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733 results on '"Vliegen, Hubert W"'

203. Fertility, Pregnancy and Delivery in Women after Biventricular Repair for Double Outlet Right Ventricle

Author

Drenthen, Willem, primary, Pieper, Petronella G., additional, van der Tuuk, Karin, additional, Roos-Hesselink, Jolien W., additional, Hoendermis, Elke S., additional, Voors, Adriaan A., additional, Mulder, Barbara J.M., additional, van Dijk, Arie P.J., additional, Yap, Sing C., additional, Vliegen, Hubert W., additional, Moons, Philip, additional, Ebels, Tjark, additional, and van Veldhuisen, Dirk J., additional

Published
2007
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204. Preoperative Thresholds for Pulmonary Valve Replacement in Patients With Corrected Tetralogy of Fallot Using Cardiovascular Magnetic Resonance

Author

Oosterhof, Thomas, primary, van Straten, Alexander, additional, Vliegen, Hubert W., additional, Meijboom, Folkert J., additional, van Dijk, Arie P.J., additional, Spijkerboer, Anje M., additional, Bouma, Berto J., additional, Zwinderman, Aeilko H., additional, Hazekamp, Mark G., additional, de Roos, Albert, additional, and Mulder, Barbara J.M., additional

Published
2007
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205. Outcome of Pregnancy in Women With Congenital Heart Disease

Author

Drenthen, Willem, primary, Pieper, Petronella G., additional, Roos-Hesselink, Jolien W., additional, van Lottum, Willem A., additional, Voors, Adriaan A., additional, Mulder, Barbara J.M., additional, van Dijk, Arie P.J., additional, Vliegen, Hubert W., additional, Yap, Sing C., additional, Moons, Philip, additional, Ebels, Tjark, additional, and van Veldhuisen, Dirk J., additional

Published
2007
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208. Individualised prediction of pulmonary homograft durability in tetralogy of Fallot.

Author

Bokma, Jouke P., Winter, Michiel M., Oosterhof, Thomas, Vliegen, Hubert W., van Dijk, Arie P., Hazekamp, Mark G., Koolbergen, Dave R., Groenink, Maarten, Mulder, Barbara J. M., and Bouma, Berto J.

Abstract

Background In patients with repaired tetralogy of Fallot (rTOF), multiple reoperations or percutaneous interventions after pulmonary valve replacement (PVR) may be necessary due to limited homograft durability. However, data to guide individualised prediction of homograft durability remain scarce. The aim of this study was to provide risk models for RV to pulmonary artery homograft durability. Methods This retrospective multicentre study included consecutive patients with rTOF who had undergone PVR at an age of >12 years. Homograft dysfunction was defined as at least moderate pulmonary regurgitation (PR) or pulmonary stenosis (PS) (pressure gradient ≥36 mm Hg) as assessed by echocardiography. Reintervention was defined as percutaneous intervention or redo-PVR. Results A total of 153 patients with rTOF were included (62% male, mean age at PVR 31±11 years, pulmonary homograft 96%, follow-up 9.6 years (IQR 5.9, 13.3)). Average freedom from homograft dysfunction and reintervention after 10 years was 74% and 89%, respectively. In multivariable Cox proportional hazards analysis, postoperative PS ≥20 mm Hg (HR 6.52, 95% CI 3.09 to 13.7), postoperative PR ≥ grade 1 (HR 3.13, 95% CI 1.45 to 6.74) and age at PVR <18 years (HR 3.52, 95% CI 1.64 to 7.53) were independently predictive for homograft dysfunction. In patients without any risk factor, 10-year freedom from homograft dysfunction and reintervention was excellent (91% and 96%, respectively) in contrast to patients with ≥2 risk factors (25% and 73%, respectively). Conclusions Individualised prediction of homograft durability in patients with rTOF can be guided by early postoperative echocardiography. In adult patients without early postoperative PS or PR, homograft dysfunction and reintervention are unlikely to occur within 10 years, and follow-up may be less stringent. [ABSTRACT FROM AUTHOR]

Published
2015
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209. Secundum atrial septal defect is associated with reduced survival in adult men.

Author

Kuijpers, Joey M., van der Bom, Teun, van Riel, Annelieke C. M. J., Meijboom, Folkert J., van Dijk, Arie P. J., Pieper, Petronella G., Vliegen, Hubert W., Waskowsky, W. Marc, Oomen, Toon, Zomer, A. Carla, Wagenaar, Lodewijk J., Heesen, Wilfred F., Roos-Hesselink, Jolien W., Zwinderman, Aeilko H., Mulder, Barbara J. M., and Bouma, Berto J.

Abstract

Aims: The identification of sex differences in the prognosis of adults with a secundum atrial septal defect (ASD2) could help tailor their clinical management, as it has in other cardiovascular diseases. We investigated whether disparity between the sexes exists in long-term outcome of adult ASD2 patients. Methods and results: Patients with ASD2 classified as the primary defect were selected from the Dutch national registry of adult congenital heart disease. Survival stratified by sex was compared with a sex-matched general population. In a total of 2207 adult patients (mean age at inclusion 44.8 years, 33.0% male), 102 deaths occurred during a cumulative follow-up of 13 584 patient-years. Median survival was 79.7 years for men and 85.6 years for women with ASD2. Compared with the ageand sex-matched general population, survival was lower for male, but equal for female patients (P = 0.015 and 0.766, respectively). Logistic regression analyses showed that men had a higher risk of conduction disturbances (OR = 1.63; 95% CI, 1.22-2.17) supraventricular dysrhythmias (OR = 1.41; 1.12-1.77), cerebrovascular thromboembolic events (OR = 1.53; 1.10-2.12), and heart failure (OR = 1.91; 1.06-3.43). Conclusion In contrast to women, adult men with an ASD2 have worse survival than a sex-matched general population. Male patients also have a greater risk of morbidity during adult life. Sex disparity in survival and morbidity suggests the need for a sex-specific clinical approach towards these patients. [ABSTRACT FROM AUTHOR]

Published
2015
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210. Severe tricuspid regurgitation is predictive for adverse events in tetralogy of Fallot.

Author

Bokma, Jouke P., Winter, Michiel M., Oosterhof, Thomas, Vliegen, Hubert W., van Dijk, Arie P., Hazekamp, Mark G., Koolbergen, Dave R., Groenink, Maarten, Mulder, Barbara J. M., and Bouma, Berto J.

Subjects
TRICUSPID valve, AORTIC valve insufficiency, ADVERSE health care events, TETRALOGY of Fallot, ECHOCARDIOGRAPHY, PREOPERATIVE care
Abstract

Objective Patients with surgically repaired tetralogy of Fallot (rTOF) may develop functional tricuspid regurgitation (TR) due to annulus dilation. Guidelines suggest pulmonary valve replacement (PVR) in patients with rTOF with progressive TR, but data on clinical outcomes are lacking. Our objective was to determine whether TR was predictive for adverse events after PVR. Methods In this retrospective, multicenter cohort study, patients with rTOF who had undergone PVR after preoperative echocardiographic assessment of TR grade were included. Preoperative and postoperative imaging data and a composite of adverse clinical events (death, sustained ventricular tachycardia, heart failure, or supraventricular tachycardia) were collected. Multivariate Cox hazards regression analysis was used to determine which factors were predictive for adverse events after PVR. Results A total of 129 patients (61% men, age at PVR 32.9±10.4 years) were included. The composite endpoint occurred in 39 patients during 8.4±4.2 years of follow-up. In multivariate analysis, severe preoperative TR (HR 2.49, 95% CI 1.11 to 5.52), right ventricular end-systolic volume (HR 1.02/mL/mm², 95% CI 1.01 to 1.03) and age at PVR (HR 1.07/year, 95% CI 1.04 to 1.09) were predictive for adverse events. Early postoperative TR was not predictive for adverse events (p=0.96). In patients without any risk factor (age >40 years, right ventricular end-systolic volume >90 mL/m² or severe TR), 5-year event-free survival was 100% as compared with 61% in patients with two or three risk factors. Conclusions In patients with rTOF, severe preoperative TR was predictive for adverse events after PVR. Close surveillance is warranted in these patients irrespective of postoperative TR. [ABSTRACT FROM AUTHOR]

Published
2015
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211. Diagnosis and treatment of pulmonary hypertension.

Author

Haeck, Marlieke L. A. and Vliegen, Hubert W.

Subjects
*PULMONARY hypertension diagnosis, *PULMONARY hypertension treatment, *HYPERPLASIA, *HEART valve diseases, *LUNG diseases, *ELECTROCARDIOGRAPHY, *PROSTACYCLIN, *ENDARTERECTOMY
Abstract

The article discusses pulmonary hypertension (PH) and its diagnosis and treatment. Topics discussed include several causes of Ph which include hyperplasia, Heart valve diseases and lung disease, diagnosis processes like electrocardiography, imaging and echocardiography and treatments for PH such as anticoagulation therapy, Prostacyclin drugs and pulmonary endarterectomy surgery.

Published
2015
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214. Pregnancy After Biventricular Repair for Pulmonary Atresia With Ventricular Septal Defect

Author

Drenthen, Willem, primary, Pieper, Petronella G., additional, Zoon, Nicole, additional, Roos-Hesselink, Jolien W., additional, Voors, Adriaan A., additional, Mulder, Barbara J.M., additional, van Dijk, Arie P.J., additional, Sollie, Krystyna M., additional, Vliegen, Hubert W., additional, Ebels, Tjark, additional, and van Veldhuisen, Dirk J., additional

Published
2006
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215. Fertility, Pregnancy, and Delivery After Biventricular Repair for Pulmonary Atresia With an Intact Ventricular Septum

Author

Drenthen, Willem, primary, Pieper, Petronella G., additional, Roos-Hesselink, Jolien W., additional, Zoon, Nicole, additional, Voors, Adriaan A., additional, Mulder, Barbara J.M., additional, van Dijk, Arie P.J., additional, Vliegen, Hubert W., additional, Sollie, Krystyna M., additional, Ebels, Tjark, additional, and van Veldhuisen, Dirk J., additional

Published
2006
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238. Anomalous Aortic Origin of the Right Coronary Artery: Invasive Haemodynamic Assessment in Adult Patients With High-Risk Anatomic Features

Author

Verheijen, Diederick B.H., Egorova, Anastasia D., Jongbloed, Monique R.M., van der Kley, Frank, Koolbergen, Dave R., Hazekamp, Mark G., Lamb, Hildo J., Jukema, J. Wouter, Kiès, Philippine, and Vliegen, Hubert W.

Abstract

Anomalous aortic origin of a right coronary artery (AAORCA) with an interarterial course merits further evaluation; however, robust risk assessment strategies for myocardial ischemia and sudden cardiac death are currently lacking. The aim of this study is to explore the potential role of fractional flow reserve (FFR), instantaneous wave-free ratio (iFR), and intravascular ultrasound (IVUS) in patients with AAORCA.

Published
2023
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247. Prolonged cardiac recovery from exercise in asymptomatic adults late after atrial correction of transposition of the great arteries: evaluation with magnetic resonance flow mapping

Author

Roest, Arno A.W, primary, Kunz, Patrik, additional, Helbing, Willem A, additional, Lamb, Hildo J, additional, Vliegen, Hubert W, additional, van den Aardweg, Joost G, additional, Ruitenberg, Quirijn, additional, de Roos, Albert, additional, and van der Wall, Ernst E, additional

Published
2001
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