Right heart failure: Diagnosis via ultrasonography of the inferior vena cava and hepatic veins

Author(s):  
R. Goei ◽  
H. Ronnen ◽  
A. Kessels ◽  
J. Kragten
1998 ◽  
Vol 15 (8) ◽  
pp. 787-794 ◽  
Author(s):  
M. BASHAR A. SHALA ◽  
IVAN A. D'CRUZ ◽  
CAMEILA JOHNS ◽  
JACKIE KAISER ◽  
REGENIA CLARK

Respirology ◽  
1996 ◽  
Vol 1 (1) ◽  
pp. 5-9
Author(s):  
Shiro KIRA ◽  
Takashi DAMBARA ◽  
Tatsuhiko MIENO ◽  
Shigeru TAMAKI ◽  
Hiroshi NATORI

2017 ◽  
Vol 8 (4) ◽  
pp. 470-474 ◽  
Author(s):  
Jyoti Prasad Kalita ◽  
Nilajan Dutta ◽  
Neeraj Awasthy ◽  
Kuntal Roy Chowdhuri ◽  
Sumir Girotra ◽  
...  

Background: Uhl’s anomaly is an extremely rare congenital heart defect characterized by a near total absence of the myocardium of the parietal wall of the right ventricle. Few reports of surgical management exist in literature. We present three patients with this anomaly who were managed with different surgical strategies. Patients and Methods: Patient 1: This 43-month-old girl had maternal rubella syndrome with speech and hearing deficits and gross right heart failure. Diagnosis was made on echocardiography and magnetic resonance imaging. She underwent partial excision and plication of the right ventricular parietal wall and total cavopulmonary connection. Patient 2: This 19-month-old boy presented with progressive cyanosis and features of right heart failure. Diagnosis was confirmed on echocardiography. He underwent right ventricular exclusion by tricuspid valve closure and free wall plication followed by a bidirectional Glenn procedure. Patient 3: This 21-year-old male presented with right heart failure and cyanosis. Diagnosis was established with transesophageal echocardiography and magnetic resonance imaging. As the hemodynamics were not suitable for a Fontan conversion, a one and a half ventricle repair was done along with plication of the right ventricular free wall and tricuspid valve annuloplasty. Results: All three patients were extubated within 24 hours. Patients 2 and 3 were discharged relatively uneventfully, whereas patient 1 had a more prolonged stay due to transient hepatic failure. All were symptomatically and clinically improved on short-term follow-up. Conclusion: Uhl’s anomaly is an extremely rare condition with varied clinical presentation. Surgical exclusion of the right ventricle yields gratifying results; however, surgical technique has to be adapted to the individual patient.


2019 ◽  
Vol 22 (2) ◽  
pp. 220-226 ◽  
Author(s):  
D. Vosugh ◽  
M. N. Nazem

Radiology, an imaging technique, is used in checking small animals for cardiovascular and respiratory disorders. Cardiovascular disease such as congestive heart failure, pericardial heart disease, heart worms and disease that cause injury and lesion in the right atrium may lead to an enlarged right side of the heart and as a result cause the enlargement of caudal vena cava (CVC). It is not possible to make a complete comparison of CVC size, due to variety in size of the cats but the ratio of CVC size to the other anatomical structures makes this possibility that we have a better estimation of CVC size. So the aim of this study was to evaluate the ratio of CVC size to aorta (Ao), width of fourth rib (R4) and also the thoracic vertebral length (VL) in 20 male healthy and 20 Domestic Shorthair (DSH) cats with right heart failure (RHF). To this end, the ratio of CVC size to posterior aorta (Ao), the ratio of CVC size to width of the forth rib, the ratio of CVC size to the length of thoracic vertebrae above the site of trachea bifurcation, CVC/VL of 20 RHF cats to CVC/VL of 20 healthy SHD cats, and also Ao/VL ratios were calculated. Statistical analysis showed significant difference in the CVC/Ao and CVC/R4 between healthy and RHF cats. CVC/VL was increased in RHF cats in comparison to healthy ones (P<0.05) while Ao/VL in right heart failure DSH cats was lower than that in healthy DSH cats. The results showed that right heart failure disease in cats may lead to increase in the CVC/Ao, CVC/R4 and CVC/VL parameters in comparison with healthy cats. According to this study, the method that is used to diagnose the right heart failure in dogs could be used for cats too.


2021 ◽  
pp. 153857442110020
Author(s):  
Reza Talaie ◽  
Hamed Jalaeian ◽  
Nassir Rostambeigi ◽  
Anthony Spano ◽  
Jafar Golzarian

Budd-Chiari syndrome (BCS) results from the occlusion or flow reduction in the hepatic veins or inferior vena cava and can be treated with transjugular intrahepatic portosystemic shunt when hepatic vein recanalization fails.1-3 Hypercoagulable patients with primary BCS are predisposed to development of new areas of thrombosis within the TIPS shunt or IVC. This case details a patient with BCS, pre-existing TIPS extending to the right atrium, and chronic retrohepatic IVC thrombosis who underwent sharp recanalization of the IVC with stenting into the TIPS stent bridging the patient until his subsequent hepatic transplantation.


2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Sneha R. Gadi ◽  
Benjamin K. Ruth ◽  
Alan Johnson ◽  
Sula Mazimba ◽  
Younghoon Kwon

Inferior vena cava (IVC) diameter and respirophasic variation are commonly used echocardiographic indices to estimate right atrial pressure. While dilatation of the IVC and reduced collapsibility have traditionally been associated with elevated right heart filling pressures, the significance of isolated IVC dilatation in the absence of raised filling pressures remains poorly understood. We present a case of an asymptomatic 28-year-old male incidentally found to have IVC dilatation, reduced inspiratory collapse, and normal right heart pressures.


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