congenital heart disease in adults

... thrombosis was diagnosed A lysis therapy in out of these patients was successful in reopening the vein, but resolved chylothorax only in In one patient who had a contraindication for a lysis therapy, ... (listed in Table 1) were put in a multivariate binary logistic regression analysis with backward elimination (PROC logistic, SAS Version 9) In children who received repeated surgery in the first ... treatment strategies were applied following clinical decision Page of Results We analyzed the data of 282 neonatal or infant operations on congenital heart disease (between January 2000 and October...

Ngày tải lên: 10/08/2014, 09:23

... Accordingly, patients may present with respiratory distress Additionally, recurrent chest infections and gastrointestinal symptoms (vomiting, abdominal pain and bleeding) have been reported in subjects ... in a small suburban hospital, where the incorrect diagnosis of congenital heart disease was posed based on his echocardiography findings It was reported in the patient’s notes that chest radiography ... experienced physicians In this previously unreported case, compression of the heart by the bowel might have led to the incorrect diagnosis of congenital heart disease Even in this era of highly...

Ngày tải lên: 11/08/2014, 02:22

... surgery/interventions (including ablations) Group Patients after cardiac surgery/interventions (including ablations) 1.1 Without remaining findings (complete correction) 1.2 With minimal findings ... hemodynamic findings Exercise echocardiography Cardiac function and hemodynamic findings under exertion BOX Findings after cardiac surgery and/or interventions Minor remaining findings (1.2) – ... defects requiring surgery No sports A No (remaining) cardiac defects 1.1 Unlimited B Mild (remaining) findings 1.2; 2.1; 2.2; 2.3; 2.4; 4.2 Unlimited C Clinically significant (remaining findings) 1.3;...

Ngày tải lên: 12/02/2014, 19:20

... of congenital heart disease from the elementary student heart disease screening program Korean Journal Preventive Medicine, 34, 427–436 Linde, L M (1982) Psychiatric aspects of congenital heart ... determinants of parenting stress in mothers of children with CHD Social support explained 33.3% of parenting stress in this model, while social support and the source of information being the Internet ... parents in Korea to use the Internet to share their experiences and seek information about their child’s illness and behaviors Using the Internet is not only helpful in getting practical information...

Ngày tải lên: 05/03/2014, 12:20

... complex interplay between brain injury and abnormal brain development, brain injury may itself disturb brain development Preoperative brain injury in term newborns with congenital heart disease ... reserved Br ain Development in Newborns with Congenital Heart Disease I n the united states, severe congenital heart disease is a common cause of childhood morbidity, occurring in to infants per ... outcomes) in newborns with congenital heart disease, as compared with the values in control newborns (as predictors), accounting for multiple regions of interest in each infant and adjusting for...

Ngày tải lên: 27/06/2014, 00:20

... 25 minutes During this time, the epinephrine infusion could not be stopped and the first weaning from CPB failed because of severe hypotension (mean SAP = 30 mmHg) despite epinephrine administration ... considerations supporting its role in the treatment of vasodilatory shock have been demonstrated Vasopressin inhibits the synthesis of iNOS, blunts the increase in cGMP induced by NO and directly inactivates ... administration being titrated http://www.jmedicalcasereports.com/content/2/1/36 up to 0.3 mcg/kg/min Arginine-vasopressin (Pitressin; Monarch Pharmaceuticals, Bristol, United Kingdom) infusion was...

Ngày tải lên: 11/08/2014, 11:20

... similar (A) Intensity2of staining forage eNOS, (B) iNOS and (C) nNOS in lungs from infants with pulmonary hypertension and from conIntensity of staining for (A) eNOS, (B) iNOS and (C) nNOS in lungs ... significant correlation of eNOS and iNOS staining intensity in the pulmonary artery endothelium, such that patients having stronger staining in eNOS also had higher levels of iNOS (Spearman's correlation ... hypertension in infants with congenital heart disease Additionally there is co-expression of these two enzymes in pulmonary endothelial cells of these infants These findings support the hypothesis that infant...

Ngày tải lên: 12/08/2014, 14:20

... Promethazine (Phenergan) Inotropics Phenylephrine (Neo-Synephrine) Epinephrine (Adrenaline) Norepinephrine (Levophed, Noradrenaline, Levoartenolol) Isoproterenol (Isuprel) Dopamine Dobutamine Milrinone ... Enoxaparin (Clexane, Lovenox) Dalteparin (Fragmin) Innohep (Tinzaparin) Ardeparin (Normiflo) Warfarin (Coumadin) Warfarin reversalAPhytonadione (Mephyton, Vitamin K) Direct antithrombins-hirudins ... the same time, only an individual who is very skilled at starting intravenous lines should introduce this intravenous line in infants This is particularly true in small infants or cachectic patients,...

Ngày tải lên: 13/08/2014, 12:20

... skin between the skin puncture and the puncture into the vein This supports the wire beneath the skin and prevents the wire from bending or kinking in addition to preventing subcutaneous bleeding ... usually introduced into a location in the vein peripheral or “up-stream” to the site of introduction of the initial sheath in the vein (distally in the extremity) The first sheath in the vein serves ... pressure tubing, which attaches to indwelling lines and catheters which, in turn, are in the patient All tubing that is to transmit pressure for recording must be non-compliant tubing in order to...

Ngày tải lên: 13/08/2014, 12:20

... The Nitinol™ material is almost impervious to additional bending, forming or kinking and retains or returns to its straight configuration even after extensive bending or buckling within the heart ... blood in the larger channel, which keeps the tip from angling into side branches off the vena cava The in ated balloon is capable of catching in large branches and then bending, looping or kinking ... are commonly available in neonatal and intensive care units for intravenous injections into existing lines They were designed to be used attached to the hub of intravenous lines and used primarily...

Ngày tải lên: 13/08/2014, 12:20

... first sign of a patient waking is an increasing heart rate as a result of the patient’s rising epinephrine level associated with a moving baseline of the pressure tracings as a result of their ... sweeps in the base-line pressure, none of the intracardiac recordings, either during inspiration or expiration, are valid In such circumstances every effort is made at correcting or circumventing ... of an indicator substance is introduced into an in ow or “upstream” location in a constantly flowing fluid within a closed system Assuming that the substance is uniformly distributed within the...

Ngày tải lên: 13/08/2014, 12:20

... from the pre-existing opening In order to create one larger opening, the new opening can be extended into the original opening by angling the blade toward the original opening during the blade pullthrough ... standard intravascular stent can be implanted in the atrial opening to maintain its patency Intravascular stents are used in the interatrial septum or baffles in two different circumstances In neonates ... Currently Inoue™ balloons are available in four sizes from 20 to 26 mm in mm increments, with each balloon having a mm range in dilating diameter according to the precise volume which is infused into...

Ngày tải lên: 13/08/2014, 12:20

... eliminate the extreme vasovagal response to the procedure The patients are maintained on a high maintenance volume of intravenous fluids during the dilation and this fluid infusion is maintained ... is introduced into one femoral vein and two very small indwelling arterial cannulae are introduced into both the right and left femoral arteries The right heart catheterization is performed using ... systemic vein and a separate indwelling femoral arterial monitoring line The majority of the hemodynamic and anatomic information is obtained through these lines before the carotid cut-down is initiated...

Ngày tải lên: 13/08/2014, 12:20

... connecting tubing and the in ator are inspected carefully for any balloon leaks A new puncture or leak is indicated by a continual stream of small bubbles flowing into the tubing or the in ator ... O’Laughlin MP et al Use of endovascular stents in congenital heart disease Circulation 1991; 83(6): 1923 –1939 Driscoll DJ, Hesslein PS, and Mullins CE Congenital stenosis of individual pulmonary veins: ... positioning of the balloon usually results in the balloon/stent combination milking backwards before the stent even begins to expand during the initial balloon in ation This results in the stent’s...

Ngày tải lên: 13/08/2014, 12:20

... Rashkind™ PDA Occluding Umbrella was first introduced into clinical trials in the US in 1981 The double umbrella concept of the Rashkind™ Double Umbrella PDA device was similar to the original King–Mills ... aortas: expandable intraluminal grafting Radiology 1986; 160: 723 –726 Shaffer KM et al Intravascular stents in congenital heart disease: short- and long-term results from a large single-center experience ... positioned in the heart, and the routine use of systemic heparin, particularly during “left heart procedures, should reduce or eliminate CNS problems Direct injury from the tip of a wire positioned in...

Ngày tải lên: 13/08/2014, 12:20

... pushes a “locking pin” out of a tiny “retaining” sleeve at the distal end of the delivery wire Withdrawing the tumbler withdraws the pin into the tiny sleeve The flat, plastic, locking plate, which ... is contained within a thick transparent Lucite casing This Lucite casing only serves to reinforce the thinner tubing of the Quick loader™ during the loading A single, long loading suture passes ... sheath is introduced (instead of, or in addition to, the 6- or 7-French sheath!) into the left femoral vein An end-hole catheter is introduced into the sheath in the right femoral vein and an...

Ngày tải lên: 13/08/2014, 12:20

... ductus occurring is reduced by minimizing the manipulations through the ductus, accurately maintaining and/or increasing the prostaglandin infusion to the patient, and maintaining the infant’s fluid ... the initial heparin therapy was not effective When mechanical intervention in the catheterization laboratory is instituted, heparin therapy is continued In the infant and small child, the involved ... within the catheter to a position just within the distal tip of the catheter The purpose of the Mullins™ wire is to redirect and maintain the guiding catheter in its position against, and pointing...

Ngày tải lên: 13/08/2014, 12:20

... Acquisitions: Gina Almond Development: Beckie Brand Set in 10/13 Palatino by Newgen Imaging Systems (P) Ltd., Chennai, India Printed and bound in Singapore by COS Printers Pte Ltd For further information ... design in patients with congenital heart disease During his pediatric cardiology training in the late 1970s, cardiac electrophysiology and pacemaker application technologies in children with congenital ... implantation in adult congenital heart disease, the authors have joined together to create such a text utilizing their individual expertise This book outlines the principles of dealing with such...

Ngày tải lên: 14/08/2014, 07:20

... for adults with congenital heart disease requiring ventricular pacing is that those patients in whom pacing was initiated in childhood, such as congenital atrioventricular block or following ... cephalic vein may break during lead insertion If the two leads cause a very tight fit in the vein, it may, as a consequence, invaginate the vein into the subclavian vein The torn cephalic vein then ... vein retained guide wire technique Left: Two leads are passed along an intact cephalic vein Right: The cephalic vein is torn with pushing of the second lead into the subclavian vein The vein...

Ngày tải lên: 14/08/2014, 07:20

... (SelectSecure® Medtronic Inc.) can be passed (Figures 7.5, 7.6) Such a pacing system has application in adults with congenital heart disease such as Ebstein’s anomaly or in patients, following the Mustard ... preferable in patients with adult congenital heart disease requiring permanent cardiac pacing [62] C H APTER Consider steerable stylets or catheters An adult patient with congenital heart disease ... shown in Figure 7.2 was required There is a ball and cage mitral valve prosthesis (MVP) innominate vein toward the heart, but rather proceed retrograde towards the arm in the axillary vein or up into...

Ngày tải lên: 14/08/2014, 07:20