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Aorta pulmonary window

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https://www.readbyqxmd.com/read/27503753/prenatal-diagnosis-of-an-aortopulmonary-window-with-an-interrupted-aortic-arch
#1
REVIEW
Cecilia García, Teresa Álvarez, Coral Bravo, Ramón Pérez-Caballero, María Teresa Viadero, Francisco Gámez, Ricardo Pérez, Juan De León-Luis
A prenatal aortopulmonary window with an interrupted aortic arch was detected in a 22-week-old fetus. The 3-vessel and trachea view showed a communication between the ascending aorta and the pulmonary artery. Early postnatal surgery was successful. A PubMed-based search identified all cases of prenatal aortopulmonary windows between 2002 and 2015. Nine articles were identified. The average gestational age at diagnosis was 28 weeks (range, 22-33 weeks). The most frequent aortopulmonary window was type I (40%)...
October 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27374635/closure-of-aortopulmonary-window-using-nit-occlud%C3%A2-pda-r-device-in-a-3-month-old-infant
#2
Ender Odemis, Osman Guvenc, Murat Saygi, Ibrahim Halil Demir
Aortopulmonary window (APW) is a rare abnormality in which a pulmonary defect exists between the ascending aorta and the main pulmonary artery. Given that it may result in cardiac failure and pulmonary vascular disease in the early period, treatment needs to be performed without delay. In addition to surgical treatment, transcatheter closure may also be performed for selected patients. This study describes the case of an infant diagnosed with APW and who underwent successful transcatheter closure using a Nit-Occlud® PDA-R device...
August 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/27372619/aortopulmonary-window-in-adulthood-surviving-at-22-years-without-intervention-or-pulmonary-vascular-disease
#3
İsa Öner Yüksel, Erkan Köklü, Şakir Arslan, Çağın Mustafa Üreyen, Selçuk Küçükseymen
Aortopulmonary window is a rare anomaly, a communication between the ascending aorta and the main pulmonary artery. Prognosis in the absence of correction is poor, with mortality of around 40% in the first year of life. A case of aortopulmonary window without pulmonary vascular disease in adulthood is described in the present report.
June 2016: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/27272691/the-concept-of-the-arch-window-in-the-spiral-switch-of-the-great-arteries
#4
Ing-Sh Chiu, Meng-Luen Lee, Shu-Chien Huang, Chung-I Chang, Yih-Sharng Chen, Mei-Hwan Wu, Robert H Anderson
When the arterial switch operation includes the Lecompte maneuver, the arterial trunks are reconnected in parallel, rather than the spiral fashion observed in the normal heart. Thus, although the ventriculo-arterial connections are hemodynamically corrected, the anatomic arrangement cannot be considered normal. We hypothesized that, if feasible, it would be advantageous to restore a spiral configuration for the arterial trunks. In 58 patients, we reconstructed the arterial trunks such that, postoperatively, the pulmonary channel spirals round the aorta, passing to either the right or the left, and branches posteriorly...
August 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/27063344/fetal-aorto-pulmonary-window-case-series-and-review-of-the-literature
#5
Anastasia Fotaki, Juliana Novaes, Hana Jicinska, Julene S Carvalho
Aorto-pulmonary window is a rare congenital cardiac anomaly characterized by a communication between the aorta and the pulmonary artery above the semilunar valves. Prenatal diagnosis is rare. We report four fetuses with aorto-pulmonary window and review the relevant literature. Approximately half of the reported cases had additional cardiac defects; none had chromosomal abnormalities. In cases with normal cardiac connections, the diagnosis can be made prenatally on the standard three-vessel view as seen in two of our cases...
April 10, 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26936277/-visualization-of-the-superior-vena-cava-in-the-supraclavicular-acoustic-window
#6
S U Weber, A Breuer, S-C Kim
BACKGROUND: The ultrasound-guided venipuncture of the internal jugular vein for placement of a central venous catheter is well established. For verification of the catheter tip position mostly intracardiac ECG or chest radiography are used. Previously, we established the right supraclavicular fossa view for ultrasound based verification of the catheter placement in the superior vena cava utilizing a microconvex probe. The microconvex probe has a small footprint. However, not all ultrasound systems used in the operating theater are equipped with a microconvex transducer...
March 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/26927652/-anomalous-origin-of-the-right-pulmonary-artery-from-the-ascending-aorta-associated-with-aortopulmonary-window
#7
José Miguel Torres-Martel, Lydia Rodríguez-Hernández, Joaquín Rodolfo Zepeda-Sanabria
Anomalous origin of one pulmonary artery from the aorta is rare. We report a case of a three-month-old infant with aortopulmonary window and anomalous origin of the right pulmonary artery from the ascending aorta. He underwent surgery with anastomosis of the right pulmonary artery, ligation of the aortopulmonary window and the patent duct. He was released under medical treatment and had no signs of pulmonary hypertension or heart failure.
January 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/26795903/a-tubular-aortopulmonary-window-an-embryological-curiosity
#8
Shanthi Chidambarathanu, Ravi Agarwal, Zahra M Hussain, Nigel A Brown, Robert H Anderson
We describe, in this report, an unusually shaped aortopulmonary communication observed in a six-month-old infant who presented with an associated ventricular septal defect. The defect was tubular, measuring 7 mm in length, and located intrapericardially between the proximal ascending aorta and the pulmonary trunk. It was well defined by transthoracic echocardiogram and was suitable for surgical ligation. We share our dilemma in naming this defect appropriately. We base our explanation on our understanding of normal development of the intrapericardial arterial trunks...
May 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/26697090/aortopulmonary-window-associated-with-an-ascending-aorta-aneurysm-in-an-adult
#9
Rachid El Haouati, Yassine Boukaidi, Zahira Zouizra, Drissi Boumzebra
Aortopulmonary window (APW) is a rare congenital malformation. It results from an incomplete division between the ascending aorta and the pulmonary artery. We describe a 26-year-old male, who presented with a grade II exertional dyspnea and palpitations. Echocardiography revealed an APW with an ascending aorta aneurysm. He underwent surgery under cardiopulmonary bypass without aortic cross-clamping. The APW was closed via the pulmonary artery flap technique using an autologous pericardial patch, and the aneurysm was repaired through the reduction aortoplasty technique...
July 3, 2015: Journal of Tehran Heart Center
https://www.readbyqxmd.com/read/26586308/novel-technique-to-evaluate-pulmonary-vascular-resistance-in-a-patient-with-aortopulmonary-window
#10
Jamie Penk, David Wax, Christian Gilbert, C E Duffy
We report a case of a 15-month-old female presenting with a large aortopulmonary window during a medical mission. The optimal surgical correction for this patient would be based on an estimation of her pulmonary vascular reactivity. This report details the use of antegrade/retrograde flow ratios using Doppler measurements in the proximal descending aorta at baseline and while receiving 100% oxygen. A large increase in the proportion of retrograde flow under the 100% oxygen condition suggested a reactive pulmonary vascular bed...
March 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/26457208/a-case-of-aortopulmonary-window-asymptomatic-until-the-first-pregnancy
#11
Murat Kose, Serra Ucar, Samim Emet, Timur Selcuk Akpinar, Kıvanc Yalin
The aortopulmonary window (APW) is an abnormal communication between the ascending aorta and the pulmonary trunk in the presence of two separate semilunar valves. It is a rare congenital malformation which represents 0.1% of all congenital cardiac diseases. Herein, we report a very rare case of 27-year-old patient with unrepaired APW causing Eisenmenger syndrome and pulmonary hypertension who was asymptomatic until her first pregnancy. The median survival of uncorrected APW is 33 years. Aortopulmonary window is a very rare congenital anomaly...
2015: Case Reports in Cardiology
https://www.readbyqxmd.com/read/26387570/aortopulmonary-window-with-anomalous-coronary-arteries
#12
Jiten Singh, Manpal Loona, Alok Suryavanshi, Manoranjan Sahoo, Tek S Mahant
Aortopulmonary window associated with anomalous origin of the right coronary artery from the main pulmonary artery is rare. We report a four-month-old male presenting with anomalous origin of both right and left coronary arteries from a single ostium from the anterior sinus of the pulmonary artery along with aortopulmonary window (APW). The patient was managed successfully with a pericardial baffle shunting the coronary ostium to the aorta through the APW.
November 2015: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/26345436/use-of-a-stent-graft-for-patent-ductus-arteriosus-in-an-octogenarian-eliminates-ductus-flow
#13
Wataru Tatsuishi, Go Kataoka, Ryota Asano, Atsuhiko Sato, Kiyoharu Nakano
Closure of a patent ductus arteriosus (PDA) in the elderly is a high-risk procedure because of tissue fragility and many possible complications. The patient in our case was an 81-year-old woman with a window-type PDA caused by cardiac failure. Based on the anatomy of the PDA and aorta and to minimize invasion, we used a stent graft to close the PDA. This approach was successful; hemodynamics improved and ductus flow was eliminated during the follow-up period without intervention from the pulmonary artery side...
June 20, 2016: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26324080/diagnosis-and-prognosis-of-anomalous-origin-of-the-left-coronary-artery-from-the-pulmonary-artery
#14
Line Marie Broksø Holst, Morten Helvind, Henrik Ørbæk Andersen
INTRODUCTION: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an uncommon congenital heart abnormality. The aim of this study was to describe a single-centre experience with surgical repair of this condition. METHODS: We performed a retrospective analysis of cases from February 2004 to January 2014. RESULTS: Ten patients presented with the diagnosis of ALCAPA. A total of seven infants and three adults underwent surgical repair in our Department of Thoracic Surgery, Rigshospitalet, Denmark...
September 2015: Danish Medical Journal
https://www.readbyqxmd.com/read/26196779/associations-between-exposure-to-ambient-benzene-and-pm-2-5-during-pregnancy-and-the-risk-of-selected-birth-defects-in-offspring
#15
Jean Paul Tanner, Jason L Salemi, Amy L Stuart, Haofei Yu, Melissa M Jordan, Chris DuClos, Philip Cavicchia, Jane A Correia, Sharon M Watkins, Russell S Kirby
OBJECTIVE: A growing number of studies have investigated the association between air pollution and the risk of birth defects, but results are inconsistent. The objective of this study was to examine whether maternal exposure to ambient PM2.5 or benzene increases the risk of selected birth defects in Florida. METHODS: We conducted a retrospective cohort study of singleton infants born in Florida from 2000 to 2009. Isolated and non-isolated birth defect cases of critical congenital heart defects, orofacial clefts, and spina bifida were identified from the Florida Birth Defects Registry...
October 2015: Environmental Research
https://www.readbyqxmd.com/read/26140779/acute-aortic-dissection-extending-into-the-lung
#16
George Makdisi, Sameh M Said, Hartzell V Schaff
The radiologic manifestations of ruptured acute aortic dissection, Stanford type A aortic dissection, DeBakey type 1 can present in different radiographic scenarios with devastating outcomes. Here, we present a rare case of a 70-year-old man who presented to the emergency department with chest pain radiating to the back. A chest computed tomography scan showed a Stanford type A, DeBakey type 1, acute aortic dissection ruptured into the aortopulmonary window and stenosing the pulmonary trunk, both main pulmonary arteries, and dissecting the bronchovascular sheaths and flow into the pulmonary interstitium, causing pulmonary interstitial hemorrhage...
July 2015: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/26111746/surgical-management-of-vascular-stents-in-pediatric-cardiac-surgery-clues-for-a-staged-partnership
#17
Juan-Miguel Gil-Jaurena, José-Luis Zunzunegui, Ramón Pérez-Caballero, Ana Pita, María-Teresa González-López, Fernando Ballesteros, Alejandro Rodríguez, Constancio Medrano
Complex cases undergo step surgical and percutaneous procedures, including stent deployment. Concerns arise on stent removal at latest surgery. Our initial experience is presented. Forty-six stents in 35 patients were partially or totally removed at surgery. Univentricular heart was diagnosed in 20 patients. Stents were previously deployed in: ductus (6), right ventricle outflow tract (12), atrial septal defect (4), right pulmonary artery (4), left pulmonary artery (16), inferior vena cava (2), superior vena cava (1) and ascending aorta (1)...
December 2015: Pediatric Cardiology
https://www.readbyqxmd.com/read/26071291/unconventional-uses-of-septal-occluder-devices-our-experience-reviewed
#18
Neeraj Awasthy, Munesh Tomar, S Radhakrishnan, Savitri Shrivastava
UNLABELLED: Device closure is now an accepted modality of treatment for cardiac septal defects such as fossa ovalis Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD) and Patent Ductus Arteriosus (PDA) and have well-accepted indication and long term results. Devices used for these defects have been specifically designed for use in closing these defects. In this manuscript, we are reporting the efficacy of closure of nonseptal defects with devices conventionally used for septal cardiac defects although they have not been prototyped for use in such conditions...
March 2015: Indian Heart Journal
https://www.readbyqxmd.com/read/25475259/aortopulmonary-window-due-to-transcatheter-pulmonary-valve-implantation-after-arterial-switch-operation-where-is-the-limit
#19
María-Teresa González-López, Juan-Miguel Gil-Jaurena, José-Luis Zunzunegui-Martínez, Reyes Álvarez-García-Rovés
No abstract text is available yet for this article.
March 2015: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/25324246/repair-of-anomalous-aortic-origin-of-a-coronary-artery-in-113-patients-a-congenital-heart-surgeons-society-report
#20
Jeffrey A Poynter, Igor Bondarenko, Erle H Austin, William M DeCampli, Jeffrey P Jacobs, Gerhard Ziemer, Paul M Kirshbom, Christo I Tchervenkov, Tara Karamlou, Eugene H Blackstone, Henry L Walters, J William Gaynor, Carlos M Mery, Jeffrey M Pearl, Julie A Brothers, Christopher A Caldarone, William G Williams, Marshall L Jacobs, Constantine Mavroudis
BACKGROUND: Anomalous aortic origin of a coronary artery (AAOCA) encompasses a wide morphologic spectrum, which has impeded consensus regarding indications for the diverse repair strategies. We constructed a profile of current surgical techniques and explore their application to morphologic variants. METHODS: Patients<30 years old (n=113) with isolated AAOCA who underwent operations at 29 Congenital Heart Surgeons Society (CHSS) institutions from 1998 to 2012 were identified from the CHSS AAOCA Registry...
October 2014: World Journal for Pediatric & Congenital Heart Surgery
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