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Journal of the Saudi Heart Association

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https://www.readbyqxmd.com/read/29296069/tuberous-sclerosis-presenting-as-neonatal-cyanosis-because-of-rhabdomyoma-causing-tricuspid-valve-obstruction-needing-a-blalock-taussig-shunt
#1
Monther Obeidat, Yazan Qawasmeh, Hani Tarawneh, Ibrahim Sawalhah, Ala'a Tawalbeh
We report a newborn female baby who presented at 6 hours of age with cyanosis without any signs of respiratory distress. Cardiovascular and systemic examination was unremarkable apart from cyanosis (saturation 75%). An echocardiogram showed multiple echogenic and homogeneous masses in the interventricular septum, one of which was big and protruding through the tricuspid valve causing right ventricular inflow obstruction. There was a small atrial septal defect (ASD) shunting right to left and patent ductus arteriosus (PDA) shunting left to right...
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29296068/morphological-dilemma-anomalous-pulmonary-venous-confluence-or-cor-triatriatum-does-it-matter
#2
Nagarajan Muthialu
Cardiac variant of total anomalous pulmonary venous return is a rare entity, whereby all the pulmonary veins drain directly to the right atrium or coronary sinus. The effective left heart blood flow channels through a small stretched patent foramen ovale and can often be confused with a variant of cor triatriatum. Cor triatriatum is a rare congenital cardiac anomaly where pulmonary veins drain to a persistent chamber above the left atrium with a membrane separating these two. There persists either a small aperture directly from the true to the accessory left atrium or none at all...
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29296067/an-incomplete-vascular-ring-causing-respiratory-distress
#3
Syeda Samar Sohail, Muhammad Tariq, Muneer Amanullah
Kommerell's diverticulum is a rare saccular aneurysmal dilation of the descending aorta. We report a case of a 3.5-year-old boy with the extremely rare combination of Kommerell's diverticulum with a right descending aorta and proximal patent ductus arteriosus aneurysm forming an incomplete vascular ring. To our knowledge, this rare case has not been reported to date.
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29296066/multimodality-imaging-assessment-of-a-caseous-calcification-of-the-mitral-valve-annulus
#4
Imen Hamdi, Chadia Chourabi, Younes Arous, Mehdi Ghommidh, Khalil Houissa, Abdeddayem Haggui, Nadhem Hajlaoui, Dhaker Lahidheb, Nejmeddine Ben Abdallah, Wafa Fehri, Habib Haouala
Caseous calcification of the mitral annulus (CCMA) is a rare echocardiographic finding. It is commonly misdiagnosed as an abscess, tumor or infective vegetation on the mitral valve. Since it is a benign process, differentiating it from malignant intra-cardiac mass is primordial to avoid unnecessary surgery. Various imaging modalities can be complimentary for definitive diagnosis. We present a case of CCMA in a 71-year-old female patient. Her medical history revealed hypertension, diabetes mellitus, hyperlipidaemia and coronary artery disease...
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29296065/uhl-s-anomaly-a-one-and-a-half-ventricular-repair-in-a-patient-presenting-with-cardiac-arrest
#5
Reginald Chounoune, Adam Lowry, Karthik Ramakrishnan, Gail D Pearson, Jeffrey P Moak, Dilip S Nath
Uhl's anomaly, first reported in 1952, is an extremely rare congenital cardiac defect characterized by partial or complete loss of the right ventricular myocardium and unknown etiology. Fewer than 100 cases have been described. The response to medical management is poor and there is no known ideal surgical approach or timing for treatment. We report the case of a previously active adolescent male presenting with cardiac arrest, who underwent successful bidirectional cavopulmonary anastomosis ("Glenn" anastomosis) with right atrial reduction and right ventricular free wall plication...
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29296064/transcatheter-closure-of-right-coronary-artery-fistula-to-the-right-ventricle
#6
A Abu Haweleh, Luna Baangood, J V DeGiovanni
Coronary artery fistula (CAF) is an uncommon anomaly that is usually congenital but can be acquired. Although most patients are asymptomatic, some may present with congestive heart failure, infective endocarditis, myocardial ischemia or rupture. In the past, surgical ligation was the only option in the management of CAF, but since 1983, transcatheter closure of CAF has been increasing as an alternative to surgery. We report a 3-year-old boy, presented in Queen Alia Heart Institute, who underwent successful transcatheter closure of a large fistula communicating the distal part of the right coronary artery to the right ventricle...
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29296063/atrial-fibrillation-after-cardiac-surgery-prevention-and-management-the-australasian-experience
#7
REVIEW
Mohammed Alawami, Andrew Chatfield, Rajaie Ghashi, Laurence Walker
Background: Atrial fibrillation (AF) after cardiac surgery is a major health problem that is associated with a significant financial burden. This paper aims to highlight this problem and review the current guidelines in the prevention and management of AF after cardiac surgery, providing our experience in the Australasian centers. Methods: We conducted a literature review using mainly PubMed to compare the current practice with the available evidence. EMBASE and Cochrane library were also searched...
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29296062/determinants-of-successful-medical-education-of-caregivers-of-children-with-congenital-heart-diseases
#8
Ahmad S Azhar, Zaher F Zaher, Noran M Abu-Ouf, Jameel Al-Ata, Sara Taisir A Alsheblie
Objective: To assess the implementation and efficiency of medical education among the caregivers of children with congenital heart disease (CHD) and to investigate its success factors. Material and method: A cross-sectional study was conducted from February 2014 to March 2014 in a tertiary healthcare center. Study included 120 caregivers of children with CHD visiting the Paediatric Cardiology Clinic that included 93% mothers, aged 31.72 ± 6.67 years, 38.3% Saudi citizens and 45...
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29296061/feasibility-of-percutaneous-closure-of-atrial-septal-defects-in-adults-under-transthoracic-echocardiography-guidance-using-the-figulla-atrial-septal-defect-occluder-device
#9
Mahmoud Ali, Hesham Salah El-Din, Sameh Bakhoum, Amal El-Sisi, Kareem Mahmood, Heba Farouk, Hossam Kandil
Background: Closure of atrial septal defect (ASD) among adults under transthoracic echocardiography (TTE) guidance using devices other than the Amplatzer Septal Occluder has not been extensively tested. Aim of work: Assessment of the safety and efficiency of secundum ASD closure using the Occlutech Figulla ASD Occluder under TTE guidance in adult patients with hemodynamically significant secundum ASD. Methods: Twenty patients (mean age, 32...
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29296060/short-term-outcomes-of-transcatheter-closure-of-secundum-atrial-septal-defect-in-children-and-adolescents-an-experience-of-two-centers-in-upper-egypt
#10
Safaa H Ali, Amal El Sisi, Duaa M Raafat, Salah-Eldin Amry, Sharaf E D Mahamoud
Background: The aim of this study was to evaluate the acute and short-term outcomes of transcatheter closure of secundum atrial septal defect (ASD) in children and adolescents in the first 4-year experience in two institutional centers in Upper Egypt. Methods: This was a retrospective cohort study including 135 children and adolescents who underwent ASD closure between April 2012 and May 2016. A review of the acute and short-term outcomes and adverse events was performed...
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29296059/clinical-features-management-and-outcome-of-patients-with-constrictive-pericarditis-experience-from-a-third-world-country
#11
Fateh Ali Tipoo Sultan, Muhammad Umer Tariq
Objectives: To study the clinical features, management and outcome of patients with constrictive pericarditis, at a tertiary care hospital of Pakistan. Design: Descriptive study. Material & method: All consecutive patients with the final diagnosis of constrictive pericarditis, admitted at Aga Khan University Hospital Karachi, during the year 2005 to 2015 were included in the study. Results: A total of 21 patients were diagnosed and managed as constrictive pericarditis during the above mentioned period...
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29296058/myocardial-perfusion-abnormalities-in-asymptomatic-type-2-diabetic-patients
#12
Ghada Al-Humaidi, Ismet Sarikaya, Abdelhamid H Elgazzar, Azu Owunwanne
Objective: The prevalence of coronary artery disease (CAD) is high in patients with diabetes. Because ischemia and infarction are often silent in diabetic patients, diagnosis of CAD occurs inevitably late. It is essential to identify the presence of CAD in diabetic patients to start early treatment. Therefore, the aim of this study was to determine the prevalence of abnormal myocardial perfusion in asymptomatic type 2 diabetic patients using myocardial perfusion imaging. Methods: Fifty-nine patients with type 2 diabetes, who did not have any history of CAD, but did have risk factors underwent myocardial perfusion single-photon emission computed tomography (SPECT) imaging using 99mTc-tetrofosmin and a 2-day stress-rest protocol...
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/29296057/myopathy-athletism-pregnancy-race-and-chromosomal-defects-need-to-be-considered-in-noncompaction
#13
Josef Finsterer, Claudia Stöllberger
No abstract text is available yet for this article.
January 2018: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28983178/a-woman-with-chest-pain-after-esophagogastroduodenoscopy
#14
Amr Idris, Mohamad Kabach, Mohammed Qintar, Daniel J Woods
No abstract text is available yet for this article.
October 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28983177/asymptomatic-interventricular-septal-dissection-and-giant-coronary-artery-aneurysms-simulating-cardiac-cysts-multi-modality-imaging
#15
Iliyasse Asfalou, Najat Mouine, Maha Raissouni, Mohammed Sabry, Aatif Benyass
we report an exceptionnel case of asymptomatic interventricular septal dissection and giant coronary artery aneurysms simulating cardiac cysts with a focus in the interst of Multi-modality Imaging.
October 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28983176/bentall-operation-in-a-patient-with-an-anomalous-left-circumflex-artery-case-report-and-review
#16
Ivo Gasparovic, Panagiotis Artemiou, Mikulas Kiss, Michal Hulman
Anomalous origin of a left circumflex artery from the right coronary sinus represents a technical challenge in patients who require aortic valve/root procedures. This case report describes a patient who presented with bicuspid aortic valve, anomalous origin of the circumflex artery, severe aortic regurgitation, and aneurysm of the ascending aorta as well as aortic root that was safely managed following the Bentall procedure with the combined button technique.
October 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28983175/isolated-supravalvular-aortic-stenosis-with-left-ventricular-diverticulum-and-cleft-mitral-valve-surgical-repair-in-adulthood
#17
U M Nagamalesh, Ravi Shankar Shetty, Ravi Narayan, Anil Kumar, Ravi Naik, Sadath Uzma, K C Karthik Naidu
Supravalvular aortic stenosis is an uncommon but well characterized congenital narrowing of the ascending aorta above the level of the coronary arteries. It can be a familial disorder, can occur sporadically, or can be associated with Williams syndrome. We are reporting a very rare presentation of supravalvular aortic stenosis with associated left ventricular diverticulum and cleft mitral valve. Repair consisted of resection of the ascending aorta, patch augmentation of the aortic root, and mitral valve repair...
October 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28983174/left-side-approach-for-aortic-valve-replacement-in-patient-with-dextrocardia-and-situs-inversus-totalis
#18
Salah E Altarabsheh, Fuad M Al-Azzam, Salil V Deo, Ade F Almomane, Abdullah Al-Omari, Sakher M Alma'ayeh, Yagthan M Obeidat, Abeer Rababa'h
Aortic valve replacement in patients with dextrocardia and situs inversus totalis is technically challenging due to anatomical considerations. Modifications of the cannulation strategy and operative tool sets are helpful. We report a 47-year-old man who had dextrocardia with situs inversus totalis with severe aortic regurgitation. Our approach was precisely planned depending on the clear anatomy outlined by preoperative contrast-enhanced computed tomography of the chest. We used a surgical approach in which the main surgeon was standing on the left side of the patient...
October 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28983173/huge-left-atrial-appendage-aneurysm-revealed-by-chronic-hiccups
#19
Iliyasse Asfalou, Meriem Boumaaz, Maha Raissouni, Mohammed Sabry, Aatif Benyass, El Mehdi Zbir
Left atrial appendage (LAA) aneurysm is an extremely rare anomaly. So far, less than one hundred cases only have been reported worldwide. Revelation modes are dominated by complications such as arrhythmias and thromboembolic events. We herein report a pediatric case of huge congenital LAA aneurysm with an original revelation mode that has never been described before in medical literature.
October 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28983172/gerbode-defect-a-comprehensive-review-of-its-history-anatomy-embryology-pathophysiology-diagnosis-and-treatment
#20
REVIEW
Erfanul Saker, Ghazal N Bahri, Michael J Montalbano, Jaspreet Johal, Rachel A Graham, Gabrielle G Tardieu, Marios Loukas, R Shane Tubbs
The purpose of this paper is to survey the literature on Gerbode defect and provide an overview of its history, anatomy, development, pathophysiology, diagnosis, and treatment options. The available literature on this topic, including case reports, was thoroughly reviewed. Gerbode defect is defined as abnormal shunting between the left ventricle and right atrium resulting from either a congenital defect or prior cardiac insults. The pathophysiology underlying the development of Gerbode defect is a disease process that injures the atrioventricular septum and leads to the abnormal shunting of blood...
October 2017: Journal of the Saudi Heart Association
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