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Transposition of the great vessels

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https://www.readbyqxmd.com/read/28124282/the-role-of-3d-printing-in-preoperative-planning-for-heart-transplantation-in-complex-congenital-heart-disease
#1
M L Smith, J McGuinness, M K O'Reilly, L Nolke, J G Murray, J F X Jones
BACKGROUND: The presence of a structural cardiac defect in the setting of dextrocardia is extremely rare. Graspable models allow enhanced appreciation of aberrant structures and vascular relations, particularly in rare and complex cases. This is the first case report of the use of a replica of a patients' anatomy to plan the surgical strategy in the setting of dextrocardia. AIMS: We intend to demonstrate the benefit of three-dimensional printing to enhance preoperative planning in complex congenital heart disease undergoing heart transplantation...
January 25, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/27992621/survivorship-in-children-and-young-adults-with-congenital-heart-disease-in-sweden
#2
Zacharias Mandalenakis, Annika Rosengren, Kristofer Skoglund, Georgios Lappas, Peter Eriksson, Mikael Dellborg
Importance: Mortality in patients with congenital heart disease (CHD) has markedly decreased during recent decades because of advancement in pediatric care. However, there are limited data on survival trends in children and young adults with CHD compared with the general population. Objective: To determine survivorship in children and young adults with CHD compared with matched controls. Design, Setting, and Participants: A registry-based, prospective, matched-cohort study was conducted in Sweden...
February 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/27981916/incorrect-ventricular-lead-placement-into-the-systemic-right-ventricle-of-a-patient-with-d-transposition-of-the-great-vessels-after-mustard-procedure
#3
Adam W Powell, Thomas R Kimball
Incorrect pacemaker lead placement into the systemic ventricle is a complication that has rarely been described in patients with D-transposition status after atrial baffle palliation. We present a case of ventricular lead misplacement in the systemic right ventricle of a patient with D-transposition of the great arteries after Mustard procedure. This case demonstrates the challenges with proper imaging of lead placement in patients with atrial baffles and long-term management of a lead in the systemic ventricle...
August 30, 2016: Cardiology in the Young
https://www.readbyqxmd.com/read/27956337/-postsurgical-morbidity-in-pediatric-patients-undergoing-surgery-for-congenital-heart-disease-in-umae-from-yucatan
#4
Addy Castillo-Espínola, Ana Velázquez-Ibarra, Aurea Zetina-Solórzano, Patricia Bolado-García, Gonzalo Gamboa-López
OBJECTIVE: To describe the clinical course of pediatric patients undergoing surgery for congenital heart disease in UMAE from Yucatan. METHODS: Descriptive survey records of pediatric patients congenital heart undergoing surgery for congenital heart disease from November, 1st 2011 to November, 30st 2013. RESULTS: The most frequent heart diseases were the persistence ductus arteriosus (37.6%) and transposition of great vessels. The intensive care stay was 3days (median)...
December 9, 2016: Archivos de Cardiología de México
https://www.readbyqxmd.com/read/27928258/evaluation-of-pulse-oximetry-in-the-early-detection-of-cyanotic-congenital-heart-disease-in-newborns
#5
Amir Hosein Movahedian, Ziba Mosayebi, Setareh Sagheb
Background: Delayed or missed diagnosis of critical and cyanotic congenital heart disease (CHD) in asymptomatic newborns may result in significant morbidity and mortality. The aim of this study was to determine the accuracy of pulse oximetry screening performed on the first day of life for the early detection of critical and cyanotic CHD in apparently normal newborns. Methods: This cross-sectional study used postductal pulse oximetry to evaluate term neonates born between 2008 and 2011 with normal physical examinations...
April 13, 2016: Journal of Tehran Heart Center
https://www.readbyqxmd.com/read/27847084/severe-two-vessel-ostial-stenosis-of-the-main-coronary-arteries-in-a-patient-with-transposition-of-the-great-arteries-after-an-arterial-switch-operation
#6
Krzysztof W Michalak, Konrad Szymczyk, Jadwiga A Moll, Jacek J Moll
No abstract text is available yet for this article.
December 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27693205/perioperative-management-of-a-parturient-after-atrial-switch-surgery-for-dextro-transposition-of-the-great-vessels
#7
Maulin U Vora, Megan J Christensen, Nicholas W Markin
No abstract text is available yet for this article.
July 12, 2016: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/27659876/hemodynamic-evaluation-in-patients-with-transposition-of-the-great-arteries-after-the-arterial-switch-operation-4d-flow-and-2d-phase-contrast-cardiovascular-magnetic-resonance-compared-with-doppler-echocardiography
#8
Kelly Jarvis, Marleen Vonder, Alex J Barker, Susanne Schnell, Michael Rose, James Carr, Joshua D Robinson, Michael Markl, Cynthia K Rigsby
BACKGROUND: Peak velocity measurements are used to evaluate the significance of stenosis in patients with transposition of the great arteries after the arterial switch operation (TGA after ASO). 4D flow cardiovascular magnetic resonance (CMR) provides 3-directional velocity encoding and full volumetric coverage of the great arteries and may thus improve the hemodynamic evaluation in these patients. The aim of this study was to compare peak velocities measured by 4D flow CMR with 2D phase contrast (PC) CMR and the gold standard Doppler echocardiography (echo) in patients with TGA after ASO...
September 22, 2016: Journal of Cardiovascular Magnetic Resonance
https://www.readbyqxmd.com/read/27544601/listerial-prosthetic-valve-endocarditis-in-a-patient-with-congenitally-corrected-transposition-of-the-great-vessels
#9
Amudhan Jyothidasan, Susan Noe, Joe B Calkins
No abstract text is available yet for this article.
November 15, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27411694/pregnancy-experience-nonclinical-studies-and-pregnancy-outcomes-in-the-daclizumab-clinical-study-program
#10
Ralf Gold, Dusan Stefoski, Krzysztof Selmaj, Eva Havrdova, Christopher Hurst, Joan Holman, Belen Tornesi, Surekha Akella, Peter McCroskery
INTRODUCTION: Multiple sclerosis (MS) is more common in women and can occur during childbearing years; thus, information on outcomes following exposure to MS therapy during pregnancy is important. No formal studies of daclizumab have been conducted in pregnant women. Here, we report available nonclinical and clinical data on pregnancy outcomes from the daclizumab clinical study program. METHODS: Reproductive and developmental toxicity studies were conducted in cynomolgus monkeys...
December 2016: Neurology and Therapy
https://www.readbyqxmd.com/read/27398292/the-risk-of-specific-congenital-anomalies-in-relation-to-newer-antiepileptic-drugs-a-literature-review
#11
Josta de Jong, Ester Garne, Lolkje T W de Jong-van den Berg, Hao Wang
BACKGROUND: More information is needed about possible associations between the newer anti-epileptic drugs (AEDs) in the first trimester of pregnancy and specific congenital anomalies of the fetus. OBJECTIVES: We performed a literature review to find signals for potential associations between newer AEDs (lamotrigine, topiramate, levetiracetam, gabapentin, oxcarbazepine, eslicarbazepine, felbamate, lacosamide, pregabalin, retigabine, rufinamide, stiripentol, tiagabine, vigabatrin, and zonisamide) and specific congenital anomalies...
June 2016: Drugs—Real World Outcomes
https://www.readbyqxmd.com/read/27343525/major-aortopulmonary-collaterals-in-transposition-of-the-great-arteries-a-cause-for-preoperative-and-postoperative-hemodynamic-imbalance
#12
Massimiliano Cantinotti, Raffaele Giordano, Alberto Clemente, Bruno Murzi, Nadia Assanta, Alessia Lunardini, Isabella Spadoni
We describe a case of transposition of the great arteries (TGA) with significant aortopulmonary collateral vessels causing management difficulties before and after an arterial switch operation. Preoperatively, the presence of collaterals exacerbated aortic diastolic runoff and led to myocardial ischemia. Postoperatively, despite uneventful extubation, the infant developed clinical heart failure characterized by pericardial and pleural effusions and feeding difficulties, which promptly resolved with percutaneous embolization of collaterals...
July 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27168772/current-diagnosis-and-treatments-for-critical-congenital-heart-defects
#13
Zhandong Zeng, Hongwei Zhang, Fengli Liu, Ning Zhang
Congenital heart defects (CHD) affect approximately 7% of infants, and account for 3% of all infant deaths. CHD is most often caused by the defects associated with ductus arteriosus, which is a vessel that usually closes shortly after birth. The types of CHD include tetralogy of fallot, hypoplastic left heart syndrome, pulmonary atresia, total anomalous pulmonary venous return, transposition of great arteries, tricuspid atresia and truncus arteriosus. There are some risk factors that can increase the chance of a fetus developing CHD such as prematurity, an existing CHD in a first-degree relative, genetic syndromes, infections in utero, maternal drug consumptions and disorders...
May 2016: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/27034557/acute-myocardial-infarction-with-isolated-congenitally-corrected-transposition-of-the-great-arteries
#14
Jeremy Zimmermann, J Ryan Altman, D Scott Gantt
Congenital cardiac abnormalities diagnosed at the time of acute coronary syndrome are rare. A 43-year-old man presented to the emergency department complaining of recurring, severe chest pain. Subsequent emergent coronary angiography demonstrated unusual coronary anatomy: 1) one small caliber bifurcating vessel originating from the right sinus of Valsalva; 2) one very large vessel arising from the posterior sinus; and 3) no coronary artery from the normal left sinus of Valsalva. The large vessel from the posterior sinus was totally occluded in its midportion and was treated with intravascular ultrasound-guided percutaneous coronary intervention...
April 2016: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/26936424/complete-transposition-of-the-great-arteries-with-double-outlet-right-ventricle-in-a-dog
#15
S T Koo, N L LeBlanc, K F Scollan, D D Sisson
A 2-year old intact male Collie dog presented to the cardiology service at Oregon State University for evaluation of cyanosis and suspected congenital cardiac disease. Echocardiography revealed a constellation of cardiac abnormalities including a single large vessel exiting the right ventricle with a diminutive left ventricular outflow tract, a ventricular septal defect, and marked concentric right ventricular hypertrophy with moderate right atrial dilation. Cardiac-gated computed tomography confirmed the previous anomalies in addition to supporting a diagnosis of complete transposition of the great arteries, double outlet right ventricle, and pulmonic hypoplasia with a single coronary ostium...
June 2016: Journal of Veterinary Cardiology: the Official Journal of the European Society of Veterinary Cardiology
https://www.readbyqxmd.com/read/26613580/severity-of-fetal-brain-abnormalities-in-congenital-heart-disease-in-relation-to-the-main-expected-pattern-of-in-utero-brain-blood-supply
#16
Narcís Masoller, Magda Sanz-Cortés, Fàtima Crispi, Olga Gómez, Mar Bennasar, Gabriela Egaña-Ugrinovic, Núria Bargalló, Josep María Martínez, Eduard Gratacós
OBJECTIVES: We evaluated the hypothesis that in fetuses with congenital heart disease (CHD) there is a correlation between the expected pattern of in utero brain blood supply and the severity of neurodevelopmental impairment. METHODS: A total of 58 fetuses with CHD and 58 controls underwent a Doppler ultrasound and fetal MRI at 36-38 weeks. Fetuses with CHD were divided into two functional classes: class A with an expected severe reduction in oxygenated brain blood supply (left outflow tract obstruction and transposition of great vessels) and class B with theoretically near-normal or mildly impaired oxygenated brain blood supply (other CHD)...
2016: Fetal Diagnosis and Therapy
https://www.readbyqxmd.com/read/26522514/50th-anniversary-perspective-on-volume-1-morgan-ad-krovetz-lj-schiebler-gl-et-al-diagnosis-and-palliative-surgery-in-complete-transposition-of-the-great-vessels-ann-thorac-surg-1965-1-711-22-getting-to-the-switch-perspectives-of-pioneers
#17
https://www.readbyqxmd.com/read/26511894/thoracic-endovascular-repair-of-complicated-penetrating-aortic-ulcer-an-11-year-single-center-experience
#18
Rolf Alexander Jánosi, Riccardo Gorla, Konstantinos Tsagakis, Philipp Kahlert, Michael Horacek, Florian Bruckschen, Daniel-Sebastian Dohle, Heinz Jakob, Thomas Schlosser, Holger Eggebrecht, Eduardo Bossone, Raimund Erbel
PURPOSE: To analyze an 11-year single-center experience of treating complicated penetrating aortic ulcer (PAU) using thoracic endovascular aortic repair (TEVAR). METHODS: This study included 63 consecutive patients (mean age 69.1±11.5 years; 40 men) with complicated PAU (42 symptomatic, 22 with rupture) who underwent TEVAR between 2002 and 2013. The PAUs were located in the aortic arch (n=11), the descending thoracic aorta (n=43), and the thoracoabdominal aorta (n=9)...
February 2016: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/26440230/the-increasing-importance-of-percutaneous-mechanical-circulatory-assist-device-therapy-in-heart-failure-management
#19
Ricardo A Weis, Patrick A Devaleria, Sarang Koushik, Harish Ramakrishna
INTRODUCTION: Advances in medical and surgical care have made it possible for an increasing number of patients with Congenital Heart disease (CHD) to live into adulthood. Transposition of the great vessels (TGV) is the most common cyanotic congenital cardiac disease where the right ventricle serves as systemic ventricle. It is not uncommon for these patients to have systemic ventricular failure requiring transplantation. STUDY DESIGN: Hemodynamic decompensation in these patients can be swift and difficult to manage...
October 2015: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/26365181/problems-in-the-diagnosis-of-discordant-atrioventricular-with-concordant-ventriculo-arterial-connections-anatomical-considerations-surgical-management-and-long-term-outcome
#20
Daniela Laux, Lucile Houyel, Fanny Bajolle, Francesca Raimondi, Younes Boudjemline, Damien Bonnet
BACKGROUND: Discordant atrioventricular with concordant ventriculo-arterial connections is a rare cardiac defect. When isolated, the haemodynamics resemble transposition of the great arteries. In complex heart defects such as heterotaxy, haemodynamics guide the surgical approach. OBJECTIVE: To report a series of eight patients with discordant atrioventricular and concordant ventriculo-arterial connections focussing on anatomical and diagnostic difficulties, surgical management, and follow-up...
January 2016: Cardiology in the Young
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