Collaborative interventional and surgical strategies in the management of congenital heart lesions

2001 ◽  
Vol 4 (1) ◽  
pp. 185-207 ◽  
Author(s):  
Kalyani R. Trivedi ◽  
Anthony Azakie ◽  
Lee N. Benson
Keyword(s):  
Congenital Heart ◽  
Surgical Strategies ◽  
Heart Lesions

Prevalence and diagnostic accuracy of heart disease in children with asymptomatic murmurs

2015 ◽  
Vol 26 (3) ◽  
pp. 446-450 ◽  
Author(s):  
Adziri H. Sackey
Keyword(s):  
Heart Disease ◽  
Diagnostic Accuracy ◽  
Clinical Examination ◽  
Clinical Assessment ◽  
Congenital Heart ◽  
Heart Murmur ◽  
Paediatric Cardiologist ◽  
Heart Murmurs ◽  
Cardiology Clinic ◽  
Heart Lesions

AbstractThis study was performed to determine the prevalence of CHD among children referred with asymptomatic murmurs and to determine the diagnostic accuracy of the assessment of asymptomatic heart murmurs by general paediatricians. We reviewed the records of children who had been referred by general paediatricians to a cardiology clinic for further evaluation of a heart murmur. The referring paediatricians’ clinical assessment of the murmur was compared with the cardiologist’s echocardiographic diagnosis. A total of 150 children were referred by paediatricians to a paediatric cardiologist for further assessment of a heart murmur. Out of 150 children, 72 had a paediatrician’s diagnosis of innocent murmur; of these 72 patients, two (3%) had heart disease on echocardiography. In all, after echocardiography, a range of congenital heart lesions was found in 28 (19%) of the 150 children. CHD is not rare among children with asymptomatic heart murmurs. In this series of children with asymptomatic murmurs, 19% had heart lesions on echocardiography. Most, but not all, of the children with heart lesions were identified on clinical examination by general paediatricians.

scholarly journals Further Electrocardiographic Observations on Direct Epicardial Potentials in Congenital Heart Lesions

Circulation ◽  
1962 ◽  
Vol 26 (4) ◽  
pp. 561-573 ◽  
Author(s):  
R. H. WASSERBURGER ◽  
W. P. YOUNG ◽  
K. SIEBECKER ◽  
L. K. HAWKINS ◽  
B. BAMFORTH ◽  
...  
Keyword(s):  
Congenital Heart ◽  
Epicardial Potentials ◽  
Heart Lesions

scholarly journals Echocardiographic preoperative evaluation of unbalanced atrioventricular septal defect

2020 ◽  
Vol 26 (2) ◽  
pp. 46-58
Author(s):  
Zornitsa Vassileva ◽  
Anna Kaneva
Keyword(s):  
Congenital Heart ◽  
Septal Defect ◽  
Single Ventricle ◽  
Preoperative Evaluation ◽  
Atrioventricular Septal Defect ◽  
Precise Determination ◽  
Moderate Degree ◽  
Surgical Strategies ◽  
Single Ventricle Palliation

Unbalanced atrioventricular septal defect is seen by 10-15% of the patients with this congenital heart disease and poses serious challenges for the treating physicians regarding the choice of the most suitable operative intervention. The forms with moderate degree of unbalance between the two ventricles, especially when the size of the left ventricle is considered borderline, make the choice between two-ventricle correction and single-ventricle palliation quite difficult. The most important factor when judging the degree of unbalance is not the size of the ventricles but rather the redistribution of blood flow. The use of different echocardiographic measurements could contribute to the more precise determination of the indications for one of the two surgical strategies with resulting improvement of patient outcome.

scholarly journals Sonographer University: A Hands-On Training Course for Adult Sonographers Performing Pediatric Echocardiography

2020 ◽  
Vol 36 (6) ◽  
pp. 560-565
Author(s):  
Lindsay Hamilton-Scott ◽  
Jennifer H. Huang ◽  
Christina Ronai ◽  
Erin J. Madriago
Keyword(s):  
Congenital Heart ◽  
Comfort Level ◽  
Critical Congenital Heart Disease ◽  
Remote Areas ◽  
Life Threatening Illness ◽  
Hands On ◽  
Life Threatening ◽  
Multimedia Case Studies ◽  
Heart Lesions ◽  
Pediatric Echocardiography

Objective: Children with critical congenital heart disease (CHD) often present in remote areas with life-threatening illness. Although performing complete pediatric echocardiograms requires significant training, remote locations necessitate sonographers with limited pediatric experience screen for CHD. The Sonographer University (SU) was designed to improve comfort in adult sonographers scanning children and recognizing CHD. Methods: The SU consisted of lectures, multimedia case studies, roundtable discussions, pathology stations, and hands-on scanning of 20 volunteer pediatric patients with either normal or diseased hearts. Topics included an overview of critical congenital heart lesions, crucial views for each defect, and pitfalls in imaging children. Results: Forty-four participants completed the SU seminar. In pretest assessment, approximately two-thirds said they were currently required to scan children. Participants’ comfort level sonographically scanning children and recognizing CHD improved substantially. A posttest showed that the course improved participants’ skill, knowledge, and confidence with pediatric studies. Conclusion: The SU seminar helped sonographers from remote areas to develop improved recognition of CHD, confidence in pediatric scanning, and methods for obtaining assistance with imaging a critically ill child.

Transposition of the Great Arteries Associated With Non-Kommerell Diverticulum: Lessons From Two Cases

2020 ◽  
Vol 11 (3) ◽  
pp. 377-379
Author(s):  
Truong Ly Thinh Nguyen ◽  
Vinh Quang Tran
Keyword(s):  
Surgical Management ◽  
Congenital Heart ◽  
Vascular Ring ◽  
Unusual Combination ◽  
Heart Lesions ◽  
Kommerell Diverticulum

Vascular ring malformations usually occur as an isolated lesion. d-Transposition of the great arteries (d-TGA) associated with vascular ring malformations has seldom been reported in the literature. In this report, we describe two unusual cases of d-TGA associated with non-Kommerell diverticulum resulting in vascular ring. Our approach for the diagnosis and surgical management of this unusual combination of congenital heart lesions is described.

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