Athanasios I Tsirikos, George Augustithis, Greg McKean, Christos Karampalis
OBJECTIVE: Congenital heart disease (CHD) is associated with the development of scoliosis. Improvements in cardiac care have extended survival of children with cyanotic CHD which possess a need for correction of scoliosis. There is limited information on spinal care for these patients. We present 3 patients with CHD who underwent surgical correction of scoliosis. MATERIALS AND METHODS: We reviewed demographic and clinical data on patients with cyanotic CHD. RESULTS: Patient 1 underwent posterior spinal fusion T3-L3 at age of 16 years...
July 3, 2019: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
Loreen Straub, Krista F Huybrechts, Brian T Bateman, Helen Mogun, Kathryn J Gray, Lewis B Holmes, Sonia Hernandez-Diaz
As technology improves and becomes more widely accessible, more subclinical congenital malformations are being detected. Using a cohort of 1,780,156 pregnant women and their offspring nested in the 2000-2013 US Medicaid Analytic eXtract, we contrasted time trends in malformations which do not necessarily present with overt clinical symptoms early in life and are more likely to be diagnosed via imaging (secundum atrial septal defect, patent ductus arteriosus, ventricular septal defect, pulmonary artery anomalies, pulmonary valve stenosis, hydrocephalus) with trends in malformations that are unlikely to escape clinical diagnosis (tetralogy of Fallot, coarctation of the aorta, transposition of the great vessels, hypoplastic left heart syndrome, oral cleft, abdominal wall defect)...
November 1, 2019: American Journal of Epidemiology
Ayhan Cevik, Ali Rıza Karaci, Bulent Polat, Murat Erturk, Yalım Yalcin, Volkan Yazicioglu, Ece Salihoglu
OBJECTIVE: Two-stage arterial switch operation and left ventricle retraining are necessary for the patients with left ventricle dysfunction and transposition of great vessels with intact ventricular septum (TGA-IVS) who are referred late. MATERIAL AND METHODS: Forty-seven patients with the diagnosis of TGA-IVS and left ventricle dysfunction who underwent arterial switch operation in our centre between July 2013 and August 2017 were analysed retrospectively. The inclusion criteria for left ventricle retraining were patients older than 2 months of age at presentation, having an echocardiographic left ventricle mass index of less than 35 g/m², and having an echocardiographic "banana-shaped" left ventricle geometric appearance...
May 2019: Cardiology in the Young
Colm R Breatnach, Lars Nolke, Colin J McMahon
We describe the case of a newborn infant with transposition of the great vessels and a retroaortic innominate vein. This is a previously undescribed association. The decision was made to incorporate the retroaortic innominate vein into the Lecompte procedure at the time of surgery to avoid the risk of superior caval vein syndrome.
June 4, 2019: Cardiology in the Young
J Urmeneta Ulloa, Á Aroca Peinado, M Bret-Zurita
Congenitally corrected transposition of the great vessels implies double discordance: atrioventricular and ventriculoarterial. We present cardiac magnetic resonance images from a 9-year-old girl with congenitally corrected transposition of the great vessels, interventricular communication, and coarctation of the aorta who was treated with pulmonary artery banding, correction of coarctation, and posterior double switch. We also review the disease and the complications that should be evaluated after the surgical intervention...
December 4, 2018: Radiología
Carlee N Demeter, Wendy M Gunther, Amy P Fantaskey
Transposition of the great vessels (TGV) is a common congenital heart defect that is difficult to diagnose before birth. Antenatal diagnosis is associated with increased survival. Unusual features such as anomalous pulmonary artery origin may delay cyanosis, decreasing clinical suspicion. A three-week old female infant who had never been cyanotic presented for forensic autopsy due to onset of unresponsiveness at home. History included risk factors for TGV and signs of heart enlargement that were not recognized during life...
November 28, 2018: Journal of Forensic Sciences
Joshua Penslar, Catherine Menard, Suzie Lee
Isolation of an artery is a rare congenital defect in which a vessel arises anomalously from the pulmonary arteries rather than the aorta. Isolated left subclavian artery and (less commonly) isolated left brachiocephalic artery have been described in association with various complex congenital heart defects. We present a very unusual case of isolated left brachiocephalic artery associated with transposition of the great arteries. The case suggests that this defect arises from pathological involution of embryologic aortic arches rather than from malseptation...
October 2018: Canadian Journal of Cardiology
Marisol Delea, Lucía D Espeche, Carlos D Bruque, María Paz Bidondo, Lucía S Massara, Jaen Oliveri, Paloma Brun, Viviana R Cosentino, Celeste Martinoli, Norma Tolaba, Claudina Picon, María Eugenia Ponce Zaldua, Silvia Ávila, Viviana Gutnisky, Myriam Perez, Lilian Furforo, Noemí D Buzzalino, Rosa Liascovich, Boris Groisman, Mónica Rittler, Sandra Rozental, Pablo Barbero, Liliana Dain
Congenital conotruncal heart defects (CCHD) are a subset of serious congenital heart defects (CHD) of the cardiac outflow tracts or great arteries. Its frequency is estimated in 1/1000 live births, accounting for approximately 10⁻30% of all CHD cases. Chromosomal abnormalities and copy number variants (CNVs) contribute to the disease risk in patients with syndromic and/or non-syndromic forms. Although largely studied in several populations, their frequencies are barely reported for Latin American countries...
September 11, 2018: Genes
Sheila M P Everwijn, Amber E L van Nisselrooij, Lieke Rozendaal, Sally-Ann B Clur, Eva Pajkrt, Jaroslav Hruda, Ingeborg H Linskens, Jan M van Lith, Nico A Blom, Monique C Haak
OBJECTIVES: The aim of this study was to analyze the annual detection rate (DR) of transposition of the great arteries (TGA) and tetrology of Fallot (ToF), after the introduction of the three-vessel view as a mandatory plane in 2012. METHODS: All registered TGA and ToF cases were retrospectively extracted from our registry between 2007 and 2016. We compared the DR in a 10-year period, before 2011, with the DR of TGA and ToF after 2012. RESULTS: In the period before 2012, 23 of the 52 TGA cases were prenatally detected (44...
November 2018: Prenatal Diagnosis
Tadahisa Sugiura, Chitaru Kurihara, Masashi Kawabori, Andre C Critsinelis, Andrew B Civitello, Jeffrey A Morgan, O H Frazier
An increasing number of children with congenital heart disease are surviving into adulthood and subsequently developing end-stage heart failure. Two example populations are adults who have been previously operated on for congenitally corrected transposition of the great arteries (CCTGA) and transposition of the great arteries (TGA). Implantation of a continuous flow left ventricular assist device (CF-LVAD) in these patients can present unusual anatomical and physiologic challenges. In this report, we describe outcomes of CF-LVAD implantation in three such patients...
August 10, 2018: Annals of Thoracic and Cardiovascular Surgery
Marcelo Magaldi Oliveira, Leonardo Wendling, Jose Augusto Malheiros, Arthur Nicolato, Andre Prosdocimi, Luiza Guerra, Pollyana H V Costa, Carlos Eduardo Ferrarez, Mauro Tostes Ferreira, Eric Sauvageau, Ricardo Hanel
BACKGROUND: Intracranial-intracranial (IC-IC) bypass surgery involves the use of significant technical bimanual skills. Indications for this procedure are limited, so training in a simulator with brain vessels similarity could maintain microsurgical dexterity. Our goal is to describe the human placenta vascular anatomy to guide IC-IC bypasses apprenticeship. METHODS: Human placenta vascular anatomy was reported and validated with comparison to brain main vessels after studying the vascular tree of 100 placentas...
November 2018: World Neurosurgery
Ahmed S Said, Mary E McBride, Avihu Z Gazit
Pulmonary hypertension with transposition of the great arteries is associated with significant morbidity and mortality. At the worst end of the spectrum are patients who undergo extracorporeal support perioperatively. We describe our experience with three patients who received preoperative extracorporeal support and separated from cardiopulmonary bypass successfully on conventional postoperative care, with no significant deficits on follow-up.
September 2018: Cardiology in the Young
Gaurav Agrawal, Amit K Chaurasia, Kanika S Sethi
We describe the case of a 52-day-old child who was diagnosed with a rare combination of corrected transposition of great vessels - hypoplastic right ventricle with supracardiac total anomalous pulmonary venous connection.
August 2018: Cardiology in the Young
Ibrahim Aliyu, Zainab Fumilayo Ibrahim
Cor-triatriatum is uncommon and cor-triatriatum dexter is rarer, and patients may remain asymptomatic in isolated cases especially if the partitioning is mild and nonobstructing. There may be other cardiac defects associated with it which are mostly right-sided cardiac defects such as atrial septal defect, Ebstein anomaly, and pulmonary stenosis. However, left-sided heart anomaly such as aortic regurgitation has been associated with it, but its association with transposition of the great vessels has not been documented before now...
April 2018: Journal of Cardiovascular Echography
Takaya Hoashi, Hajime Ichikawa, Tomohiro Nakata, Masatoshi Shimada, Hideto Ozawa, Akihiko Higashida, Kenichi Kurosaki, Suzu Kanzaki, Isao Shiraishi
OBJECTIVES: The objective of this study was to assess the utility of 3D printed heart models of congenital heart disease for preoperative surgical simulation. METHODS: Twenty patient-specific 3D models were created between March 2015 and August 2017. All operations were performed by a young consultant surgeon who had no prior experience with complex biventricular repair. All 15 patients with balanced ventricles had outflow tract malformations (double-outlet right ventricle in 7 patients, congenitally corrected transposition of great arteries in 5, transposition of great arteries in 1, interrupted aortic arch Type B in 1, tetralogy of Fallot with pulmonary atresia and major aortopulmonary collateral arteries in 1)...
November 1, 2018: Interactive Cardiovascular and Thoracic Surgery
Ahmed Ali Abdelrahim Ali
Median cleft deformities of the lower lip and mandible are very rare congenital anomalies. Our patient had median cleft of the lower lip, mandible, and the chin with tongue duplication, ankyloglossia, and cleft strap muscles with 2 neck contracture bands. This anomaly was associated with congenital heart disease transposition of great vessels, large ventricular septal defect, and severe pulmonary stenosis. Early repair was done at 6 months to improve feeding.
January 1, 2018: Cleft Palate-craniofacial Journal
Helen Hashemi, Tiana R Endicott-Yazdani, Christopher Oguayo, David M Harmon, Tuan Tran, Ginger Tsai-Nguyen, Raul Benavides, Cedric W Spak, Hoang-Lan Nguyen
We describe a patient with history of dextro-transposition of the great vessels, ventricular septal defect, and pulmonary valve replacement who presented with fatigue, prolonged fever, and leg edema. He was found to have kidney injury, pancytopenia, and liver congestion. Echocardiogram revealed thickened leaflets with prolapsing vegetation on the pulmonary valve. Given the negative blood cultures, high Bartonella henselae immunogobulin G titer (≥1:1024) and positive immunoglobulin M titer (≥1:20), he was diagnosed with Bartonella endocarditis complicated with glomerulonephritis...
January 2018: Proceedings of the Baylor University Medical Center
Nathalie Jeanne Bravo-Valenzuela, Milene Carvalho Carrilho, Alberto Borges Peixoto, Marilim Souza Bezerra, Edward Araujo Júnior
Anatomically corrected malposed great arteries are uncommon and benign entity. Basically, this occurs with ventriculoarterial concordance in which the great vessels arise parallel instead of a twisting fashion. In this manuscript, we described two cases in which the antenatal diagnosis of anatomically corrected malposition of great arteries was suspected and confirmed during the postnatal period. During the fetal life, this diagnosis remains a challenge and this condition is often misdiagnosed as the transposition of the great arteries (TGA)...
April 3, 2018: Journal of Maternal-fetal & Neonatal Medicine
Cathy Liu, Jade Lodge, Christopher Flatley, Alexander Gooi, Cameron Ward, Karen Eagleson, Sailesh Kumar
Objective: To determine obstetric, intrapartum, and perinatal outcomes for pregnancies with isolated foetal congenital heart defects (CHDs). Methods: This was a retrospective cohort study of women that delivered an infant with an isolated major CHD between January 2010 and April 2017 at a major Australian perinatal centre. The study cohort was compared with a cohort of women with infants without CHD. Cardiac abnormalities were broadly subdivided into the following five categories using the International Classification of Diseases Tenth Revision (ICD-10) as a guide - transposition of the great arteries (TGA), septal defects, right heart lesions (RHL), left heart lesions (LHL), and "other"...
September 2019: Journal of Maternal-fetal & Neonatal Medicine
Maeve K Hopkins, Sarah A Goldstein, Cary C Ward, Jeffrey A Kuller
Objective: Congenital heart defects represent the most common major congenital anomalies. The objective of this review was to define the most common forms of congenital heart disease (CHD) in pregnancy, outline preconception counseling, discuss the associated morbidity and mortality of each lesion, and review current recommendations for management of CHD in pregnancy. Evidence Acquisition: A MEDLINE search of "congenital heart disease in pregnancy" and specific conditions in pregnancy including "ventricular septal defect," "atrial septal defect," "left outflow obstruction," "right outflow obstruction," "tetralogy of Fallot," and "transposition of the great vessels" was performed...
February 2018: Obstetrical & Gynecological Survey
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