Publications by authors named "D B H Verheijen"

Article Synopsis
  • The study examines the use of fractional flow reserve (FFR), instantaneous wave-free ratio (iFR), and intravascular ultrasound (IVUS) to assess risk of myocardial ischemia in patients with anomalous aortic origin of the right coronary artery (AAORCA).
  • Eight adult patients with AAORCA were evaluated, revealing high-risk anatomy, but only one showed evidence of ischemia linked to atherosclerosis.
  • Over a follow-up period, most patients experienced symptom relief without adverse cardiac events, suggesting that non-invasive assessment tools could help guide treatment in AAORCA cases.
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Background: After the arterial switch operation (ASO) for transposition of the great arteries (TGA), neo-aortic dilatation and coronary arterial anomalies, especially an interarterial course and acute coronary artery take-off angle, are commonly found. Long-term follow-up data after ASO is scarce. Aim of this study was to determine the prevalence of neo-aortic dilatation and coronary abnormalities, with special emphasis on acute coronary take-off angle, in adult TGA-ASO patients.

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Coarctation of the aorta (CoA) is a congenital heart defect that is associated with a bicuspid aortic valve (BAV), ascending aorta dilatation, intracerebral aneurysms, and premature atherosclerotic disease. The first presentation during late adulthood is rare and is frequently driven by late sequelae. Hypertrophic collateral arteries can develop aneurysms which are at risk for spontaneous rupture, however, treatment recommendations for these aneurysms are scarce.

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Article Synopsis
  • The study investigates high-risk characteristics of anomalous coronary arteries originating from the opposite sinus of Valsalva (ACAOS) using computed tomography angiography (CTA) to identify features linked to sudden cardiac death.
  • Researchers evaluated 25 patients to develop a new CTA measurement, called interluminal space (ILS), to distinguish an intramural segment of ACAOS.
  • Results showed that an ILS of less than 0.95 mm is a strong indicator of an intramural segment, achieving 100% sensitivity and 84% specificity for diagnosis.
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Anomalous aortic origin of a coronary artery (AAOCA) from the opposite sinus of Valsalva is a rare congenital abnormality. Computed tomography angiography (CTA) is primarily used as a diagnostic tool to evaluate the anatomy and identify potentially malignant AAOCA variants. Limited data is available on the role of CTA during postoperative follow-up.

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