapies de Toulouse, Toulouse cedex 9, France; Direction de la Recherche Médicale et Innovation (DRMI) du CHU de Toulouse, Toulouse cedex 9, France
| | - Jean-Louis Grolleau
- Université de Toulouse III, Paul Sabatier, Toulouse, France; Service de chirurgie plastique, reconstructrice et esthétique, Centre hospitalo-universitaire de Toulouse, Toulouse, France
| | - Bertrand Saint-Lebese
- Service de chirurgie vasculaire, Pôle cardiovasculaire et métabolique, Centre hospitalo-universitaire de Toulouse, Toulouse, France
| | - Julie-Anne Peyrafitte
- CNRS, Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France; EFS (Etablissement Français du Sang), STROMAlab, Toulouse, France; Inserm U1031 STROMAlab, Toulouse, France; Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France
| | - Sandrine Fleury
- CNRS, Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France; EFS (Etablissement Français du Sang), STROMAlab, Toulouse, France; Inserm U1031 STROMAlab, Toulouse, France; Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France
| | - Melanie Gadelorge
- CNRS, Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France; EFS (Etablissement Français du Sang), STROMAlab, Toulouse, France; Inserm U1031 STROMAlab, Toulouse, France; Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France
| | - Marion Taurand
- CNRS, Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France; EFS (Etablissement Français du Sang), STROMAlab, Toulouse, France; Inserm U1031 STROMAlab, Toulouse, France; Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France
| | - Sophie Dupuis-Coronas
- CNRS, Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France; EFS (Etablissement Français du Sang), STROMAlab, Toulouse, France; Inserm U1031 STROMAlab, Toulouse, France; Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France
| | - Bertrand Leobon
- Université de Toulouse III, Paul Sabatier, Toulouse, France; Service de chirurgie cardiovasculaire, Pôle cardiovasculaire et métabolique, Centre hospitalo-universitaire de Toulouse, Toulouse, France
| | - Louis Casteilla
- CNRS, Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France; EFS (Etablissement Français du Sang), STROMAlab, Toulouse, France; Inserm U1031 STROMAlab, Toulouse, France; Université Toulouse III, UPS UMR5273 STROMAlab, Toulouse, France.
| |
Collapse
|
34
|
Fesseau R, Alacoque X, Hascoet S, Chausseray G, Leobon B, Acar P. ACT variation after a weight-based heparin bolus before CPB is not predictable in infant. Arch Cardiovasc Dis 2014. [DOI: 10.1016/j.acvd.2014.07.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
35
|
Hascoet S, Guilbeau-Frugier C, Gales C, Karsenty C, Maury P, Pathak A, Leobon B, Acar P, Senard J. Early architectural modifications in the right ventricle myocardium of children with tetralogy of Fallot: Preliminary data by morphological analysis. Arch Cardiovasc Dis 2014. [DOI: 10.1016/j.acvd.2014.07.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
36
|
Alacoque X, Fesseau R, Hadeed K, Chausseray G, Hascoet S, Leobon B, Acar P. Make use of time, let not advantage slip – How this William Shakespeare (1564–1616) quote lead us to optimize occlusion time for balloon dilatations –. Arch Cardiovasc Dis 2014. [DOI: 10.1016/j.acvd.2014.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
37
|
Alacoque X, Fesseau R, Chausseray G, Hascoet S, Hadeed K, Leobon B, Acar P. Protecting the brain: When one step back is better than two step forward – Preoperative EEG Beta-waves may be a good predictor of brain injury during CHD surgery and could lead the way to brain protection. Arch Cardiovasc Dis 2014. [DOI: 10.1016/j.acvd.2014.07.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
38
|
Lubrano V, Dupuy M, Chaynes P, Sol J, Leobon B. A Swine Model to Teach Keyhole Approaches for the Anterior and Posterior Fossa. Skull Base Surg 2014. [DOI: 10.1055/s-0034-1384126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
39
|
Martin R, Hascoët S, Dulac Y, Peyre M, Mejean S, Hadeed K, Cazavet A, Leobon B, Acar P. Comparison of two- and three-dimensional transthoracic echocardiography for measurement of aortic annulus diameter in children. Arch Cardiovasc Dis 2013; 106:492-500. [DOI: 10.1016/j.acvd.2013.06.049] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2013] [Revised: 06/04/2013] [Accepted: 06/11/2013] [Indexed: 02/06/2023]
|
40
|
Cazavet A, Blot Souletie N, Rousseau H, Leobon B. Endovascular repair of a late pseudoaneurysm after an extra-anatomic bypass for aortic coarctation. Eur J Cardiothorac Surg 2013; 44:389. [PMID: 23425677 DOI: 10.1093/ejcts/ezt072] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Alexandre Cazavet
- Department of Paediatric Cardiovascular Surgery, University Children Hospital of Purpan, Toulouse, France.
| | | | | | | |
Collapse
|
41
|
Rousseau H, Cosin O, Marcheix B, Chabbert V, Midulla M, Dambrin C, Cron C, Leobon B, Conil C, Massabuau P, Otal P, Joffre F. Endovascular treatment of thoracic dissection. Semin Intervent Radiol 2011; 24:167-79. [PMID: 21326794 DOI: 10.1055/s-2007-980041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Type A aortic dissection remains fatal if untreated. Although classical medical therapy for type B dissection is considered the therapy of choice in uncomplicated cases, the paradigm is changing as greater experience is accrued with endovascular treatments and technical advances improve the long-term outlook. Diagnosis is also becoming more sophisticated, allowing greater appreciation of the anatomy of dissections and improving the knowledge base as their natural history is assessed.
Collapse
Affiliation(s)
- H Rousseau
- Department of Radiology, Cardio-Vascular Surgery and Cardiology, Hôpital Rangueil, Toulouse, France
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
42
|
Rousseau H, Elaassar O, Marcheix B, Cron C, Chabbert V, Combelles S, Dambrin C, Leobon B, Moreno R, Otal P, Auriol J. The Role of Stent-Grafts in the Management of Aortic Trauma. Cardiovasc Intervent Radiol 2011; 35:2-14. [DOI: 10.1007/s00270-011-0135-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2010] [Accepted: 02/15/2011] [Indexed: 11/28/2022]
|
43
|
Zhou YX, Leobon B, Berthoumieu P, Roux D, Glock Y, Mei YQ, Wang YW, Fournial G. Long-term outcomes following repair or replacement in degenerative mitral valve disease. Thorac Cardiovasc Surg 2010; 58:415-21. [PMID: 20922625 DOI: 10.1055/s-0029-1240925] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND We studied whether mitral valvuloplasty (MVP) was superior to mitral valve replacement (MVR) in patients with degenerative mitral regurgitation (MR), and analyzed the independent risk factors for survival and reoperation. METHODS 326 patients with degenerative MR underwent MVP (n = 241), mitral valve replacement (MVR) (n = 78) or emergent MVR due to failure of repair (EMVR). Clinical data were analyzed retrospectively. RESULTS Thirty-day mortality was lower after MVP (2.5 %) compared to MVR (9.0 %) ( P < 0.05). Late survival at 1 and 5 years in the MVP group was 94.4 % and 84.3 % versus 80.4 % and 64.6 % in the MVR group ( P < 0.05), respectively. After adjusting the baseline characteristics by the propensity score method, a significant survival benefit was found for patients who underwent MVP. Multivariable analysis showed that MVR was an independent predictor of thirty-day mortality and survival. There was no significant difference in thirty-day mortality and survival between the EMVR and MVR groups. The need for reoperation was not significantly different between the MVP and MVR groups. In the MVP group, the risk factors for survival and reoperation were identified. CONCLUSIONS MVP is superior to MVR for the treatment of degenerative MR despite the impact of repair failure. Age less than 60 years, ring size to body surface area greater than 19.0, absence of a prosthetic ring and residual MR at the end of surgery (≥ 1/4) reduce the durability of MVP.
Collapse
Affiliation(s)
- Y X Zhou
- Service de Chirurgie Cardiovasculaire B, Centre Hospitalier Universitaire de Rangueil, Toulouse, France.
| | | | | | | | | | | | | | | |
Collapse
|
44
|
Zhou YX, Leobon B, Roux D, Glock Y, Mei YQ, Wang YW, Fournial G. Results of radiofrequency ablation for permanent atrial fibrillation in patients undergoing mitral valve surgery. Acta Cardiol 2009; 64:767-70. [PMID: 20128153 DOI: 10.2143/ac.64.6.2044741] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVES The study aim was to evaluate the safety and feasibility of radiofrequency ablation for the surgical treatment of permanent atrial fibrillation in patients with degenerative mitral valve disease. DESIGN From August 2000 to August 2003, 40 consecutive patients (mean age 69.0 +/- 9.3 years) with permanent atrial fibrillation and degenerative mitral valve disease underwent surgical radiofrequency ablation in conjunction with 22 mitral valve repairs and 18 mitral valve replacements. The mean duration of chronic AF was 5.1 +/- 3.4 years. The completeness of follow-up was 100%. The mean follow-up time was 4.6 +/- 2.0 years (range 0 to 7.8 years). RESULTS Thirty-day mortality was 2.5% (1 patient), the cause of death was cardiac failure. Cardiac failure and temporary A-V block were the most common postoperative complications. Both occurred in 10% (4 patients). No complication was related to the ablation procedure. At discharge, 65% (26/40) of the patients were in sinus rhythm. Overall incidence of sinus rhythm at the end of the follow-up was 56.4% (22/39).The 1-, 3- and 5-year survival was 97.5%, 91.8% and 85.9%, respectively. CONCLUSION Mitral valve surgery combined with radiofrequency ablation is a safe and effective procedure in patients with permanent atrial fibrillation and degenerative mitral valve disease. The result is encouraging in restoring sinus rhythm, and an excellent postoperative survival rate can be achieved.
Collapse
Affiliation(s)
- Yong-xin Zhou
- Department B of Cardiovascular Surgery, Rangueil Hospital of Toulouse University, Toulouse, France
| | | | | | | | | | | | | |
Collapse
|
45
|
Le Bret E, Leobon B, Roubertie F, Sigal-Cinqualbre A, Stos B, Houyel L, Serraf A. Right aortic arch and isolated left innominate artery from a left sided patent ductus arteriosus: a very rare aortic arch anomaly. J Pediatr Surg 2009; 44:E29-31. [PMID: 19361621 DOI: 10.1016/j.jpedsurg.2009.01.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2008] [Revised: 12/29/2008] [Accepted: 01/05/2009] [Indexed: 11/17/2022]
Abstract
Malformation of the aortic arch system has been described in details by Stewart et al. in 1964. Innominate artery originating via the ductus arteriosus from the pulmonary artery is a very rare type of congenital aortic arch anomaly that has been seldomly reported. We report the case of an aortic arch anomaly revealed by a pulmonary hypertension because of left to right shunt. Surgical procedure was performed through a median sternotomy, without cardiopulmonary bypass. After section. of the ductus arteriosus, the left innominate artery was extensively dissected and mobilized to be implanted on the left side of the ascending aorta under lateral clamping.
Collapse
Affiliation(s)
- Emmanuel Le Bret
- Service des Cardiopathies Congénitales, Centre Chirurgical Marie Lannelongue, 92350 Le Plessis Robinson, France.
| | | | | | | | | | | | | |
Collapse
|
46
|
Rumeau P, Dulac Y, Coulier H, Duparc A, Leobon B, Acar P, Roux D, Delay M. Optimal Pacing in Congenital Complete Atrioventricular Block of Immunological Origin: Interest of Multisite Stimulation. Pacing Clin Electro 2007; 30:912-5. [PMID: 17584275 DOI: 10.1111/j.1540-8159.2007.00781.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
An infant with a congenital auriculoventricular block (CAVB) of immunological origin was diagnosed prenatally. The mother had Gougerot-Sjögren disease with positive anti-Sjogren's Syndrome A (SSA) and Sjogren's Syndrome B (SSB) serologies. Cardiac pacing was necessary and the epicardial route was chosen. Considering the left ventricular (LV) dilatation, bi-ventricular (BiV) stimulation was preferred to the usual DDD mode, presumed to have a deleterious long-term effect. Echographic parameters were better with BiV stimulation: the asynchronism induced by mono-RV stimulation was corrected and the QRS complexes were narrower. BiV pacing of a CAVB with LV dilation looks clinically and echographically attractive but needs to be validated in the long term.
Collapse
Affiliation(s)
- P Rumeau
- Rhythmology and Cardiac Pacing, Cardiology Federation, Toulouse University Hospital, Toulouse, France.
| | | | | | | | | | | | | | | |
Collapse
|
47
|
Khedis M, Bellec L, Leobon B, Thoulouzan M, Labarthe P, Nohra J, Soulie M, Huyghe E, Plante P. [Partial nephrectomy by selective renal parenchymal clamping using a new clamp]. Prog Urol 2007; 17:41-4. [PMID: 17373235 DOI: 10.1016/s1166-7087(07)92223-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVE To study the results of open partial nephrectomy by selective renal parenchymal clamping using a new renal parenchyma clamp, the Réniclamp. MATERIAL AND METHODS Partial nephrectomy was performed in 37 patients using the Réniclamp for an imperative indication in 7 patients (solitary kidneys) and an elective indication in 30 patients. The tumour was situated in a pole in 22 cases and on the lateral border of the kidney in 15 cases. The mean tumour diameter was 29 mm (range: 10 - 60 mm). RESULTS The mean operating time was 147 minutes and the mean clamping time was 25 minutes. Mean blood loss was 191 cc (range : 50-450 cc) and no patient required blood transfusion. No cases of slipping of the clamp or renal parenchymal lesion due to the clamp were observed. COMPLICATIONS A urinary fistula treated by endoscopy and obstructive clot of the upper urinary tract, which required endoscopic treatment and selective embolisation. The surgical margins were negative in every case. CONCLUSION Partial nephrectomy by selective renal parenchymal clamping is an alternative to the pedicle clamping technique in almost every case of renal tumour except for central renal lesions. Réniclamp distributes the pressure homogeneously, avoiding damage to the parenchyma due to excess pressure on the proximal part of the clamp and bleeding due to insufficient pressure on the distal part of the clamp.
Collapse
Affiliation(s)
- Mehdi Khedis
- Service d'Urologie et Andrologie, Hôpital Rangueil, Toulouse, France
| | | | | | | | | | | | | | | | | |
Collapse
|
48
|
Guitton-Grosjean J, Leobon B, Mokhfi E, Paranon S, Bassil R, Latcu G, Belli E, Acar P. [Transposition of the great arteries with pulmonary valvular stenosis and intact interventricular septum. Discussion of management strategies with respect to one case]. Arch Mal Coeur Vaiss 2007; 100:462-5. [PMID: 17646775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
The authors report the case of a neonate with transposition of the great arteries (TGA) with pulmonary stenosis (PS) and intact Interventricular septum. The child was born at full term without a prenatal diagnosis with cyanosis developing at the 12th hour. After emergency atrioseptostomy, detransposition was performed on the 6th day. Commissurotomy and shaving of the much thickened bicuspid pulmonary valve was also performed. The postoperative course was complicated by a non-compliant left ventricle. After two months, myocardial ischaemia and persistent obstruction of the outflow tract led to severe cardiac failure and the death of the child. TGA with PS and intact interventricular septum is a very rare cardiac malformation. The prognosis is closely related to the anatomy of the pulmonary valve and the impact on the left ventricle. The therapeutic options are complex and are discussed in relation to this case.
Collapse
|
49
|
Maury P, Leobon B, Duparc A, Delay M, Galinier M. Epicardial catheter ablation of ventricular tachycardia using surgical subxyphoid approach. ACTA ACUST UNITED AC 2007; 9:212-5. [PMID: 17347330 DOI: 10.1093/europace/eum016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
We report the case of a patient presenting with a previous inferior myocardial infarction complicated by incessant monomorphic ventricular tachycardia resistant to antiarrhythmic drugs. Because endocardial catheter ablation failed and because of focal endocardial activation arising from the left ventricular inferior wall, an epicardial location of the reentry circuit was suspected. Catheter mapping of the pericardial space through a surgical subxyphoid approach performed in the electrophysiological laboratory confirmed the epicardial location of the arrhythmogenic substrate and allowed us successfully to ablate and cure the patient. Surgical subxyphoid approach can be performed in the electrophysiological laboratory when epicardial ablation is needed in case of inadvisable, difficult, or failed non-surgical percutaneous access.
Collapse
Affiliation(s)
- P Maury
- Federation of Cardiology, University Hospital Rangueil, 31059 Toulouse Cedex 09, France.
| | | | | | | | | |
Collapse
|
50
|
Rousseau H, Marcheix B, Chabbert V, Dambrin C, Cron C, Leobon B, Conil C, Massabuau P, Otal P, Joffre F. [Endografts (or stent-grafts) and diseases of the descending thoracic aorta]. Arch Mal Coeur Vaiss 2006; 99:1215-1224. [PMID: 18942524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The endovascular treatment of aorta diseases with S-Graft is considered as an alternative to surgery, especially interesting in patients with severe comorbidities. Indeed, the mid-term morbidity and mortality are comparable to surgery in relatively large series, and S-Graft implantation appeared as a safe, less invasive and efficient treatment for different affections of the thoracic aorta. This article reviews technical aspects, indications and results of endovascular repairs of thoracic aorta lesions. We will also assess the advantages and limitations of S-Graft therapy.
Collapse
Affiliation(s)
- H Rousseau
- Services de radiologie, chirurgie cardiovasculaire et cardiologie, hôpital Rangueil, Toulouse.
| | | | | | | | | | | | | | | | | | | |
Collapse
|