Righ heart

The risk of life-threatening ventricular arrhythmias complicating coronary angiography is reportedly increased in patients in whom temporary righ ventricular pacemakers are used. Placement of the temporary pacing electrode in the right atrium or vena cava during angiography theoretically removes from the vulnerable ventricle a source of mechanically or electrically induced ventricular arrhythmias. This hypothesis was evaluated in 7,648 consecutive patients who underwent cardiac catheterization with selective coronary angiography, including 103 with life-threatening ventricular arrhythmic complications...

Repair of tetralogy of Fallot and ventricular septal defect frequently requires righ ventriculotomy. Although the mechanisms for right bundle branch block (RBBB) have been frequently discussed, the pathogenesis of this electrocardiographic abnormality is still unknown. To determine if disruption of the distal subendocardial Purkinje fiber network in the right ventricular free wall produced RBBB and if cellular electrophysiologic abnormalities in or near the ventriculotomy scar could provide a substrate for conductance disturbances, we investigated the electrocardiographic and electrophysiologic effects of experimental right ventriculotomy in 12 beagles...

We report two autopsied cases of an unusual ventricular loop in hearts with right-sided juxtaposition of the atrial appendages. Case 1 showed usual atrial arrangement, a concordant atrioventricular connexion with a disharmonious ventricular loop showing left-hand topology and double outlet right ventricle with normally related arterial trunks. The atrioventricular connexions were crossing, with the inlet to the left-sided morphologically right ventricle being posterior to that of left ventricle. Mitral hypoplasia and coarctation of the aorta were the associated lesions...

A rare case of congenital tricuspid stenosis treated with modified Fontan operation was reported. The patient was 13 years old boy and his chief complaint was cyanosis. Cyanosis appeared in his neonatal period and squatting developed in his childhood. He underwent Blalock's shunt operation at 5 years of age. His exercise tolerance was limited at the admission for the radical operation. Angiocardiography showed the annular stenosis of tricuspid valve and the moderate hypoplasia of right ventricle. The right ventricular volume was 56 ml (equivalent to 35% of the normally expected right ventricular volume) and the diameter of tricuspid annulus was 13 mm (equivalent to 58% of the normally expected diameter)...

Recently Ferencz et al. [6] using the datas of the Baltimore-Washington Infant Study found a predominance of double outlet righ ventricle and truncus arteriosus communis among the congenital heart diseases of newborns of diabetic mothers. This paper reports about the prenatal diagnosis of a truncus arteriosus communis Type I in a 23 year old pregnant with insulin-dependent diabetes mellitus (White B). The diagnosis was performed in the 25th week using Real-Time- and Color-Doppler-sonography. The important features in the prenatal differentialdiagnosis from a tetralogy of Fallot are explained...

There are two kinds of flashbacks: the self-programed or intra-individual variety and pre-programed or inter-individual flashbacks re-presenting mythical and narrative event structures which contribute to the survival of the species. Both types of experiences are arousal-state bound and stage (set and setting) or culture bound. Flashbackers may be characterized by (1) their variability (large SD) on perceptual-behavioural tasks pointing to their extensive cognitive or interpretive repertoire, (2) they are minimizers (or reducers) of sensory input (particularly at the peak of a hallucinogenic drug experience), (3) as a group they display high resting heart rates, (4) are hypnotizable and experience), (3) as group they display high resting heart rates, (4) are hypnotizable and hence (5) prefer righ cerebral hemispheric cognition, (6) displaying EEG-alpha dominance in the resting, waking state...

In patients aged 79, 80 and 81 cardiac malformations were found at autopsy which did not permit to decide with certainty whether they were congenital or acquired. In the first case the lesions appeared as a band-shaped fibromuscular subvalvular aortic stenosis, the second one being an isolated aneurysm of the membranous septum directed to the righ side and combined with a minute diverticulum in the muscular part of the interventricular septum. The apex of the aneurysm faced the septal cusp of the tricuspid valve...

The problems associated with the ventilation of children who have congenital heart disease with left to righ shunts and pulmonary hypertension are more likely to be acquired than due to the congenital malformation. Haemodynamic, angiographic, bronchoscopic and bronchographic studies demonstrated that ventilation problems arose because of compression of the bronchus by the pulmonary artery. The bronchial compression should be treated by surgery to the heart defect without removing the lung. The intervention should be early to obtain maximum benefit and to avoid irreversible damage to the bronchus...

A reproducible noninvasive technique for measuring righ ventricular ejection fraction was developed using first pass quantitative radionuclide angiocardiography. Studies were obtained in the anterior position with a computerized multicrystal scintillation camera with high count rate capabilities. Right ventricular ejection fraction was calculated on a beat to beat basis from the high frequency components of the background-corrected right ventricular time-activity curve. In 50 normal adults, right ventricular ejection fraction averaged 55 percent (range of 45 to 65 percent)...

Two hundred patients underogoing coronary bypass graft surgery were studied to determine the frequency and significance fo new fascicular conduction distrubances. The follow-up period ranged from 13 to 39 months. New disturbances developed in 39 patients (20 percent). Isolated right bundle branch block (6 percent) and left anterior hemiblock (6 percent) were the most common disturbances. Righ bundle branch block was usually transient and was not associated with further complications in the follow-up period...