scholarly journals Common Ventricle Disorder

2020 ◽  
Author(s):  
Keyword(s):  
1998 ◽  
Vol 46 (11) ◽  
pp. 1177-1181 ◽  
Author(s):  
Masahiro Yoshida ◽  
Toshikatsu Yagihara ◽  
Hideki Uemura ◽  
Katsushi Yamashita ◽  
Yoichi Kawahira ◽  
...  

Author(s):  
Kh. K. Abralov ◽  
O. Kh. Karimov ◽  
S. O. Siromakha ◽  
I. V. Dziuriy ◽  
Ya. P. Truba ◽  
...  

Aim. To analyze results of hemodynamic correction in surgical treatment of double outlet right ventricle (DORV). Маterials and methods. For the period from January 1996 to September 2017, 31 (6.03 % of total number of patients with DORV) patients underwent hemodynamic correction of DORV. The age of the patients ranged from 1 to 19 years (71.2 ± 50.5 months on the average). The weight of the patients ranged from 9 to 41 kg (19.6 ± 11.3 kg on the average). Of these, 19 (61.3 %) were male patients and 12 (38.7 %) were female patients. The overwhelming majority (25 (80.6 %)) of the patients were diagnosed with transposition-type DORV. The anatomy of DORV with non-committed ventricular septal defect was observed in 5 (16.1 %) patients. In one patient (3.1 %), the anatomy of DORV (in the form of tetralogy of Fallot) was combined with tricuspid valve atresia. Results. The main reasons of hemodynamic correction in 16 (51.6 %) cases was LV hypoplasia. In 2 cases it was combined with tricuspid valve (TV) straddling, and in 2 cases it was an integral part of the unbalanced form of complete atrio-ventricular communication (AVC). In one case (3.1 %), the unbalanced form of complete AVC was combined with a mixed form of the common ventricle. The mixed form of the common ventricle was the reason of hemodynamic correction in 9 (29 %) patients. In 2 (6.2 %) cases, hemodynamic correction was performed due to the anatomy of the RV hypoplasia. In the remaining 2 patients, anatomy of the common ventricle was not diagnosed, but a combination of other concomitant defects was a contraindication to biventricular correction. Palliative operations (Blalock-Taussig shunt, BTS) as the first stage of correction were performed in 16 (51.6 %) patients. In 2 patients with LV outflow tract obstruction, systemic-pulmonary anastomosis was applied in combination with plastic repair of the great vessel roots using the proprietary technique for elimination of the left ventricular outflow tract (LVOT) stenosis. Bidirectional cavopulmonary anastomosis (BCPA) was applied in 29 (93.5 %) cases. Of these, 4 (13.8 %) patients subsequently underwent total cavopulmonary anastomosis (TCPA) procedure. Two patients with good hemodynamic parameters underwent TCPA without prior palliative procedures. Conclusion. Palliative surgery as the first stage to hemodynamic correction is accompanied by significant improvement in hemodynamic parameters of patients. Application of BCPA as the second stage of hemodynamic correction provides good results and is required to prepare the patient for TCPA. The long-term period is characterized by improvement in the quality of life in patients with complex DORV. In the long-term period, 85.2 % of patients are classified as NYHA FC I.


Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Patricia Y Chu ◽  
Christoph P Hornik ◽  
Jennifer S Li ◽  
Michael J Campbell ◽  
Kevin D Hill

Background: Children with hemodynamically significant heart disease (HS-HD) are at risk for morbidities and mortality due to respiratory syncytial virus (RSV). Palivizumab was approved for RSV prophylaxis in 1998. Guidelines released in December 2003 recommend palivizumab for all children < 2 yrs with HS-HD. We sought to define the impact of RSV prophylaxis in children with HS-HD by evaluating trends in U.S. RSV hospitalizations. Methods: The 1997, ’00, ’03, ’06 and ’09 Healthcare Cost and Utilization Project (HCUP) Kids’ Inpatient Databases (KID) were used to estimate U.S. RSV hospitalizations in children < 2 yrs, overall and in those with HS-HD, using standard HCUP weighting methods. RSV was defined by ICD-9-CM codes for RSV infection. HS-HD was defined using ICD-9-CM codes from the Clinical Classifications Software for congestive heart failure, or an ICD-9-CM code for pulmonary hypertension, common truncus, common ventricle, or hypoplastic left heart syndrome. Results: Our cohort included an estimated 461,491 RSV hospitalizations; 2,132 in children with HS-HD. Figure 1 depicts hospitalizations over time. There was no evident trend in number of overall RSV hospitalizations, however RSV hospitalizations in children with HS-HD declined by 39% from ’97 to ‘09. The largest decline was from ’97-’03. RSV hospitalizations in children with HS-HD relative to overall hospitalizations in children with HS-HD declined annually from ’97-’06 with a small increase in ‘09 (3.8%, 3.5%, 3.0%, 2.3% and 2.6% for successive analytic years). In 2009 mean hospital length of stay for children with HS-HD and RSV was 22.5 ± 2.1 days. Conclusions: RSV disease burden in children with HS-HD has declined since palivizumab approval. Much of this decline occurred before palivizumab was recommended for use in HS-HD, perhaps reflecting early adoption of prophylaxis, or greater awareness of alternative preventative strategies. RSV remains a significant cause of morbidity in children with HS-HD.


1965 ◽  
Vol 15 (3) ◽  
pp. 345-366 ◽  
Author(s):  
Richard Van Praagh ◽  
Stella Van Praagh ◽  
Peter Vlad ◽  
John D. Keith
Keyword(s):  

1974 ◽  
Vol 34 (2) ◽  
pp. 206-214 ◽  
Author(s):  
Jane Somerville ◽  
Luis Becu ◽  
Donald Ross

Heart ◽  
1964 ◽  
Vol 26 (3) ◽  
pp. 302-311 ◽  
Author(s):  
L. P. Elliott ◽  
H. D. Ruttenberg ◽  
R. S. Eliot ◽  
R. C. Anderson
Keyword(s):  

PEDIATRICS ◽  
1961 ◽  
Vol 28 (2) ◽  
pp. 293-306
Author(s):  
Maurice Lev ◽  
Victor M. Alcalde ◽  
Thomas G. Baffes

A study was made of the pathologic anatomy in 147 cases of complete transposition of the arterial trunks. A classification was attempted, dependent upon the extent and nature of ventricular septation and the presence or absence of abnormalities in the atrioventricular orifices. Complete transposition with mitral stenosis or atresia or with common atrioventricular orifice are characteristically associated with pulmonic stenosis and atresia, while complete transposition with tricuspid stenosis or atresia, or with common ventricle, or single ventricle and small outlet chamber are more commonly associated with increased pulmonary flow. The two complexes, complete transposition with common ventricle and that with single ventricle and small outlet chamber, are very closely related pathologically.


2021 ◽  
Vol 14 (5) ◽  
pp. e241804
Author(s):  
Conor Doyle ◽  
Jarlath Bolger ◽  
John B Conneely ◽  
Kevin P Walsh

We report a case of a 16-year-old adolescent male born with univentricular congenital cyanotic heart disease (CCHD) who was diagnosed with an incidental paraganglioma while awaiting a cardiac transplant. The coexistence of paraganglioma and univentricular CCHD is very rare, with no previous cases described in the literature of a patient concurrently requiring a cardiac transplant. The complex physiology associated with a common atrium, common ventricle, aortopulmonary lung perfusion and a hypoplastic left lung rendered our patient extremely vulnerable to catecholamine-mediated effects of preload, contractility and afterload. The interactions and interdependence between these systems provided unique difficulties for perioperative management with serious implications for prospective cardiac transplant.


CHEST Journal ◽  
1972 ◽  
Vol 61 (2) ◽  
pp. 192-194 ◽  
Author(s):  
Shigeru Sakakibara ◽  
Seiichi Tominaga ◽  
Yasuharu Imai ◽  
Kichisaburo Uehara ◽  
Masatomo Matsumuro

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