Transposition of the Great Arteries — Systemic Right Ventricle Long-term Outcome
Citation(s)
Andrade L, Carazo M, Wu F, Kim Y, Wilson W Mechanisms for heart failure in systemic right ventricle. Heart Fail Rev. 2020 Jul;25(4):599-607. doi: 10.1007/s10741-019-09902-1.
Bull C, Yates R, Sarkar D, Deanfield J, de Leval M Scientific, ethical, and logistical considerations in introducing a new operation: a retrospective cohort study from paediatric cardiac surgery. BMJ. 2000 Apr 29;320(7243):1168-73. doi: 10.1136/bmj.320.7243.1168.
Dennis M, Kotchetkova I, Cordina R, Celermajer DS Long-Term Follow-up of Adults Following the Atrial Switch Operation for Transposition of the Great Arteries - A Contemporary Cohort. Heart Lung Circ. 2018 Aug;27(8):1011-1017. doi: 10.1016/j.hlc.2017.10.008. Epub 2017 Oct 31.
Dobson R, Danton M, Nicola W, Hamish W The natural and unnatural history of the systemic right ventricle in adult survivors. J Thorac Cardiovasc Surg. 2013 Jun;145(6):1493-501; discussion 1501-3. doi: 10.1016/j.jtcvs.2013.02.030. Epub 2013 Mar 13. Erratum In: J Thorac Cardiovasc Surg. 2015 Mar;149(3):950.
Marelli AJ, Mackie AS, Ionescu-Ittu R, Rahme E, Pilote L Congenital heart disease in the general population: changing prevalence and age distribution. Circulation. 2007 Jan 16;115(2):163-72. doi: 10.1161/CIRCULATIONAHA.106.627224. Epub 2007 Jan 8.
Interventional studies are often prospective and are specifically tailored to evaluate direct impacts of treatment or preventive measures on disease.
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