Echocardiographic findings for improved prenatal diagnosis of aortic coarctation with ventricular septal defect

Author(s):  
Yunyu Chen ◽  
Huixian Li ◽  
Danping Huang ◽  
Jinrong Liu ◽  
Rui Zhang ◽  
...  
Author(s):  
I.N. Daminov

The case of prenatal ultrasound diagnosis of complete transposition of the great arteries and dextrocardia in the fetus with left juxtaposition of the atrial appendages and subpulmonary ventricular septal defect in the third trimester is presented. The postnatal echocardiography confirmed the prenatal diagnosis. At 2 months of life, first surgical intervention under extracorporeal circulation was performed: the arterial switch operation and narrowing of the dilated pulmonary artery root, closure of patent foramen ovale, ligation of patent ductus arteriosus. At the age of 8 months, the child underwent a second operation: closure of ventricular septal defect with the transventricular approach and plastic surgery of the pulmonary artery. After an operation third-degree atrioventricular block (bradyarrhythmias) has occurred and 2 weeks later patient's health improvement was achieved, and he underwent implantation of a single-chamber pacemaker. Currently, the child is 2 years old, physical and mental development corresponds to age and he remains under the supervision of specialists.


2008 ◽  
Vol 32 (3) ◽  
pp. 263-264
Author(s):  
A. Olivella ◽  
M. Bennasar ◽  
M. Del Río ◽  
O. Gómez ◽  
J. M. Martínez ◽  
...  

2020 ◽  
Vol 30 (7) ◽  
pp. 1035-1038
Author(s):  
Giulio Cabrelle ◽  
Ornella Milanesi ◽  
Biagio Castaldi

AbstractPercutaneous treatment of aortic coarctation is based on angioplasty and/or stenting of the isthmus. We report a case of a 28-year-old girl suffering from aortic coarctation syndrome (coarctation + ventricular septal defect + bicuspid aorta). She underwent coarctectomy with subclavian flap and pulmonary bandage followed by ventricular septal defect closure and bandage removal in her first year of life. When she was 27 years old, a follow-up echocardiography detected an isthmic pressure gradient and a demodulated Doppler in abdominal aorta. A cardiac catheterisation confirmed the diagnosis of aortic re-coarctation. An AndraStent® XL 48 mm was implanted with a resolution of the isthmic gradient. One year later, because of the reappearance of demodulated Doppler in abdominal aorta, a chest X-ray was performed, which showed a stent third-grade fracture. The fracture was corrected by positioning a covered stent cheatham platinum 45 mm through the fragments. The rarest complication after stenting procedures is the fracture of the device with an incidence between 0.01% and 0.08%. Pressure overload beyond the elastic threshold of the material and the pulsatile tension exerted by the blood flow on the walls of the stent are the main mechanisms at the base of the fracture, together with the compliance of the tissue. A vessel that underwent multiple surgical rearrangements could interfere with and complicate the physiopathology at the basis of the fracture. In conclusion, stenting is a safe technique to treat aortic coarctation; stent fracture is a rare event, and different anatomical and haemodynamic factors are related to this complication.


2017 ◽  
Vol 45 (2) ◽  
pp. 341-344 ◽  
Author(s):  
Shui-hua Yang ◽  
Peng-hui Luo ◽  
Xiao-xian Tian ◽  
Xin-yan Li ◽  
Xue-qin Li ◽  
...  

1990 ◽  
Vol 10 (11) ◽  
pp. 697-702 ◽  
Author(s):  
Moshe Bronshtein ◽  
Efraim Siegler ◽  
Nechemia Yoffe ◽  
Etam Z. Zimmer

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