333,253 results match your criteria Congenital Diaphragmatic Hernia Imaging


Apgar Scoring System in Brazil's Live Births Records: Differences between Home and Hospital Births.

Rev Bras Ginecol Obstet 2018 Dec 12. Epub 2018 Dec 12.

Department of Radiology and Oncology, Universidade de São Paulo, São Paulo, SP, Brazil.

Objective:  To promote informed choice for women and to compare home and hospital births in relation to the Apgar score.

Methods:  Mother's profile and Apgar score of naturally born infants (without forceps assistance) in Brazil between 2011 and 2015, in both settings-hospital or home-were collected from live birth records provided by the Informatics Department of the Unified Health System (DATASUS, in the Portuguese acronym). For the analysis, were included only data from low-risk deliveries, including gestational time between 37 and 41 weeks, singleton pregnancy, at least four visits of prenatal care, infants weighing between 2,500 g, and 4,000 g, mother age between 20-40 years old, and absence of congenital anomalies. Read More

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December 2018

Detecting moderate or complex congenital heart defects in adults from an electronic health records system.

J Am Med Inform Assoc 2018 Dec;25(12):1634-1642

Emory University School of Medicine, Atlanta, GA, USA.

Background: The prevalence of moderate or complex (moderate-complex) congenital heart defects (CHDs) among adults is increasing due to improved survival, but many patients experience lapses in specialty care or their CHDs are undocumented in the medical system. There is, to date, no efficient approach to identify this population.

Objective: To develop and assess the performance of a risk score to identify adults aged 20-60 years with undocumented specific moderate-complex CHDs from electronic health records (EHR). Read More

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December 2018

Simultaneous operative repair of pectus excavatum and concurrent congenital heart defects.

Interact Cardiovasc Thorac Surg 2018 Dec 11. Epub 2018 Dec 11.

Department of Cardiothoracic Surgery, Hunan Children's Hospital, Changsha, China.

Objectives: The aim of this study is to describe an effective surgical strategy for the treatment of children with pectus excavatum (PE) and concurrent congenital heart defect (CHD).

Methods: We retrospectively reviewed the medical records of all children (n = 16) who underwent simultaneous repair of PE with concurrent CHD at the Hunan Children's Hospital from July 2007 to December 2017. Among them, 7 patients had a simple atrial septal defect (ASD); 4 patients had a simple ventricular septal defect (VSD); 3 patients had both VSD and ASD; 1 patient had VSD, ASD and patent ductus arteriosus; and 1 patient had VSD complicated by pulmonary hypertension. Read More

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December 2018

Education and work participation among adults with congenital unilateral upper limb deficiency in Norway: A cross-sectional study.

PLoS One 2018 12;13(12):e0207846. Epub 2018 Dec 12.

Innlandet Hospital Trust, Department of Physical Medicine and Rehabilitation, Ottestad, Norway.

Objectives: To describe level of education and work participation among adults with congenital unilateral upper limb deficiency (CUULD) in Norway and to explore associations between work participation and demographic and clinical factors.

Methods: Cross-sectional study. In 2012, a postal questionnaire was sent to 186 persons with congenital limb deficiency (CLD), age ≥ 20 years, registered at the TRS National Resource Center for Rare Disorders. Read More

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December 2018

Pediatric Eosinophilic Esophagitis: Results of the European Retrospective Pediatric Eosinophilic Esophagitis Registry (RetroPEER).

J Pediatr Gastroenterol Nutr 2018 Dec 11. Epub 2018 Dec 11.

Institute of Gastroenterology, Nutrition, and Liver Disease, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.

Objectives: Recommendations for diagnosing and treating eosinophilic esophagitis (EoE) are evolving; however, information on real world clinical practice is lacking. To assess the practices of pediatric gastroenterologists diagnosing and treating EoE and to identify the triggering allergens in European children.

Methods: Retrospective anonymized data were collected from 26 European pediatric gastroenterology centers in 13 countries. Read More

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December 2018

Total Knee Arthroplasty in Patients with Familial Patellar Absentia Syndrome: A 40-Year Update: A Case Report.

JBJS Case Connect 2018 Dec 12. Epub 2018 Dec 12.

Department of Orthopaedic Surgery, Northwell Health, Huntington Hospital, Huntington, New York.

Case: Isolated patella absentia is an extremely rare phenomenon, with only a few published cases and even fewer follow-up reports. Nearly 40 years after the initial presentation of 2 brothers with bilateral congenital absence of the patella and the publication of a case report, we report the clinical and radiographic findings of their subsequent tibiofemoral osteoarthritis, which was treated with bilateral total knee arthroplasty.

Conclusion: Understanding the biomechanical complications associated with congenital absence of the patella as it relates to a stable knee is vital; in the case of degenerative changes, total knee arthroplasty appears to provide a long-term solution for these patients. Read More

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December 2018

Bilateral Congenital Vertical Talus in Association with Beals Contractural Arachnodactyly: A Case Report.

JBJS Case Connect 2018 Dec 12. Epub 2018 Dec 12.

Southland Hospital/University of Otago, Invercargill, New Zealand.

Case: Congenital vertical talus (CVT) is a rare rigid flatfoot disorder with a rocker-bottom flatfoot appearance. It is characterized by hindfoot valgus and equinus, with associated midfoot dorsiflexion and forefoot abduction. We describe a patient who was born with dysmorphic features and subsequently was diagnosed with Beals contractural arachnodactyly. Read More

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December 2018

The Effectiveness of an International Cleft Mission Model in Asia: An Update.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S23-S28

Plastic and Reconstructive Surgery and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.

Background: Cleft lip/palate is a congenital craniofacial anomaly affecting patients physically and psychosocially and has contributed to the global burden of surgical disease, especially in underprivileged areas. For 20 years, Noordhoff Craniofacial Foundation (NCF) and the Chang Gung Craniofacial Center (CGCFC) have carried out missions to these areas. Rather than implementing short-term missions that lack proper follow-up care, the team has provided an effective, long-term, and multidisciplinary approach for the treatment of patients with cleft lip/palate. Read More

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January 2019

A Minimally Invasive Approach for Placing Sew-On Epicardial Leads in the Child.

Innovations (Phila) 2018 Dec 5. Epub 2018 Dec 5.

LSI SOLUTIONS, Victor, NY USA.

Traditionally, pacing leads are placed transvenously, although smaller pediatric patients who require permanent pacemakers may benefit from delaying tranvenous lead placement until they are larger. Alternative, minimally invasive atrioventricular pacing options have not previously existed for this patient population, leaving many of these children with large sternotomies or thoracotomies. Using three port sites and an adjustable shaft dual-needle suturing device, we placed a steroid-eluting, sew-on epicardial lead on the right atrium of a 9-year-old patient. Read More

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December 2018

Congenital blindness is protective for schizophrenia and other psychotic illness. A whole-population study.

Schizophr Res 2018 Dec 7;202:414-416. Epub 2018 Jul 7.

Centre for Clinical Research in Neuropsychiatry, Division of Psychiatry, Faculty of Health and Medical Sciences, University of Western Australia, Medical Research Foundation Building, Rear 50, Murray Street, Perth 6000, Australia.

Congenital/early blindness is reportedly protective against schizophrenia. Using a whole-population cohort of 467,945 children born in Western Australia between 1980 and 2001, we examined prevalence of schizophrenia and psychotic illness in individuals with congenital/early blindness. Overall, 1870 children developed schizophrenia (0. Read More

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December 2018

Biobanking of Urine Samples.

Authors:
Neda A Moatamed

Methods Mol Biol 2019 ;1897:115-124

Department of Pathology and Laboratory Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA.

Urine is a major repository of biometabolites, some proteins, and DNA. Within the past few decades, it has become increasingly apparent that certain infectious, neoplastic, and congenital diseases can be investigated using urine samples for diagnostic and prognostic purposes. In this chapter, a number of pertinent urine analytes and methods of banking urine samples for future analyses are discussed. Read More

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January 2019

Congenital pial AVF along the falx cerebri with complete agenesis of the corpus callosum and bilateral parasagittal pachygyria-polymicrogyria secondary to chronic ischemia.

Childs Nerv Syst 2018 Dec 11. Epub 2018 Dec 11.

Department of Diagnostic Imaging, National University Health System, 1E Kent Ridge Rd, Singapore, 119228, Singapore.

Objective: Pial arteriovenous fistula (AVF) is an extremely rare entity due to direct arterial connection with the venous plexus without an intervening capillary network. The objective of this article is to describe a unique case of congenital pial AVF along the interhemispheric falx with complete callosal agenesis and malformation of cortical development within the bilateral anterior cerebral artery territories. We also demonstrated the distinctive feature of temporal stability of the extensive intracranial abnormalities without active intervention. Read More

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December 2018

Fifty-Five Years Follow-Up of 111 Adult Survivors After Biventricular Repair of PAIVS and PS.

Pediatr Cardiol 2018 Dec 11. Epub 2018 Dec 11.

Division of Paediatric Cardiology, Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, 102, Pokfulam Road, Hong Kong, China.

There is paucity of long-term data on adult survivors after biventricular repair of pulmonary atresia with intact ventricular septum (PAIVS) and pulmonary stenosis (PS). This study aimed to determine the cardiac and non-cardiac outcomes of adult survivors after biventricular repair of PAIVS and PS. The cardiac, neurodevelopmental and liver problems of 111 adults, 40 with PAIVS and 71 with PS, were reviewed. Read More

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December 2018

Can Abbreviated Cardiac Magnetic Resonance Imaging Adequately Support Clinical Decision Making After Repair of Tetralogy of Fallot?

Pediatr Cardiol 2018 Dec 11. Epub 2018 Dec 11.

Division of Pediatric Cardiology, University of Nebraska College of Medicine and Children's Hospital and Medical Center, 8200 Dodge St, Omaha, NE, 68114, USA.

Quantification of pulmonary regurgitation (PR), pulmonary flow distribution, and ventricular function is important for clinical surveillance in repaired Tetralogy of Fallot (TOF). Cardiovascular magnetic resonance (CMR) is the established reference, but cost, test duration, and patient discomfort are potential limitations to its serial use. We investigated whether an Abbreviated CMR protocol would alter clinical decisions in TOF from those that would have been made using a full protocol. Read More

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December 2018

Risk of Clinically Relevant Pericardial Effusion After Pediatric Cardiac Surgery.

Pediatr Cardiol 2018 Dec 11. Epub 2018 Dec 11.

Division of Pediatric Cardiology, Department of Pediatrics, Leiden University Medical Center, PO Box 9600, 2300RC, Leiden, The Netherlands.

Pericardial effusion (PE) after pediatric cardiac surgery is common. Because of the lack of a uniform classification of the presence and severity of PE, we evaluated PE altering clinical management: clinically relevant PE. Risk factors for clinically relevant PE were studied. Read More

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December 2018

Health-Related Quality of Life and Psychological Adjustment of Children and Adolescents with Pacemakers and Implantable Cardioverter Defibrillators: A Systematic Review.

Pediatr Cardiol 2018 Dec 11. Epub 2018 Dec 11.

Department of Cardiology, Pediatric Heart Centre, University Children's Hospital Zurich, Steinwiesstr. 75, 8032, Zurich, Switzerland.

The absence of cardiac symptoms, the improved exercise tolerance and the increased life expectancy are the advantages of a successful cardiac device therapy. Nevertheless, the fact of a lifelong device dependency, the inherent possibility of device malfunction and the progression of the underlying heart disease may impact the health-related quality of life (HRQoL) and the psychological adjustment of these individuals. To date, an overview of findings on these topics is lacking. Read More

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December 2018

15q23 Gain in a Neonate with a Giant Omphalocele and Multiple Co-Occurring Anomalies.

Case Rep Pediatr 2018 13;2018:8702568. Epub 2018 Nov 13.

The Department of Pathology and Immunology, Washington University School of Medicine, Saint Louis, MO 63110, USA.

Background: Omphalocele is a rare congenital abdominal wall defect. It is frequently associated with genetic abnormality and other congenital anomalies, although isolated omphalocele cases do exist. Data have shown that omphalocele with co-occurring genetic abnormality has worse prognosis than isolated omphalocele. Read More

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November 2018

Anaesthetic Considerations in a Patient with Pycnodysostosis undergoing Caesarean Delivery.

Case Rep Anesthesiol 2018 13;2018:5675637. Epub 2018 Nov 13.

Department of Anesthesia, Hospital Unit Vest, Herning, Denmark.

Pycnodysostosis is a rare congenital disorder with several implications, which might complicate anesthesia. Patients are more prone to fractures and have an anticipated difficult airway. We report a case of a 34-year-old woman with pycnodysostosis who underwent elective caesarean delivery under epidural blockade. Read More

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November 2018

First two cases of craniomaxillofacial fibrous dysplasia from Nepal - case series.

Clin Cosmet Investig Dent 2018 26;10:269-274. Epub 2018 Nov 26.

Department of Oral and Maxillofacial Surgery, Chitwan Medical College and Teaching Hospital, Bharatpur-10, Chitwan, Nepal.

Fibrous dysplasia is a benign fibro-osseous disease of the bone, which is most commonly associated with congenital mutations in cAMP regulating protein Gsα coded by gene. Often it is seen involving the craniofacial skeleton and can range from an asymptomatic monostotic form to polyostotic variant involving almost all the bones of the skull, thereby leading to functional and esthetic problems. This requires a continuous monitoring of the involved region throughout the life of the patient, even after the surgical interventions. Read More

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November 2018

A novel de novo mutation in a patient with Holt-Oram syndrome.

Appl Clin Genet 2018 23;11:157-162. Epub 2018 Nov 23.

Center for Research on Congenital Anomalies and Rare Diseases (CIACER), Department of Basic Medical Sciences, Universidad Icesi, Cali, Valle del Cauca, Colombia,

Holt-Oram syndrome (HOS) is an autosomal dominant disorder characterized by congenital cardiac defects and congenital deformities of the upper limbs. Herein, we report the case of a 2-year-old patient presenting with clinical diagnostic criteria of HOS with interatrial and interventricular communication associated with hip dysplasia and upper limb reduction composed of radial ray anomaly. A novel de novo, potentially pathogenic variant in the gene at NM_181486. Read More

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November 2018

Novel gene mutation in a patient with Menkes disease.

Appl Clin Genet 2018 22;11:151-155. Epub 2018 Nov 22.

Health Sciences Faculty, Universidad Icesi, Cali, Colombia,

Background: Menkes disease is a congenital neurodegenerative disorder caused by gene mutations. Clinical features include epilepsy, growth delay, reduced muscle strength, skin laxity, abnormal hair, and urologic abnormalities.

Case Presentation: We describe an infant with developmental delay, neurologic degeneration, and kinky hair. Read More

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November 2018
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The role of promoter gene polymorphisms in causing hypodontia: a study in the Jordanian population.

Appl Clin Genet 2018 21;11:145-149. Epub 2018 Nov 21.

Department of Applied Dental Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan.

Background: The congenital absence of one or few teeth, hypodontia, is considered one of the utmost dental ageneses in human beings. Several genes have been shown to be involved in the development of hypodontia such as paired box gene 9 (). The expression of is controlled by several polymorphic elements in the promoter region of the gene on 14q13. Read More

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November 2018

Seroprevalence of human infection among pregnant women in Charsadda, KP, Pakistan.

J Parasit Dis 2018 Dec 15;42(4):554-558. Epub 2018 Oct 15.

2Department of Biotechnology, Bacha Khan University, Charsadda, KP Pakistan.

Toxoplasmosis is a very common and asymptomatic infection caused by Pregnant women can develop serious complications if the infection passes to the developing fetus. Primary infection in the pregnant women during the gestation period will result in the development of severe systemic disease with temporary parasitemia and will affect the developing fetus. Several clinical complications can be observed in the congenitally infected children which include mild disease to serious health defects such as mental retardation. Read More

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December 2018

Insights Figure for "Susceptibility to congenital heart defects associated with a polymorphism in TBX2 3' untranslated region in the Han Chinese population".

Authors:
Feng Wang

Pediatr Res 2018 Dec 11. Epub 2018 Dec 11.

Children's Hospital of Fudan University, Cardiology, Shanghai, China.

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December 2018

Intramedullary spinal tumor-like lesions.

Acta Radiol 2018 Dec 11:284185118809540. Epub 2018 Dec 11.

4 Department of Diagnostic Imaging, Institute of Mother and Child, Warsaw, Poland.

The development of magnetic resonance imaging (MRI) has led to an increasingly frequent detection of changes in the spinal cord. The most common intramedullary lesions are: demyelinating; vascular; inflammatory; infectious; and congenital, largely called tumor-like lesions. Spinal cord tumors are relatively rare, as compared with brain tumors. Read More

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December 2018

Clinical and Pathological Analysis of Two Cases of Cutaneous Malignant Melanoma.

Curr Health Sci J 2015 Jul-Sep;41(3):274-280. Epub 2015 Mar 15.

Pathology dept., Clinical Emergency County Hospital of Craiova.

The purpose of this study was the clinical and histo-immunohistochemical analysis of two cases: a cutaneous pigmented facial malignant melanoma and a lumbar congenital nevus with malignant transformation. A series of clinical elements raised the suspicion of some malignant melanocytic lesions and the histopathological analysis through the paraffin embedding technique confirmed the clinical suspicion. The immunohistochemical analysis using the streptavidin-biotin-peroxydase method of the facial malignant melanoma showed: S100 protein intense and diffuse positive, Tyrosinase diffuse positive, HMB45 strong and focal positive, Cyclin D1 positive in approximately 40% and Ki-67 positive in almost 70% of the tumor cells. Read More

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Quadricuspid aortic valve associated with idiopathic dilated cardiomyopathy: A case report.

J Cardiol Cases 2014 Jun 18;9(6):233-235. Epub 2014 Apr 18.

Cardiovascular Division, Department of Medicine II, Kansai Medical University, Osaka, Japan.

A patient without any known congenital cardiac abnormalities who suffered from ventricular tachycardia was taken to the emergency room following successful resuscitation. Transthoracic echocardiography showed diffuse left ventricle dysfunction and mild aortic regurgitation. Coronary angiography demonstrated intact coronary and suspected morphological abnormalities of the aortic valve. Read More

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Complete congenital absence of the pericardium: An incidental finding.

J Cardiol Cases 2013 Nov 26;8(5):148-150. Epub 2013 Sep 26.

Cardiovascular Department, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool FY3 8NR, United Kingdom.

A 62-year-old male presented with generalized aches and pains accompanied by night sweats and weight loss. Clinical examination was unremarkable and the chest X-ray was reported as normal. Subsequent computed-tomography thorax and bone marrow aspirate diagnosed a diffuse large B-cell lymphoma. Read More

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November 2013

'A twist in the heart' - Echocardiographic diagnosis of criss-cross heart.

J Cardiol Cases 2015 Jul 1;12(1):23-25. Epub 2015 May 1.

Department of Cardiology, Government Medical College, Kozhikode, Kerala, India.

Criss-cross heart is an extremely rare congenital anomaly seen in less than 0.1% of all congenital heart diseases. We present a case of criss-cross heart in a 13-year-old boy. Read More

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A late presentation of an anomalous left coronary artery originating from the pulmonary artery (ALCAPA): A case study and review of the literature.

J Cardiol Cases 2015 Feb 22;11(2):56-59. Epub 2014 Nov 22.

Department of Internal Medicine, Division of Cardiovascular Medicine, University of Massachusetts, Worcester, MA, USA.

Background: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome, is a rare congenital condition which can manifest as various cardiac symptoms.

Case Report: A 66-year-old woman who presented for pre-operative surgical risk assessment for hip surgery underwent a nuclear stress test which revealed a large reversible anterior defect. At coronary angiography she was found to have ALCAPA. Read More

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February 2015

Successful percutaneous intervention of proximal left anterior descending artery in a case of single coronary artery trunk.

J Cardiol Cases 2014 Dec 19;10(6):205-207. Epub 2014 Aug 19.

Shiraz University of Medical Sciences, Shiraz Cardiovascular Research Center, Shiraz, Iran.

Congenital coronary anomalies are mostly asymptomatic, detected accidentally during invasive or non-invasive imaging. One of the least encountered of such anomalies is single coronary ostium. Considering the fact that the whole myocardium is perfused by a single coronary vessel, performing percutaneous coronary stenting is a challenge for interventional cardiologists with some authors even considering it as a contraindication. Read More

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December 2014

Giant left atrial aneurysm.

J Cardiol Cases 2014 Oct 17;10(4):144-146. Epub 2014 Jul 17.

Department of Echocardiography, Shaheed Rajaei Heart Center, Tehran, Iran.

Congenital aneurysmal dilatation of the left atrium is a rare anomaly that could be associated with supraventricular arrhythmias and life-threatening systemic embolization. We describe a 32-year-old man with a giant left atrial aneurysm diagnosed with new imaging modalities that underwent surgical resection with good results. < Left atrial aneurysms are rare and characterized by their origin from an otherwise normal atrium, a clearly defined communication with the atrial cavity, and their intrapericardial location. Read More

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October 2014

Successful arterial switch operation for transposition of the great arteries with intact ventricular septum and congenital diaphragmatic hernia: A case report.

J Cardiol Cases 2014 Jul 17;10(1):39-41. Epub 2014 May 17.

Department of Cardiology, Aichi Children's Health and Medical Center, Obu, Japan.

We report performing a successful arterial switch operation on a full-term male infant with transposition of the great arteries and intact ventricular septum associated with a congenital diaphragmatic hernia. The patient developed severe persistent pulmonary hypertension after successful repair of a left congenital diaphragmatic hernia that restricted pulmonary blood flow into the hypoplastic left lung, and subsequent unilateral pulmonary congestion of the unaffected right lung occurred because of the hemodynamics generated by the transposition of the great arteries. Intravenous epoprostenol with nitric oxide inhalation and mechanical hypoventilation effectively controlled pulmonary vascular resistance before the arterial switch operation was performed. Read More

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Truncus arteriosus 5th decade transesophageal and transthoracic echocardiogram features.

J Cardiol Cases 2014 Jul 17;10(1):25-30. Epub 2014 May 17.

Andrews Memorial Hospital, TAI Wing, 27 Hope Road, Kingston 10, Jamaica.

Persistent truncus arteriosus in the 5th decade is a rare entity as the only physical anomaly. Truncus arteriosus consists of a single great arterial trunk with the systemic, pulmonary, and coronary circulation, with no atretic aortic or pulmonary vessel. The complex cardiac anatomy can be delineated with transesophageal and transthoracic echocardiography, as is illustrated the case of our patient, who was diagnosed in infancy, at 5 months of age. Read More

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Congenital anomaly of the true double-lumen right coronary artery: An extremely rare case.

J Cardiol Cases 2013 Apr 26;7(4):e119-e120. Epub 2013 Mar 26.

Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

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Conservative management of an elderly patient with Eisenmenger syndrome.

J Cardiol Cases 2013 Apr 30;7(4):e114-e116. Epub 2013 Mar 30.

Department of Internal Medicine, University of Michigan, 2F208 UH, 1500 E. Medical Center Dr., SPC 5052, Ann Arbor, MI 48109-5052, USA.

Background: Eisenmenger syndrome (ES) in the adult population has become exceedingly rare in developed countries owing to better recognition and treatment of congenital malformations of the heart. In the absence of transplantation, most patients survive an average of 20-30 years before succumbing to the cardiovascular and hemostatic sequelae. We present a rare case of an elderly woman with ES secondary to an uncorrected atrial-septum defect. Read More

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The case of 17-year-old male with LEOPARD syndrome.

J Cardiol Cases 2013 Feb 4;7(2):e37-e41. Epub 2012 Dec 4.

Department of Myocardial Dysfunction and Heart Failure, B.V. Petrovsky Russian Research Centre of Surgery RAMS, 119991, Abrikosovky per, 6, Moscow, Russia.

LEOPARD syndrome is a phenotypic expression of mutations in several genes: PTPN11, RAF1, and BRAF. All these genes are responsible for Ras/MARK signaling pathway, which are important for cell cycle regulation, differentiation, growth, and aging. Mutations result in anomalies of skin, skeletal, and cardiovascular systems. Read More

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February 2013
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Gerbode defect misinterpreted as pulmonary hypertension.

J Cardiol Cases 2013 Feb 29;7(2):e34-e36. Epub 2012 Nov 29.

Aventura Hospital and Medical Center, USA.

Survival into adulthood is now routine for patients with congenital heart disease (CHD). Adult cardiology practices increasingly encounter these patients, however, are often challenged by the complexity of the cardiac lesions, prior surgical interventions, and associated conditions. We describe a case of a 64-year-old woman with history of CHD and multiple operations, including surgical aortic valve replacement, who presented for routine evaluation. Read More

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February 2013

A rarely seen fistula between coronary artery-descending aorta in a patient with coarctation of aorta and bicuspid aortic valve stenosis.

J Cardiol Cases 2012 Oct 21;6(4):e103-e105. Epub 2012 Jul 21.

Department of Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli 41300, Turkey.

Congenital heart diseases may be seen isolated as well as in conjunction with other anomalies. Coarctation of aorta forms 6-8% of all congenital heart diseases. Most commonly, it is seen in conjunction with bicuspid aortic valve. Read More

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October 2012

Complex venous malformation in an elderly female: A case report.

J Cardiol Cases 2012 Sep 23;6(3):e81-e83. Epub 2012 Jun 23.

Department of Medicine and Geriatrics, Kochi Medical School, Kohasu, Oko-cho, Nankoku-shi, Kochi 783-8505, Japan.

A 76-year-old female taking oral medications for chronic atrial fibrillation and hypertension was admitted to our hospital for examination of bilateral leg edema. Transthoracic echocardiography showed an enlarged coronary sinus of about 40 mm. Contrast-enhanced computed tomography revealed absence of the left innominate vein, a persistent left superior vena cava, and absence of the hepatic segment of the inferior vena cava. Read More

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September 2012

Iatrogenic atrioventricular reentrant tachycardia following Bjork/Fontan palliation of tricuspid atresia: Electro-anatomic mapping, ablation, review and possible mechanism.

J Cardiol Cases 2012 Sep 25;6(3):e66-e69. Epub 2012 Apr 25.

Michigan Congenital Heart Center, University of Michigan Health System, Ann Arbor, MI, USA.

This case report describes the successful ablation of an iatrogenic accessory pathway in a Fontan patient. A 15-year-old girl with tricuspid atresia was palliated with a Bjork modification Fontan procedure; six years later she developed supraventricular tachycardia. Electro-anatomic mapping during electrophysiology study localized a concealed iatrogenic atrioventricular accessory pathway and facilitated successful ablation using radiofrequency energy. Read More

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September 2012

A rare combination: Single coronary artery originating from the left sinus of valsalva coexisting with perimembranous ventricular septal defect.

J Cardiol Cases 2012 Aug 2;6(2):e39-e41. Epub 2012 May 2.

Rize University Medical Faculty, Department of Cardiovascular Surgery, Rize, Turkey.

Single coronary artery (SCA) is a rare congenital anomaly in which the entire coronary system arises from a solitary ostium. Although an uncommon congenital anomaly, SCA is encountered more frequently in the presence of other congenital cardiac malformations such as persistent truncus arteriosus, tetralogy of Fallot, transposition of the great arteries, or pulmonary atresia. In this report, we present a case of SCA arising from the left sinus of valsalva coexisting with perimembranous ventricular septal defect. Read More

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Pulmonary arterial hypertension in adults with atrial septal defect.

Authors:
Manatomo Toyono

J Cardiol Cases 2012 Jul 11;6(1):e32-e33. Epub 2012 May 11.

Pediatrics, Akita University Hospital, Akita 010-8543, Japan.

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A challenging dual chamber permanent pacemaker implantation in persistent left superior vena cava with absent right superior vena cava.

J Cardiol Cases 2012 Apr 20;5(2):e122-e124. Epub 2012 Jan 20.

Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

An isolated persistent left superior vena cava (PLSVC) with absent right superior vena cava is a rare and generally asymptomatic congenital malformation. It is usually discovered incidentally during a pacemaker implantation or electrophysiological procedures. We report an adult male who underwent successful dual chamber permanent pacemaker implantation through left subclavian approach with a 7-year follow-up showing a still appropriate function of the device. Read More

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Acute myocardial infarction caused by an anomalous left main coronary artery in a 16-year-old boy.

J Cardiol Cases 2012 Feb 20;5(1):e55-e57. Epub 2011 Oct 20.

Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya Japan.

A variety of structural cardiovascular abnormalities have been implicated in deaths of athletes, particularly congenital coronary arteries of anomalous origin, which are rare but major causes of myocardial ischemia and sudden death in young people. We present here the case of a rare congenital coronary artery anomaly in a 16-year-old boy who suffered from acute myocardial infarction due to occlusion of the left main trunk coronary artery, providing specific intravascular ultrasound findings for this anomaly. Read More

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February 2012

Supravalvular thrombus after pulmonary artery banding and fontan procedure evaluated by multidetector-row computed tomography.

J Cardiol Cases 2012 Feb 2;5(1):e51-e54. Epub 2011 Oct 2.

Department of Diagnostic and Therapeutic Radiology, Ehime University Graduate School of Medicine, Shitsukawa, Toon 791-0295, Japan.

The mechanisms responsible for thromboembolic events in children with congenital heart disease have not yet been fully elucidated. Furthermore, establishment of long-term anticoagulation therapy in Fontan patients remains controversial. Here, we report the case of a 9-year-old boy who presented with hemiparesis due to a thromboembolic stroke; the boy had previously undergone staged pulmonary artery banding and Fontan procedure. Read More

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February 2012

Hypoplastic coronary artery disease: A rare cause of sudden cardiac death and its treatment with an implantable defibrillator.

J Cardiol Cases 2011 Dec 14;4(3):e148-e151. Epub 2011 Sep 14.

University of Chicago Medical Center, 5841 South Maryland Avenue, MC 6080, Chicago, IL 60637, USA.

A 21-year-old African American male presented to the emergency department after an episode of unexplained syncope. He had no significant past medical history. The initial physical examination was within normal limits, and his 12-lead electrocardiogram showed no signs of ischemia or evidence of chamber enlargement. Read More

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December 2011

Congenital coronary artery fistula presenting later in life.

J Cardiol Cases 2011 Aug 21;4(1):e43-e46. Epub 2011 Jun 21.

Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA.

A 53-year-old male presented to our tertiary medical center with complaints of dyspnea and exertional chest pain with mild left ventricular dysfunction and right ventricular enlargement on echocardiography. Cardiac catheterization showed a congenital right coronary artery fistula communicating with the right sided chambers. Using contrast enhanced multi-detector computed tomography scan, the fistula was clearly draining into the coronary sinus. Read More

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Literature review of apheresis procedures performed perioperatively in cardiac surgery for ASFA category indications.

J Clin Apher 2018 Dec 8. Epub 2018 Dec 8.

Department of Clinical Hematology - Blood Bank and Hemostasis, Onassis Cardiac Surgery Center, Kallithea, Greece.

Background: Perioperative therapeutic plasma exchange in patients with cardiovascular diseases poses several challenges, including alterations in intravascular volume, serum electrolytes, the coagulation cascade, and drug pharmacokinetics.

Methods: This review article summarizes different indications of plasma exchange for patients requiring cardiac surgery based on reported case reports and case series.

Results: The most common reported indication is plasma exchange for the management of allosensitized cardiac transplant candidate patients in combination with immunosuppressive regimens, which increases the likelihood of obtaining a cross-match-negative allograft, improving post-transplant clinical outcome. Read More

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December 2018

Contrast-enhanced ultrasonography is a feasible technique for quantifying hepatic microvascular perfusion in dogs with extrahepatic congenital portosystemic shunts.

Vet Radiol Ultrasound 2018 Dec 9. Epub 2018 Dec 9.

Laboratory of Veterinary Internal Medicine, Department of Veterinary Clinical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Hokkaido, Japan.

Extrahepatic-congenital portosystemic shunt is a vascular anomaly that connects the portal vein to the systemic circulation and leads to a change in hepatic microvascular perfusion. However, an assessment of hepatic microvascular perfusion is limited by conventional diagnostic modalities. The aim of this prospective, exploratory study was to assess hepatic microvascular perfusion in dogs with extrahepatic-congenital portosystemic shunt using contrast-enhanced ultrasonography (CEUS) using perfluorobutane (Sonazoid ). Read More

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December 2018