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Surgical Approach to Partial and Total Anomalous Pulmonary Venous Connection

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Airway anomalies in cases of anomalous pulmonary venous connection - A single-center experience.

Anuradha Kamath, Pankaj Punetha, Aditya N Doddamane, Kolli S Chalam, C S Hiremath,

Background:Patients with congenital heart defects may present with concomitant defects involving other organ systems. Roughly 4 percent of this nature are airway anomalies. Presence of anomalous airways summon major challenge before the anesthesiologist, surgeon, and intensivist in the perioperative management of such patients. There is paucity of literature in the ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(1):14-19]

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Iron-deficiency anaemia in children with congenital heart diseases at a teaching hospital in Ghana.

Inna Ossei, Kwame Ohene Buabeng, Paul Poku Sampene Ossei, Samuel Blay Nguah, William Gilbert Ayibor, Berko Panyin Anto, Agyemang-Duah Eric, Mahama Duwiejua,

Background:Uncorrected congenital heart lesions in children keep them in a state of constant hypoxia with compromised quality of life and reduced life expectancy. This requires early diagnosis and interventions including prevention and treatment of the resultant anaemia. Unfortunately, congenital heart disease (CHD) often goes unrecognized and thus untreated. Objectives:We determined ... Read more >>

Heliyon (Heliyon)
[2020, 6(2):e03408]

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Anesthetic Management of Right Single-lung Ventilation in a Patient with Anomalous Left Superior Pulmonary Venous Return for Left Pulmonary Lobectomy.

Yu Zhang, Allan R Escher, Jonathan B Cohen, Jinhong Liu,

Partial anomalous pulmonary venous return (PAPVR) is a rare congenital anomaly in which one or more of the pulmonary veins are connected to the right atrium or to the systemic venous system. One lung ventilation (OLV) is required for a number of thoracic procedures. When switching to OLV, right-to-left shunt ... Read more >>

Cureus (Cureus)
[2019, 11(9):e5780]

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Utility of three-dimensional printing in preoperative planning for children with anomalous pulmonary venous connection: a single center experience.

Jiajun Xu, Yangfan Tian, Jun Yin, Jinhua Wang, Weize Xu, Zhuo Shi, Jianzhong Fu, Qiang Shu,

Background:This study sought to assess the application of three-dimensional (3D) printing in preoperative planning for anomalous pulmonary venous connection (APVC). Methods:From November 2017 to January 2019, 17 children diagnosed with APVC were enrolled in this study (total APVC supracardiac type in 10 children, intracardiac type in 2 children, infracardiac type ... Read more >>

Quant Imaging Med Surg (Quantitative imaging in medicine and surgery)
[2019, 9(11):1804-1814]

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Congenital venolobar syndrome, pulmonary sequestration, and horseshoe lung in a newborn female.

Kevin Wong, Dane C Van Tassel, Cory M Pfeifer,

A 6-day-old female presented to a pediatric cardiologist with tachypnea. A computed tomography angiogram of the chest showed partial anomalous pulmonary venous return, a pulmonary sequestration, and a horseshoe lung. Depicted here are radiographic findings which display this rare combination. This case demonstrates the need for the radiologist to consider ... Read more >>

Radiol Case Rep (Radiology case reports)
[2019, 14(10):1264-1266]

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First report of successfully palliating a hypoplastic left heart syndrome patient with anomalous left coronary artery from the pulmonary artery beyond Fontan.

Kyle W Riggs, Nina M Price, Nicholas Szugye, Bryan H Goldstein, David L S Morales,

We report a case of hypoplastic left heart syndrome with an anomalous left coronary artery from the pulmonary artery (ALCAPA) identified intraoperatively during the Stage-II palliation. Due to recurring ventricular fibrillation on sternotomy, a hybrid Stage-I palliation was performed. During comprehensive Stage-II, the ALCAPA was reimplanted in the neoaorta and ... Read more >>

Ann Pediatr Cardiol (Annals of pediatric cardiology)
[2019, 12(3):318-320]

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A new palliative surgical technique for high risk Total anomalous pulmonary venous connection (Sarmast-Takriti shunt).

Hossein Sarmast, Ahmad Takriti,

BACKGROUND:Total Anomalous Pulmonary Venous Connection (TAPVC) is a rare heterogeneous condition That accounting for 1.5-3% of congenital heart diseases. It is characterized by failure of the Pulmonary Venous Confluence (PVC) to be directly connected to the left atrium in combination with a persistent splanchnic connection to the systemic venous circulation. ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2019, 14(1):127]

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Isolated Partial Anomalous Pulmonary Venous Connection: Development of Volume Overload and Elevated Estimated Pulmonary Pressure in Adults.

Madhav Hegde, Satvik Cholenahalli Manjunath, M K Usha,

Objective:Partial anomalous pulmonary venous connection (PAPVC) is one of the rare congenital cardiac diseases with a prevalence of 0.4-0.7% of autopsies. The prevalence of a partial anomalous pulmonary venous connection is 0.2% in computed tomography (CT) among adults. We chose to study the association between isolated PAPVC and volume overload, ... Read more >>

J Clin Imaging Sci (Journal of clinical imaging science)
[2019, 9:29]

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Novel Technique of Surgical Management of Scimitar Syndrome.

Mary Lark, Amanda Cai, Phillip Rideout, David Gregg, Pal Suranyi, Fred A Crawford, Valerian L Fernandes,

Scimitar syndrome is a rare congenital abnormality resulting from right-sided pulmonary venous return to the inferior vena cava rather than to the left atrium. It is usually detected in early childhood with symptoms of recurrent chest infection and finding of pulmonary hypertension due to left to right shunt. We report ... Read more >>

Case Rep Cardiol (Case reports in cardiology)
[2019, 2019:6932680]

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Mal-Positioning of Dialysis Catheter in Anomalous Left Superior Pulmonary Vein in a Patient with Acute Type A Dissection, a Case Report.

Tariq Minhas, Jane Bhaskara Pillai, Ting Lau,

The partial anomalous pulmonary vein drainage is a rare congenital defect. The pulmonary vein drains in to a systemic vein instead of draining in to the left atrium. In this rare birth defect, the right sided pulmonary vein involvement is more prevalent than the left sided pulmonary veins. We present ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2019, 34(2):222-225]

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Outcomes of cardiac surgery after mediastinal radiation therapy: A single-center experience.

Onur B Dolmaci, Emile S Farag, S Matthijs Boekholdt, Wim J P van Boven, Abdullah Kaya,

BACKGROUND:Mediastinal radiation therapy (MRT) is a widely used therapy for thoracic malignancies. This therapy has the potential to cause cardiovascular injuries, which may require surgery. The primary aim of this study is to identify the perioperative outcomes of cardiac surgery in patients with a history of MRT. Second, potential predictors ... Read more >>

J Card Surg (Journal of cardiac surgery)
[2020, 35(3):612-619]

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Nationwide Increase in Complex Congenital Heart Diseases After the Fukushima Nuclear Accident.

Kaori Murase, Joe Murase, Akira Mishima,

Background After the Chernobyl nuclear accident in 1986, an increase in the incidence of congenital heart disease ( CHD s) in the neighboring countries was reported. In 2011, Japan experienced the Great East Japan Earthquake and the nuclear accidents at Fukushima. However, a nationwide study of their effects has not ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2019, 8(6):e009486]

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Right anterolateral mini-thoracotomy without inferior vena cava cannulation for atrial septal defect repair in small children: A feasible technique.

Huy Q Dang, Huu C Nguyen, Huong T Le, Thanh N Le, Tuan Q Nguyen,

OBJECTIVE:To evaluate the effectiveness and safety of right anterolateral mini-thoracotomy without inferior vena cava (IVC) cannulation for closing atrial septal defect (ASD) in small children. METHODS:From February 2016 to August 2017, 10 patients (the mean age was 18.5 ± 10.1 months and the mean weight was 8.3 ± 2.1 kg) underwent ASD closure via right ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2019, 60:314-318]

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Left sided PAPVC with intact IAS-Surgically managed with vertical vein anastomosis to LA appendage: A rare case report.

Ganesh Kumar K Ammannaya, Prashant Mishra, Jayant V Khandekar,

INTRODUCTION:Partial anomalous pulmonary venous connection (PAPVC) is a rare entity. Only 10% of these are left sided. An intact atrial septum is further uncommon. PRESENTATION OF CASE:We present a case of left sided PAPVC with no atrial septal defect (ASD), who presented with effort intolerance and an unremarkable physical examination. ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2019, 59:217-219]

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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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Application of the Boston Technical Performance Score to intraoperative echocardiography.

Hannah R Bellsham-Revell, Antigoni Deri, Silvia Caroli, Andrew Durward, Owen I Miller, Sujeev Mathur, Jelena Saundankar, David R Anderson, B Conal Austin, Caner Salih, Kuberan Pushparajah, John M Simpson,

Background:The Technical Performance Score (TPS) developed by Boston Children's Hospital showed surgical outcomes correlate with adequacy of technical repair when implemented on pre-discharge echocardiograms. We applied this scoring system to intraoperative imaging in a tertiary UK congenital heart surgical centre. Methods:After a period of training, intraoperative TPS (epicardial and/or transesophageal ... Read more >>

Echo Res Pract (Echo research and practice)
[2019, 6(3):63-70]

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Partial anomalous pulmonary venous return: A case series with management approach.

Karim El-Kersh, Elie Homsy, Curt J Daniels, J Shaun Smith,

Partial anomalous pulmonary venous return (PAPVR) is a rare congenital anomaly that results in a left-to-right shunt. Based on the shunt fraction, PAPVR has a wide spectrum of presentations. If a significant left-to-right shunt is left unrepaired, pulmonary vascular remodeling can occur resulting in the development of pulmonary arterial hypertension ... Read more >>

Respir Med Case Rep (Respiratory medicine case reports)
[2019, 27:100833]

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Preoperative Planning for Physician-Modified Endografts Using a Three-Dimensional Printer.

Hiroshi Mitsuoka, Yasuhiko Terai, Yuta Miyano, Toyotaka Naitou, Junsuke Tanai, Shinji Kawaguchi, Shinnosuke Goto, Yujirou Miura, Masanao Nakai, Fumio Yamazaki,

The medical uses of three-dimensional (3D) printing are evolving at a rapid pace. The current roles and the future outlooks of this technology for physician-modified endovascular graft (PMEG) in patients with juxtarenal aneurysm are discussed. Fenestrations of PMEG are designed taking into account the geometry of the stent graft. Designing ... Read more >>

Ann Vasc Dis (Annals of vascular diseases)
[2019, 12(3):334-339]

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Management of Congenital Heart Disease: State of the Art-Part II-Cyanotic Heart Defects.

P Syamasundar Rao,

In this review management of the most common cyanotic congenital heart defects (CHDs) was discussed; the management of acyanotic CHD was reviewed in Part I of this series. While the need for intervention in acyanotic CHD is by and large determined by the severity of the lesion, most cyanotic CHDs ... Read more >>

Children (Basel) (Children)
[2019, 6(4):]

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mDixon ECG-gated 3-dimensional cardiovascular magnetic resonance angiography in patients with congenital cardiovascular disease.

Soultana Kourtidou, Marty R Jones, Ryan A Moore, Justin T Tretter, Nicholas J Ollberding, Eric J Crotty, Mantosh S Rattan, Robert J Fleck, Michael D Taylor,

BACKGROUND:Cardiovascular magnetic resonance (CMR) angiography (CMRA) is an important non-invasive imaging tool for congenital heart disease (CHD) and aortopathy patients. The conventional 3D balanced steady-state free precession (bSSFP) sequence is often confounded by imaging artifacts. We sought to compare the respiratory navigated and electrocardiogram (ECG) gated modified Dixon (mDixon) CMRA ... Read more >>

J Cardiovasc Magn Reson (Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance)
[2019, 21(1):52]

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Indian guidelines for indications and timing of intervention for common congenital heart diseases: Revised and updated consensus statement of the Working group on management of congenital heart diseases.

Anita Saxena, Jay Relan, Ravi Agarwal, Neeraj Awasthy, Sushil Azad, Manisha Chakrabarty, Kulbhushan S Dagar, Velayoudam Devagourou, Baiju S Dharan, Saurabh K Gupta, Krishna S Iyer, M Jayranganath, Raja Joshi, Brj Kannan, Ashish Katewa, Vikas Kohli, Shyam S Kothari, K M Krishnamoorthy, Snehal Kulkarni, R Manoj Kumar, R Krishna Kumar, Sunita Maheshwari, Krishna Manohar, Ashutosh Marwah, Smita Mishra, Smruti R Mohanty, K Samba Murthy, K Nageswara Rao, P V Suresh, S Radhakrishnan, Palleti Rajashekar, S Ramakrishnan, Nitin Rao, Suresh G Rao, H M Chinnaswamy Reddy, Rajesh Sharma, Krishnanaik Shivaprakash, Raghavan Subramanyan, R Suresh Kumar, Sachin Talwar, Munesh Tomar, Sudeep Verma, R Vijaykumar,

A number of guidelines are available for the management of congenital heart diseases (CHD) from infancy to adult life. However, these guidelines are for patients living in high-income countries. Separate guidelines, applicable to Indian children, are required when recommending an intervention for CHD, as often these patients present late in ... Read more >>

Ann Pediatr Cardiol (Annals of pediatric cardiology)
[2019, 12(3):254-286]

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Congenital extrahepatic portosystemic shunt (Abernethy malformation) treated with surgical shunt ligation: A case report and literature review.

Chollasak Thirapattaraphan, Suporn Treepongkaruna, Nichanan Ruangwattanapaisarn, Suthida Sae-Guay,

INTRODUCTION:Congenital extrahepatic portosystemic shunt is also known as Abernethy malformation. It is a rare anomaly of the portal venous system where partial or complete portal blood flow drains directly into the systemic vein via this abnormal shunt, bypassing the liver. Occasionally, this condition is incidentally detected on imaging studies performed ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2020, 66:4-7]

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Dimensional Accuracy and Clinical Value of 3D Printed Models in Congenital Heart Disease: A Systematic Review and Meta-Analysis.

Ivan Wen Wen Lau, Zhonghua Sun,

The aim of this paper is to summarize and evaluate results from existing studies on accuracy and clinical value of three-dimensional printed heart models (3DPHM) for determining whether 3D printing can significantly improve on how the congenital heart disease (CHD) is managed in current clinical practice. Proquest, Google Scholar, Scopus, ... Read more >>

J Clin Med (Journal of clinical medicine)
[2019, 8(9):]

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Transcatheter therapy of partial anomalous pulmonary venous connection with dual drainage and coarctation of the aorta in a single patient.

Mustafa Al Qbandi, Mariappa Thinakar Vel,

A 12-year-old boy was found to have aortic coarctation and a partial anomalous pulmonary venous connection. Historically, multiple cardiac pathologies, such as in the present case, required a surgical approach. We describe transcatheter treatment of the coarctation with a stent and occlusion of the partial anomalous pulmonary venous connection with ... Read more >>

J Saudi Heart Assoc (Journal of the Saudi Heart Association)
[2018, 30(4):311-315]

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Robotic repair of left-sided partial anomalous pulmonary venous connection to the coronary sinus.

Burak Onan, Unal Aydin, Ersin Kadirogullari, Erkut Ozturk,

Left-sided partial anomalous pulmonary venous connection to the coronary sinus is a rare congenital cardiac defect. Surgical repair is indicated to prevent cardiopulmonary morbidities that may occur in later age. Although the conventional median sternotomy or thoracotomy incisions are used during surgical repair, robotic surgery can be a feasible alternative ... Read more >>

J Robot Surg (Journal of robotic surgery)
[2019, 13(2):319-323]

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