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Right Aortic Arch in Vascular Ring Defects

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Rare case of vascular ring with Kommerell diverticulum mimicking uncontrolled asthma.

Ahmed Ben Saad, Nesrine Fahem, Houda Ben Saad, Asma Migaou, Chokri Kortas, Samah Joobeur,

Anomalies of the aortic arch associated with Kommerell diverticulum (KD) are rare congenital malformations. Symptomatic thoracic vascular rings presenting in adults are rare. We report a case of a 39-year-old woman who was diagnosed with uncontrolled asthma. She was complaining of worsening respiratory symptoms with dysphagia. Imaging studies and preoperative ... Read more >>

Respirol Case Rep (Respirology case reports)
[2020, 8(3):e00535]

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Dysphagia Lusoria: Is the Dysmotility Connection Illusory or Real?

Michael Coles, Amol Sharma,

Dysphagia lusoria is rare embryologic defect of the aortic arch vasculature characterized by an aberrant retro-esophageal course of the right subclavian artery (RSA), comprising a vascular sling. This may manifest clinically with symptoms of dysphagia or reflux. Given the rarity of this pathology, there remains uncertainty regarding the most effective ... Read more >>

Dig. Dis. Sci. (Digestive diseases and sciences)
[2020, 65(4):942-945]

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Pulmonary artery sling: a rare cause of stridor and respiratory distress.

Nádia Santos, Teresa Almeida, Maria Carlos Janeiro, Duarte Martins,

BMJ Case Rep (BMJ case reports)
[2020, 13(2):]

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Imaging of the aortic root on high-pitch non-gated and ECG-gated CT: awareness is the key!

Prashant Nagpal, Mukta D Agrawal, Sachin S Saboo, Sandeep Hedgire, Sarv Priya, Michael L Steigner,

The aortic pathologies are well recognized on imaging. However, conventionally cardiac and proximal aortic abnormalities were only seen on dedicated cardiac or aortic studies due to need for ECG gating. Advances in CT technology have allowed motionless imaging of the chest and abdomen, leading to an increased visualization of cardiac ... Read more >>

Insights Imaging (Insights into imaging)
[2020, 11(1):51]

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A neonatal case of HDR syndrome and a vascular ring with a novel GATA3 mutation.

Moe Kusakawa, Takeshi Sato, Ai Hosoda, Eriko Araki, Yohei Matsuzaki, Yukio Yamashita, Jun Ishihara, Yoshinori Inagaki, Noboru Uchida, Tomohiro Ishii, Tomonobu Hasegawa,

HDR syndrome (OMIM #146255) is caused by haploinsufficiency of the GATA3 gene. A vascular ring has not been reported in patients with GATA3-associated HDR syndrome. We report a neonatal case of HDR syndrome and a vascular ring that were possibly due to a novel frameshift mutation in the GATA3 gene. ... Read more >>

Hum Genome Var (Human genome variation)
[2019, 6:55]

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Multi-detector computed tomography angiographic evaluation of right ventricular outflow tract obstruction and other associated cardiovascular anomalies in tetralogy of Fallot patients.

Rani Kunti R Singh, Neeraj Jain, Sunil Kumar, Naveen Garg,

Purpose:To evaluate various types of right ventricular outflow tract obstruction associated with tetralogy of Fallot (TOF) with emphasis on the abnormality of pulmonary arterial system and other associated cardiovascular anomalies using computed tomography (CT) angiography. Material and methods:We retrospectively evaluated 184 consecutive previously diagnosed TOF patients who underwent CT angiography ... Read more >>

Pol J Radiol (Polish journal of radiology)
[2019, 84:e511-e516]

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Near-infrared spectroscopy: An important tool during the blalock-taussig shunt.

Aditya Lamba, Reena Khantwal Joshi, Raja Joshi, Neeraj Agarwal,

Near infra red spectroscopy (NIRS) is a noninvasive diagnostic tool for measuring regional oxygen saturation (rSO2). Cerebral oxygenation measured with NIRS is used to corroborate mixed venous oxygenation and hence considered an indicator of tissue perfusion. We describe NIRS guiding an anatomical variation leading to inadequate cerebral circulation or any ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(1):92-94]

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Patulous eustachian tubes and an unusual case of fused retropharangeal internal carotid arteries with an aberrant course through the clivus and dorsum sellae.

Ignatious Tshegofatso It Menyatsoe, Nausheen N Khan,

Aberrant course of internal carotid arteries (ICA) is rarely seen. In patients who are asymptomatic, anomalies may be detected incidentally during head and neck examination. Symptomatic patients may present with hearing loss, pulsatile tinnitus, dysphagia or a foreign body sensation in the posterior pharynx. If the retropharyngeal course of ICA ... Read more >>

BJR Case Rep (BJR case reports)
[2020, 6(1):20190017]

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Diagnosis and surgical repair of congenital double aortic arch in infants.

Yiting Yang, Xin Jin, Zhengxia Pan, Yonggang Li, Chun Wu,

OBJECTIVES:Double aortic arch (DAA) is a rare congenital vascular malformation. This study aims to summarize the experience of diagnosis and surgical treatment for congenital double aortic arch. METHODS:The clinical data of 24 cases with double aortic arch (DAA) from January 2008 to January 2018 in our hospital was reviewed retrospectively. ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2019, 14(1):160]

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Enhanced recovery and early extubation after pediatric cardiac surgery using single-dose intravenous methadone.

John P Iguidbashian, Peter H Chang, John Iguidbashian, Jason Lines, Bryan G Maxwell,

Background/Aims:Methadone may offer advantages in facilitating early extubation after cardiac surgery, but very few data are available in the pediatric population. Setting/Design:Community tertiary children's hospital, retrospective case series. Materials and Methods:We performed a retrospective analysis of all pediatric cardiac surgical patients for whom early extubation was intended. A multimodal analgesic ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(1):70-74]

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Case series, contemporary review and imaging guided diagnostic and management approach of congenital pericardial defects.

Mohamed Khayata, Saqer Alkharabsheh, Nishant P Shah, Beni Rai Verma, James L Gentry, Mathew Summers, Bo Xu, Craig Asher, Allan L Klein,

Objective:Congenital pericardial defect (CPD) is a rare entity with an estimated frequency of 0.01%-0.04%. The recognition of this anomaly is important since it can be associated with serious complications. The aim of this study and review was to describe clinical and imaging features that help in establishing the diagnosis of ... Read more >>

Open Heart (Open heart)
[2020, 7(1):e001103]

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Three Stage Hybrid Approach for Congenital Aortic Coarctation and Bicuspid Aortic Valve With Severe Aortic Stenosis in an Adult Patient.

Monica M Matsumoto, Ross Milner,

Introduction:Untreated congenital aortic coarctation and valvular abnormalities are rare in an adult patient and require complex management. Report:A 68 year old woman with congenital aortic coarctation and bicuspid aortic valve with severe aortic stenosis is described. She was treated by a two week, staged, hybrid approach: (i) aortic valvuloplasty, (ii) ... Read more >>

EJVES Short Rep (EJVES short reports)
[2019, 45:26-29]

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Role of perioperative echocardiography in repair of incomplete shone complex: A case series.

Alok Kumar, Imran Hussain Bhat, Bhupesh Kumar, K S T Shyam,

Multilevel obstruction of left-sided heart structures was originally characterized by Shone et al. The formulation of an appropriate operative strategy remains challenging and needs to be individualized for this complex subset of patients. Intraoperative transesophageal echocardiography (TEE) not only helps in delineating spatial anatomy but also reveals associated anomalies that ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2019, 22(4):444-448]

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A histopathological report of a 16-year-old male with peripheral pulmonary artery stenosis and Moyamoya disease with a homozygous RNF213 mutation.

Kei Takahashi, Junichi Nakamura, Shinya Sakiyama, Toshitaka Nakaya, Takahiro Sato, Taku Watanabe, Hiroshi Ohira, Keishi Makita, Utano Tomaru, Akihiro Ishizu, Ichizo Tsujino,

Peripheral pulmonary artery stenosis (PPAS) is a rare pulmonary vasculopathy characterized by multiple stenoses and obstructions in the peripheral pulmonary arteries. PPAS often develops in children with congenital diseases such as Williams syndrome and Alagille syndrome; however, recent studies have reported PPAS cases in adults with Moyamoya disease (MMD). Recent ... Read more >>

Respir Med Case Rep (Respiratory medicine case reports)
[2020, 29:100977]

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Evidence for uteroplacental malperfusion in fetuses with major congenital heart defects.

Julia Binder, Silvia Carta, Julene S Carvalho, Erkan Kalafat, Asma Khalil, Basky Thilaganathan,

AIMS:Fetuses affected by congenital heart defects (CHD) are considered to be at increased risk of fetal growth restriction and intrauterine demise. Whether these risks are a direct consequence of fetal CHD or a result of associated uteroplacental dysfunction is not evident from the data of recent studies. The aim of ... Read more >>

PLoS ONE (PloS one)
[2020, 15(2):e0226741]

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Case 3: Emesis in a Term Infant with Dysmorphic Features.

Tadarro Lee Richardson, Meaghan Ransom, Gabriella Crane, Erin Plosa, Jennifer Sucre,

Neoreviews (NeoReviews)
[2020, 21(2):e127-e130]

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Bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome: A case report.

Yuan-Yuan Sun, Guo-Ming Zhang, You-Bin Zhang, Xin Du, Mao-Long Su,

BACKGROUND:We report a rare case of numbness in the right hand, finally diagnosed as bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome and explain the cause of these diseases. CASE SUMMARY:The patient was a 65-year-old woman. She complained of dizziness, numbness ... Read more >>

World J Clin Cases (World journal of clinical cases)
[2019, 7(21):3639-3648]

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Is Carotid Intima-Media Thickness Increased in Adults With Congenital Heart Disease?

Barbara Reiner, Renate Oberhoffer, Anna-Luisa Häcker, Peter Ewert, Jan Müller,

Background Because of the increasing numbers of congenital patients surviving into adulthood, early diagnosis and prevention of acquired cardiovascular disease is reasonable. The aim of this study was to detect diagnostic subgroups of adults with congenital heart disease (ACHD) that have increased carotid intima-media thickness (cIMT), a subclinical marker of ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2020, 9(3):e013536]

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The role of cardiac surgeons in online prenatal counselling for congenital heart disease.

Yaobin Zhu, Yaping Zhang, Nan Ding, Yudong Zhao, Zankai Ye, Xing Fan, Yang Liu, Lei Shen, Hanlu Yi, Zhiqiang Li,

J. Int. Med. Res. (The Journal of international medical research)
[2019, 47(10):5270-5277]

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Normal right and left ventricular volumes prospectively obtained from cardiovascular magnetic resonance in awake, healthy, 0- 12 year old children.

Laura J Olivieri, Jiji Jiang, Karin Hamann, Yue-Hin Loke, Adrienne Campbell-Washburn, Hui Xue, Robert McCarter, Russell Cross,

INTRODUCTION:Pediatric z scores are necessary to describe size and structure of the heart in growing children, however, development of an accurate z score calculator requires robust normal datasets, which are difficult to obtain with cardiovascular magnetic resonance (CMR) in children. Motion-corrected (MOCO) cines from re-binned, reconstructed real-time cine offer a ... Read more >>

J Cardiovasc Magn Reson (Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance)
[2020, 22(1):11]

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Standardized image interpretation and post-processing in cardiovascular magnetic resonance - 2020 update : Society for Cardiovascular Magnetic Resonance (SCMR): Board of Trustees Task Force on Standardized Post-Processing.

Jeanette Schulz-Menger, David A Bluemke, Jens Bremerich, Scott D Flamm, Mark A Fogel, Matthias G Friedrich, Raymond J Kim, Florian von Knobelsdorff-Brenkenhoff, Christopher M Kramer, Dudley J Pennell, Sven Plein, Eike Nagel,

With mounting data on its accuracy and prognostic value, cardiovascular magnetic resonance (CMR) is becoming an increasingly important diagnostic tool with growing utility in clinical routine. Given its versatility and wide range of quantitative parameters, however, agreement on specific standards for the interpretation and post-processing of CMR studies is required ... Read more >>

J Cardiovasc Magn Reson (Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance)
[2020, 22(1):19]

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Case report: left atrial Myxoma causing elevated C-reactive protein, fatigue and fever, with literature review.

Jake Cho, Steven Quach, Justin Reed, Omeni Osian,

BACKGROUND:A cardiac myxoma in a young person may pose a diagnostic challenge as symptoms may be variable and the differential diagnosis is wide. The differential diagnosis can include rheumatic mitral valve disease, pulmonary hypertension, endocarditis, myocarditis and vasculitis. CASE PRESENTATION:This case report involves a 49 years old female with a 2.8 cm × 3.4 cm ... Read more >>

BMC Cardiovasc Disord (BMC cardiovascular disorders)
[2020, 20(1):119]

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Case 6/2019 - Total Atrioventricular Septal Defect, 12 Years After Operative Correction, No Residual Defects.

Edmar Atik, Maria Angélica Binotto, Alessandra Costa Barreto,

Arq. Bras. Cardiol. (Arquivos brasileiros de cardiologia)
[2019, 113(5):999-1001]

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Interstitial duplication of 8q22.1-q23.1- A case report and review of the literature.

Steven Leary, Harry S Porterfield, Jaclyn R Kotlarek, Benjamin W Darbro, Alpa Sidhu,

This report highlights the clinical features seen in duplication of 8q22.1q23.1 inherited from balanced father. It stresses the importance of obtaining a karyotype to identify the location of a large copy number variant for accurate recurrence risk estimation. ... Read more >>

Clin Case Rep (Clinical case reports)
[2019, 7(12):2393-2397]

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Surgical indication for congenital tracheal stenosis complicated by pulmonary artery sling.

Atsushi Harada, Naoki Shimojima, Akihiro Shimotakahara, Saya Azuma, Yoshiaki Ishizuka, Hirofumi Tomita, Seiichi Hirobe,

Background:Congenital tracheal stenosis (CTS) is a rare and life-threatening disease in children. Although pulmonary artery sling (PA sling) complicated by CTS sometimes occurs, there are few reports detailing the management of CTS with PA sling. The purpose of this retrospective study was to determine the appropriate indications for surgical intervention ... Read more >>

J Thorac Dis (Journal of Thoracic Disease)
[2019, 11(12):5474-5479]

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