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https://www.readbyqxmd.com/read/27904843/cardiac-surgery-in-africa-a-thirty-five-year-experience-on-open-heart-surgery-in-cote-d-ivoire
#1
Koffi Herve Yangni-Angate, Christophe Meneas, Florent Diby, Manga Diomande, Anicet Adoubi, Yves Tanauh
BACKGROUND: Few centers for open heart surgery (OHS) are in Sub-Saharan Africa. Lack of OHS results is also noted. By reporting our African experience on OHS, the aim of this study was to fill the gap. METHODS: It is a retrospective study on 2,612 patients who were subject to an OHS between 1978 and 2013. Data were collected from demographical, clinical, investigative studies, surgical and outcomes parameters. RESULTS: There were 1,475 cases of rheumatic heart diseases (RHD), 126 endomyocardial fibrosis (EMF), 741 congenital heart diseases (CHDs) and 270 various affections...
October 2016: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/27751299/hypoplastic-right-heart-syndrome-absent-pulmonary-valve-and-non-compacted-left-ventricle-in-an-adult
#2
Jagdish C Mohan, Vishwas Mohan, Madhu Shukla, Arvind Sethi
Hypoplastic right heart syndrome is a rare cyanotic congenital heart disease with under-development of the right ventricle, tricuspid, and pulmonary valves leading to right-to-left shunting of the blood through inter-atrial septal defect. Perinatal mortality is high with very few patients surviving to adulthood without corrective surgery. This report describes a 26-year-old young woman, who had recurrent abortions and stillbirths and detected to have marked cyanosis with hypoplastic right heart, sub-arterial ventricular septal defect, absent pulmonary valve, non-compaction of the left ventricle, and bicuspid aortic valve with aortic regurgitation...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/26374555/minimally-invasive-perventricular-device-closure-of-doubly-committed-sub-arterial-ventricular-septal-defects-single-center-long-term-follow-up-results
#3
Shu Zhang, Da Zhu, Qi An, Hong Tang, Dajiang Li, Ke Lin
BACKGROUND: To evaluate the long-term safety and efficacy of using perventricular device closure in treating selected patient with doubly committed sub-arterial ventricular septal defect (VSD) METHODS: During July 2007 and April 2011, 86 patients with doubly committed subarterial VSD who met the inclusion criteria were enrolled in this study. Perventricular closure was attempted using a unique design eccentric device under the guidance of transesophageal echocardiography. Complications such as residual shunt, arrhythmia, valve regurgitation were all recorded in postoperative period and during follow-up...
2015: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/26182756/prevalence-of-congenital-heart-disease-in-rural-communities-of-pakistan
#4
Syed Faiz-ul-Hassan Rizvi, Ghulam Mustafa, Asadullaha Kundi, Mushtaq Ahmed Khan
BACKGROUND: Prevalence of Congenital Heart Disease (CHD) is well established in most of the developed countries, where childbirth is obligatory in hospitals and allied facilities. In rural Pakistan the situation is reverse, where most of deliveries take place in homes by traditional birth attendants' therefore true prevalence of CHD in our population is unknown. In rural Pakistan almost 80% children are born at home hence the figures are unknown. This study was designed, to determine the prevalence of congenital heart disease in rural Pakistan...
January 2015: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/25348186/transcatheter-closure-of-post-operative-residual-ventricular-septal-defect-using-a-patent-ductus-arteriosus-closure-device-in-an-adult-a-case-report
#5
Mulyadi M Djer, Nikmah S Idris, Idrus Alwi, Ika P Wijaya
Transcatheter closure of perimembranous and muscular ventricular septal defect (VSD) has been performed widely and it has more advantages compare to surgery. However, transcatheter closure of residual VSD post operation of complex congenital heart disease is still challenging because of the complexity of anatomy and concern about device stability, so the operator should meticulously choose the most appropriate technique and device. We would like to report a case of transcatheter closure of residual VSD post Rastelli operation in a patient with double outlet right ventricle (DORV), sub-aortic VSD, severe infundibulum pulmonary stenosis (PS) and single coronary artery...
July 2014: Acta Medica Indonesiana
https://www.readbyqxmd.com/read/25045364/outcome-of-inflammatory-response-after-normothermia-during-cardiopulmonary-bypass-surgery-in-infants-with-isolated-ventricular-septal-defect
#6
Dong Sub Kim, Sang In Lee, Sang Bum Lee, Myung Chul Hyun, Joon Yong Cho, Young Ok Lee
PURPOSE: A recent study analyzing several cytokines reported that long cardiopulmonary bypass (CPB) time and long aortic cross clamp (ACC) time were accompanied by enhanced postoperative inflammation, which contrasted with the modest influence of the degree of hypothermia. In this present study, we aimed to examine the effect of CPB temperature on the clinical outcome in infants undergoing repair of isolated ventricular septal defect (VSD). METHODS: Of the 212 infants with isolated VSD who underwent open heart surgery (OHS) between January 2001 and December 2010, 43 infants were enrolled...
May 2014: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/24750982/the-trabecula-septomarginalis-leonardo-s-cord-in-abnormal-ventriculo-arterial-connections-anatomic-and-morphogenetic-implications
#7
Athos Capuani
BACKGROUND: The abnormal ventriculo-arterial connections in atrio-ventricular concordance and situs solitus with two well developed ventricles include the range from tetralogy of Fallot throughout the different forms of double outlet right ventricle to transposition of great arteries.The infundibular septum and the trabecula septomarginalis are the fundamental anatomical landmarks for the segmental analysis.In these abnormalities there is a pathological progressive counter-clockwise rotation of the infundibular septum which divorces from the antero-superior limb of the trabecula septomarginalis and achieves his identity...
2014: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/24365800/influenza-and-congenital-anomalies-a-systematic-review-and-meta-analysis
#8
REVIEW
J M Luteijn, M J Brown, H Dolk
STUDY QUESTION: Does first trimester maternal influenza infection increase the risk of non-chromosomal congenital anomalies (CA)? SUMMARY ANSWER: First trimester maternal influenza exposure is associated with raised risk of a number of non-chromosomal CA, including neural tube defects, hydrocephaly, congenital heart defects, cleft lip, digestive system defects and limb reduction defects. WHAT IS KNOWN ALREADY: Hyperthermia is a well-established risk factor for neural tube defects...
April 2014: Human Reproduction
https://www.readbyqxmd.com/read/24316129/a-unique-case-of-a-discontinuous-duplication-3q26-1-3q28-resulting-from-a-segregation-error-of-a-maternal-complex-chromosomal-rearrangement-involving-an-insertion-and-an-inversion
#9
Laura Rodríguez, Samarth S Bhatt, Mónica García-Castro, Ana Plasencia, Joaquín Fernández-Toral, Elena Abarca, Marcelo de Bello Cioffi, Thomas Liehr
Until now, few cases of partial trisomy of 3q due to segregation error of parental balanced translocation and segregation of a duplicated deficient product resulting from parental pericentric inversion have been reported so far. Only five cases of chromosomal insertion malsegregation involving 3q region are available yet, thus making it relatively rare. In this case report, we are presenting a unique case of discontinuous partial trisomy of 3q26.1-q28 region which resulted from a segregation error of two insertions involving 3q26...
February 10, 2014: Gene
https://www.readbyqxmd.com/read/23797983/rupture-of-right-sinus-of-valsalva-aneurysm-into-the-pulmonary-artery
#10
Kazumasa Tsuda, Masaaki Koide, Yoshifumi Kunii, Kazumasa Watanabe, Satoshi Miyairi, Yuko Ohashi, Takashi Harada
Rupture of a sinus of Valsalva aneurysm is an uncommon lesion that can occur in any cardiac chamber since the aortic valve occupies a central position in the base of the heart. However, rupture into the pulmonary artery is extremely rare. We describe a case of rupture of an aneurysm of right sinus of Valsalva into the pulmonary artery of a 51-year-old woman. She had been treated by patch closure of a sub-pulmonary ventricular septal defect and aortic valve replacement due to right coronary cusp prolapse 26 years previously...
June 25, 2013: General Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/22475273/risk-of-congenital-heart-defects-is-influenced-by-genetic-variation-in-folate-metabolism
#11
Karen E Christensen, Yassamin Feroz Zada, Charles V Rohlicek, Gregor U Andelfinger, Jacques L Michaud, Jean-Luc Bigras, Andrea Richter, Marie-Pierre Dubé, Rima Rozen
Genetic disturbances in folate metabolism may increase risk for congenital heart defects. We examined the association of heart defects with four polymorphisms in folate-related genes (methylenetetrahydrofolate reductase (MTHFR) c.677C.T, MTHFR c.1298A.C, methionine synthase reductase (MTRR) c.66A.G, and reduced folate carrier (SLC19A1) c.80A.G) in a case-control study of children (156 patients, 69 controls) and mothers of children with heart defects (181 patients, 65 controls), born before folic acid fortification...
February 2013: Cardiology in the Young
https://www.readbyqxmd.com/read/22442918/the-actis-gouge-a-simple-cutting-tool-for-proper-muscular-resection-in-hypertrophic-cardiomyopathy
#12
F Sansone, G M Actis Dato, E Zingarelli, R Flocco, G Punta, P G Forsennati, F Parisi, G Bardi, S del Ponte, R Casabona
BACKGROUND: Surgical treatment of hypertrophic cardiomyopathy (HC) may be challenging for the risk of surgical complications or insufficient resection. We present our cutting tool to perform proper muscular resection in HC. MATERIAL AND METHODS: Ten patients (5 males, mean age 43,1 +/- 19,6 years, range 9-70 years) were operated on for HC using this semicircular cutting device. Combined procedures were : mitral valve repair (n = 1), mitral valve replacement (n = 2), right ventricular myectomy (n = 1), aortic valve replacement (n = 1), mitral and aortic replacement (n = 1)...
January 2012: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/21107495/anomalous-origin-of-the-left-pulmonary-artery-from-the-ascending-aorta-in-two-children-with-pulmonary-atresia-sub-aortic-ventricular-septal-defect-and-right-sided-major-aorto-pulmonary-collateral-arteries
#13
L Pepeta, F F Takawira, A M Cilliers, P E Adams, N H Ntsinjana, B J Mitchell
We report two rare cases of an anomalous origin of the left pulmonary artery (AOLPA) from the ascending aorta, associated with pulmonary atresia, a ventricular septal defect and a left aortic arch. The cases are unusual because AOLPA is more commonly associated with a right aortic arch and it is more usual for the right pulmonary artery to originate anomalously from the ascending aorta. The pulmonary blood supply to the right lung in both patients was absent and provided instead by major aorto-pulmonary collateral arteries which were stenosed at multiple levels...
September 2011: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/19739409/rheumatic-valvulopathies-occurence-pattern-and-follow-up-in-rural-area-the-experience-of-the-shisong-hospital-cameroon
#14
J C Tantchou Tchoumi, G Butera
UNLABELLED: Rheumatic heart disease (RHD) remains a major public health problem in developing countries. Whereas Africa has 10% of the world's population, broadly as many as half of the 2.4 million children affected by RHD live on the continent. We report on the occurrence and pattern of valve involvement in RHD using echocardiography in our centre and post surgical follow-up. METHODS: In this retrospective study, transthoracic echocardiography (TTE) data collected from the Shisong cardiac centre over a period of 24 months (August 2005 to August 2007) were reviewed...
August 2009: Bulletin de la Société de Pathologie Exotique
https://www.readbyqxmd.com/read/19272787/mid-term-results-of-right-axillary-incision-for-the-repair-of-a-wide-range-of-congenital-cardiac-defects
#15
Hitendu Hasmukhlal Dave, Maurice Comber, Theo Solinger, Dominique Bettex, Ali Dodge-Khatami, René Prêtre
OBJECTIVE: We evaluated the mid-term results of the right axillary incision used for the repair of various congenital heart defects. METHODS: All the patients who were operated with this incision between March 2001 and December 2007 were reviewed. There were 123 patients (median age 4.7 {0.4-19.4} years and median weight 16.6 {3.8-62} kg) undergoing atrial septal defect (ASD) closure (62), repair of partial anomalous pulmonary venous connection (PAPVC) (22), correction of partial atrioventricular septal defect (AVSD) (19), and restrictive perimembranous ventricular septal defect (VSD) (20)...
May 2009: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/19187637/effect-of-myocardial-protection-during-beating-heart-surgery-with-right-sub-axiliary-approach
#16
Jie Ma, Xin-hua Li, Zi-xing Yan, Ai-jun Liu, Wen-kai Zhang, Li-na Yang
BACKGROUND: Cardiac troponin-I (cTnI) is one of the three regulatory subunits of the cardiac troponin which has the high sensibility and specificity of responding to myocardial injury. Studies have demonstrated that cTnI is released into the blood stream within hours following acute myocardial reperfusion injury. The clinical utility of cTnI for the assessment of myocardial damage is that it is more specific than creatine kinase MB (CKMB). This study investigated cTnI as a sensitive marker of myocardial reperfusion injury and its clinical value on beating heart surgery with right sub-axiliary incision...
January 20, 2009: Chinese Medical Journal
https://www.readbyqxmd.com/read/18082414/improved-results-with-single-stage-total-correction-of-taussig-bing-anomaly
#17
Bahaaldin Alsoufi, Sally Cai, William G Williams, John G Coles, Christopher A Caldarone, Andrew M Redington, Glen S Van Arsdell
OBJECTIVE: The arterial-switch operation (ASO) for management of Taussig-Bing anomaly is associated with important morbidity, mainly related to multiple associated cardiac anomalies. Our surgical management has evolved to suggest a single-stage total repair strategy tailored to address all abnormalities on an individual basis. We examine the efficacy of this treatment approach. METHODS: Thirty-three children, (infants n=29), with Taussig-Bing underwent ASO (1979-2005)...
February 2008: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/17399932/clinical-application-of-64-slice-spiral-ct-in-the-diagnosis-of-the-tetralogy-of-fallot
#18
Xi-Ming Wang, Le-Bin Wu, Cong Sun, Cheng Liu, Bao-Ting Chao, Bo Han, Yun-Ting Zhang, Hai-Song Chen, Zhen-Jia Li
OBJECTIVE: To explore the clinical application of 64-slice spiral CT in the diagnosis of the Tetralogy of Fallot. METHODS: Eighteen patients with diagnosed Tetralogy of Fallot underwent cardiac CT angiography with 64-slice CT (CTA). Two- and three-dimensional images were used for diagnosing in all cases by means of MPR (coronal, sagital and oblique), cMPR, MIP and VRT. RESULTS: All patients had ventricular septal defect, pulmonary stenosis and hypertrophy of right ventricle...
November 2007: European Journal of Radiology
https://www.readbyqxmd.com/read/17223568/arterial-switch-operation-in-patients-with-taussig-bing-anomaly-influence-of-staged-repair-and-coronary-anatomy-on-outcome
#19
Massimo Griselli, Simon P McGuirk, Chung-Sen Ko, Andrew J B Clarke, David J Barron, William J Brawn
OBJECTIVE: This study evaluated the results of arterial switch operation and closure of ventricular defects (ASO+VSDc) for double outlet right ventricle with sub-pulmonary ventricular septal defect (Taussig-Bing anomaly). METHODS: Between 1988 and 2003, 33 patients (25 male, 76%) with Taussig-Bing anomaly underwent ASO+VSDc (median age 39 days, 1 day-2.1 years). The relationship of the great arteries was antero-posterior (Group I, n=19) or side-by-side (Group II, n=14)...
February 2007: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/16940643/-congenital-heart-defects-in-iceland-1990-1999
#20
Sigurður Sverrir Stephensen, Gunnlaugur Sigfússon, Herbert Eiríksson, Jón Thornór Sverrisson, Bjarni Torfason, Asgeir Haraldsson, Hróðmar Helgason
OBJECTIVE: About 1% of live born children have congenital heart defects (CHD). Knowledge of the true incidence of CHD is important because of the risk of bacterial endocarditis in patients with heart defects. This knowledge could also serve as a basis for research on the etiology of CHD. The aim of our study was to investigate the incidence of CHD in children born in Iceland during a ten year period, from 1990 to 1999. A similar study on CHD was carried out in Iceland for children born 1985-1989...
April 2002: Læknablađiđ
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