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https://www.readbyqxmd.com/read/28429454/scuba-diving-patent-foramen-ovale-and-heart-rhythm-disturbances-the-role-of-underwater-holter-monitoring-case-report
#1
Szymon Olędzki, Andrzej Wojtarowicz, Edyta Płońska-Gościniak, Maciej Lewandowski, Jarosław Gorący
Patent foramen ovale (PFO) is thought to be a risk factor for decompression illness (DCI). Catheter-based closure procedure reduces the risk of DCI in selected scuba divers with PFO. Major complication of invasive approach are rare, minor, especially heart rhythm disturbances are reported relatively often. We describe a case of 41-year-old diver, who underwent PFO closure due to recurrent DCI events. Afterward, he experienced no DCI symptoms; however, he complained about feeling of the heart beating during a submersion...
April 21, 2017: Annals of Noninvasive Electrocardiology
https://www.readbyqxmd.com/read/28426680/echocardiographic-findings-in-infants-with-presumed-congenital-zika-syndrome-retrospective-case-series-study
#2
Danielle Di Cavalcanti, Lucas V Alves, Geraldo J Furtado, Cleusa C Santos, Fabiana G Feitosa, Maria C Ribeiro, Paulo Menge, Izabelle M Lira, Joao G Alves
OBJECTIVE: To report the echocardiographic evaluation of 103 infants with presumed congenital Zika syndrome. METHODS: An observational retrospective study was performed at Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, Brazil. 103 infants with presumed congenital Zika syndrome. All infants had microcephaly and head computed tomography findings compatible with congenital Zika syndrome. Zika IgM antibody was detected in cerebrospinal fluid samples of 23 infants...
2017: PloS One
https://www.readbyqxmd.com/read/28415099/p594contrast-transthoracic-echocardiography-as-a-gatekeeper-for-patent-foramen-ovale-closure
#3
M Muratori, G Italiano, E Innocenti, L Fusini, M Mapelli, G Tamborini, S Ghulam Ali, P Gripari, A Maltagliati, F Celeste, M Pepi
Background.: The presence of patent foramen ovale (PFO) has been linked to many illness, including cryptogenic stroke, transient ischemic attack, migraine, platypnea-orthodeoxia syndrome and decompression sickness in scuba divers. Transesophageal echocardiography is the gold standard technique for the visualization of atrial septal anatomy, but it is a secondary level exam, not always available, with additional associated costs and not completely free from procedural risks. Standard transthoracic echocardiography (TTE) has a too low sensitivity for PFO screening...
December 1, 2016: European Heart Journal Cardiovascular Imaging
https://www.readbyqxmd.com/read/28414671/three-s-a-crowd-an-extremely-rare-case-of-cor-triatriatum-dexter
#4
A Elagizi, R Marvin, G O'Bryan, V Vyas, L Arcement
INTRODUCTION: Cor triatriatum is a congenital cardiac anomaly in which the left (sinister) or right (dexter) atrium is divided into two compartments by residual embryonic tissue, resulting in a tri-atrial heart. As cor triatriatum dextrum can present clinically in various ways and have multiple associated cardiac anomalies, this report attempts to contribute to what is known about this exceedingly rare disorder. CASE: A 40 year old Hispanic man with a medical history of gastritis presented with complaints of palpitations, dizziness and bilateral lower extremity edema...
March 2017: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/28403907/platypnea-orthodeoxia-syndrome-in-the-right-lateral-decubitus-position-a-case-report
#5
Ippei Tsuzuki, Kamon Iigaya, Takashi Matsubara, Shunsuke Takagi, Taku Inohara, Yasuyuki Ohgino, Toshio Imafuku
BACKGROUND: Platypnea-orthodeoxia syndrome is a rare syndrome characterized by dyspnea and hypoxia when the patient is sitting or standing. Here we report a case of platypnea-orthodeoxia syndrome caused by a right hemidiaphragmatic elevation with giant liver cyst that triggered a right-to-left shunt through the patent foramen ovale. This case report is the first presentation of a case secondary to hemidiaphragmatic elevation with giant liver cyst. In addition to this, a malposition of the pacemaker lead could be associated with platypnea-orthodeoxia syndrome in this case...
April 12, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28401594/incidental-tricuspid-valve-fibroelastoma-associated-with-patent-foramen-ovale-in-a-young-female-straightforward-diagnosis-but-controversial-management
#6
Cristina Ruisanchez, Angela Alonso, Beatriz Carballo, Aritz Gil, Piedad Lerena, Jose Aurelio Sarralde, Francisco Javier Ruano
Papillary fibroelastoma is an uncommon primary cardiac tumor, predominantly associated with left-sided valvular endocardium. Affectation of tricuspid valve leaflets is rare, and management in asymptomatic patients remains controversial. We present a 30-year-old female referred for evaluation prior to bariatric surgery. A routine echocardiogram revealed a mobile cardiac mass attached to the tricuspid valve. A patent foramen ovale was also present. Tumor was surgically removed. Histology confirmed the definite diagnosis of a papillary fibroelastoma...
April 12, 2017: Echocardiography
https://www.readbyqxmd.com/read/28397136/an-experimental-animal-model-for-percutaneous-procedures-used-in-trigeminal-neuralgia
#7
Johannes Herta, Wei-Te Wang, Romana Höftberger, Sabine Breit, Sibylle Kneissl, Helga Bergmeister, Heber Ferraz-Leite
OBJECT: This study describes an experimental rabbit model that allows the reproduction of percutaneous operations that are used in patients with trigeminal neuralgia (TN). Attention was given to an exact anatomical description of the rabbit's middle cranial fossa as well as the establishment of conditions for a successful procedure. METHODS: Morphometric measurements were taken from 20 rabbit skulls and CT scans. The anatomy of the trigeminal nerve, as well as its surrounding structures, was assessed by bilateral dissection of 13 New Zealand white rabbits (NWR)...
April 10, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28389810/perineural-spread-susceptible-structures-a-non-pathological-evaluation-of-the-skull-base
#8
Francisco J Barrera-Flores, Natalia Villarreal-Del Bosque, Alejandro Díaz González-Colmenero, Carolina Garza-González, Rodolfo Morales-Ávalos, Ricardo Pinales-Razo, Guillermo Elizondo-Riojas, Santos Guzmán-López, Rodrigo E Elizondo-Omaña
Perineural spread adenoid cystic carcinoma can alter the dimension of foramina and canals of the skull base. The objective of this study was to determine the range of normal variation of the foramina and canals of both hemicranium. We analyzed 200 individuals with no alterations of the skull base in a retrospective manner using high-resolution computed tomography. We measured the short and long axis diameters of the foramen rotundum (FR), foramen ovale (FO), stylomastoid foramen (SMF), pterygoid canal (PTC), internal auditory canal (IAC), and the facial nerve canal in its labyrinthine portion (LPFC) to calculate the area in each hemicranium, compare them and obtain the normal range of asymmetry...
April 7, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28383438/safety-and-efficacy-of-cardi-o-fix-occluder-for-percutaneous-closure-of-a-patent-foramen-ovale-a-single-center-prospective-study
#9
Enfa Zhao, Wenjuan Liu, Yushun Zhang, Gesheng Cheng, Yajuan Du, Lu He, Xingye Wang, Xumei He
BACKGROUND: Amplatzer occluder and Cardio-O-fix occluder are currently used in percutaneous closure of patent foramen ovale. However, there is still a lack of relevant reports comparison the differences between them. The aim of this study was to evaluate the short-term and mid-term safety and efficacy of the Cardi-O-fix occluder in preventing recurrent cerebrovascular events in patients with a patent foramen ovale (PFO). METHODS: We enrolled 246 patients (105 men) with a PFO from May 30, 2013 to March 30, 2015 in this single-center prospective study...
April 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28381365/alpha-thalassemia-major-and-restrictive-foramen-ovale-in-a-preterm-neonate-without-severe-hydrops-fetalis
#10
Shih-Yun Hsu, Shih-Hsiang Cheng, Ren-Huei Fu
No abstract text is available yet for this article.
March 18, 2017: Pediatrics and Neonatology
https://www.readbyqxmd.com/read/28376948/relationship-between-interatrial-communication-ductus-arteriosus-and-pulmonary-flow-patterns-in-fetuses-with-transposition-of-the-great-arteries-prediction-of-neonatal-desaturation
#11
Laurence Vaujois, Isabelle Boucoiran, Christophe Preuss, Myriam Brassard, Christine Houde, Jean C Fouron, Marie-Josée Raboisson
BACKGROUND: The relationship between interatrial communication, ductus arteriosus, and pulmonary flow in transposition of the great arteries and intact ventricular septum may help predict postnatal desaturation. METHODS: Echocardiographic data of 45 fetuses with transposition of the great arteries and intact ventricular septum and 50 age-matched controls were retrospectively reviewed. Interatrial communication, left and right ventricular output, flow in the ductus arteriosus, as well as effective pulmonary flow were measured...
April 5, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28374333/how-to-approach-difficult-cases-of-avnrt
#12
REVIEW
Darpan S Kumar, Thomas A Dewland, Seshadri Balaji, Charles A Henrikson
Our approach to the ablation of atrioventricular nodal reciprocating tachycardia (AVNRT), the most common supraventricular tachycardia, is as follows: We first attempt ablation in the right atrial posteroseptum anterior to the coronary sinus ostium with a 4-mm non-irrigated tip catheter. If ablation within the triangle of Koch is unsuccessful with radiofrequency (RF), we switch to cryoablation and target a more superior (mid septal) region. We also utilize cryoablation if RF ablation produces transient VA block (absence of retrograde conduction during junctional rhythm) or a fast junctional rhythm (<350 msec)...
May 2017: Current Treatment Options in Cardiovascular Medicine
https://www.readbyqxmd.com/read/28373622/long-term-results-after-open-mitral-commissurotomy-for-a-one-month-old-infant-with-mitral-stenosis
#13
Takashi Kitaichi, Mikio Sugano, Hiroki Arase, Yohei Kawatani, Kanako Kameta, Hirotsugu Kurobe, Eiki Fujimoto, Akemi Ono, Yasunobu Hayabuchi, Hiroshi Fujita, Hitoshi Sogabe, Tetsuya Kitagawa
The strategy for an infant with congenital mitral stenosis should be determined by three important factors: left ventricular volume, the degree of the systemic outflow tract obstruction, and the type of mitral valve dysfunction. A successful staged biventricular repair in early infancy for a patient who had congenital mitral stenosis with short chordae, hypoplastic left ventricle and coarctation of the aorta, and the long-term results are described. There were the following important hemodynamic factors that led to the successful biventricular repair in the patient...
2017: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/28369276/foreign-body-granuloma-as-an-unexpected-long-term-finding-after-percutaneous-closure-of-a-patent-foramen-ovale
#14
Christian Besler, Farhad Bakhtiary, Axel Linke, Marion Zimmer
No abstract text is available yet for this article.
March 24, 2017: European Heart Journal
https://www.readbyqxmd.com/read/28368881/patent-foramen-ovale-closure-through-inferior-vena-cava-filter-in-a-patient-with-deep-venous-thrombosis-and-recurrent-ischemic-events
#15
Damiano Regazzoli, Marco B Ancona, Antonio Mangieri, Akihito Tanaka, Vittorio Romano, Pier P Leone, Moreno Tresoldi, Giuseppe Lanzillo, Eustachio Agricola, Azeem Latib, Antonio Colombo, Matteo Montorfano
Here reported a case of successful patent foramen ovale (PFO) occlusion from femoral vein access passing through a caval filter. Vena cava filters are broadly implanted and this case suggests that procedures that require large delivery systems to be passed through filters are safe and feasible.
March 31, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28368080/-when-does-post-ictal-period-start-in-temporal-lobe-epilepsy-a-quantitative-eeg-perspective
#16
A Sanz-Garcia, L Vega-Zelaya, J Pastor, R G Sola, G J Ortega
INTRODUCTION: In partial seizures, from a clinical point of view or even from electroencephalography characterization of post-ictal period can be difficult. The spectral and complex network analysis could lead to a more accurate definition of its limits, as well as to a great understanding of the seizures. PATIENTS AND METHODS: Digital EEG recordings from scalp and foramen oval electrodes were used, 32 seizures, from 15 patients with drug-resistant mesial temporal lobe epilepsy (Engel I)...
April 16, 2017: Revista de Neurologia
https://www.readbyqxmd.com/read/28366467/aortic-root-replacement-for-children-with-loeys-dietz-syndrome
#17
Nishant D Patel, Diane Alejo, Todd Crawford, Narutoshi Hibino, Harry C Dietz, Duke E Cameron, Luca A Vricella
BACKGROUND: Loeys-Dietz syndrome (LDS) is an aggressive aortopathy with a proclivity for aortic aneurysm rupture and dissection at smaller diameters than other connective tissue disorders. We reviewed our surgical experience of children with LDS to validate our guidelines for prophylactic aortic root replacement (ARR). METHODS: We reviewed all children (younger than 18 years) with a diagnosis of LDS who underwent ARR at our institution. The primary endpoint was mortality, and secondary endpoints included complications and the need for further interventions...
March 30, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28366054/advanced-imaging-in-acute-ischemic-stroke
#18
Craig Kilburg, J Scott McNally, Adam de Havenon, Philipp Taussky, M Yashar S Kalani, Min S Park
The evaluation and management of acute ischemic stroke has primarily relied on the use of conventional CT and MRI techniques as well as lumen imaging sequences such as CT angiography (CTA) and MR angiography (MRA). Several newer or less-established imaging modalities, including vessel wall MRI, transcranial Doppler ultrasonography, and 4D CTA and MRA, are being developed to complement conventional CT and MRI techniques. Vessel wall MRI provides high-resolution analysis of both extracranial and intracranial vasculature to help identify previously occult lesions or characteristics of lesions that may portend a worse natural history...
April 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28357826/anton-s-syndrome-as-a-presentation-of-decompression-illness
#19
Charles Paul Azzopardi, Lyubisa Matity, Stephen Muscat
We present a case of a patient with Anton's syndrome due to decompression illness (DCI) after recreational scuba diving. Visual anosognosia, or denial of loss of vision, which is associated with lack of awareness regarding visual loss in the setting of cortical blindness, is known as Anton's syndrome (also termed Anton-Babinski syndrome). Our patient presented with progressive neurological DCI treated with repeated recompression. The anosogosia resolved after 48 h. Subsequent echocardiography revealed a persistent (patent) foramen ovale...
March 2017: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/28357825/the-prevalence-of-electrocardiogram-abnormalities-in-professional-divers
#20
Ali Erdal Gunes, Maide Cimsit
BACKGROUND: The underwater environment presents physiological challenges for the cardiovascular, renal and pulmonary systems. Increases in external hydrostatic pressure reduce the capacity of the venous compartment and cause blood to move toward the lung. The aim of this study was to evaluate retrospectively electrocardiographic (ECG) changes in a cohort of professional divers. METHODS: Between January 2009 and January 2012, 225 randomly selected professional divers, 204 male (91%) and 21 female (9%) attended our clinic for their biannual diving medical assessment...
March 2017: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
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