5,754 results match your criteria Imaging in Atrial Septal Defects


A Dangerous Detour.

N Engl J Med 2019 Apr;380(14):1360-1365

From the Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston.

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http://dx.doi.org/10.1056/NEJMcps1803916DOI Listing
April 2019
1 Read

A Dangerous Detour.

N Engl J Med 2019 Mar;380(13):e18

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http://dx.doi.org/10.1056/NEJMimc1804660DOI Listing
March 2019
2 Reads

Cocoon devices for transcatheter closure of atrial septal defect and patent ductus arteriosus in children: Single center experience.

Medicine (Baltimore) 2019 Mar;98(10):e14684

"Marie Curie" Emergency Children's Hospital, Constantin Brâncoveanu Avenue, Bucharest, Romania.

Closure of the atrial septal defect (ASD) and patent ductus arteriosus (PDA) are among the most frequent cardiac interventional procedures. This was a prospective study, which started together with the implementation of a national program of pediatric interventional cardiology in Romania. We used Cocoon devices in 83 consecutive cases from 92 implantations for ASD and PDA. Read More

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http://dx.doi.org/10.1097/MD.0000000000014684DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417521PMC
March 2019
1 Read

Atrial Septal Defect of the Ostium Secundum Type in A 101-Year-Old Patient.

Int Heart J 2019 Mar 22;60(2):489-491. Epub 2019 Feb 22.

Department of Cardiology, Juntendo University.

The patient was a 101-year-old woman whose chief complaints were difficulty of breathing and high fever. The history of the present illness included paroxysmal atrial flutter which was untreated, but she had not developed heart failure.At admission, auscultation of the chest revealed moist rales and systolic murmur but did not clearly show the presence of fixed splitting of S2. Read More

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http://dx.doi.org/10.1536/ihj.18-354DOI Listing

Tricuspid valve dysplasia and a patent foramen ovale resulting in severe tricuspid regurgitation and right-heart dilation in a Red Angus calf.

J Vet Cardiol 2019 Feb 11;21:28-33. Epub 2018 Dec 11.

Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, 2015 Linden Drive, Madison, WI 53706, USA.

A two-month-old Red Angus heifer calf presented to the University of Wisconsin Veterinary Care for evaluation of suspected severe bronchopneumonia. Pertinent physical exam findings included tachycardia, tachypnea, dyspnea with a significant abdominal component, and cyanotic mucous membranes. On thoracic auscultation, wheezes were present bilaterally, as well as a grade 2/6 right apical systolic murmur. Read More

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http://dx.doi.org/10.1016/j.jvc.2018.10.005DOI Listing
February 2019
1 Read

Total anomalous pulmonary venous connection in a mature dog.

J Vet Cardiol 2019 Feb 6;21:10-17. Epub 2018 Dec 6.

Royal (Dick) School of Veterinary Studies, University of Edinburgh, Roslin, Midlothian, EH25 9RG, UK.

A 2-year 10-month, male neutered, crossbreed dog presented for evaluation of cyanosis and exercise intolerance. Doppler echocardiography revealed severe dilation of the right atrium and right ventricle with moderate pulmonary hypertension. Right-to-left shunting across a large ostium secundum atrial septal defect was confirmed by contrast echocardiography. Read More

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http://dx.doi.org/10.1016/j.jvc.2018.11.003DOI Listing
February 2019

[Paradoxical embolism due to a persistent patent foramen ovale. Report of one case].

Rev Med Chil 2018 Dec;146(10):1210-1214

Unidad de ecocardiografía, Hospital Clinic, Barcelona, España.

Patent Foramen Ovale (PFO) is one of the most frequent congenital defects in adults. Its prevalence in middle-aged adults is close to 25-30% and may cause paradoxical embolic phenomena. We report a 45 years old male admitted for an ischemic stroke with an occlusion of the left terminal internal carotid artery. Read More

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http://dx.doi.org/10.4067/S0034-98872018001001210DOI Listing
December 2018
3 Reads

Sensitivity of contrast-enhanced transthoracic echocardiography for the detection of residual shunts after percutaneous patent foramen ovale closure.

Medicine (Baltimore) 2019 Jan;98(4):e14276

Department of Cardiology, Dalian Municipal Central Hospital affiliated of Dalian Medical University, Dalian, Liaoning, China.

The objective of this study is to investigate the sensitivity of contrast-enhanced transthoracic echocardiography (c-TTE) versus transesophageal echocardiography (TEE) to detect a residual right-to-left shunt (RLS) following a transcatheter patent foramen ovale (PFO) closure.A self-controlled study was conducted in a tertiary referral hospital. 57 patients with PFO who had experienced migraines underwent percutaneous PFO closure. Read More

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http://Insights.ovid.com/crossref?an=00005792-201901250-0008
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http://dx.doi.org/10.1097/MD.0000000000014276DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358410PMC
January 2019
16 Reads

Tilting the balance: hemidiaphragm paralysis leading to right to left cardiac shunt.

BMJ Case Rep 2018 Dec 3;11(1). Epub 2018 Dec 3.

Internal Medicine, Abington Hospital - Jefferson Health, Abington, Pennsylvania, USA.

Patent foramen ovale (PFO) is a congenital abnormality present in 25%-30% of healthy adults and rarely leads to any sequelae. It is associated with a left-to-right shunt which usually does not lead to any haemodynamic compromise. Occasionally, the shunt can get reversed; that is, right-to-left shunt occurs due to worsening pulmonary hypertension and can lead to persistent hypoxia. Read More

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http://www.bmj.com/lookup/doi/10.1136/bcr-2018-227944
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http://dx.doi.org/10.1136/bcr-2018-227944DOI Listing
December 2018
18 Reads

Echocardiographic evaluation of prevalence of pulmonary hypertension in β-thalassemia major: A cross sectional study.

Pediatr Hematol Oncol 2018 Aug - Sep;35(5-6):322-330. Epub 2018 Nov 23.

c Oncology Research Center , Tabriz University of Medical Sciences , Tabriz , Iran.

Introduction: Pulmonary hypertension is a common complication associated with thalassemia syndromes and it may play an important role in the pathogenesis of right ventricle failure. The true prevalence of pulmonary hypertension in patients with thalassemia major remains unclear and has been reported to be between 2 and 79%.

Materials And Methods: In total, 70 patients with thalassemia major were initially examined. Read More

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http://dx.doi.org/10.1080/08880018.2018.1534914DOI Listing
March 2019
11 Reads

A Proposed Etiology for Atrial Tachyarrhythmia in Neonates with Atrial Septal Aneurysms.

Pediatr Cardiol 2019 Jan 13;40(1):230-233. Epub 2018 Nov 13.

Pediatric Cardiology, Department of Pediatrics, Rush University Medical Center, Chicago, IL, USA.

An atrial septal aneurysm (ASA) is an increasingly recognized entity that involves septal tissue significantly bulging into either atria instead of remaining in a relatively neutral position. ASAs may be described based on the length of the segment of atrial septal tissue involved as well as the distance and direction of excursion into the atria throughout the cardiac cycle. Complications associated with ASA include arrhythmias and thromboembolic events with the latter usually in the context of atrial shunting. Read More

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http://link.springer.com/10.1007/s00246-018-2017-2
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http://dx.doi.org/10.1007/s00246-018-2017-2DOI Listing
January 2019
21 Reads

Cor triatriatum dexter with right ventricular hypoplasia: Role of multimodality imaging in decision making.

Echocardiography 2018 12 9;35(12):2113-2116. Epub 2018 Nov 9.

Cleveland Clinic Children's Hospital, Cleveland, Ohio.

Cor Triatriatum Dexter (CTD) is a rare congenital anomaly involving the systemic venous valves. Failure of regression of the right-sided sinus venosus valve leads to abnormal septation of the right atrium and a variety of right atrial and tricuspid valve obstructive lesions. The presentation can be varied ranging from asymptomatic to persistent neonatal cyanosis. Read More

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http://doi.wiley.com/10.1111/echo.14175
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http://dx.doi.org/10.1111/echo.14175DOI Listing
December 2018
18 Reads

Transesophageal echocardiography and fluoroscopy for percutaneous closure of atrial septal defects: A comparative study.

Medicine (Baltimore) 2018 Oct;97(43):e12891

The aim of the study was to compare transesophageal echocardiography (TEE) and fluoroscopy for percutaneous atrial septal defect (ASD) closure.This was a retrospective analysis of children who underwent percutaneous ASD closure. The procedure was guided by TEE without fluoroscopy in 130 patients (TEE group) and by fluoroscopy in 163 patients (fluoroscopy group). Read More

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http://dx.doi.org/10.1097/MD.0000000000012891DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221610PMC
October 2018
8 Reads

Safety and effectiveness of transcatheter closure of atrial septal defects: Initial results in Fukushima Prefecture.

Fukushima J Med Sci 2018 Dec 6;64(3):151-156. Epub 2018 Nov 6.

Department of Cardiovascular Medicine, Fukushima Medical University.

Background: Atrial septal defect is the third most common type of congenital heart disease. Surgical closure was the standard treatment for atrial septal defects before transcatheter closure was approved as minimally invasive treatment in Japan in 2006. In our hospital, this procedure has been performed since 2015. Read More

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https://www.jstage.jst.go.jp/article/fms/advpub/0/advpub_201
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http://dx.doi.org/10.5387/fms.2018-13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305785PMC
December 2018
14 Reads

Residual Shunt after Patent Foramen Ovale Device Closure in Patients With Cryptogenic Stroke: Serial Bubble Contrast Transesophageal Echocardiography Data.

J Stroke Cerebrovasc Dis 2019 Feb 3;28(2):347-353. Epub 2018 Nov 3.

Department of Cardiology, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea. Electronic address:

Background: Percutaneous closure of patent foramen ovale (PFO) is an alternative option to medical treatment for secondary prevention for cryptogenic stroke (CS). Despite technical success of procedure, residual shunt (RS) which is a presumable cause for recurrent stroke is observed in some patients. We evaluated the RS with serial follow-up bubble contrast transesophageal echocardiography (BCTEE) after PFO closure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10523057183058
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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.10.006DOI Listing
February 2019
21 Reads

Successful Transcatheter Atrial Septal Defect Closure Prior to Coronary Artery Bypass Grafting Using Anti-Congestive Therapies and Intraaortic Balloon Pumping in a Patient with Severe Ischemic Cardiomyopathy and Triple-Vessel Coronary Artery Disease.

Int Heart J 2018 Nov 25;59(6):1480-1484. Epub 2018 Oct 25.

Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center.

In patients with an atrial septal defect (ASD) and left ventricular (LV) dysfunction associated with coronary artery disease (CAD), to avoid the development of acute left heart failure (HF) and an increase in myocardial oxygen consumption following ASD closure, it is conceivable that coronary artery revascularization should be performed prior to ASD closure. We report the case of a 67-year-old man with a large secundum ASD and LV ejection fraction of 15.6% resulting from severe ischemic cardiomyopathy and triple-vessel CAD, both of which contributed to biventricular HF characterized by high left-to-right shunt (Qp:Qs of 7. Read More

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http://dx.doi.org/10.1536/ihj.17-563DOI Listing
November 2018
2 Reads
1.130 Impact Factor

[Safety and efficacy of percutaneous intervention for children with combined congenital heart abnormality solely guided by transthoracic echocardiography].

Zhonghua Xin Xue Guan Bing Za Zhi 2018 Oct;46(10):804-809

Department of Cardiothoracic Surgery, Dalian Children's Hospital, Dalian 116012, China.

To investigate the safety and efficacy of percutaneous intervention of children with combined congenital heart abnormality solely guided by transthoracic echocardiography (TTE) . From September 2015 to June 2017, 21 children with combined congenital heart abnormality undergoing percutaneous interventional guided by TTE in Fuwai hospital were enrolled in our study, and the clinical data were retrospective analyzed. The atrial septal defect(ASD) closure, ventricular septal defect(VSD) closure, patent ductus arteriosus(PDA) closure or balloon pulmonary valvuloplasty were performed under the guidance of TTE. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0253-3758.2018.10.008DOI Listing
October 2018
3 Reads

Prenatal diagnosis of a familial 5p14.3-p14.1 deletion encompassing CDH18, CDH12, PMCHL1, PRDM9 and CDH10 in a fetus with congenital heart disease on prenatal ultrasound.

Taiwan J Obstet Gynecol 2018 Oct;57(5):734-738

Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan; Department of Bioengineering, Tatung University, Taipei, Taiwan.

Objective: We present prenatal diagnosis of a familial 5p14.3-p14.1 deletion in a fetus with congenital heart disease on prenatal ultrasound. Read More

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http://dx.doi.org/10.1016/j.tjog.2018.08.023DOI Listing
October 2018
4 Reads
1.261 Impact Factor

Identification of candidates for PFO closure in the echocardiography laboratory.

Echocardiography 2018 11 10;35(11):1860-1867. Epub 2018 Oct 10.

Division of Cardiovascular Diseases, Department of Medicine, University of Mississippi School of Medicine, Jackson, Mississippi.

A patent foramen ovale (PFO) is implicated in several pathologic processes, including that of cryptogenic stroke (cCVA). Recent trials identify "high-risk" PFOs in patients with cCVA as likely to benefit from percutaneous closure. The younger the patient (<60 years old) the more likely a PFO may be attributable to the cCVA. Read More

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http://doi.wiley.com/10.1111/echo.14154
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http://dx.doi.org/10.1111/echo.14154DOI Listing
November 2018
20 Reads

[Advantages of transesophageal three-dimensional echocardiography as a support in the atrial septal defect closure.]

Rev Fac Cien Med Univ Nac Cordoba 2018 09 12;75(3):148-149. Epub 2018 Sep 12.

Hospital Privado Universitario de Córdoba.

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http://dx.doi.org/10.31053/1853.0605.v75.n3.20862DOI Listing
September 2018
2 Reads

Red colour venous flow in the suprasternal view: a red flag sign.

BMJ Case Rep 2018 Sep 30;2018. Epub 2018 Sep 30.

Department of Cardiology, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India.

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http://dx.doi.org/10.1136/bcr-2018-227257DOI Listing
September 2018
6 Reads

Interatrial shunts: technical approaches to percutaneous closure.

Expert Rev Med Devices 2018 Oct 26;15(10):707-716. Epub 2018 Sep 26.

d Department of Interventional cardiology , Cho-Ray Hospital , Ho Chi minh City , Vietnam.

Introduction: Interatrial shunt closure is considered the first-line therapy for congenital simple communications such as patent forame ovale (PFO), atrial septal defect (ASD), and post surgical interatrial communications. Areas covered: Anatomical, functional, and technical details useful for planning a transcatheter-based closure procedure are discussed as well as the available equipments and their use and the procedural routes and the specific closure techniques. Expert commentary: Anatomical and functional details, appreciated at both pre-procedural and intraprocedural steps, are of paramount importance for planning interatrial shunts transcatheter - based closure procedures. Read More

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http://dx.doi.org/10.1080/17434440.2018.1526674DOI Listing
October 2018
5 Reads

Mechanical and structural analysis of the pulmonary valve in congenital heart defects: A presentation of two case studies.

J Mech Behav Biomed Mater 2019 Jan 31;89:9-12. Epub 2018 Aug 31.

Tissue Mechanics Laboratory, The Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, United States. Electronic address:

Objective: Congenital Heart Disease (CHD) is the leading cause of pediatric mortality, with many cases affecting the right ventricular outflow tract (RVOT) or pulmonary valve (PV). Understanding the mechanics of the disease condition can provide insight into development of durable repair techniques and bioengineered replacement devices. This work presents a mechanical and structural analysis of the pulmonary valve of two pediatric cases. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17516161183045
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http://dx.doi.org/10.1016/j.jmbbm.2018.08.053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223622PMC
January 2019
16 Reads

[Neuroimaging characteristics of cryptogenic stroke with and without patent foramen ovale].

Zhonghua Yi Xue Za Zhi 2018 Sep;98(33):2636-2640

Department of Neurology, Henan Provincial People's Hospital, Zhengzhou 450003, China.

To explore the neuroimaging characteristics associated with the presence of patent foramen ovale(PFO) for patients with cryptogenic stroke. We retrospectively collected the clinical and imaging data of cryptogenic stroke patients with PFO and without PFO from Henan Province People's Hospital from January 1, 2013 to June 30, 2017. Lesion patterns and pertinent vascular territory were compared between the two groups. Read More

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http://doi.med.wanfangdata.com.cn/10.3760/cma.j.issn.0376-24
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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.33.005DOI Listing
September 2018
18 Reads

Agitated saline contrast echocardiography reveals cor triatriatum dexter.

Echocardiography 2018 11 16;35(11):1895-1897. Epub 2018 Sep 16.

Department of Cardiology, King's College Hospital NHS Foundation Trust, King's College London, London, UK.

We present the case of a 54-year-old man who had an unusual finding in contrast echocardiography with agitated saline. Partition of the right atrium in two compartments, an opacified and a non-opacified one, was noted. Further assessment with a transesophageal echocardiogram revealed the presence of a membrane in the right atrium, with the final diagnosis being cor triatriatum dexter. Read More

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http://dx.doi.org/10.1111/echo.14142DOI Listing
November 2018
3 Reads

Congenital Left Ventricular-Right Atrial Communication Gerbode-Type Defect.

J Heart Valve Dis 2017 11;26(6):738-740

Department of Medicine, Division of Cardiology, Maimonides Medical Center, Brooklyn, NY, USA.

Adult congenital heart diseases present a unique challenge in assessing right-sided cardiac chambers, where pressures can be mistakenly calculated using standard echocardiographic formulae. A challenging case is presented of a combined inlet ventricular septal defect and ventriculo-atrial Gerbode defect. The diagnosis of such adult congenital heart diseases requires an in-depth understanding of cardiac pathophysiology and hemodynamics. Read More

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November 2017
24 Reads

d-transposition of great arteries, dextrocardia with aberrant origin of right subclavian artery from pulmonary artery.

J Card Surg 2018 10 11;33(10):691-692. Epub 2018 Sep 11.

Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.1111/jocs.13812DOI Listing
October 2018
1 Read

Case Image: Late detachment of an Amplatzer septal occluder device.

Turk Kardiyol Dern Ars 2018 09;46(6):510

Department of Cardiology, Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey.

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http://dx.doi.org/10.5543/tkda.2018.89016DOI Listing
September 2018
1 Read

Percutaneous retrieval of embolized Amplatzer septal occluder from pulmonary artery using a novel method.

Turk Kardiyol Dern Ars 2018 09;46(6):501-503

Department of Cardiology, Kartal Koşuyolu High Speciality Educational and Research Hospital, İstanbul, Turkey.

Percutaneous closure of atrial septal defects is accepted as a safe and effective treatment method. Device embolization is a rare, but potentially fatal complication. While embolized devices are typically removed surgically, in eligible cases, they can also be removed percutaneously at an experienced center. Read More

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http://dx.doi.org/10.5543/tkda.2017.67523DOI Listing
September 2018

Morphological Substrates for Atrial Arrhythmogenesis in a Heart With Atrioventricular Septal Defect.

Front Physiol 2018 23;9:1071. Epub 2018 Aug 23.

School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom.

Due to advances in corrective surgery, congenital heart disease has an ever growing patient population. Atrial arrhythmias are frequently observed pre- and post-surgical correction. Pharmaceutical antiarrhythmic therapy is not always effective, therefore many symptomatic patients undergo catheter ablation therapy. Read More

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http://dx.doi.org/10.3389/fphys.2018.01071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115687PMC
August 2018
4 Reads

Demonstration of living anatomy clarifies the morphology of interatrial communications.

Heart 2018 12 4;104(24):2003-2009. Epub 2018 Sep 4.

Institute of Genetic Medicine, Newcastle University, Newcastle-upon-Tyne, UK.

Inferences made regarding the postnatal anatomy of the atrial septum still tend to be based on developmental evidence. Although atrial septation is a well-defined process, it is remarkably complex and remains poorly understood. It is now established, however, that the process involves the conjugation of several myocardial structures and mesenchymal tissues of both intracardiac and extracardiac origin. Read More

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http://heart.bmj.com/lookup/doi/10.1136/heartjnl-2018-313758
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http://dx.doi.org/10.1136/heartjnl-2018-313758DOI Listing
December 2018
5 Reads

Is Patent Foramen Ovale Closure More Effective Than Medical Therapy in Preventing Stroke Recurrence in Patients With Cryptogenic Stroke?: A Critically Appraised Topic.

Neurologist 2018 Sep;23(5):175-180

Departments of Neurology.

Background: The clinical benefit of patent foramen ovale (PFO) closure in patients with cryptogenic stroke (CS) for recurrent stroke prevention has been a subject of extensive debate. Prior clinical trials failed to show superiority of PFO closure versus medical therapy. Meta-analyses suggested a possible benefit of PFO closure in select patients. Read More

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http://dx.doi.org/10.1097/NRL.0000000000000200DOI Listing
September 2018
24 Reads

Non-fluoroscopic percutaneous transcatheter closure of atrial septal defects in children under transesophageal echocardiographic guidance.

World J Pediatr 2018 08 15;14(4):378-382. Epub 2018 Aug 15.

Heart Center, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China.

Background: This study sought to investigate the feasibility, safety and effectiveness of transcatheter closure of atrial septal defects (ASDs) under the guidance of transesophageal echocardiography (TEE) in children.

Methods: We reviewed the medical records of patients who underwent percutaneous ASD closure at our center from August 2016 to December 2017. For a total of 88 patients who were identified as having a single-hole defect and were undergoing percutaneous transcatheter ASD closure, a procedure completely guided by TEE was performed. Read More

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http://dx.doi.org/10.1007/s12519-018-0179-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154211PMC
August 2018
13 Reads

Right atrial function by speckle tracking echocardiography in atrial septal defect: Prediction of atrial fibrillation.

Clin Cardiol 2018 Oct 16;41(10):1341-1347. Epub 2018 Oct 16.

Cardiac Department, Sapienza University, Rome, Italy.

Background: Most antiarrhythmic interventional therapies for atrial fibrillation (AF) have been provided with special focus on the treatment of left-sided valvular disease and enlarged left atrium but few studies have assessed AF associated with congenital heart disease and dilated right atrium.

Hypothesis: We hypothesized that right atrial (RA) function assessed by two-dimensional (2DSTE) and three-dimensional (3DSTE) speckle-tracking echocardiography in patients with atrial septal defect (ASD) before and after percutaneous trancatheter closure could predict paroxysmal atrial fibrillation (PAF) development.

Methods: Seventy-three patients with hemodynamically significant secundum ASD were prospectively studied and followed up for 6 months after occluder insertion and compared with a normal age-matched group (n = 73). Read More

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http://dx.doi.org/10.1002/clc.23051DOI Listing
October 2018
10 Reads

Large thrombus-in-transit within a patent foramen ovale in a patient with pulmonary embolism: a case report.

J Int Med Res 2018 Oct 8;46(10):4332-4337. Epub 2018 Aug 8.

2 Department of Echocardiography, Qingdao University Affiliated Hospital, Qingdao, China.

Objective A patent foramen ovale (PFO) is detected frequently by echocardiography. However, a thrombus trapped in a PFO is relatively rare. We herein describe a rare case of a 51-year-old patient with pulmonary embolism in which a large thrombus-in-transit through a PFO was found by echocardiography and disappeared after treatment. Read More

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http://dx.doi.org/10.1177/0300060518789820DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166339PMC
October 2018
26 Reads
1.095 Impact Factor

Frequent Arterial Emboli in a Patient with Acute Pulmonary Thromboembolism and Patent Foramen Ovale.

Ann Vasc Surg 2018 Nov 4;53:274.e7-274.e10. Epub 2018 Aug 4.

Assistant Professor of Internal Medicine, Department of Internal Medicine, Rasoul-e-Akram Medical Center, Iran University of Medical Sciences, Tehran, Iran.

Although patent foramen ovale (PFO) is a relatively common condition, the risk of paradoxical embolism is less than 2% of all arterial ischemia. We present the case of a 52-year-old man diagnosed with pulmonary thromboembolism complicated with 2 events of paradoxical emboli in the left upper and right lower limbs secondary to PFO. We also discuss some uncertainties behind the management of PFO patients after an episode of venous thromboembolism. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.05.048DOI Listing
November 2018
5 Reads

Contrast Transthoracic Echocardiography Using 50% Glucose as a Contrast Agent for Screening of a Patent Foramen Ovale.

Ultrasound Med Biol 2018 11 2;44(11):2267-2273. Epub 2018 Aug 2.

Department of Ultrasound, Xinqiao Hospital of Army Medical Uiversity (Third Military Medical University), Chongqing, China. Electronic address:

A patent foramen ovale (PFO) is considered a risk factor for neurologic events. The goal of the study described here was to assess the feasibility, advantages, diagnostic sensitivity and accuracy of contrast transthoracic echocardiography examination (cTTE) using 50% glucose as a contrast agent in comparison with the use of agitated saline as contrast to screen for PFO. In our study, we found that the peak time, effective duration and duration of microbubbles produced by 50% glucose were all longer than those produced by the physiologic saline. Read More

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http://dx.doi.org/10.1016/j.ultrasmedbio.2018.06.007DOI Listing
November 2018
4 Reads

Bubbles in the Brain: A Rare Complication Following Transthoracic Echocardiography.

R I Med J (2013) 2018 08 1;101(6):37-39. Epub 2018 Aug 1.

Clinical Instructor of Medicine at the Warren Alpert Medical School of Brown University, Providence, RI.

With nearly 700,000 cases every year, ischemic stroke represents the third leading cause of death in the United States.1,2 Nearly thirty percent of all ischemic strokes are due to embolism.3 A standard component of every stroke work-up at most institutions, echocardiography is vital not only for diagnosis but also for prevention and treatment of cardiac sources of embolism. Read More

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Long term evaluation of electromechanical delay in patients with atrial septal defect after transcatheter closure.

Int J Cardiovasc Imaging 2019 Jan 30;35(1):33-39. Epub 2018 Jul 30.

Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Research and Training Hospital, Health Sciences University, Istanbul, Turkey.

Some studies have been showed that electromechanical delay, which may pose an increased tendency to atrial fibrillation, may prolong in patients with various clinical conditions. In addition, the electromechanical delay in patients with secundum type atrial septal defect (ASD) compared to healthy people have been reported previously. Therefore, in the present study, we prospectively evaluated the mid-term and long-term effects of the transcatheter closure of secundum type ASD on the lateral atrial conduction time (PA), septal PA, tricuspid PA, left and right intra-atrial electromechanical delay (ILeft-EMD and IRight-EMD, respectively) and inter-atrial electromechanical delay (IA-EMD) measured by means of Doppler echocardiography. Read More

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http://dx.doi.org/10.1007/s10554-018-1426-xDOI Listing
January 2019
3 Reads

Platypnoea-orthodeoxia syndrome exacerbated by kyphosis progression.

BMJ Case Rep 2018 Jul 30;2018. Epub 2018 Jul 30.

Department of Cardiology, Japan Red Cross Musashino Hospital, Tokyo, Japan.

This is a case of an 86-year-old woman with gradually progressive dyspnoea and hypoxaemia that occurred after a cardiac surgery. It was underdiagnosed for several years, but diagnosis was triggered by the finding of hypoxaemia even during supplemental oxygen administration when in the upright position, such as when taking a shower, that rapidly improved when the patient returned to the supine position. A thorough workup disclosed platypnoea-orthodeoxia syndrome (POS) associated with right-to-left shunting through a patent foramen ovale (PFO). Read More

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http://dx.doi.org/10.1136/bcr-2017-223514DOI Listing
July 2018
3 Reads

Endovascular Retrieval of an Embolized Atrial Septal Occluder Device From the Abdominal Aorta.

Vasc Endovascular Surg 2018 Nov 29;52(8):669-673. Epub 2018 Jul 29.

4 Division of Vascular Surgery, Mayo Clinic Arizona, Phoenix, AZ, USA.

Patent foramen ovale (PFO) is a common heart condition in adults. Closure with a septal occluder device is a safe, well-established treatment option with excellent clinical outcomes. One rare complication of percutaneous PFO closure is embolization of the device to the heart chambers or distal vasculature. Read More

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http://dx.doi.org/10.1177/1538574418790393DOI Listing
November 2018
12 Reads

Effects of reducing frame rate from 7.5 to 4 frames per second on radiation exposure in transcatheter atrial septal defect closure.

Cardiol Young 2018 Nov 30;28(11):1323-1328. Epub 2018 Jul 30.

1Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C,Hôpital Necker Enfants Malades,Assistance Publique des Hôpitaux de Paris, Paris,France.

Objectives: The aim of this study was to evaluate the reduction of frame rate from 7.5 to 4 frames per second on radiation exposure and to provide new standards of radiation exposure.

Background: Frame rate is a large contributor to radiation exposure. Read More

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http://dx.doi.org/10.1017/S1047951118001257DOI Listing
November 2018
15 Reads

Pericardiocentesis can be nasty. Accidents do occur while "Rail-roading" Sheaths and pigtails!

Ann Card Anaesth 2018 Jul-Sep;21(3):290-292

Department of Cardiac Anesthesiology, All India Institute of Medical Sciences, New Delhi, India.

Pericardiocentesis is a challenging procedure and complications may vary depending on the patient-specific risk factors and procedural indications. Cardiac chamber perforation and the subsequent insertion of pigtail catheter into the main pulmonary artery are an unreported mishap during attempted pericardiocentesis. This potentially life-threatening complication is completely preventable by identification of high-risk patients and appropriate use of available technologies. Read More

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http://dx.doi.org/10.4103/aca.ACA_115_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078033PMC
April 2019
3 Reads

Early onset of cyanosis in a patient with atrial septal defect: Transesophageal echocardiography reveals the underlying mechanism.

Ann Card Anaesth 2018 Jul-Sep;21(3):287-289

Department of Cardiac Anaesthesia, CN Centre, AIIMS, New Delhi, India.

Cyanosis due to right to left shunt across an atrial septal defect (ASD) brings up lots of questions in an inquisitive mind! Systemic desaturation at rest or during exercise can limit physical ability and impair the quality of life of patients with congenital heart defect (CHD). Traditionally, ASD is taught as an acyanotic CHD, but we encountered a child with a different clinical presentation. Understanding the mechanism of early onset systemic desaturation in the presence of an ASD is vital for surgical planning and decision-making. Read More

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http://dx.doi.org/10.4103/aca.ACA_199_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078023PMC
April 2019
2 Reads

Complicated Infective Endocarditis Limited to a Chiari Network.

Case Rep Cardiol 2018 26;2018:3837825. Epub 2018 Jun 26.

Meharry Medical College, Nashville, TN, USA.

Introduction: The Chiari network is an uncommon vestigial structure of the heart that is often clinically insignificant. We present an unusual case of infective endocarditis affecting only the Chiari network in a patient who presented with septic emboli to the lungs and brain.

Case Summary: A 61-year-old man was admitted with a 2-month history of hemoptysis, pleuritic chest pain, and right upper extremity numbness and weakness. Read More

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http://dx.doi.org/10.1155/2018/3837825DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038650PMC
June 2018
4 Reads

Interstage outcomes in single ventricle patients undergoing hybrid stage 1 palliation.

Congenit Heart Dis 2018 Sep 18;13(5):757-763. Epub 2018 Jul 18.

The Heart Center at Nationwide Children's Hospital, Columbus, Ohio.

Objective: Interstage readmissions are common in infants with single ventricle congenital heart disease undergoing staged surgical palliation. We retrospectively examined readmissions during the interstage period.

Design: Retrospective analysis. Read More

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http://dx.doi.org/10.1111/chd.12649DOI Listing
September 2018
25 Reads

Apical Muscular Ventricular Septal Defects: Surgical Strategy Using Three-Dimensional Printed Model.

Semin Thorac Cardiovasc Surg 2018 Winter;30(4):450-453. Epub 2018 Aug 23.

Paediatric Cardiology and Technological Innovation Group, Hospital Virgen del Rocio, Seville, Spain.; Cardiovascular Pathology Unit, Institute of Biomedicine of Seville (IBIS), CIBER-CV, Hospital Virgen de Rocio/CSIC/University of Seville, Seville, Spain.; Division of Imaging Sciences and Biomedical Engineering, King's College London, The Rayne Institute, St. Thomas' Hospital, London, UK.. Electronic address:

To evaluate the utility of a three-dimensional printed model (3D-model) for surgical decision planning in a complex case of multiple ventricular septal defect (VSD) (so-called Swiss-cheese septum). A 3 month-old-girl with diagnosis of multiple apical VSDs in the trabecular septum, perimembranous VSD, and atrial septal defect that resulted in congestive heart failure was referred for surgical intervention. Due to inconclusive understanding of the total number, openings and locations of the apical VSDs, there were concerns regarding the best surgical approach. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10430679183009
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http://dx.doi.org/10.1053/j.semtcvs.2018.07.002DOI Listing
January 2019
3 Reads

Recurrent minor strokes/TIA with a right to left shunt.

BMJ Case Rep 2018 Jul 10;2018. Epub 2018 Jul 10.

Cardiology, White Memorial Medical Center, Los Angeles, California, USA.

A patient came to our institution for evaluation and closure of suspected patent foramen ovale actively manifesting as cerebrovascular accident. Through further studies, we found the presence of a pulmonary arteriovenous fistula, which was subsequently and successfully closed through non-invasive percutaneous selective segmental pulmonary artery embolisation. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22486
Publisher Site
http://dx.doi.org/10.1136/bcr-2018-224862DOI Listing
July 2018
15 Reads