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Umar Boston, Tk Susheel Kumar, Jignesh Shah, Tiffany Street, Jeffrey Towbin, Christopher J Knott-Craig
Infants with dextrocardia-heterotaxy syndrome pose significant surgical challenges to a successful orthotopic heart transplant. Here in we report two infants with dextrocardia-heterotaxy syndrome who underwent complex heart transplantation. A combination of pre-operative three-dimensional chest computed tomography to predict optimal donor size and unique surgical technique resulted in successful outcomes.
August 3, 2018: Annals of Thoracic Surgery
Dvir Froylich, Tamar Segal-Abramovich, Guy Pascal, David Hazzan
BACKGROUND: Situs inversus is a congenital condition in which the major visceral organs are reversed or mirrored from their normal positions. Situs inversus is found in about 0.01% of the population. In the most common situation, situs inversus totalis involves complete transposition (right to left reversal) of all of the abdominal organs. Several successful and safe laparoscopic weight loss surgeries were previously reported in morbidly obese patients with situs inversus (Aziret et al...
July 9, 2018: Obesity Surgery
Maksymilian P Opolski, Ilona M Michałowska, Bartosz A Borucki, Barbara Nicińska, Łukasz Szumowski, Maciej Sterliński
No abstract text is available yet for this article.
2018: Cardiology Journal
Jocelyn Compton, Wyatt Vander Voort, Stuart Weinstein
STUDY DESIGN: Retrospective cohort study, Level of Evidence III OBJECTIVE.: To determine the relationship between internal organ orientation and adolescent idiopathic scoliosis (AIS) convexity directionality SUMMARY OF BACKGROUND DATA.: AIS affects 2-3% of the general population and demonstrations 80-99% right thoracic curve convexity. The mechanism of AIS as well as explanation for right-sided predominance is largely unknown. METHODS: A retrospective chart review of all patients with dextrocardia from 2008-2018 was performed at a single institution...
June 26, 2018: Spine
Yingjie Zhang, Hexi Jiang, Renguang Liu
No abstract text is available yet for this article.
June 25, 2018: JAMA Internal Medicine
Gregory Pattakos, Michael Chrissoheris, Antonios Halapas, Konstantinos Papadopoulos, Panagiota Kourkoveli, Nikolaos Bouboulis, Stratis Pattakos, Konstantinos Spargias
This report presents the case of an 82 year old male with known dextrocardia and situs inversus totalis who developed increasing dyspnea on exertion and was diagnosed with severe aortic stenosis. Transcatheter aortic valve replacement was decided upon requiring deviation from standard techniques for patients with normal anatomy and left-sided aortic arch. We describe two technical differences required for patients with dextrocardia and right-sided aortic arch which facilitate transcatheter aortic valve replacement in this patient group...
June 13, 2018: Annals of Thoracic Surgery
Yabo Huang, Zhong Wang, Qingdong Han
RATIONALE: Tumor resection and extracranial-intracranial bypass concerning medial sphenoid ridge meningioma associated with severe stenosis of the internal carotid artery (ICA) of intracranial segments has been rarely presented. Effective treatment as to the complex lesions may be complicated. Tumor resection and cerebrovascular protection should be both taken into consideration. PATIENT CONCERNS: We presented one case of medial sphenoid ridge meningioma associated with severe stenosis of the internal carotid artery of intracranial segments...
June 2018: Medicine (Baltimore)
Andreea Vasiliu, Stéphanie Seldrum, Michaël Dupont, Fabien Dormal, Dominique Blommaert, Luc De Roy
Congenitally corrected transposition of the great arteries (CCTGA) should not be missed in patients with dextrocardia and situs solitus. We report a case of a 56-year-old man with late diagnosis of CCTGA after ventricular lead replacement. Free LV wall pacing may be favorable in these patients so to prevent deterioration of the systemic RV function.
June 2018: Clinical Case Reports
Afsana Papry, Mohammed Kamal, Muhammad Syeef Khalid
It is quite unambiguous and interesting that postchemotherapy histology of hepatoblastoma may mimicry that of hepatocellular carcinoma which should be differentiated by proper immunohistochemistry and cytology, if possible, for further management and predict prognosis.
June 2018: Clinical Case Reports
Huili Lim, Chuen Jye Yeoh, Jerry Tan, Harikrishnan Kothandan, May U S Mok
The discordance between increased physiological demand during pregnancy and congenital cardiac pathology of a parturient is a perilous threat to the maternal-fetal well-being. Early involvement of a multidisciplinary team is essential in improving peripartum morbidity and mortality. Designing the most appropriate anesthetic care will require a concerted effort, with inputs from the obstetricians, obstetric and cardiac anesthesiologists, cardiologists, neonatologists, and cardiothoracic surgeons. We report the multidisciplinary peripartum care and anesthetic management for cesarean section (CS) of a 28-year-old primigravida who has partially corrected transposition of the great arteries, atrial and ventricular septal defect, dextrocardia, right ventricle hypoplasia, and tricuspid atresia...
2018: Case Reports in Anesthesiology
Takumi Yamada, Yung R Lau
No abstract text is available yet for this article.
April 20, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Munish Sharma, Ritesh Neupane, Koroush Khalighi
BACKGROUND Poorly controlled ventricular rate associated with atrial fibrillation (AF) leads to tachycardia-induced left ventricular dysfunction. Atrioventricular (AV) nodal ablation and cardiac pacing is the standard of care in refractory congestive heart failure (CHF) due to AF with moderate to rapid ventricular response that failed conventional medical therapy. If the patient is not a candidate for AF ablation with pulmonary vein isolation and elimination of AF foci, this is an effective approach, but it does have some challenges when done in a patient with dextrocardia and situs inversus...
April 18, 2018: American Journal of Case Reports
Q Xu, H X Sun, J S Xie, J L Wang, Q Y Pei, X H Zhang
Objective: To explore the clinical characteristics of interrupted of the inferior vena cava with azygous continuation and the prognosis. Methods: Retrospective analysis of 21 fetuses diagnosed with interrupted inferior vena cava with azygous continuation among 28 567 pregnant women who underwent routine ultrasound scan. The clinical data, ultrasonographic features, genetic information and prognosis were collected. Results: Interrupted of the inferior vena cava with azygous continuation occurred in 21(0.07%, 21/28 567) of 28 567 patients...
March 25, 2018: Zhonghua Fu Chan Ke za Zhi
Masao Imai, Masaharu Yoshida, Toshiaki Toyota, Hiroki Shiomi, Satoshi Shizuta, Naritatsu Saito, Takeshi Kimura
No abstract text is available yet for this article.
April 23, 2018: JACC. Cardiovascular Interventions
Deng Xiang, Jiannan He, Zimeng Fan, Fangfang Xiong, Gang Liu, Sufen Chen, Wu Wen, Jianfeng Li, Junhua Ai, Renhua Wan, Gongxian Wang, Jun Shi
RATIONALE: Situs inversus totalis (SIT) is a rare anatomical variation of the internal organs, and solid pseudopapillary tumor of the pancreas (SPTP) is a rare tissue type of pancreatic tumors, classified as benign or low-grade malignancy. However, to our knowledge, a patient with SIT and SPTP is extremely rare and has never been reported. PATIENT CONCERNS: We retrospectively analyzed a case of SIT with SPTP in a 45-year-old woman. The main complaints were abdominal pain and sensation of heaviness for 2 weeks...
March 2018: Medicine (Baltimore)
Ferdinando F Calabria, Mario Leporace, Antonio Bagnato
A 72-year-old woman was examined by F-FDG PET/CT, showing pathologic tracer uptake in the gallbladder. PET/CT also depicted condition of situs inversus totalis, with dextrocardia, liver on the left side and spleen on the right side of the body. These findings were essential to plan and develop laparoscopic cholecystectomy, which diagnosed cholangiocarcinoma. The recognition of anatomical variants and abnormalities by means of hybrid PET/CT imaging is essential in order to plan the best therapeutic approach.
June 2018: Clinical Nuclear Medicine
Samira Navardi, Mohammad Ali Sahraian
Fingolimod, taken orally once per day, is approved for the treatment of relapsing-remitting multiple sclerosis (MS). It should be stopped at least two months before conception as it is not considered safe during pregnancy or when breast feeding. In vitro and animal studies have found a possibly increased risk of congenital abnormalities following exposure to Fingolimod. Here, we report a 34-year-old female, with a 10-year history of MS who had unexpected pregnancy with exposure to generic Fingolimod during the first 7 weeks...
April 2018: Multiple Sclerosis and related Disorders
Hugo R Martinez, Stephanie M Ware, Marcus S Schamberger, John J Parent
Left ventricular noncompaction cardiomyopathy (LVNC) is characterized by compact and trabecular layers of the left ventricular myocardium. This cardiomyopathy may occur with congenital heart disease (CHD). Single cases document co-occurrence of LVNC and heterotaxy, but no data exist regarding the prevalence of this association. This study sought to determine whether a non-random association of LVNC and heterotaxy exists by evaluating the prevalence of LVNC in patients with heterotaxy. In a retrospective review of the Indiana Network for Patient Care, we identified 172 patients with heterotaxy (69 male, 103 female)...
September 2017: Progress in Pediatric Cardiology
Mohsen Qutbi, Mehdi Soltanshahi, Mojtaba Ansari, Hoda Hashemi, Isa Neshandar Asli, Babak Shafiei
Dextrocardia, although a rare cardiac abnormality, carries the same risk for cardiac events as other people. SPECT Myocardial perfusion imaging is a potentially helpful diagnostic tool in patients with dextrocardia. Because of swapping of lateral and septal walls on SPECT slices, although visual analysis is possible, quantitation is substantially limited. Here, we introduce a simple practical method to make quantitative analysis feasible and accurate.
2018: Nuclear Medicine Review. Central & Eastern Europe
Ehud Galron, Doron Zamir
No abstract text is available yet for this article.
February 2018: Israel Medical Association Journal: IMAJ
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