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Cor Triatriatum Surgery in the Pediatric Patient

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An evolving anesthetic protocol fosters fast tracking in pediatric cardiac surgery: A comparison of two anesthetic techniques.

Vipul K Sharma, Gaurav Kumar, Saajan Joshi, Nikhil Tiwari, Vivek Kumar, H Ravi Ramamurthy,

Background:The past two decades have seen rapid development of new surgical techniques for repair as well as palliation of complex congenital heart diseases. For a better patient outcome, minimal postoperative ventilation remains one of the most important endpoints of an effectual perioperative management. Aims and Objectives:The aim of this randomized ... Read more >>

Ann Pediatr Cardiol (Annals of pediatric cardiology)
[2020, 13(1):31-37]

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Successful balloon valvuloplasty of a subpulmonic membrane associated with cor triatriatum dexter: a case report.

Meryem Haboub, Abdenasser Drighil,

BACKGROUND:Subpulmonic membrane as a cause of right ventricular outflow tract obstruction in patients with concordant ventriculoarterial connection and intact ventricular septum is considered to be rare. Association with cor triatriatum dexter and success of subpulmonic balloon valvuloplasty have never been reported, at least to the best of our knowledge. CASE ... Read more >>

J Med Case Rep (Journal of medical case reports)
[2019, 13(1):291]

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Cor triatriatum sinister mimicking mitral stenosis.

Onur Işık, Muhammet Akyüz, Ali Rahmi Bakiler,

Turk Gogus Kalp Damar Cerrahisi Derg (Turk gogus kalp damar cerrahisi dergisi)
[2019, 27(2):261-262]

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Pulmonary artery aneurysm: a review.

Mridul Gupta, Abhinav Agrawal, Annamaria Iakovou, Stuart Cohen, Rakesh Shah, Arunabh Talwar,

Pulmonary artery aneurysm is a rare but important entity in the spectrum of pulmonary vascular diseases. The etiologies can be varied and patients can present with non-specific symptoms with the diagnosis being incidental. There is limited consensus regarding the diagnostic criteria and follow-up imaging for patients diagnosed with this entity. ... Read more >>

Pulm Circ (Pulmonary Circulation)
[2020, 10(1):2045894020908780]

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Diagnosis and Surgical Repair for Coarctation of the Aorta With Intracardiac Defects: A Single Center Experience Based on 93 Infants.

Yuhao Wu, Jiashan Li, Chun Wu, Jin Zhu, Ling He, Chuan Feng, Yiting Yang, Xin Jin,

Introduction: This study aims to summarize the clinical characteristics of coarctation of the aorta (CoA) associated with intracardiac anomalies in infants. Methods: Medical records of 93 infants who were diagnosed with CoA and intracardiac anomalies from August 2009 to August 2018 were retrospectively reviewed. Results: All of the 93 infants ... Read more >>

Front Pediatr (Frontiers in Pediatrics)
[2020, 8:49]

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Concurrent cor triatriatum sinister and levoatriocardinal vein in an 11-year-old boy presenting with foudroyant pulmonary edema after appendectomy: A living tribute to the mal-incorporation theory.

Meng Luen Lee, Chiung Fang Tu,

Anatol J Cardiol (Anatolian journal of cardiology)
[2019, 21(3):172-174]

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Computed Tomography Angiography and Magnetic Resonance Angiography of Congenital Anomalies of Pulmonary Veins.

Ahmed Abdel Khalek Abdel Razek, Hala Al-Marsafawy, Maha Elmansy, Mahmoud Abd El-Latif, Donia Sobh,

We aimed to review computed tomography and magnetic resonance angiography of congenital anomalies of pulmonary veins. Total anomalous pulmonary venous return shows all pulmonary veins drain abnormally in another site rather than left atrium. Imaging can detect anomalous veins either supracardiac, infracardiac, or mixed. Partial anomalous pulmonary venous return shows ... Read more >>

J Comput Assist Tomogr (Journal of computer assisted tomography)
[2019, :]

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Computed Tomography Angiography and Magnetic Resonance Angiography of Congenital Anomalies of Pulmonary Veins.

Ahmed Abdel Khalek Abdel Razek, Hala Al-Marsafawy, Maha Elmansy, Mahmoud Abd El-Latif, Donia Sobh,

We aimed to review computed tomography and magnetic resonance angiography of congenital anomalies of pulmonary veins. Total anomalous pulmonary venous return shows all pulmonary veins drain abnormally in another site rather than left atrium. Imaging can detect anomalous veins either supracardiac, infracardiac, or mixed. Partial anomalous pulmonary venous return shows ... Read more >>

J Comput Assist Tomogr (Journal of computer assisted tomography)
[2019, 43(3):399-405]

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Cor Triatriatum: A Tale of Two Membranes.

Tamika K Rozema, Janine Arruda, Christopher S Snyder,

CASE (Phila) (CASE (Philadelphia, Pa.))
[2019, 3(1):25-27]

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Impact of Persistent Left Superior Vena Cava Detection in a Normal Neonatal Population through Echocardiography.

Yen-Jun Chao, Ming-Ren Chen, Wei-Li Hung, Shu-Jen Yeh, Shan-Miao Lin,

Background:Persistent left superior vena cava (PLSVC) is a vascular anomaly that is usually asymptomatic and detected incidentally. The incidence of PLSVC has seldom been evaluated in normal populations. In this study, we determined the incidence of PLSVC in a normal neonatal population using transthoracic echocardiography. We also evaluated the associations ... Read more >>

Acta Cardiol Sin (Acta Cardiologica Sinica)
[2019, 35(6):600-604]

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Three-year experience with immediate extubation in pediatric patients after congenital cardiac surgery.

Christopher F Tirotta, Stephen Alcos, Richard G Lagueruela, Daria Salyakina, Weize Wang, Jessica Hughes, Marysory Irizarry, Redmond P Burke,

BACKGROUND:In pediatric cardiac anesthesiology, there is increased focus on minimizing morbidity, ensuring optimal functional status, and using health care resources sparingly. One aspect of care that has potential to affect all of the above is postoperative mechanical ventilation. Historically, postoperative ventilation was considered a must for maintaining patient stability. Ironically, ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2020, 15(1):1]

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Congenital Ventricular Diverticulum or Aneurysm: A Difficult Diagnosis to Make.

Lloyd Halpern, Carl Garabedian, Neil K Worrall,

A pouch protruding from the free wall of the left ventricle may be either a congenital ventricular diverticulum (CVD) or aneurysm (CVA). Being aware of these rare congenital anomalies is critical in making the diagnosis. Differentiating the two is important for treatment decisions. We describe a patient with dextrocardia, Tetralogy ... Read more >>

Case Rep Cardiol (Case reports in cardiology)
[2018, 2018:5839432]

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Cor Triatriatum: Case Report of Emergency Department Diagnosis.

Camille Halfman, Asalim Thabet, Rebecca Blue, Tyler Greenfield,

Cor triatriatum is a rare, congenital heart defect. When diagnosis does not occur in infancy, primary symptoms in an older patient may mimic reactive airway disease. We report a case of cor triatriatum in an older child, previously diagnosed with asthma, presenting to an emergency department with a chief complaint ... Read more >>

Clin Pract Cases Emerg Med (Clinical practice and cases in emergency medicine)
[2018, 2(3):227-230]

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First Sternal Cleft Repair Using a Porous Alumina Ceramic Prosthesis in a 9-Year-Old Child.

Virginie Fouilloux, François Bertin, Emilie Peltier, Jean-Luc Jouve,

Sternal cleft is a rare congenital abnormality, often associated with other congenital defects. We present the case of a 9-year-old child with complete sternal cleft, treated with an innovative sternal prosthesis. Surgery was performed to protect the heart and also, as pulsations was visible, leading to serious esthetical concerns, to ... Read more >>

European J Pediatr Surg Rep (European journal of pediatric surgery reports)
[2019, 7(1):e20-e23]

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Beating-heart aortic arch surgery in neonates and infants.

Juan-Miguel Gil-Jaurena, María-Teresa González-López, Ana Pita, Ramón Pérez-Caballero, Mónica Herviás, Dorotea Blanco,

OBJECTIVES:Aortic arch repair has been shifted from deep hypothermia plus circulatory arrest to cerebral perfusion at tepid temperatures. A step forward is a simultaneous brain-coronary perfusion, allowing beating-heart arch surgery. METHODS:A 'Y' cannula from the arterial line delivers oxygenated blood to brain and heart. The arch is repaired on a ... Read more >>

Interact Cardiovasc Thorac Surg (Interactive cardiovascular and thoracic surgery)
[2018, 27(4):586-590]

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Imaging of anomalous pulmonary venous connections by multidetector CT angiography using third-generation dual source CT scanner.

Niraj Nirmal Pandey, Arun Sharma, Priya Jagia,

Abnormal embryological development of the pulmonary veins can manifest as either partial or total anomalous drainage into the systemic venous circulation. Echocardiography does not provide adequate information in all cases as the optimal visualization of anomalous structures is limited by the availability of acoustic window; also it is highly operator ... Read more >>

Br J Radiol (The British journal of radiology)
[2018, 91(1092):20180298]

Cited: 1 time

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Diagnosis of Pulmonary Arterial Hypertension in Children by Using Cardiac Computed Tomography.

Shyh Jye Chen, Jou Hsuan Huang, Wen Jeng Lee, Ming Tai Lin, Yih Sharng Chen, Jou Kou Wang,

OBJECTIVE:To establish diagnostic criteria for pulmonary arterial hypertension (PAH) in children by using parameters obtained through noninvasive cardiac computed tomography (CCT). MATERIALS AND METHODS:We retrospectively measured parameters from CCT images of children from a single institution in a multiple stepwise process. A total of 208 children with mean age of ... Read more >>

Korean J Radiol (Korean journal of radiology)
[2019, 20(6):976-984]

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Acquired Cor Triatriatum Sinister After the Fontan Operation and Successful Resection in a Child.

S Javed Zaidi, Rishi R Adhikari, Chawki El-Zein, Saad Siddiqui,

Cor triatriatum sinister is a rare congenital lesion encountered in children. It consists of a fibromuscular membrane that separates the left atrium into two chambers resulting in a triatrial heart and often occurs with other structural cardiac anomalies. The acquired form is uncommon and has only been reported after orthotopic ... Read more >>

Ann. Thorac. Surg. (The Annals of thoracic surgery)
[2017, 104(5):e385-e387]

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Mortality Following Pediatric Congenital Heart Surgery: An Analysis of the Causes of Death Derived From the National Death Index.

Courtney McCracken, Logan G Spector, Jeremiah S Menk, Jessica H Knight, Jeffrey M Vinocur, Amanda S Thomas, Matthew E Oster, James D St Louis, James H Moller, Lazaros Kochilas,

Background Prior research has focused on early outcomes after congenital heart surgery, but less is known about later risks. We aimed to determine the late causes of death among children (<21 years of age) surviving their initial congenital heart surgery. Methods and Results This is a retrospective cohort study from the ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2018, 7(22):e010624]

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Trends in Long-Term Mortality After Congenital Heart Surgery.

Logan G Spector, Jeremiah S Menk, Jessica H Knight, Courtney McCracken, Amanda S Thomas, Jeffrey M Vinocur, Matthew E Oster, James D St Louis, James H Moller, Lazaros Kochilas,

BACKGROUND:Congenital heart surgery has improved the survival of patients with even the most complex defects, but the long-term survival after these procedures has not been fully described. OBJECTIVES:The purpose of this study was to evaluate the long-term survival of patients (age <21 years) who were operated on for congenital heart defects ... Read more >>

J. Am. Coll. Cardiol. (Journal of the American College of Cardiology)
[2018, 71(21):2434-2446]

Cited: 7 times

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Comparison of Early Outcomes for Normothermic and Hypothermic Cardiopulmonary Bypass in Children Undergoing Congenital Heart Surgery.

Antonio F Corno, Claire Bostock, Simon D Chiles, Joanna Wright, Maria-Teresa Jn Tala, Branko Mimic, Mirjana Cvetkovic,

Objective: Comparison of early outcomes of normothermic cardiopulmonary bypass (N-CPB, ≥35°C) with hypothermic cardiopulmonary bypass (H-CPB, 28-34°C) for congenital heart defects. Methods: Data from 99 patients <2 years operated with N-CPB (n = 48) or H-CPB (n = 51) were retrospectively reviewed: aortic X-clamping and CPB duration, vasoactive inotropic score ... Read more >>

Front Pediatr (Frontiers in pediatrics)
[2018, 6:219]

Cited: 1 time

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Superior Cavopulmonary Anastomosis in Patients With Bilateral Superior Caval Veins: Use of a Rolled Pericardial Graft to Create a Single Caval Vein.

Tran-Thuy Nguyen, Ngoc-Thanh Le, Quoc-Hung Doan,

We propose a new surgical technique for superior cavopulmonary anastomosis in patients with functionally univentricular heart and bilateral superior caval veins. One of the reasons for failure of bidirectional Glenn shunts in patients with bilateral superior caval veins is the small caliber of one or both veins, with limited flow ... Read more >>

World J Pediatr Congenit Heart Surg (World journal for pediatric & congenital heart surgery)
[2018, 9(4):446-450]

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Cor Triatriatum Sinister with Secundum Atrial Septal Defect.

James Lambert, Erwin Oechslin, Wendy Tsang, Mark D Osten, Paaladinesh Thavendiranathan,

CASE (Phila) (CASE (Philadelphia, Pa.))
[2017, 1(4):141-146]

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Population-based surveillance of congenital heart defects among adolescents and adults: surveillance methodology.

Jill Glidewell, Wendy Book, Cheryl Raskind-Hood, Carol Hogue, Julie E Dunn, Michelle Gurvitz, Al Ozonoff, Claire McGarry, Alissa Van Zutphen, George Lui, Karrie Downing, Tiffany Riehle-Colarusso,

BACKGROUND:Improved treatment of congenital heart defects (CHDs) has increased survival of persons with CHDs; however, no U.S. population-based systems exist to assess prevalence, healthcare utilization, or longer-term outcomes among adolescents and adults with CHDs. METHODS:Novel approaches identified individuals aged 11-64 years who received healthcare with ICD-9-CM codes for CHDs at three ... Read more >>

Birth Defects Res (Birth defects research)
[2018, 110(19):1395-1403]

Cited: 1 time

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A 14-Year-Old Boy with Unusual Presentation of Respiratory Distress.

Adam W Powell, Samuel Hanke, James S Tweddell, Nicolas Madsen,

There are multiple cardiac etiologies for wheezing and respiratory distress which require a high degree of suspicion for the pediatrician to diagnose. We present a case of a patient with a history of long-standing mild persistent asthma with minimal improvement on controller and bronchodilator therapies who presented to the emergency ... Read more >>

Case Rep Pediatr (Case reports in pediatrics)
[2016, 2016:7313942]

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