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At least 847 records · Page 47Linked to original sources
PubMed1990

[A case of modified Fontan operation for complete atrioventricular canal of right dominance with double-outlet right ventricle, common atrioventricular valve regurgitation].

A 6-year-old boy was diagnosed to have complete atrioventricular canal (CAVC) with double-outlet right ventricle (DORV), common atrium and common atrioventricular valve regurgitation. The atrioventricular junction predominantly connected to the right ventricle (right dominance) and the left ventricle was hypoplastic (LVEDV = 64% of normal). The combination of DORV with right dominant CAVC makes more difficult to make intra-ventricular rerouting. A modified Fontan procedure, atrial partition and DeVega's annuloplasty were successfully performed. It is concluded that Fontan procedure might be preferable rather than intra-ventricular rerouting in this case.

Child↗
PubMed1989

[A case of left atrial ball thrombus observed in a patient with combined valvular heart disease, accompanying anomalous coronary venous run].

A 53-year woman, who had been under observation for combined valvular heart disease, was admitted to our hospital for further examination of embolic episodes to brain and kidney. Echocardiographic examination showed the evidence of free-moving ball thrombus in the left atrium, and emergent cardiac catheterization following the echocardiography confirmed the diagnosis of it as well as mitral stenosis, aortic regurgitation with stenosis, and tricuspid regurgitation. In addition, coronary angiography disclosed the anomalous coronary venous run. With these findings, the cause of embolic episodes was found to be due to the thrombus in the left atrium. In the surgery performed a ball thrombus of 40 x 35 x 36 mm and a mural thrombus of 15 x 35 x 20 mm in size in the left atrium were detected and removed, and both mitral and aortic valves were replaced to artificial ones. She had a good hospital course after the surgery and discharged without any complication. In this report, we discussed a case of left atrial thrombus observed in a combined valvular heart disease, with 29 literatures reported in our country.

Coronary Vessel Anomalies↗
PubMed1989

[Valve insufficiency. Evaluation using color Doppler].

Color Doppler is undoubtedly in the last years main breakthrough in the non invasive definition of regurgitant flows. The detection and quantification of the regurgitant streams, the study of their spatial distribution, the appraisal of their relationships, to anatomical structures, meant a new sight of the physiopathology of valvular insufficiencies. Although this method has an immediate quantitative and qualitative clinical diagnostic interest, its limitations and pitfalls need further investigation. This improvement of technical quality of the equipment and the lowering of its price will surely extend its application beyond its actual limits making color Doppler a routine diagnostic tool in the evaluation of the cardiac patient.

Aortic Valve Insufficiency↗
PubMedDate not supplied

[Surgery of congenital cardiopathies without catheterization: initial experience with 141 consecutive cases].

Our initial experience with surgical treatment of congenital heart disease in 141 consecutive cases without the need of hemodynamic study is described. Ages ranged between 1 day and 15 years; 39 cases under 1 months of age (23 in the first week of life), 38 between 1 and 12 months, and 64 above 1 year of age. Diagnosis were: ductus 32 cases, atrial septal defect 24, Fallot's tetralogy 14, aortic coarctation 13, complete AV canal defect 7, D-transposition of the great arteries 5, ventricular septal defect 6, pulmonary atresia with intact ventricular septum 5, aortic stenosis 3, tricuspid atresia 4, pseudotruncus 2, univentricular heart 2, atrial myxomas, 2, Fallot's like 3, other type of congenital heart defect 19 cases. There was an adequate correlation between eco-2D images and anatomic-surgical findings. In conclusion, we think that a great percentage of cases affected of congenital heart disease should be considered for surgery without the need of a hemodynamic and angiocardiographic study.

Adolescent↗
PubMedDate not supplied

[Double inlet left ventricle].

Twenty-five cases of double-inlet left ventricle, 23 in atrial situs solitus and 2 with dextroisomerism are described. Twenty had both atrioventricular valves and in 3 a common atrioventricular valve connected to the left ventricle. In rest, the left atrioventricular valve was straddling over the left-sided right ventricle in about 15%. The position of the rudimentary right ventricle varied from superior, anterior and to the right of left ventricle (6 with transposition and 9 with concordant ventriculo arterial connection), to superior anterior and to the left of left ventricle (10 cases, all with transposition). Five cases had stenosis of the left atrioventricular valve and 2 stenosis of the right one. In 11, the clinical presentation was dominated by cyanosis, reduced pulmonary blood flow and right to left shunt. The rest had cyanosis and congestive heart failure. Five patients with right ventricle on the left had complete atrioventricular block, 9 right AQRS orientation and all of them findings of left ventricle hypertrophy. Three cases showed initial Q wave in VI and one left bundle branch block. Cases with right ventricle on the right, had left QRS orientation, left ventricle hypertrophy and 2 complete atrioventricular block. Cross-sectional echoes showed in 13, two atrioventricular valves committed to the left ventricle; in 3 of them the right ventricle was visualized. In 22 cases angiography determined the type of atrioventricular connection. Double inlet left ventricle is one of the most challenging diagnosis in congenital heart disease. Considering its lack of clinical specificity and according to our results, the electrocardiogram, echocardiogram and angiographic findings are of great help for its identification.

Adolescent↗
PubMed1986

Valvular heart disease in the elderly.

Patients with isolated or combined valvular heart disease who reach old age without symptoms or functional impairment can usually be managed with medical therapy. Prevention of infective endocarditis is important. When symptoms impair activities of daily living, surgery should be considered. Aortic stenosis is the most important valvular lesion in the aged and its severity is often underestimated; valve replacement markedly improves the prognosis for symptomatic patients with significant valvular obstruction.

Aged↗