keyword
Keywords Pulmonary Valve Regurgitation ...

Pulmonary Valve Regurgitation and Branch Pulmonary Artery Stenosis

https://read.qxmd.com/read/37408768/measuring-and-maintaining-organ-perfusion-in-a-patient-with-takayasu-s-arteritis-undergoing-cardiac-surgery
#1
K Dan, K Takahashi, A K Lefor
Takayasu's arteritis is a rare vasculitis affecting the aorta and its branches. Disease progression can result in arterial stenosis and subsequent organ dysfunction. Estimating organ perfusion by measuring the peripheral blood pressure can be challenging because it may be altered by arterial stenosis. We report the case of a 61-year-old woman with Takayasu's arteritis with aortic and mitral regurgitation who presented for aortic valve replacement and mitral valvuloplasty. Peripheral arterial pressure was considered a less reliable surrogate for organ perfusion because the patient had diminished blood flow in both the lower and upper extremities...
2023: Anaesthesia reports
https://read.qxmd.com/read/37341633/pulmonary-valve-reconstruction-for-acquired-pulmonary-regurgitation-in-patients-with-treated-congenital-heart-disease
#2
JOURNAL ARTICLE
Jill Jussli-Melchers, Jan Hinnerk Hansen, Jens Scheewe, Tim Attmann, Martin Eide, Jana Logoteta, Peter Dütschke, Mona Salehi Ravesh, Anselm Uebing, Inga Voges
OBJECTIVES: Pulmonary valve regurgitation is a common problem after relief of right ventricular outflow tract obstruction with a transannular patch (TAP). Pulmonary valve replacement (PVR) with a homograft or xenograft is the routine treatment. Longevity of biological valves and availability of homografts is limited and alternatives to restore RVOT competence are evaluated. This study presents intermediate-term results for pulmonary valve reconstruction (PVr) in patients with severe regurgitation...
June 21, 2023: Interdiscip Cardiovasc Thorac Surg
https://read.qxmd.com/read/35596814/takayasu-arteritis-with-congestive-heart-failure-in-26-year-old-male-a-case-report
#3
JOURNAL ARTICLE
Suryono Suryono, Pipiet Wulandari, Dwi Ariyanti, Aditha Satria Maulana, R Handi Sembodo, Narendra Wahyu Junior, Antonius Dwi Saputra
BACKGROUND: Takayasu arteritis (TA) is included in large vessel vasculitis with unknown aetiopathogenesis. TA is one of the rare diseases with a predilection for young women. The diagnosis of TA is difficult due to variation in clinical presentations and non-specific initial symptoms. This case demonstrates rare TA in a young male with congestive heart failure as the predominant manifestation. CASE PRESENTATION: We report a 26-year-old male presented with severe dyspnea, palpitation, orthopnea, paroxysmal nocturnal dyspnea, and claudication in the left arm...
May 21, 2022: Egyptian Heart Journal: EHJ
https://read.qxmd.com/read/34730210/long-term-assessment-of-clinical-outcomes-and-disease-progression-in-patients-with-corrected-tetralogy-of-fallot
#4
MULTICENTER STUDY
L A Ali, F Gentili, P Festa, M A Perrone, D Curione, M Caputo, R Wald, A Secinaro, A Carotti, M Chinali, C Marrone, V Pak, D Federici, M G Gagliardi, M Bianco, L Galletti, F Drago, B Leonardi
OBJECTIVE: Understanding changes of right ventricular (RV) geometry and function in repaired Tetralogy of Fallot (rToF) patients can improve decision-making for pulmonary valve replacement. Therefore, we aimed to assess the magnitude and clinical correlations of RV changes in rToF patients. PATIENTS AND METHODS: Clinical and MRI data of rToF patients who underwent repeated cardiac magnetic resonance imaging (MRI) at two centers between December 2003 and September 2020 were analyzed together with anatomical factors, including RV outflow tract obstruction, pulmonary artery branch stenosis, and tricuspid regurgitation...
October 2021: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/34471883/mitral-arcade-with-anomalous-papillary-muscles-rare-cause-of-mitral-stenosis-in-a-young-adult
#5
Caroline Ong, Rachel-Maria Brown, Adam Gershon, Biana Trost, Hossein Hosseini, Luigi Pirelli
We present the case of a symptomatic young woman with mitral stenosis and regurgitation due to a congenital mitral arcade. Multimodality imaging with echocardiography and computed tomography were used for diagnosis and surgical planning. The patient underwent successful bioprosthetic valve replacement. ( Level of Difficulty: Intermediate. ).
August 18, 2021: JACC. Case reports
https://read.qxmd.com/read/34363497/modified-microvascular-plug-as-a-flow-restrictor-in-hypoplastic-left-heart-syndrome-with-dysplastic-tricuspid-and-pulmonary-valves
#6
JOURNAL ARTICLE
Joshua D Kurtz, Bahaaldin Alsoufi, Sarah J Wilkens, Edward Kim
While the Norwood operation is the most common palliative surgery for neonates with hypoplastic left heart syndrome (HLHS), initial hybrid strategy aiming to restrict pulmonary blood flow and maintain systemic output is necessary when Norwood is contraindicated or at high risk. The traditional mainstay of initial hybrid palliation is surgical pulmonary artery branch banding (PABB) plus interventional ductal stenting. We present a case of a transcatheter approach for pulmonary flow restriction (PFR) that was accomplished by modifying a Medtronic microvascular plug (MVP)™...
October 2021: Pediatric Cardiology
https://read.qxmd.com/read/34178552/left-coronary-artery-circumflex-branch-arising-from-main-stem-of-pulmonary-artery-an-uncommon-anatomical-variation
#7
Aikaterini Giannakopoulou, Dimosthenis Chrysikos, Eleftherios Spartalis, Vasileios Protogerou, Theodore Troupis
The left circumflex coronary artery anatomy is considered highly variable. Herein, we present a case of a 9-year-old male child with a remarkable medical history of a spontaneously closed interventricular septal defect, without residual regurgitation, who was referred for cardiological evaluation in view of orthopedic surgery. During the preoperative examination, echocardiography was performed, which showed multiple flows in the interventricular septum as well as a diastolic flow at the level of the pulmonary valve...
June 18, 2021: Curēus
https://read.qxmd.com/read/32847583/spontaneous-tricuspid-valve-chordal-rupture-in-a-dog-with-severe-irreversible-pulmonary-hypertension-caused-by-angiostrongylus-vasorum-infection
#8
JOURNAL ARTICLE
Viktor Szatmári
BACKGROUND: The adult worms of Angiostrongylus vasorum reside in the pulmonary artery of dogs and can lead to cardiac, respiratory, and central neurologic signs. Due to luminal obstruction and perivascular inflammation of the pulmonary artery branches, pulmonary hypertension can arise. Pulmonary hypertension, in turn, can lead to severe damage of the right-sided cardiac structures, leading to right ventricular remodeling and tricuspid valve regurgitation. CASE PRESENTATION: An 8-year-old neutered female English Cocker Spaniel was presented to the author's institution because of abdominal distention and exercise intolerance...
August 26, 2020: BMC Veterinary Research
https://read.qxmd.com/read/31662332/management-of-the-adult-fontan-patient
#9
REVIEW
Fred H Rodriguez, Wendy M Book
Adults with congenital heart disease who underwent the Fontan operation to palliate single ventricle heart defects-by direct connection of caval venous return to the pulmonary circulation-have improved survival due to advancements in surgical and interventional techniques. However, cardiac and non-cardiac comorbidities often coexist, complicating management, and contributing to premature morbidity and mortality. Cardiac issues include heart failure symptoms related to systolic and diastolic dysfunction, atrial and ventricular arrhythmias and systemic atrioventricular valve regurgitation...
January 2020: Heart
https://read.qxmd.com/read/31266909/-redo-right-ventricular-outflow-tract-reconstruction-in-adult-patients-with-congenital-heart-disease
#10
JOURNAL ARTICLE
Naoki Yoshimura, Masaya Aoki, Akihiko Higashida, Daisuke Toritsuka, Takamitsu Aihara, Kazuaki Fukahara, Keijiro Ibuki, Sayaka Ozawa, Keiichi Hirono, Fukiko Ichida
Between April 2005 and February 2019, 11 adult patients underwent redo reconstruction of the right ventricular outflow tract. The primary malformation was Fallot's tetralogy in 8, transposition of the great arteries in 2, and pulmonary atresia with intact ventricular septum in 1. Mean age at redo operation was 27.4 years. Right ventricular outflow tract was reconstructed with expanded polytetrafluoroethylene conduits with bulging sinuses and a fan-shaped valve in 9, transannular patch in 1, and right ventricular outflow patch in 1...
April 2019: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/30935635/contemporary-outcomes-and-factors-associated-with-mortality-after-a-fetal-or-postnatal-diagnosis-of-common-arterial-trunk
#11
JOURNAL ARTICLE
Conall T Morgan, Angela Tang, Chun-Po Fan, Fraser Golding, Cedric Manlhiot, Glen van Arsdell, Osami Honjo, Edgar Jaeggi
BACKGROUND: Common arterial trunk (CAT) is a rare anomaly with a spectrum of pathology. We sought to identify current trends and factors associated with postnatal outcomes. METHODS: This was a single-centre review including 153 live births with planned surgery. Patients were analyzed as 2 cohorts based on era of CAT diagnosis (1990 to 1999 vs 2000 to 2014) and complexity of disease (simple vs complex). "Complex" required the association with significant aortic arch obstruction, truncal valve (TV) stenosis/regurgitation, and/or branch pulmonary artery (PA) hypoplasia, respectively...
April 2019: Canadian Journal of Cardiology
https://read.qxmd.com/read/29577408/the-role-of-intraoperative-epicardial-echocardiography-in-pediatric-cardiac-surgery
#12
JOURNAL ARTICLE
Erkut Ozturk, Ibrahim Cansaran Tanidir, Pelin Ayyildiz, Selman Gokalp, Hasan Candas Kafali, Murat Sahin, Yakup Ergul, Sertac Haydin, Alper Guzeltas
AIM: Our aim was to evaluate the findings and the role of intraoperative epicardial echocardiography (IEE) in the management of pediatric cardiac surgery patients. METHODS: Patients evaluated with IEE between December 2015 and December 2017 were analyzed retrospectively. Demographic data, preoperative transthoracic echocardiography (TTE), and IEE reports were evaluated. RESULTS: A total of 410 patients evaluated by IEE were included in the study...
July 2018: Echocardiography
https://read.qxmd.com/read/29564521/post-operative-assessment-of-the-arterial-switch-operation-a-comparison-of-magnetic-resonance-imaging-and-echocardiography
#13
COMPARATIVE STUDY
Christopher R Broda, Svetlana B Shugh, Rohan B Parikh, YunFei Wang, Tobias R Schlingmann, Cory V Noel
After an arterial switch operation (ASO), serial imaging is necessary to monitor for maladaptive changes. We compared cardiac magnetic resonance imaging (CMR) to 2-D transthoracic echocardiography (TTE) in assessing post-operative ASO patients. We performed a retrospective review of patients at a single tertiary care center who underwent an ASO and subsequently had a CMR performed from 7/2010 to 7/2016. Those with single ventricle anatomy, congenitally corrected transposition of the great arteries, or previous atrial switch operation were excluded...
June 2018: Pediatric Cardiology
https://read.qxmd.com/read/29067078/tetralogy-of-fallot-repair-in-patients-presenting-after-infancy-a-single-surgeon-experience
#14
JOURNAL ARTICLE
Tariq Waqar, Muhammad Usman Riaz, Tania Mahar
OBJECTIVE: To determine the early surgical outcomes of Tetralogy of Fallot (TOF) repair in children and young adults operated after the age of one year. METHODS: In this retrospective study, 307 cases of primary repair of Tetralogy of Fallot were done between September 2012 to February 2017, at CPE Institute of cardiology, Multan. Out of 307 operated patients, 4 (1.3%) patients had previous modified Blalock Taussig shunts, 2 (0.6%) associated ASD with TOF, 3 (0...
July 2017: Pakistan Journal of Medical Sciences Quarterly
https://read.qxmd.com/read/27430117/double-orifice-mitral-valve-a-case-report
#15
JOURNAL ARTICLE
Ljilja Musić, Božidarka Kneževic, Ljiljana Jovović, Nebojša Bulatović
INTRODUCTION: Double orifice mitrol valve (DOMV) is a very rare congenital heart defect. CASE REPORT: We reported 20-year-old male referred to our center due to evaluation of his cardiologic status. He was operated on shortly after birth for a tracheoesophageal fistula. Accidentally, echocardiography examination at the age of 4 years revealed double orifice mitral valve (DOMV) without the presence of mitral regurgitation, as well as mitral stenosis, with normal dimensions of all cardiac chambers...
May 2016: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
https://read.qxmd.com/read/26880720/effective-percutaneous-edge-to-edge-mitral-valve-repair-with-mitraclip-in-a-patient-with-acute-post-mi-regurgitation-not-related-to-papillary-muscle-rupture
#16
Giandomenico Tarsia, Costantino Smaldone, Marco F Costantino
A 65-year-old woman was admitted to our institution for rest dyspnea and hypotension. EKG showed sinus tachycardia with signs of infero-posterior STEMI. 2D-echocardiogram showed severe left ventricular systolic dysfunction with a- diskynesia of the inferior and posterior walls and severe functional mitral regurgitation (MR). The patient underwent urgent coronary angiography that showed 3-vessels disease with total occlusion of both first obtuse marginal (OM) branch of the left circumflex artery and right coronary artery (RCA) and critical stenosis of left anterior descending (LAD)...
December 2016: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/26516424/percutaneous-pulmonary-valve-implantation-in-a-single-artery-branch-a-preliminary-experience
#17
Massimo Chessa, Gianfranco Butera, Luca Giugno, Angelo Micheletti, Diana G Negura, Mario Carminati
To describe preliminary experience of percutaneous pulmonary valve implantation, in a single pulmonary branch position. Two procedures in 2 patients from a single center are described, where implantation of percutaneous valves within a single pulmonary artery branch was technically successful. The procedural indication was pulmonary valve regurgitation and/or residual stenosis. The 2 patients were symptomatic. An Edwards Sapien™ valve (Patient 1), and a Medtronic Melody™ valve (Patient 2) were implanted...
October 26, 2015: World Journal of Cardiology
https://read.qxmd.com/read/26134158/echocardiography-in-the-diagnosis-of-patients-with-absent-pulmonary-valve-syndrome-a-review-study-of-12-years
#18
COMPARATIVE STUDY
Weichun Wu, Kunjing Pang, Qiongwen Lin, Ani Zhang, Wugang Wang, Minghui Zhang, Jianrong Li, Hao Wang
Absent pulmonary valve syndrome (APVS) is a rare congenital heart disease that is easily misdiagnosed as tetralogy of Fallot (TOF). We herein discuss the echocardiographic features of APVS, compare its two subtypes, and clarify some differences between APVS and TOF. From July 1998 to October 2011, 31 patients diagnosed with APVS at Fuwai Hospital underwent echocardiography, computed tomography, or cardiac angiography. APVS was clinically categorized as either infant-type or child-type. We compared the echocardiographic similarities and differences between APVS and TOF and between the two subtypes of APVS...
October 2015: International Journal of Cardiovascular Imaging
https://read.qxmd.com/read/25963781/-right-branch-pulmonary-artery-stenosis-with-supravalvar-aortic-stenosis-as-a-complication-of-lecompte-maneuver-for-tetralogy-of-fallot-associated-with-absent-pulmonary-valve
#19
JOURNAL ARTICLE
Yoshihiro Honda, Shoji Suzuki, Shigeaki Kaga, Yukiyo Yoshida, Mitsuhiro Kimura, Kentaro Kamiya, Kenji Sakakibara, Masatake Katsu
The patient was diagnosed with tetralogy of Fallot associated with absent pulmonary valve syndrome and a low birth weight of 1,912 g. He suffered from respiratory distress on day 14 and received non-invasive positive pressure ventilation. At 5 months of age and 4.1 kg, he underwent intracardiac repair including right ventricular outflow repair with a monocusp patch, patch closure of the ventricular septum defect and right pulmonary transposition to the anterior of the ascending aorta following the Lecompte maneuver for airway decompression...
May 2015: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/25876720/-early-clinical-outcomes-of-percutaneous-balloon-aortic-valvuloplasty-in-treating-high-risk-patients-with-severe-aortic-stenosis
#20
JOURNAL ARTICLE
Hanjun Pei, Yongjian Wu, Yuejin Yang, Siyong Teng, Haitao Zhang, Lei Zhang, Hongxia Niu, Wenjia Zhang, Guannan Niu, Jie Qian, Shubin Qiao, Bo Xu, Runlin Gao
OBJECTIVE: To explore the procedural feasibility and early clinical outcomes of percutaneous balloon aortic valvuloplasty (PBAV) in patients with severe aortic stenosis, who were considered transiently unsuitable for surgical aortic valve replacement (sAVR) and transcatheter aortic valve replacement (TAVR). METHODS: Between March 2011 and January 2014, datas of 20 patients underwent PBAV in Fuwai Hospital were retrospectively analyzed. Mean patients age was (72 ± 8) years...
January 2015: Zhonghua Xin Xue Guan Bing za Zhi
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