scholarly journals The Unusual Journey of a Pericardial Drainage Catheter in Pentalogy of Cantrell

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Margaret P. Ivy ◽  
Gareth J. Morgan ◽  
Jenny E. Zablah
Keyword(s):  
Main Pulmonary Artery ◽  
Right Ventricular Outflow Tract ◽  
Male Infant ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
Pentalogy Of Cantrell ◽  
Catheterization Laboratory ◽  
Cardiac Catheterization Laboratory ◽  
Drainage Catheter ◽  
Large Pericardial Effusion

A 4-month-old male infant diagnosed with Pentalogy of Cantrell presented to the cardiac catheterization laboratory with a large pericardial effusion. During an urgent pericardial drain placement, the patient, whose prior hemodynamics and clinical findings had suggested a noncritical cardiac lesion, had a profound desaturation, with echocardiography suggesting minimal or no flow across the right ventricular outflow tract (RVOT). The position of the drainage catheter on fluoroscopy and echocardiography suggested that the spell was being caused by obstruction of the main pulmonary artery (MPA) by the pericardial drain. After partially withdrawing the drain to reposition it, there was immediate resolution of the hypoxemia, and echocardiography once again showed adequate flow across the outflow tract.

scholarly journals Stenting of Right Ventricular Out Flow Tract: Analysis of 32 Cases from Catheterization Laboratory of a Paediatric Cardiac Centre

2020 ◽  
Vol 35 (1) ◽  
pp. 1-5
Author(s):  
Nurun Nahar Fatema Begum ◽  
Nazmul Islam Bhuiyan ◽  
Ashfaque Ahemmed Khan
Keyword(s):  
Right Ventricular ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
Catheterization Laboratory ◽  
Guide Catheter ◽  
Cardiac Centre ◽  
Stent Length ◽  
Institutional Experience ◽  
Stent Diameter

Introduction: The objectives of the present study are to describe the institutional experience, technical aspects and outcome of right ventricular outflow tract (RVOT) stenting in Tetralogy of Fallot type lesions as the initial palliation in a Bangladeshi centre. Methods: This is a retrospective, single-center study of nonrandomized, consecutive 32 patients over a 12-year period. Selected patients underwent cardiac catheterization for implanting a stent into an obstructed RVOT to improve pulmonary blood flow.Statistical data analysis was performed using SPSS 20. Results: Thirty cases had stenting in RVOT and two cases were postponed. Median age was 8.1 (3-40) months, median weight was 4.8 (3.3-11.4)kg, median procedure time was 65 (26-210) minutes and fluoroscopy time was 16 (10-75) minutes.Stents were implanted through 5F Judkins coronary guide catheter and 5F or 6F delivery sheath of ADOII device. Median stent diameter was 6 (4-7) mm. Stent length varies from 12-22 mm with median 14 mm. Oxygen saturation of the patients increased from median 60 (30 - 75)% to 91 (85-98)%. In one patient stent was embolized to aorta and was fixed to descending aorta. Two cases were postponed for short infundibular length. One patient died from non cardiac cause two months after palliation. No procedure related mortality recorded. Conclusion: Right ventricular outflow tract stenting is a good option of palliation for small babies with reduced pulmonary blood flow. In our setting we did most of the palliation to offer better quality of life who could not afford surgery or who was detected late. Bangladesh Heart Journal 2020; 35(1) : 1-5

scholarly journals Isolated Pulmonary Infective Endocarditis with Septic Pulmonary Embolism Complicating a Right Ventricular Outflow Tract Obstruction: Scarce and Devious Presentation

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Abdelrahmen Abdelbar ◽  
Raed Azzam ◽  
Kok Hooi Yap ◽  
Ahmed Abousteit
Keyword(s):  
Pulmonary Embolism ◽  
Pulmonary Artery ◽  
Right Ventricular ◽  
Pulmonary Valve ◽  
Main Pulmonary Artery ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
Diagnostic Tools ◽  
Septic Pulmonary Embolism

We present a case of a fifty-three-year-old male who presented with severe sepsis. He had been treated as a pneumonia patient for five months before the admission. Investigations revealed isolated pulmonary valve endocarditis and septic pulmonary embolism in addition to undiagnosed right ventricular outflow tract (RVOT) obstruction. The patient underwent surgery for the relief of RVOT obstruction by substantial muscle resection of the RVOT, pulmonary artery embolectomy, pulmonary valve replacement, and reconstruction of RVOT and main pulmonary artery with two separate bovine pericardial patches. He was discharged from our hospital after 6 weeks of intravenous antibiotics. He recovered well on follow-up 16 weeks after discharge. A high-suspicion index is needed to diagnose right-side heart endocarditis. Blood cultures and transesophageal echocardiogram are the key diagnostic tools.

scholarly journals Giant Right Ventricular Outflow Tract Myxoma Mimics Pulmonary Embolism: A Case Report

2021 ◽  
Vol 24 (2) ◽  
pp. E333-E335
Author(s):  
Tomomi Nakajima ◽  
Dung Bui ◽  
Thien Vu ◽  
Dang Nguyen ◽  
Dinh Nguyen
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Main Pulmonary Artery ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
Urgent Surgery ◽  
Right Ventricular Myxoma ◽  
Surgical Extraction ◽  
The Right

Right ventricular myxoma is very rare, especially its originating from the right ventricular outflow tract (RVOT) and extending to the main pulmonary artery. Here, we report a case of a giant RVOT myxoma, indistinguishable from pulmonary embolism (PE). Although the myxoma is a candidate for urgent surgery, this case satisfied diagnostic criteria for PE and had no indication for intervention, according to the guideline. The strategy for this mass can be completely different, depending on the diagnosis. Surgical extraction was selected because of atypical clinical course, findings, and nagging debut for neoplasm. Then it made hemodynamic status stable by releasing RVOT obstruction and allowed to reveal the diagnosis as myxoma histopathologically.

True aneurysmal dilatation of a valved bovine jugular vein conduit after right ventricular outflow tract reconstruction: a rare complication

2019 ◽  
Vol 29 (8) ◽  
pp. 1097-1098 ◽  
Author(s):  
Tamer Yoldaş ◽  
Utku A. Örün ◽  
Sercan Tak
Keyword(s):  
Right Ventricular ◽  
Jugular Vein ◽  
Rare Complication ◽  
Main Pulmonary Artery ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Paediatric Population ◽  
Outflow Tract ◽  
Bovine Jugular Vein ◽  
The Right

AbstractValved bovine jugular vein conduit is considered a suitable choice for paediatric population with congenital heart defect requiring right ventricle to main pulmonary artery connection. However, complications related to the use of this device have been reported, with conduit failure occurring mainly as a consequence of stenosis, conduit thrombosis, and valve regurgitation. We present a case of aneurysmal conduit failure of a valved bovine jugular vein conduit used to reconstruct the right ventricular outflow tract.

scholarly journals Giant Saphenous Vein Graft Aneurysm Compressing Right Ventricular Outflow Tract and Main Pulmonary Artery

Circulation ◽  
2013 ◽  
Vol 127 (5) ◽  
pp. 650-651 ◽  
Author(s):  
Rodrigo Fernández-Jiménez ◽  
Aleksander Kempny ◽  
Matina Prapa ◽  
Mohamed Amrani ◽  
Richard Trimlett ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Right Ventricular ◽  
Saphenous Vein ◽  
Vein Graft ◽  
Saphenous Vein Graft ◽  
Main Pulmonary Artery ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract

An unusual case of a solitary cardiac myofibroma causing severe right ventricular outflow tract obstruction in an infant

2020 ◽  
pp. 1-3
Author(s):  
Prashant K. Minocha ◽  
Fei Chen ◽  
Joseph J. Maleszewski ◽  
Achiau Ludomirsky ◽  
Ralph Mosca ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Unusual Case ◽  
Right Ventricular Outflow Tract ◽  
Male Infant ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
Infantile Myofibromatosis ◽  
Ventricular Outflow Tract Obstruction ◽  
Cardiac Tumour ◽  
Cardiac Tumours

Abstract Cardiac tumours are relatively uncommon, particularly in children. Myofibroma is an extremely rare variety of cardiac tumour, which nearly always arises in the context of infantile myofibromatosis. Herein, we present a case of a solitary cardiac myofibroma causing right ventricular outflow tract obstruction in a 2-month-old male infant.

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