keyword
https://read.qxmd.com/read/36149285/left-ventricular-rehabilitation-in-an-infant-with-transposition-of-the-great-arteries-intact-ventricular-septum-pulmonary-stenosis-and-small-left-ventricle
#21
JOURNAL ARTICLE
Dong Man Seo, Hyun-Hae Cho, Hong Ju Shin, Hyun Suk Yang
We report the case of successful biventricular repair after left ventricular rehabilitation in an infant with transposition of the great arteries with an intact ventricular septum, pulmonary stenosis, a large atrial septal defect and a borderline small left ventricle (mitral annulus z-score: -3.6). This baby presented to us at 2 months of age after having a modified Blalock-Taussig shunt at another hospital. We restricted the atrial septal defect with the child on cardiopulmonary bypass. Ten weeks later, the mitral annulus z-score increased to -1...
October 4, 2022: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/36089119/staged-ventricular-septation-in-double-inlet-ventricle-a-strategy-to-avoid-fontan
#22
JOURNAL ARTICLE
Anagha Prasanna, Rebecca S Beroukhim, Sunil Ghelani, Eric N Feins, Pedro J Del Nido, Sitaram M Emani
Single-stage ventricular septation for double-inlet left or right ventricle (DILV or DIRV) has historically been associated with poor outcomes. We hypothesize that staged ventricular septation may demonstrate favorable clinical outcomes to be an alternative to Fontan palliation. This single-center retrospective study reviewed patients with DILV or DIRV who underwent staged ventricular septation between 2015-2021. The strategy involves pulmonary artery banding or Norwood procedure during infancy (stage 1), followed by partial ventricular septation to anchor the septum, while maintaining systemic RV pressure to avoid septal shift (stage 2)...
September 8, 2022: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/36053108/hypoplastic-left-heart-syndrome-definition-morphology-and-classification
#23
JOURNAL ARTICLE
Jeffrey P Jacobs
This manuscript will provide information about hypoplastic left heart syndrome (HLHS) and related malformations, including definitions, morphology, and classification, based on the 2021 International Paediatric and Congenital Cardiac Code (IPCCC) and the Eleventh Revision of the International Classification of Diseases (ICD-11). HLHS is defined as "a spectrum of congenital cardiovascular malformations with normally aligned great arteries without a common atrioventricular junction, characterized by underdevelopment of the left heart with significant hypoplasia of the left ventricle including atresia, stenosis, or hypoplasia of the aortic or mitral valve, or both valves, and hypoplasia of the ascending aorta and aortic arch...
September 2022: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/36053102/high-risk-anatomic-subsets-in-hypoplastic-left-heart-syndrome
#24
JOURNAL ARTICLE
Tracy R Geoffrion, Stephanie M Fuller
Despite overall improvements in outcomes for patients with hypoplastic left heart syndrome, there remain anatomic features that can place these patients at higher risk throughout their treatment course. These include severe preoperative obstruction to pulmonary venous return, restrictive atrial septum, coronary fistulae, severe tricuspid regurgitation, smaller ascending aorta diameter (especially if <2 mm), and poor ventricular function. The risk of traditional staged palliation has led to the development of alternative strategies for such patients...
September 2022: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/36047411/acquired-left-ventricular-right-atrial-communication-after-mitral-valve-replacement-and-tricuspid-annuloplasty
#25
Kazuhiko Uwabe, Yasuhito Okuzono, Noriyasu Masuda, Hiroshi Furukawa
A 77-year-old woman underwent mitral valve replacement and tricuspid annuloplasty for severe mitral stenosis and tricuspid regurgitation with pulmonary hypertension. Two months later, the patient was readmitted because of marked edema. A new harsh pansystolic murmur was auscultated, and echocardiography revealed a jet from the left ventricle to the right atrium but no paravalvular leakage was detected at the mitral valve position. At operation, an 6 mm defect adjacent to the tricuspid annulus in the interatrial septum and detachment of the anterior edge of the tricuspid ring were detected...
November 2022: Journal of Cardiac Surgery
https://read.qxmd.com/read/35935660/a-rare-ultra-long-term-complication-of-occluder-recanalization-due-to-spontaneous-perforation-of-polyvinyl-alcohol-membrane-of-atrial-septal-defect-occluder-a-case-report-and-review-of-the-literature
#26
Kun Xiang, Huanwei Zhuang, Qin Wu, Mi Tang, Jinfu Yang, Chengming Fan
Percutaneous closure of atrial septal defect (ASD) has emerged as a feasible alternative strategy to surgical repair in many cardiac centers worldwide. Occluder recanalization due to device failure is a rare and severe complication that often occurs within weeks to years after ASD closure. We reported a rare ultra-long-term complication of occluder recanalization due to delayed spontaneous perforation of polyvinyl alcohol (PVA) membrane of ASD occluder after 18 years of ASD closure. Surgical removal of the faulty device and reconstruction of the atrial septum with a bovine pericardial patch was performed...
2022: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/35908453/case-report-right-atrial-myxoma-with-total-anomalous-pulmonary-venous-connection-in-neonate
#27
JOURNAL ARTICLE
Shantanu Gomase, Sachin Kuthe, Manish Sonkusale
INTRODUCTION AND IMPORTANCE: Myxoma is the commonest cardiac tumor in adults but is very rare in a newborn. The majority of myxoma arises from the interatrial septum. 75% of myxomas are found in the left atrium and 20% are found in the right atrium. Myxomas can be single or multiple. Multiple myxomas are usually associated with familial syndromes. Myxomas are generally not associated with another congenital heart defect except atrial septal defect. As myxomas are rare in newborns most of the knowledge is through various case reports...
July 21, 2022: International Journal of Surgery Case Reports
https://read.qxmd.com/read/35876406/platypnea-orthodeoxia-syndrome-in-the-setting-of-patent-foramen-ovale-without-pulmonary-hypertension-or-major-lung-disease
#28
JOURNAL ARTICLE
Farrah Othman, Brian Bailey, Nicholas Collins, Edmund Lau, David Tanous, Karan Rao, David Celermajer, Rachael Cordina
Background Patent foramen ovale (PFO)-associated platypnea-orthodeoxia syndrome is characterized by dyspnea and hypoxemia when upright. The pathogenesis is thought to involve an increase in right atrial pressure or change in degree of right to left shunting with upright posture. Methods and Results We sought to characterize patients with platypnea-orthodeoxia syndrome related to PFO without pulmonary hypertension. We retrospectively reviewed databases at 3 tertiary referral hospitals in New South Wales, Australia from 2000 to 2019...
August 2, 2022: Journal of the American Heart Association
https://read.qxmd.com/read/35774080/right-superior-vena-cava-connected-left-atrium-with-partial-anomalous-pulmonary-venous-return-and-intact-atrial-septum-an-unusual-cause-of-paradoxical-embolism
#29
Abdullah A Al Sehly, Abdah Hrfi, Ahmed BinSalahuddin
A six-month-old girl presented with history of convulsion and cyanosis, was eventually found to have a right superior vena cava connected to left atrium with anomalous upper right pulmonary vein return and without atrial septal defect. Diagnosis was confirmed by cardiac magnetic resonance imaging. The patient underwent a successful cardiac surgery correction, routing SVC to right atrium and repair of right upper pulmonary vein to left atrium.
2022: Journal of the Saudi Heart Association
https://read.qxmd.com/read/35623036/first-dedicated-minimally-invasive-right-atrial-retractor
#30
JOURNAL ARTICLE
Mario Castillo-Sang, Joseph Konys, Brian Burkhard, Rochus Voeller
INTRODUCTION: The importance of correcting tricuspid valve insufficiency in patients with left-sided valve disease is clear. In the United States, up to 30% of mitral valve operations are minimally invasive, while the data for isolated tricuspid valve is not known. A minimally invasive approach to the tricuspid valve provides faster recovery with lower transfusion rates and lower length of stay. MATERIALS AND METHODS: There are no dedicated right atrial (RA) retractors for minimally invasive tricuspid valve (TV) operations...
May 27, 2022: Surgical Technology International
https://read.qxmd.com/read/35504361/partial-anomalous-pulmonary-venous-connection-with-intact-atrial-septum-early-and-mid-term-outcomes
#31
JOURNAL ARTICLE
Gabriel Graham, Joseph A Dearani, Jessey Mathew, William R Miranda, Katherine S King, Hartzell V Schaff, Elizabeth H Stephens
BACKGROUND: Partial anomalous pulmonary venous return (PAPVR) with intact atrial septum warrants greater understanding and evaluation in the literature. METHODS: From January 1993 to December 2018, 293 patients with PAPVR underwent surgical repair. Of these, 45 patients (15.3%) had an intact atrial septum. The median (1st quartile, 3rd quartile) age was 36 (24-48) years. Direct reimplantation, intra cardiac baffling, and caval division (Warden) technique was used in 17 (38%), 15 (33%), and 13 (29%) patients, respectively...
April 30, 2022: Annals of Thoracic Surgery
https://read.qxmd.com/read/35486054/anomalous-connection-of-the-left-pulmonary-vein-to-the-coronary-sinus-with-intact-atrial-septum-in-a-young-woman
#32
JOURNAL ARTICLE
Xianfeng Cheng, Qunqun Lou, Yufang Zhang
BACKGROUND: Left-sided partial anomalous pulmonary venous connection (PAPVC) is a rare congenital abnormal cardiac defect. An intact atrial septum is more uncommon. As we know, a connection of the left pulmonary vein (LPV) to the coronary sinus (CS) with an intact atrial septum has not been previously reported. CASE REPORT: We report an 18-year-old woman with this rare anomaly. She showed no obvious clinical symptoms. An echocardiogram revealed the primary diagnosis, and this diagnosis was confirmed during the operation...
March 29, 2022: Heart Surgery Forum
https://read.qxmd.com/read/35446214/evolving-approach-in-hypoplastic-left-heart-syndrome-with-restrictive-and-intact-septum
#33
JOURNAL ARTICLE
Tommaso Generali, Antony Hermuzi, Magdalena Sajnach-Menke, Anna Johnson, David S Crossland, John J O'Sullivan, Mohamed Nassar, Asif Hasan, Fabrizio De Rita
Background: Hypoplastic left heart syndrome (HLHS) with either intact atrial septum (IS) or highly restrictive interatrial communication (HRIC) is associated with poor survival. Immediate postpartum access to cardiac therapy and timely left atrial decompression (LAD) are paramount to a successful outcome. We describe herein our evolving approach to LAD and report interstage and longer-term results. Methods: We retrospectively identified neonates with HLHS IS/HRIC requiring LAD between 2005 and 2019. All babies had prenatal/postnatal echocardiography...
May 2022: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/35364233/transcatheter-leadless-permanent-pacemaker-in-complex-congenital-heart-disease-with-interrupted-inferior-vena-cava-a-challenging-implantation
#34
Babu Ezhumalai, Jitendra Singh Makkar
31 years lady with complete atrioventricular canal defect, large primum atrial septal defect (ASD), inlet ventricular septal defect (VSD) and Eisenmenger syndrome, presented with atrial flutter and complete heart block. She was not suitable for corrective cardiac surgery and not yet indicated for heart-lung transplantation. She was advised single chamber permanent pacemaker and eventually Micra transcatheter leadless pacemaker was finalised for her. Transcatheter leadless pacemaker was deployed in her RV septum despite some unforeseen technical problems...
March 29, 2022: Indian Pacing and Electrophysiology Journal
https://read.qxmd.com/read/35342165/-endocardial-blood-cyst-in-the-right-atrium-report-of-a-case
#35
JOURNAL ARTICLE
Yuki Ichimori, Reo Sakakura, Kazuhiro Tani, Katsushi Ueyama, Akihiro Shioya, Sohsuke Yamada
A 74-years-old man visited our hospital complaining chest discomfort, and he was diagnosed with variant angina. However, during close examination, a tumor with some small calcified nodules was accidentally pointed out in the right atrium. We carried out surgical removal to prevent embolism. A cystic tumor attached to the atrial septum was resected together with the atrial septum, and the defect was closed with a Dacron patch. The tumor size was 18×25×3 mm. Histologically, its wall was consisted of connective tissue, which was positive for CD34, negative for calretinin, and was diagnosed as an endocardial blood cyst...
April 2022: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/35120100/esophagic-atresia-type-and-its-association-with-heart-malformations-in-a-northern-mexico-hospital
#36
JOURNAL ARTICLE
Jesús A Chaparro-Escudero, Yazmín García-González, Martín Cisneros-Castolo, Omar Hernández-Vargas, Daniel Rosas-Daher
OBJECTIVE: To know the cardiac malformations frequency associated with esophageal atresia and its type in patients of the Children's Specialties Hospital of Chihuahua as well as related sociodemographic characteristics. METHOD: The epidemiology, clinic and evolution of patients with esophageal atresia diagnosis who were admitted to this hospital for a period of two years were studied. Variables such as sex, gestational age, birth weight, Apgar score, atresia type, associated congenital malformations, hospital complications and parental related aspects were analyzed...
2022: Cirugia y Cirujanos
https://read.qxmd.com/read/35089109/biventricular-conversion-of-borderline-hypoplastic-left-heart-complex-facilitated-by-spontaneous-closure-of-the-atrial-septum
#37
JOURNAL ARTICLE
Alexander Zhu, Neel K Prabhu, Gregory H Tatum, Joseph W Turek, Nicholas D Andersen
We present the case of a child with borderline hypoplastic left heart complex who initially received Norwood and Glenn operations without atrial septectomy and was later converted to a biventricular circulation after progressive growth of the left ventricle as assessed by serial echocardiography and cardiac magnetic resonance imaging.
January 28, 2022: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/35075035/bilateral-superficial-serratus-anterior-plane-block-in-a-pediatric-patient-for-post-operative-analgesia-undergoing-asd-repair-via-median-sternotomy-a-case-report
#38
Prabhat Tewari, Kushal Hajela, Syed Shabbir Ahmad
Serratus Anterior fascial plane (SAP) block is a high-volume interfascial plane block that has been used in adult patients in cardiac surgery with good postoperative pain relief. We report a case of a 9 year old female child who underwent ostium secundum atrial septum defect closure and was given bilateral SAP block. The patient was extubated within 4 hours of surgery and was pain free in the postoperative period without the use of any opioids.
January 2022: Annals of Cardiac Anaesthesia
https://read.qxmd.com/read/34846963/radiofrequency-energy-assisted-wire-atrial-septostomy-to-easily-create-a-large-atrial-septal-defect
#39
JOURNAL ARTICLE
Masahiro Nishibata, Masataka Kitano, Seiich Sato
This technical article describes modified wire atrial septostomy for thickened atrial septum in detail. Radiofrequency energy facilitated a thin wire-loop in tearing the septum between 2 atrial septal defects to combine the defects into a large one. We believe that this transcatheter procedure is easier and safer than the original one not using a radiofrequency wire energy.
November 2021: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/34738060/thrombus-in-transit-through-a-patent-foramen-ovale-catch-it-if-you-can-a-case-report
#40
Maria Inês Fiuza Branco Pires, Inês Almeida, João Miguel Santos, Miguel Correia
BACKGROUND: Patent foramen ovale (PFO) is one of the most common congenital heart defects, but the finding of a thrombus in transit (TIT) through a PFO is extremely rare. It is a therapeutic challenge, and systemic anticoagulation, cardiac surgery, or fibrinolysis should be considered. CASE SUMMARY: A 43-year-old woman was admitted with intermediate-high-risk pulmonary embolism. Transthoracic echocardiogram revealed a large right atrial mobile mass that crossed the interatrial septum through a PFO, compatible with TIT, and the patient was started on unfractionated heparin...
October 2021: European Heart Journal. Case Reports
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