Clinical Assessment of Ventricular Function After Surgical Treatment of Congenital Heart Defects

1989 ◽  
Vol 7 (2) ◽  
pp. 439-452
Author(s):  
Gordon A. Moreau ◽  
Thomas P. Graham
Keyword(s):  
Surgical Treatment ◽  
Ventricular Function ◽  
Congenital Heart Defects ◽  
Clinical Assessment ◽  
Congenital Heart ◽  
Heart Defects

scholarly journals Ventricular Function in Congenital Heart Defects

2016 ◽  
Vol 4 ◽  
Author(s):  
Antonio F. Corno
Keyword(s):  
Ventricular Function ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects

scholarly journals Bicuspid Aortic Valve: Morphology, Clinic, Diagnosis, Complications

2021 ◽  
Vol 17 (1) ◽  
pp. 111-118
Author(s):  
Y. L. Trysvetava
Keyword(s):  
Surgical Treatment ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
Treatment Technique ◽  
Aortic Lesion ◽  
Valve Dysfunction ◽  
Echocardiographic Study

Bicuspid aortic valve refers to common (0.5-2% of the population) congenital heart defects that are asymptomatic throughout life, with valve dysfunction and/or aortopathy (pathia- from Greek pathos disease), manifested by expansion, aneurysm or dissection of the vessel. The pathogenesis of the formation of a bicuspid valve is unknown, a genetic component is noted, since the defect develops as sporadic, familial, in combination with other congenital heart defects and with hereditary connective tissue disorders. Morphogenetic studies suggest that different phenotypes of bicuspid aortic valve can be considered as etiologically different diseases, with valve dysfunction or valve dysfunction and aortopathy. Aortic lesion is characterized by phenotypic heterogeneity due to genetic or hemodynamic features. Researchers are discussing the relationship between the phenotype of the bicuspid aortic valve and aortopathy to predict the course of the disease and select the optimal surgical treatment technique. Diagnosis of heart disease is based on the results of an echocardiographic study, magnetic resonance imaging. Surgical treatment is performed for significant hemodynamic disturbances resulting from insufficiency or stenosis of the aortic valve, in cases of infective endocarditis, the risk of which is high, with aneurysm or aortic dissection.

Surgical treatment of arrhythmias in adults with congenital heart defects

2008 ◽  
Vol 129 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Alessandro Giamberti ◽  
Massimo Chessa ◽  
Raul Abella ◽  
Gianfranco Butera ◽  
Diana Negura ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
Treatment Of Arrhythmias

scholarly journals Surgical Treatment for Congenital Heart Defects in Down Syndrome Patients

2019 ◽  
Vol 34 (1) ◽  
Author(s):  
Fernando Cesar Gimenes Barbosa Santos ◽  
Ulisses Alexandre Croti ◽  
Carlos Henrique De Marchi ◽  
Alexandre Noboru Murakami ◽  
Juliana Dane Pereira Brachine ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Surgical Treatment ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects

Evaluation of Right Ventricular Function in Adults with Congenital Heart Defects

2014 ◽  
Vol 32 ◽  
pp. S38-S52 ◽  
Author(s):  
Claudio Bussadori ◽  
Giovanni Di Salvo ◽  
Francesca R. Pluchinotta ◽  
Luciane Piazza ◽  
Giampiero Gaio ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Ventricular Function ◽  
Congenital Heart Defects ◽  
Right Ventricular Function ◽  
Congenital Heart ◽  
Heart Defects

scholarly journals A Contemporary Strategy for the Surgical Treatment of Destructive Forms of Infective Endocarditis

2018 ◽  
Vol 8 (2) ◽  
pp. 10-18
Author(s):  
A. P. Medvedev ◽  
V. E. Babokin ◽  
Yu. A. Sobolev ◽  
V. V. Pichugin ◽  
V. A. Chiginev ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Infective Endocarditis ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Valves ◽  
Heart Defects ◽  
Integrated Approach ◽  
Multiple Organ ◽  
Functional Class ◽  
Surgical Interventions

Introduction. Despite recent achievements in medicine, many issues in the diagnosis and treatment of infective endocarditis (IE) remain outstanding. This is mainly due both to an increase in the incidence and changes in the clinical picture of this nosology. An important factor here is the continuing presence of existing principles governing the approach to the surgical treatment of infective endocarditis, including prosthetic endocarditis.Objective: to evaluate the effectiveness of an integrated approach to the treatment of infective endocarditis in patients with valvular heart disease on the basis of 37 years of experience.Materials and methods. An analysis of the surgical treatment of 1097 patients with infectious lesions of the valvular heart apparatus was carried out. The mean age of the sample was 35.1 ± 9.7 years (from 4 months to 68 years); 67.2 % were men, while women made up 32.8 %. Additionally, 122 patients had infectious lesions affecting 2 or more valves. In 109 cases, valvular prosthetic endocarditis was diagnosed; in 37 patients, IE was detected against the background of congenital heart defects. 99 patients had perianular abscesses. Of all surgical interventions carried out, 18 were repeated, including those with non-valvular congenital heart defects.Results and discussion. Overall hospital mortality was 4.3 % (47 patients). In patients with IE complicated by a congenital heart defect (CHD), mortality was 14.7 %; with endocarditis of mechanical heart valves — 13.2 %; in drug-dependent patients — 4.5 %; with infectious destruction of native heart valves — 2.8 %; in patients with a background of electrodeinduced endocarditis, no deaths during hospitalisation were observed.Conclusions. The effectiveness of surgical intervention of infective endocarditis can reach 85.4 %. When supplemented with pathogenetic and etiotropic therapy, surgical correction of affected heart structures contributes to the rapid and reliable sanitation of all infection foci, as well as to a reduction in multiple organ failure. Timely surgery significantly reduces the degree of heart failure and improves the NYHA functional class. In the long term, reconstructive interventions contribute to a better heart recovery than prosthetic operations. It should be noted that the proposed treatment approach for this group of patients creates conditions for adequate labour and social rehabilitation in a distant postoperative period. 

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