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Cardiology, Echocardiography, Interventional Cardiology, Cardiac surgery

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https://www.readbyqxmd.com/read/26963427/fetal-cardiology-changing-the-definition-of-critical-heart-disease-in-the-newborn
#1
M Słodki, M Respondek-Liberska, J D Pruetz, M T Donofrio
Infants born with congenital heart disease (CHD) may require emergent treatment in the newborn period. These infants are likely to benefit the most from a prenatal diagnosis, which allows for optimal perinatal planning. Several cardiac centers have created guidelines for the management of these high-risk patients with CHD. This paper will review and compare several prenatal CHD classification systems with a particular focus on the most critical forms of CHD in the fetus and newborn. A contemporary definition of critical CHD is one which requires urgent intervention in the first 24 h of life to prevent death...
August 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/25959761/-giant-aneurysm-of-the-right-coronary-artery-an-unusual-treatment
#2
Andrea Rognoni, Anna Degiovanni, Chiara Cavallino, Alessandro Lupi, Roberta Rosso, Alessia Veia, Francesco Rametta, Angelo Sante Bongo
Coronary artery aneurysm (CAA) is an uncommon disease observed in only 0.15-4.9% of patients undergoing coronary angiography. CAA are defined as dilated coronary artery sections exceeding by 1.5 times the diameter of normal adjacent segments or of the patient's largest coronary vessel. Occasionally, CAA enlarge enough to be called giant CAA. We report the case of a 78-year-old man, with known chronic ischemic cardiomyopathy and a history of prior coronary artery bypass surgery (with a left internal mammary artery graft to the left anterior descending coronary artery and saphenous venous graft to the obtuse marginal branch), who was referred to our cardiology department for progressive dyspnea...
April 2015: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/25754058/pulmonary-artery-stenosis-due-to-embryonal-carcinoma-with-primary-mediastinal-location
#3
Franciszek Grzegorczyk, Małgorzata Dybowska, Paweł Kuca, Cezary Czajka, Janusz Burakowski, Renata Langfort, Tadeusz Orłowski, Witold Tomkowski
A 29-year old man was admitted to the intensive care unit after losing consciousness. On physical examination, a loud systolic murmur over the heart was found. Echocardiography revealed narrowing of pulmonary artery with high pressure gradient. Computed tomography of the chest revealed the presence of large tumour localised in the upper anterior mediastinum. Due to the risk of total closure of the pulmonary artery, interventional mediastinotomy was performed and diagnosis of carcinoma embryonale was established...
2015: Pneumonologia i Alergologia Polska
https://www.readbyqxmd.com/read/25699243/echocardiographic-assessment-after-surgical-repair-of-tetralogy-of-fallot
#4
REVIEW
Mario Carminati, Francesca R Pluchinotta, Luciane Piazza, Angelo Micheletti, Diana Negura, Massimo Chessa, Gianfranco Butera, Carmelo Arcidiacono, Antonio Saracino, Claudio Bussadori
Surgical correction of tetralogy of Fallot is still one of the most frequently performed intervention in pediatric cardiac surgery, and in many cases, it is far from being a complete and definitive correction. It is rather an excellent palliation that solves the problem of cyanosis, but predisposes the patients to medical and surgical complications during follow-up. The decision-making process regarding the treatment of late sequel is among the most discussed topics in adult congenital cardiology. In post-operative Fallot patients, echocardiography is used as the first method of diagnostic imaging and currently allows both a qualitative observation of the anatomical alterations and a detailed quantification of right ventricular volumes and function, of the right ventricular outflow tract, and of the pulmonary valve and pulmonary arteries...
2015: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/25586842/paediatric-cardiology-the-last-50-years
#5
Malcolm E Richardson
In the last half-century, the outlook for children with heart disease has changed dramatically. Morphologists have transformed our understanding of heart defects. Improved imaging methods, such as echocardiography, computed tomography and magnetic resonance imaging, have made diagnostic cardiac catheterisation almost redundant. However, interventional catheterisation has flourished as transcatheter procedures have replaced surgery for many lesions. The ability to pharmacologically manipulate the duct has revolutionised the management of the sick neonate with major heart disease...
January 2015: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/24763516/diagnosis-and-treatment-of-fetal-cardiac-disease-a-scientific-statement-from-the-american-heart-association
#6
REVIEW
Mary T Donofrio, Anita J Moon-Grady, Lisa K Hornberger, Joshua A Copel, Mark S Sklansky, Alfred Abuhamad, Bettina F Cuneo, James C Huhta, Richard A Jonas, Anita Krishnan, Stephanie Lacey, Wesley Lee, Erik C Michelfelder, Gwen R Rempel, Norman H Silverman, Thomas L Spray, Janette F Strasburger, Wayne Tworetzky, Jack Rychik
BACKGROUND: The goal of this statement is to review available literature and to put forth a scientific statement on the current practice of fetal cardiac medicine, including the diagnosis and management of fetal cardiovascular disease. METHODS AND RESULTS: A writing group appointed by the American Heart Association reviewed the available literature pertaining to topics relevant to fetal cardiac medicine, including the diagnosis of congenital heart disease and arrhythmias, assessment of cardiac function and the cardiovascular system, and available treatment options...
May 27, 2014: Circulation
https://www.readbyqxmd.com/read/24740094/-percutaneous-coronary-intervention-versus-bypass-surgery-in-patients-with-diabetes-and-multivessel-coronary-disease-coronary-revascularization-after-freedom
#7
COMPARATIVE STUDY
R Dörr, J Stumpf, J Dalibor, G Simonis, S G Spitzer
Is coronary revascularization required in a patient with chronic stable coronary artery disease or can optimized medical therapy (OMT) alone be a sufficient alternative? This question has been controversially discussed for non-diabetics as well as for diabetics since the COURAGE and BARI 2D trials. According to our present knowledge, a patient will benefit from coronary revascularization only when either a non-invasive test method, such as single photon emission computed tomography (SPECT) or positron emission tomography (PET) myocardial scintigraphy, stress echocardiography or stress nuclear magnetic resonance imaging, can detect relevant, objective evidence of ischemia >10% of the left ventricular myocardium or when a pathological fractional flow reserve (FFR) <0...
May 2014: Herz
https://www.readbyqxmd.com/read/24597411/left-ventricular-geometry-and-systolic-function-improvement-after-percutaneous-closure-of-aortic-prosthetic-paravalvular-leak
#8
REVIEW
Eftychia Demerouti, Evangelos Leontiadis, George Karatasakis, George Athanassopoulos, Spyridon Rammos, Gregory Pavlides
Paravalvular leak (PVL) represents a potential complication of valve replacement surgery. The 'gold standard' treatment for patients with severe prosthetic dysfunction, hemolysis or symptoms, is surgery. Reoperative valve surgery for such patients is related to high morbidity and mortality rate. The percutaneous closure of PVL is feasible and safe, when performed at experienced interventional cardiologic centers. Herein, the case is reported of a patient who showed a significant improvement in left ventricular systolic function after transcatheter closure of an aortic prosthetic PVL with an Amplatzer duct occluder II (ADO II)...
November 2013: Journal of Heart Valve Disease
https://www.readbyqxmd.com/read/24374980/accf-aha-ase-asnc-hfsa-hrs-scai-scct-scmr-sts-2013-multimodality-appropriate-use-criteria-for-the-detection-and-risk-assessment-of-stable-ischemic-heart-disease-a-report-of-the-american-college-of-cardiology-foundation-appropriate-use-criteria-task-force-american
#9
Grace Ronan, Michael J Wolk, Steven R Bailey, John U Doherty, Pamela S Douglas, Robert C Hendel, Christopher M Kramer, James K Min, Manesh R Patel, Lisa Rosenbaum, Leslee J Shaw, Raymond F Stainback, Joseph M Allen, Ralph G Brindis, Christopher M Kramer, Leslee J Shaw, Manuel D Cerqueira, Jersey Chen, Larry S Dean, Reza Fazel, W Gregory Hundley, Dipti Itchhaporia, Paul Kligfield, Richard Lockwood, Joseph Edward Marine, Robert Benjamin McCully, Joseph V Messer, Patrick T O'Gara, Richard J Shemin, L Samuel Wann, John B Wong, Manesh R Patel, Christopher M Kramer, Steven R Bailey, Alan S Brown, John U Doherty, Pamela S Douglas, Robert C Hendel, Bruce D Lindsay, James K Min, Leslee J Shaw, Raymond F Stainback, L Samuel Wann, Michael J Wolk, Joseph M Allen
The American College of Cardiology Foundation along with key specialty and subspecialty societies, conducted an appropriate use review of common clinical presentations for stable ischemic heart disease (SIHD) to consider use of stress testing and anatomic diagnostic procedures. This document reflects an updating of the prior Appropriate Use Criteria (AUC) published for radionuclide imaging (RNI), stress echocardiography (Echo), calcium scoring, coronary computed tomography angiography (CCTA), stress cardiac magnetic resonance (CMR), and invasive coronary angiography for SIHD...
February 2014: Journal of Nuclear Cardiology: Official Publication of the American Society of Nuclear Cardiology
https://www.readbyqxmd.com/read/24355759/accf-aha-ase-asnc-hfsa-hrs-scai-scct-scmr-sts-2013-multimodality-appropriate-use-criteria-for-the-detection-and-risk-assessment-of-stable-ischemic-heart-disease-a-report-of-the-american-college-of-cardiology-foundation-appropriate-use-criteria-task-force-american
#10
Michael J Wolk, Steven R Bailey, John U Doherty, Pamela S Douglas, Robert C Hendel, Christopher M Kramer, James K Min, Manesh R Patel, Lisa Rosenbaum, Leslee J Shaw, Raymond F Stainback, Joseph M Allen
The American College of Cardiology Foundation along with key specialty and subspecialty societies, conducted an appropriate use review of common clinical presentations for stable ischemic heart disease (SIHD) to consider use of stress testing and anatomic diagnostic procedures. This document reflects an updating of the prior Appropriate Use Criteria (AUC) published for radionuclide imaging (RNI), stress echocardiography (Echo), calcium scoring, coronary computed tomography angiography (CCTA), stress cardiac magnetic resonance (CMR), and invasive coronary angiography for SIHD...
February 4, 2014: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/24298301/coronary-artery-to-pulmonary-artery-fistula
#11
Heidar Dadkhah-Tirani, Arsalan Salari, Shora Shafighnia, Seyed Fazel Hosseini, Misa Naghdipoor
PATIENT: Male, 69 FINAL DIAGNOSIS: Coronary artery to pulmonary artery fistula Symptoms: Chest pain Medication: - Clinical Procedure: Echocardiography • angiography • surgical intervention Specialty: Cardiology • Cardiac Surgery. OBJECTIVE: Rare disease. BACKGROUND: A coronary artery fistula is an abnormal communication between a coronary artery and one of the cardiac chambers or a great vessel, so bypassing the myocardial capillary network...
2013: American Journal of Case Reports
https://www.readbyqxmd.com/read/24215196/role-of-imaging-in-interventions-on-structural-heart-disease
#12
REVIEW
Mario Carminati, Mauro Agnifili, Carmelo Arcidiacono, Nedy Brambilla, Claudio Bussadori, Gianfranco Butera, Massimo Chessa, Mohammed Heles, Angelo Micheletti, Diana G Negura, Luciane Piazza, Antonio Saracino, Luca Testa, Maurizio Tusa, Francesco Bedogni
Recent technological progresses have led to the development of new devices and procedures which have greatly improved the chance to effectively treat structural heart diseases in both children and adults. Interventional cardiology has been receiving fast and wide implementation as an effective alternative treatment to surgery for several congenital and acquired diseases. The advent of transcatheter valve implantation/repair techniques constitutes one of the main breakthroughs of the last decades. Such development and implementation is strictly related to a continuous progress in cardiac imaging as well...
December 2013: Expert Review of Cardiovascular Therapy
https://www.readbyqxmd.com/read/24067619/mitro-aortic-aneurysms-in-children-single-centre-experience-and-review-of-the-literature
#13
REVIEW
Manuel Magalhães, Luis Bakero, José Fragata, Filipa Paramés, Isabel Freitas, Mónica Rebelo, José D Martins, Conceição Trigo, Fátima F Pinto
OBJECTIVES: This publication aims to report the cases of four children with pseudoaneurysm of the mitral-aortic intervalvular fibrosa and carry out a review of the literature. BACKGROUND: Pseudoaneurysm of the mitral-aortic intervalvular fibrosa is a very rare anomaly in children. It can be either congenital or acquired, namely, after bacterial endocarditis or cardiac trauma. This pathology does not usually cause specific symptoms but its outcome may be potentially fatal...
June 2014: Cardiology in the Young
https://www.readbyqxmd.com/read/23960607/paediatric-cardiology-programs-in-countries-with-limited-resources-how-to-bridge-the-gap
#14
K M Ali Sulafa
Establishing paediatric cardiology service in a country with limited resources like Sudan is a challenging task. A paediatric cardiac team was formed then the services in different disciplines were gradually established. Echocardiography (echo) clinics were founded in tertiary and peripheral hospitals. Cardiac catheterization (cath) was established at the Sudan Heart Centre (SHC) in 2004 and over 400 procedures had been performed including interventional catheterization like pulmonary valve dilatation, patent ductus arteriosus and atrial septal defect device closure...
July 2010: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/23912499/intra-operative-2-d-ultrasound-and-dynamic-3-d-aortic-model-registration-for-magnetic-navigation-of-transcatheter-aortic-valve-implantation
#15
Zhe Luo, Junfeng Cai, Terry M Peters, Lixu Gu
We propose a navigation system for transcatheter aortic valve implantation that employs a magnetic tracking system (MTS) along with a dynamic aortic model and intra-operative ultrasound (US) images. This work is motivated by the desire of our cardiology and cardiac surgical colleagues to minimize or eliminate the use of radiation in the interventional suite or operating room. The dynamic 3-D aortic model is constructed from a preoperative 4-D computed tomography dataset that is animated in synchrony with the real time electrocardiograph input of patient, and then preoperative planning is performed to determine the target position of the aortic valve prosthesis...
November 2013: IEEE Transactions on Medical Imaging
https://www.readbyqxmd.com/read/22914368/successful-introduction-of-interventional-catheterisation-and-other-paediatric-cardiology-services-in-a-developing-country
#16
Hideshi Tomita, Noriyuki Haneda, Takashi Higaki, Koichi Kataoka
BACKGROUND: Providing care for children with cardiac disease remains a challenge in developing countries. MATERIALS AND METHODS: Since 2001, a team of paediatric cardiologists has been visiting Mongolia to perform children's cardiac catheterisation, as well as screening children for cardiac disease. Considering the limited medical resources, as well as cost, risk, and benefit, we focused our activities on diagnostic consultation by echocardiography, transcatheter closure of persistent arterial duct, balloon dilation of valvar pulmonary stenosis and aortic coarctation, and diagnostic catheterisation...
June 2013: Cardiology in the Young
https://www.readbyqxmd.com/read/22743082/hybrid-operating-room-concept-for-combined-diagnostics-intervention-and-surgery-in-acute-type-a-dissection
#17
Konstantinos Tsagakis, Thomas Konorza, Daniel Sebastian Dohle, Eva Kottenberg, Thomas Buck, Matthias Thielmann, Raimund Erbel, Heinz Jakob
OBJECTIVES: In acute type A dissection (AAAD), it is commonly decided to carry out immediate surgical repair without invasive diagnostics. The hybrid operating room (Hybrid OR) concept encompasses simultaneous haemodynamic control, non-invasive and invasive diagnostics and immediate surgical and/or interventional treatment. Results over a seven-year period are presented here. METHODS: From March 2004 to March 2011, 1883 cardiological and surgical patients were treated in a Hybrid OR...
February 2013: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/22678595/accf-scai-aats-aha-ase-asnc-hfsa-hrs-sccm-scct-scmr-sts-2012-appropriate-use-criteria-for-diagnostic-catheterization-american-college-of-cardiology-foundation-appropriate-use-criteria-task-force-society-for-cardiovascular-angiography-and-interventions-american
#18
REVIEW
Manesh R Patel, Steven R Bailey, Robert O Bonow, Charles E Chambers, Paul S Chan, Gregory J Dehmer, Ajay J Kirtane, L Samuel Wann, R Parker Ward, Pamela S Douglas, Manesh R Patel, Steven R Bailey, Philip Altus, Denise D Barnard, James C Blankenship, Donald E Casey, Larry S Dean, Reza Fazel, Ian C Gilchrist, Clifford J Kavinsky, Susan G Lakoski, D Elizabeth Le, John R Lesser, Glenn N Levine, Roxana Mehran, Andrea M Russo, Matthew J Sorrentino, Mathew R Williams, John B Wong, Michael J Wolk, Steven R Bailey, Pamela S Douglas, Robert C Hendel, Christopher M Kramer, James K Min, Manesh R Patel, Leslee Shaw, Raymond F Stainback, Joseph M Allen
The American College of Cardiology Foundation, in collaboration with the Society for Cardiovascular Angiography and Interventions and key specialty and subspecialty societies, conducted a review of common clinical scenarios where diagnostic catheterization is frequently considered. The indications (clinical scenarios) were derived from common applications or anticipated uses, as well as from current clinical practice guidelines and results of studies examining the implementation of noninvasive imaging appropriate use criteria...
September 1, 2012: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/22578925/accf-scai-aats-aha-ase-asnc-hfsa-hrs-sccm-scct-scmr-sts-2012-appropriate-use-criteria-for-diagnostic-catheterization-a-report-of-the-american-college-of-cardiology-foundation-appropriate-use-criteria-task-force-society-for-cardiovascular-angiography-and-interventions
#19
Manesh R Patel, Steven R Bailey, Robert O Bonow, Charles E Chambers, Paul S Chan, Gregory J Dehmer, Ajay J Kirtane, L Samuel Wann, R Parker Ward
The American College of Cardiology Foundation, in collaboration with the Society for Cardiovascular Angiography and Interventions and key specialty and subspecialty societies, conducted a review of common clinical scenarios where diagnostic catheterization is frequently considered. The indications (clinical scenarios) were derived from common applications or anticipated uses, as well as from current clinical practice guidelines and results of studies examining the implementation of noninvasive imaging appropriate use criteria...
May 29, 2012: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/22413986/robotics-and-imaging-in-congenital-heart-surgery
#20
REVIEW
Nikolay V Vasilyev, Pierre E Dupont, Pedro J del Nido
The initial success seen in adult cardiac surgery with the application of available robotic systems has not been realized as broadly in pediatric cardiac surgery. The main obstacles include extended set-up time and complexity of the procedures, as well as the large size of the instruments with respect to the size of the child. Moreover, while the main advantage of robotic systems is the ability to minimize incision size, for intracardiac repairs, cardiopulmonary bypass is still required. Catheter-based interventions, on the other hand, have expanded rapidly in both application as well as the complexity of procedures and lesions being treated...
March 2012: Future Cardiology
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