keyword
https://read.qxmd.com/read/26318354/main-pulmonary-artery-area-limits-exercise-capacity-in-patients-long-term-after-arterial-switch-operation
#241
JOURNAL ARTICLE
Vivan J M Baggen, Mieke M P Driessen, Folkert J Meijboom, Gertjan Tj Sieswerda, Nicolaas J G Jansen, Sebastiaan W H van Wijk, Pieter A Doevendans, Tim Leiner, Paul H Schoof, Tim Takken, Johannes M P J Breur
OBJECTIVES: Despite excellent survival in patients after the arterial switch operation, reintervention is frequently required and exercise capacity is decreased in a substantial number of patients. This study relates right-sided imaging features in patients long-term after the arterial switch operation to exercise capacity and ventilatory efficiency to investigate which lesions are functionally important. METHODS: Patients operated in the UMC Utrecht, the Netherlands (1976-2001) and healthy controls underwent cardiac magnetic resonance imaging and cardiopulmonary exercise testing within 1 week...
October 2015: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/26284801/-in-process-citation
#242
JOURNAL ARTICLE
Zoltán Oláh, László Hidi, László Entz, Zoltán Szeberin
INTRODUCTION: The adequate exposure of the upper abdominal aorta and its side branches are essential for vascular reconstruction of this region. Besides the traditional transperitoneal, retroperitoneal approach or thoracolaparotomy, left medial visceral rotation (MVR) is an option to explore this hardly accessible region. We present our MVR experiences in aortic surgery. METHODS: Using median or subcostal laparotomy we mobilised the left colon, the spleen, the pancreas and performed dissection in the retroperitoneal area leaving the left kidney in place...
August 2015: Magyar Sebészet
https://read.qxmd.com/read/26279410/use-of-rotational-angiography-in-assessing-relationship-of-the-airway-to-vasculature-during-cardiac-catheterization
#243
JOURNAL ARTICLE
Uyen T Truong, Thomas E Fagan, Robin Deterding, Richard J Ing, Brian M Fonseca
OBJECTIVES: We are the first to describe the use of three-dimensional rotational angiography (3DRA) in creating multiplanar reconstruction (MPR) and volume rendering, in the catheterization suite, of airways at risk for compression by adjacent cardiac structures. BACKGROUND: 3DRA has emerged as a promising tool for improved visualization of cardiac and vascular structures in congenital heart disease. METHODS: This is a retrospective review of all available cases at our institution in which MPR from 3DRA was used to assess airways in relation to surrounding cardiovascular structures...
November 15, 2015: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/26256829/bifurcating-stents-in-the-pulmonary-arteries-a-novel-technique-to-relieve-bilateral-branch-pulmonary-artery-obstruction
#244
JOURNAL ARTICLE
Hari K Narayan, Andrew C Glatz, Jonathan J Rome
Balloon angioplasty and stent placement in close proximity to the bifurcation of the branch pulmonary arteries can be challenging. Multiple approaches have been previously described, though none of these approaches both treats bilateral proximal branch pulmonary artery stenosis and provides an anchor for a transcatheter pulmonary valve replacement. We report a novel approach that involves serial stent placement and balloon dilation through the struts of the stent in each pulmonary artery, along with balloon expansion of the proximal portion of the stents to the diameter of the main pulmonary artery...
October 2015: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/26234860/three-sinus-repair-of-elastin-arteriopathy-associated-supravalvar-pulmonary-stenosis-with-bilateral-branch-pulmonary-artery-involvement
#245
JOURNAL ARTICLE
Ed Peng, David N Campbell, James Jaggers, Max B Mitchell
Elastin arteriopathy-associated supravalvar pulmonary stenosis is characterized by a thick intraluminal ringlike obstruction at the sinotubular junction of the pulmonary valve. Extension of disease into the branch pulmonary arteries is common. A three-sinus pulmonary trunk augmentation combined with bilateral branch pulmonary augmentation is presented. This approach normalizes the pulmonary trunk and allows optimal augmentation of the central pulmonary arteries.
August 2015: Annals of Thoracic Surgery
https://read.qxmd.com/read/26174169/combined-surgical-and-interventional-approaches-for-treating-patients-with-congenital-heart-disease
#246
JOURNAL ARTICLE
Vladimiro L Vida, Alvise Guariento, Fabio Zucchetta, Massimo A Padalino, Ornella Milanesi, Nicola Maschietto, Giovanni Stellin
AIMS: During the last decade the cooperation between surgeons and cardiologists has further expanded by combining surgical and interventional techniques (CCBSI) performed in the operating room, without the use of fluoroscopy. We sought to evaluate the results of our experience with CCBSI. METHODS: All children with congenital heart disease (CHD) who underwent a CCBSI in the operating room between June 2007 and January 2014 were enrolled. RESULTS: Sixty-eight patients were included...
September 2015: Journal of Cardiac Surgery
https://read.qxmd.com/read/26168956/effects-of-surgical-en-bloc-rotation-of-the-arterial-trunk-on-the-conduction-system-in-children-with-transposition-of-the-great-arteries-ventricular-septal-defect-and-pulmonary-stenosis
#247
JOURNAL ARTICLE
Christoph Prandstetter, Andreas Tulzer, Rudolf Mair, Eva Sames-Dolzer, Gerald Tulzer
OBJECTIVES: The standard surgical management of patients with transposition of the great arteries, ventricular septal defect, and pulmonary stenosis is the Rastelli operation. Recently, en bloc rotation of the arterial trunk, by cutting out the aortic and the pulmonary root in one block and by rotating it 180°, has been introduced as a new option for anatomical repair. METHODS: To evaluate the effects of this surgical method on the conduction system, pre-operative, post-operative, and follow-up electrocardiograms as well as patient charts were reviewed retrospectively...
March 2016: Cardiology in the Young
https://read.qxmd.com/read/26165019/-initial-experience-with-the-new-pul-stent-in-treating-postoperative-branch-pulmonary-artery-stenosis
#248
JOURNAL ARTICLE
Tingliang Liu, Ying Guo, Wei Gao, Meirong Huang, Yibei Wu, Zhiqing Yu
OBJECTIVE: The Pul-stent is a new cobalt alloys stent, specially licensed for pulmonary artery stenosis. The aim of this study was to investigate the value of the stent implantation as the treatment of postoperative pulmonary artery stenosis. METHOD: Clinical practice was carried out to evaluate effectiveness, safety and maneuverability of Pul-stent in the defined clinical setting. Transthoracic echocardiography, chest roentgenography and electrocardiography were carried out as follow-up studies at 1 and 3 months after procedures...
March 2015: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://read.qxmd.com/read/26134158/echocardiography-in-the-diagnosis-of-patients-with-absent-pulmonary-valve-syndrome-a-review-study-of-12-years
#249
COMPARATIVE STUDY
Weichun Wu, Kunjing Pang, Qiongwen Lin, Ani Zhang, Wugang Wang, Minghui Zhang, Jianrong Li, Hao Wang
Absent pulmonary valve syndrome (APVS) is a rare congenital heart disease that is easily misdiagnosed as tetralogy of Fallot (TOF). We herein discuss the echocardiographic features of APVS, compare its two subtypes, and clarify some differences between APVS and TOF. From July 1998 to October 2011, 31 patients diagnosed with APVS at Fuwai Hospital underwent echocardiography, computed tomography, or cardiac angiography. APVS was clinically categorized as either infant-type or child-type. We compared the echocardiographic similarities and differences between APVS and TOF and between the two subtypes of APVS...
October 2015: International Journal of Cardiovascular Imaging
https://read.qxmd.com/read/26092502/aortic-arch-geometry-after-the-norwood-procedure-the-value-of-arch-angle-augmentation
#250
JOURNAL ARTICLE
Tomomi Hasegawa, Yoshihiro Oshima, Ayako Maruo, Hironori Matsuhisa, Akiko Tanaka, Rei Noda, Shunsuke Matsushima
OBJECTIVE: Aortic arch reconstruction in the Norwood procedure is occasionally associated with postoperative airway and branch pulmonary artery stenosis, as well as recoarctation. This study investigated geometric changes in the aortic arch after the Norwood procedure and evaluated the efficacy of arch angle augmentation with glutaraldehyde-treated autologous pericardium in aortic arch reconstruction. METHODS: Of 52 consecutive patients who underwent the Norwood procedure between 1998 and 2013, a total of 36 patients who underwent postoperative multidetector-row computed tomographic angiography were reviewed retrospectively, and divided into 2 groups according to whether arch angle augmentation with glutaraldehyde-treated autologous pericardium was performed (AAA group, 26 patients) or not (NA group, 10 patients)...
August 2015: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/26071298/myriad-manifestations-of-williams-syndrome
#251
JOURNAL ARTICLE
Pritish K Bagul, Devendra V Borgaonkar, Vinay Jaiswal, Milind S Phadke, Charan P Lanjewar, Prafulla G Kerkar
4 months male child presented with failure to thrive. On general examination child had normal O2 saturation with characteristic elfin facies. Further evaluation of the patient showed major manifestations of Williams syndrome in form of supravalvar aortic stenosis, branched pulmonary artery stenosis along with cardiomyopathy. Although the entity is known, this article shows comprehensive diagnostic workup with the aid of multimodality imaging techniques. The genetic diagnosis of Williams syndrome was confirmed using fluroscent in situ hybridisation techniques (FISH)...
March 2015: Indian Heart Journal
https://read.qxmd.com/read/26008763/surgical-results-of-anomalous-origin-of-one-pulmonary-artery-branch-from-the-ascending-aorta
#252
JOURNAL ARTICLE
Sungkyu Cho, Woong-Han Kim, Eun Seok Choi, Jeong Ryul Lee, Yong Jin Kim
We reviewed our surgical experience with anomalous origin of one pulmonary artery from the ascending aorta (AOPA). From 1989 to 2012, 12 children (five neonates) aged 3-734 days (mean 152 ± 222) with AOPA underwent operations. Eight patients had right AOPA, and four patients had left AOPA. The majority of the patients had elevated right ventricular pressure, with 58 % (7 of 12) demonstrating suprasystemic right ventricular pressure. Surgery was performed by direct anastomosis (group 1) in seven patients and by employing an autologous patch (group 2) in five patients...
October 2015: Pediatric Cardiology
https://read.qxmd.com/read/25992283/peripheral-pulmonary-artery-stenosis-as-a-cause-of-pulmonary-hypertension-in-adults
#253
JOURNAL ARTICLE
Adriano R Tonelli, Mostafa Ahmed, Fadi Hamed, Lourdes R Prieto
Peripheral pulmonary artery stenosis (PPAS) is an underrecognized condition in the adult population. PPAS can lead to pulmonary hypertension but is likely misdiagnosed as either idiopathic pulmonary arterial hypertension or chronic thromboembolic pulmonary hypertension. We retrospectively identified adult patients with PPAS either in its isolated form or related to other congenital defects from January 1998 to September 2012. We reviewed the patients' clinical data by using our hospital electronic medical records and/or their paper charts...
March 2015: Pulmonary Circulation
https://read.qxmd.com/read/25963781/-right-branch-pulmonary-artery-stenosis-with-supravalvar-aortic-stenosis-as-a-complication-of-lecompte-maneuver-for-tetralogy-of-fallot-associated-with-absent-pulmonary-valve
#254
JOURNAL ARTICLE
Yoshihiro Honda, Shoji Suzuki, Shigeaki Kaga, Yukiyo Yoshida, Mitsuhiro Kimura, Kentaro Kamiya, Kenji Sakakibara, Masatake Katsu
The patient was diagnosed with tetralogy of Fallot associated with absent pulmonary valve syndrome and a low birth weight of 1,912 g. He suffered from respiratory distress on day 14 and received non-invasive positive pressure ventilation. At 5 months of age and 4.1 kg, he underwent intracardiac repair including right ventricular outflow repair with a monocusp patch, patch closure of the ventricular septum defect and right pulmonary transposition to the anterior of the ascending aorta following the Lecompte maneuver for airway decompression...
May 2015: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/25921259/arterioplasty-for-right-ventricular-outflow-tract-obstruction-after-arterial-switch-is-a-durable-procedure
#255
JOURNAL ARTICLE
Luke M Wiggins, S Ram Kumar, Vaughn A Starnes, Winfield J Wells
BACKGROUND: Right ventricular outflow tract obstruction (RVOT) is the most common late complication requiring intervention after arterial switch operation (ASO). The durability of surgical management of this complication has not been well established. METHODS: We retrospectively reviewed the charts of 38 consecutive patients who underwent RVOT reconstruction after ASO at our institution between 2004 and 2013. During the same time period, 223 consecutive patients underwent ASO for transposition of the great arteries at our institution...
July 2015: Annals of Thoracic Surgery
https://read.qxmd.com/read/25916551/echocardiographic-parameters-of-right-ventricular-diastolic-function-in-repaired-tetralogy-of-fallot-are-associated-with-important-findings-on-magnetic-resonance-imaging
#256
JOURNAL ARTICLE
Shiraz A Maskatia, Shaine A Morris, Joseph A Spinner, Rajesh Krishnamurthy, Carolyn A Altman
BACKGROUND: Right ventricular (RV) dilation, RV dysfunction, RV outflow tract obstruction, and branch pulmonary artery stenosis are risk factors associated with the need for future surgical or catheter-based intervention commonly assessed by cardiac magnetic resonance in patients with tetralogy of Fallot who have undergone initial repair. The ability of echocardiography to predict the presence of these risk factors is limited. OBJECTIVE: We aimed to determine the association between echocardiographic parameters of right ventricular diastolic dysfunction and risk factors for intervention as identified on cardiac magnetic resonance imaging (CMR)...
May 2015: Congenital Heart Disease
https://read.qxmd.com/read/25894759/the-effects-of-hemodynamic-alterations-on-lung-volumes-in-fetuses-with-tetralogy-of-fallot-an-mri-study
#257
JOURNAL ARTICLE
Vanessa Berger-Kulemann, Rudolf Berger, Elisabeth Mlczoch, Daniel Sternal, Mariella Mailath-Pokorny, Nilouparak Hachemian, Daniela Prayer, Michael Weber, Ulrike Salzer-Muhar
This study assessed whether the presence of tetralogy of Fallot (TOF) affects fetal lung development and whether these fetuses are at risk of pulmonary hypoplasia (PH). Furthermore, we investigated whether the degree of the concomitant pulmonary valve (PV) stenosis or a stenosis in the branch pulmonary arteries correlates with the fetal lung volume. Lung volumetry was performed in 16 fetuses with TOF who underwent MRI between gestational weeks 21 and 35 and in 22 controls. Fetal biometric data and the diameters of the PVs were evaluated by ultrasound...
August 2015: Pediatric Cardiology
https://read.qxmd.com/read/25876720/-early-clinical-outcomes-of-percutaneous-balloon-aortic-valvuloplasty-in-treating-high-risk-patients-with-severe-aortic-stenosis
#258
JOURNAL ARTICLE
Hanjun Pei, Yongjian Wu, Yuejin Yang, Siyong Teng, Haitao Zhang, Lei Zhang, Hongxia Niu, Wenjia Zhang, Guannan Niu, Jie Qian, Shubin Qiao, Bo Xu, Runlin Gao
OBJECTIVE: To explore the procedural feasibility and early clinical outcomes of percutaneous balloon aortic valvuloplasty (PBAV) in patients with severe aortic stenosis, who were considered transiently unsuitable for surgical aortic valve replacement (sAVR) and transcatheter aortic valve replacement (TAVR). METHODS: Between March 2011 and January 2014, datas of 20 patients underwent PBAV in Fuwai Hospital were retrospectively analyzed. Mean patients age was (72 ± 8) years...
January 2015: Zhonghua Xin Xue Guan Bing za Zhi
https://read.qxmd.com/read/25831704/-early-diagnosis-of-takayasu-s-disease-clinical-case-report
#259
JOURNAL ARTICLE
M V Mel'nik, A M Shilov, B V Uvarovskaia, I V Men'shikova, Iu V Pak
Nonspecific aortoarteritis (Takayasu s disease, obliterating aortoarteritis, disease of the missing pulse) is a systemic inflammatory disease of aorta and its branches, which leads to stenosis and ischemia of surrounding tissues. This disease is more common in young women and characterized by slowly progressive course with significant impairing quality of life. Etiology of the Takayasu's disease is unknown. Syndrome of the systemic inflammatory reaction with the clinical manifestations of the effects of lesions of the aorta and its branches at different anatomical levels (symptom: coarctation, abdominal ischemia, coronary, renovascular hypertension, lesions of the pulmonary artery) are criteria of this systematic process...
November 2014: Anesteziologiia i Reanimatologiia
https://read.qxmd.com/read/25828726/comparison-of-c-arm-computed-tomography-and-digital-subtraction-angiography-in-patients-with-chronic-thromboembolic-pulmonary-hypertension
#260
COMPARATIVE STUDY
Jan B Hinrichs, Steffen Marquardt, Christian von Falck, Marius M Hoeper, Karen M Olsson, Frank K Wacker, Bernhard C Meyer
PURPOSE: To assess the feasibility and diagnostic performance of contrast-enhanced, C-arm computed tomography (CACT) of the pulmonary arteries compared to digital subtraction angiography (DSA) in patients suffering from chronic thromboembolic pulmonary hypertension (CTEPH). MATERIALS: Fifty-two patients with CTEPH underwent ECG-gated DSA and contrast-enhanced CACT. Two readers (R1, R2) independently evaluated pulmonary artery segments and their sub-segmental branching using DSA and CACT for optimal image quality...
January 2016: Cardiovascular and Interventional Radiology
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