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Left isomerism

Lingyu Wang, Yuhong Liu, Liming Wang
The gas-phase ozonolysis mechanism of 3-carene is investigated using high level quantum chemistry and kinetic calculations. The reaction follows the Criegee mechanism with an initial addition of O3 to the [double bond splayed left]C[double bond, length as m-dash]C[double bond splayed right] bond, followed by a chain of unimolecular isomerizations, as 3-carene + O3 → POZs (primary ozonides) → CIs (Criegee intermediates, 4 conformers) → Ps (products). In the course of the reaction, a large excess of energy retained in the POZs* lead to the prompt unimolecular processes in POZs*, CIs*, and Ps*, and only ∼4% of CIs* could be stabilized by collision at 298 K and 760 Torr...
April 1, 2019: Physical Chemistry Chemical Physics: PCCP
Yui Ozawa, Hiroko Asakai, Kazuhiro Shiraga, Takahiro Shindo, Yoichiro Hirata, Yasutaka Hirata, Ryo Inuzuka
OBJECTIVE: Heterotaxy syndrome is associated with complex cardiac malformations and cardiac conduction system abnormalities. Those with right atrial isomerism (RAI) have dual sinus nodes and dual atrioventricular nodes predisposing them to supraventricular tachycardia (SVT). Those with left atrial isomerism (LAI) lack a normal sinus node and are at risk of sinus node dysfunction (SND) and atrioventricular block (AV block). We report the occurrence and risk factors associated with arrhythmias in heterotaxy syndrome...
March 14, 2019: Pediatric Cardiology
Charles Arcus, Usha Sennaiyan, Amit Trivedi, Thushari I Alahakoon
PRESENTATION OF CASE: A multiparous expectant mother was referred to our tertiary unit at 23 weeks with a complex fetal cardiac anomaly in the context of suspected heterotaxy syndrome. The cardiac findings were consistent with isomerism: the fetal cardiac position was levocardia with a single functioning double outlet ventricle and AV valve, pulmonary stenosis, and interrupted inferior vena cava (IVC) with azygous continuation. The fetal abdominal situs was also altered, with the stomach to the right, and the hepatobiliary system midline to left...
February 19, 2019: International Journal of Surgery Case Reports
Y Zhang, B Liu, X B Tian, J T Bi
Objective: To analyze the biochemical markers of bone metabolism in patients with idiopathic benign paroxysmal positional vertigo(iBPPV). Method: The study included 38 patients with iBPPV. Thirty-two healthy persons were collected as control group. Routine history collection, physical examination, and diagnosis were recorded in case group. Both the case group and control group were assessed for the status of bone biochemical markers. Result: ①Among the 38 patients with iBPPV, posterior semicircular canal BPPV in right ear(R-PC-BPPV)presented in 23 cases , left ear(L-PC-BPPV)in 9 cases, horizontal semicircular canal BPPV in right ear in 2 cases, and in left ear in 2 cases, horizontal semicircular canal cupulolithiasis in 2 cases...
March 2019: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Bahaaldin Alsoufi, Joshua Rosenblum, Curtis Travers, Kirk Kanter, Philip M Trusty, Ajit P Yoganathan, Timothy P Slesnick
OBJECTIVES: Current technology advances in virtual surgery modeling and computational flow dynamics allow preoperative individualized computer-based design of Fontan operation. To determine potential role of those innovations in patients undergoing hepatic vein incorporation (HVI) following Kawashima operation, we retrospectively examined historic cohort of patients who underwent HVI following Kawashima with focus on regression of pulmonary arteriovenous malformations (PAVMs). METHODS: Twenty-two children with single ventricle and interrupted inferior vena cava underwent Kawashima operation (2002-12)...
January 2019: World Journal for Pediatric & Congenital Heart Surgery
Lakshmi Murli, M S Ranjit, Prashant Shah
Unroofed coronary sinus, an unusual form of interatrial communication, is a rare cardiac anomaly. It is not a true defect of the atrial septum. It is described as a partial (focal or fenestrated) or complete absence of the roof of the coronary sinus, resulting in a communication between the coronary sinus and left atrium. It is presumably the least common variety of defects associated with interatrial shunting. Such defects are often difficult to diagnose and may even be overlooked during surgery for complex congenital heart disease...
January 2019: Annals of Pediatric Cardiology
Vinesh Appadurai, Jennifer Thoreau, Theresa Malpas, Mugur Nicolae
BACKGROUND: An improvement in life expectancy in patients suffering from adult congenital heart disease (ACHD) has corresponded with a rise in heart failure incidence within this group. An area that has not been addressed in ACHD heart failure guidelines has been the use of combined inhibition of angiotensin receptor-neprolysin pathways. This case series sought to demonstrate tolerability and 6-month outcome measures of sacubitril/valsartan use in ACHD patients with a severely impaired systemic ventricle...
December 17, 2018: Heart, Lung & Circulation
An Peng, Yingjian Ye, Wei Feng, Jiaqi Zhang, Yu Wang, Jiabao Yin
Left atrial isomerism (LAI) is a rare type of heterotaxy syndrome1 . The most common anomalies of the fetuses with LAI are the absence of the hepatic segment of the inferior vena cava (IVC), the interrupted suprarenal IVC segment with enlarged azygos or hemiazygos vein continuation, and the azygos vein passing posterior of the aorta and running up to join the superior vena cava (SVC)2 . This article is protected by copyright. All rights reserved.
December 24, 2018: Ultrasound in Obstetrics & Gynecology
Hannah Lively-Endicott, Diego A Lara
Background: Heterotaxy is a condition of abnormal lateralization of organs across the body's left-right axis, causing multiple congenital malformations. The anatomic manifestations of heterotaxy syndrome generally follow one of two patterns, referred to as right atrial isomerism (with two similar right atria and duplication of right-sided features of multiple organs) and left atrial isomerism (with two similar left atria and duplication of left-sided features of multiple organs). Cardiac surgical intervention for patients with heterotaxy syndrome depends on ventricular physiology and circulatory balance...
2018: Ochsner Journal
Roan A S Vasdev, Lachlan F Gaudin, Dan Preston, Jackmil P Jogy, Gregory I Giles, James D Crowley
New bis- quinoline ( L q ) and bis- isoquinoline-based ( L iq ) ligands have been synthesized, along with their respective homoleptic [Pd2 ( L q or L iq )4 ]4+ cages ( C q and C iq ). The ligands and cages were characterized by 1 H, 13 C and diffusion ordered (DOSY) NMR spectroscopies, high resolution electrospray ionization mass spectrometry (HR-ESIMS) and in the case of the bis -quinoline cage, X-ray crystallography. The crystal structure of the C q architecture showed that the [Pd2 ( L q )4 ]4+ cage formed a twisted meso isomer where the [Pd( quinoline )4 ]2+ units at either end of the cage architecture adopt the opposite twists (left and right handed)...
2018: Frontiers in Chemistry
Mads P Sulbaek Andersen, Theis I Sølling, Lene Løffler Andersen, Aleksandra Volkova, Dvien Hovanessian, Connor Britzman, Ole John Nielsen, Timothy J Wallington
The chemical mechanisms of the OH radical, Cl-atom and O3 initiated oxidation of (Z)-CF3CH[double bond, length as m-dash]CHCl were studied at 296 ± 1 K in 10-700 Torr air of N2/O2 diluent. Cl atoms add to the [double bond splayed left]C[double bond, length as m-dash]C[double bond splayed right] double bond: 12 ± 5% to the terminal carbon and 85 ± 5% to the central carbon. In 700 Torr of air the products are CF3CHClCHO, HCOCl, CF3COCl, CF3CHO, (E)-CF3CH[double bond, length as m-dash]CHCl, CF3C(O)CHCl2, and CF3CHClCOCl...
November 14, 2018: Physical Chemistry Chemical Physics: PCCP
Rana S Al-Zahrani, Samaher H Alharbi, Rawan M A Tuwaijri, Bayan T Alzomaili, Alaa Althubaiti, Talat Mesud Yelbuz
Background/Aim: Transposition of the great arteries (TGA) is traditionally classified as a "conotruncal heart defect", implying that TGA evolves from abnormal development of the outflow tract (OFT) of the embryonic heart. However, recently published genetic data suggest that TGA may be linked to laterality gene defects rather than OFT gene defects. The aim of our study was to clarify whether there is any statistically significant link between TGA and clinically diagnosed laterality defects (heterotaxy)...
September 2018: Annals of Pediatric Cardiology
Mengke Li, Yuhong Liu, Liming Wang
Furan and its methyl substituents, as promising alternative and renewable fuels and feedstock in the chemical industry, could be emitted to the atmosphere in a large scale and be degraded there by their reactions with OH, O3, NO3, Cl, etc. In this study, we investigate the mechanism of gas-phase ozonolysis of furans using quantum chemistry and kinetic calculations. The predicted rate coefficients agree well with the available experimental values for furan, 3-methylfuran (3-MF), and 2,5-dimethylfuran (2,5-DMF), suggesting that their removal by ozonolysis could be comparable to their removal by OH radicals in the atmosphere, particularly for methylfurans...
October 3, 2018: Physical Chemistry Chemical Physics: PCCP
Lin Huang, Ping Yuan, Peng Yu, Qiling Kong, Zixuan Xu, Xia Yan, Yang Shen, Juesheng Yang, Rong Wan, Kui Hong, Yanhua Tang, Jinzhu Hu
The O‑linked β‑N‑acetylglucosamine (O‑GlcNAc) modification and autophagy are associated with diabetic myocardial injury, however, the molecular mechanisms between the two processes remain to be fully elucidated. The purpose of the present study was to elucidate the molecular regulation of autophagy by O‑GlcNAc‑modified synaptosomal‑associated protein 29 (SNAP29) in diabetic myocardial injury. A rat model of type I diabetes was established via intraperitoneal injection of streptozotocin (STZ; 55 mg/kg)...
September 7, 2018: International Journal of Molecular Medicine
Roland W Weber, Brian Stiasny, Beate Ruecker, Margrit Fasnacht, Anna Cavigelli-Brunner, Emanuela R Valsangiacomo Buechel
We sought to evaluate the impact of prenatal diagnosis on morbidity and mortality in single ventricle (SV) lesions. All consecutive patients with pre- or postnatally diagnosed SV physiology admitted to our centre between January 2001 and June 2013 were reviewed. Primary endpoints included survival until 30 days after bidirectional cavopulmonary connection (BCPC) without transplant or BCPC takedown. Prenatal diagnosis was performed in 160 of 259 cases (62%). After excluding all cases with termination of pregnancy, intrauterine demise or treated with comfort care, a total of 180 neonates were admitted to our centre for treatment, including 87 with a prenatal and 93 with a postnatal diagnosis...
January 2019: Pediatric Cardiology
Lindsay M Ryerson, Scott Pharis, Charissa Pockett, Reeni Soni, Deborah Fruitman, Kristine J Guleserian, Melissa Nater, Stephen C Raynor, Andrew S Mackie, Bryan Dicken
BACKGROUND: Infants with heterotaxy syndrome (HS) have abnormal lateralization of organs along the right-left body axis. Intestinal rotation abnormalities (IRAs) are a potential source of morbidity and mortality. For this study, our objective was to prospectively observe a cohort of infants with HS and determine the incidence and natural history of IRA. METHODS: Infants ≤6 months of age with HS were enrolled in this prospective observational study. Exclusion criteria were other congenital abnormalities that necessitated abdominal surgery...
August 2018: Pediatrics
Anwar Baban, Nicoletta Cantarutti, Rachele Adorisio, Roberta Lombardi, Giulio Calcagni, Eva Piano Mortari, Bruno Dallapiccola, Bruno Marino, Fiore Salvatore Iorio, Rita Carsetti, Maria Cristina Digilio, Salvatore Giannico, Fabrizio Drago, Adriano Carotti
BACKGROUND: Heterotaxy syndrome (HS) is a group of congenital disorders characterized by abnormal arrangement of thoraco-abdominal organs across the left-right axis of the body, classified as right (RAI) and left atrial isomerism (LAI)·We investigated the long-term survival and phenotypic spectrum in our HS cohort. Results are compared to literature data. METHODS: This is a single centre, observational, both retro and prospective study. Cardiac features, surgical management and abdominal ultrasound (US) of all HS patients were reviewed or investigated if missing...
October 1, 2018: International Journal of Cardiology
Iain M Dykes, Dorota Szumska, Linta Kuncheria, Rathi Puliyadi, Chiann-Mun Chen, Costis Papanayotou, Helen Lockstone, Christèle Dubourg, Véronique David, Jurgen E Schneider, Thomas M Keane, David J Adams, Steve D M Brown, Sandra Mercier, Sylvie Odent, Jérôme Collignon, Shoumo Bhattacharya
ZIC2 mutation is known to cause holoprosencephaly (HPE). A subset of ZIC2 HPE probands harbour cardiovascular and visceral anomalies suggestive of laterality defects. 3D-imaging of novel mouse Zic2 mutants uncovers, in addition to HPE, laterality defects in lungs, heart, vasculature and viscera. A strong bias towards right isomerism indicates a failure to establish left identity in the lateral plate mesoderm (LPM), a phenotype that cannot be explained simply by the defective ciliogenesis previously noted in Zic2 mutants...
July 11, 2018: Scientific Reports
Tommaso Generali, Shady El Sayed, Vinay Rao, Carlos Pardo, Stefano Congiu, Osama Jaber, Carin van Doorn
OBJECTIVE: Left atrio-ventricular valve (LAVV) regurgitation after repair of an atrio-ventricular septal defect (AVSD) may necessitate further surgery. However, redo-LAVV repair remains challenging. We sought to determine if more LAVV valves are preserved in the current era, and analyze early and longer-term results. PATIENTS: All consecutive patients with repaired AVSD who underwent redo-LAVV surgery from January 2004 to April 2017 were included. Patients with single ventricles, atrial isomerism, and complex associated anomalies were excluded...
August 2018: Journal of Cardiac Surgery
Trisha V Vigneswaran, Caroline B Jones, Vita Zidere, Marietta Charakida, Owen I Miller, John M Simpson, Gurleen K Sharland
In this retrospective, observational study of fetuses diagnosed with a laterality disturbance we describe the findings and outcome of fetuses diagnosed between 1980 and 2017 at a tertiary fetal-pediatric cardiology unit. In addition we sought to identify features which impact on outcome. Left atrial isomerism (LAI) was diagnosed in 177 babies and right atrial isomerism (RAI) in 100. Major structural heart disease was present in all cases of RAI and 91% with LAI. Complete heart block (CHB) was present in 40% of LAI...
August 15, 2018: American Journal of Cardiology
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