scholarly journals Successful Management of a Stab Wound to the Left Ventricle

2016 ◽  
Vol 9 (1) ◽  
pp. 60-63
Author(s):  
Jaleed Ahmad Gillani ◽  
Hamza AR Khan ◽  
Omar Irfan ◽  
Saulat H Fatimi
Keyword(s):  
Septal Defect ◽  
Stab Wound ◽  
Left Ventricular ◽  
Uneventful Recovery ◽  
Ventricular Wall ◽  
Successful Management ◽  
X Ray ◽  
History Of ◽  
Prolene Suture ◽  
Cardiac Silhouette

A 24 year old male presented to the emergency room with a 2 hour history of knife stab wound. He was haemodynamically stable with good bilateral air entry. However on X-ray an enlarged cardiac silhouette was seen. The patient suddenly became hypotensive and on suspicion of cardiac tamponade a catheter was introduced in pericardial space, but the measure was unsuccessful and he was rushed to the Operating Room. During the surgery a 2 cm long laceration was identified in the mid-left ventricular (LV) wall less than 1mm away from the Left Anterior Descending (LAD) Artery. The Left Anterior Descending Vein was damaged which was then repaired along with the ventricular wall by the interrupted pledgeted 3-0 prolene suture, whilst a cardiopulmonary bypass was kept on the stand by. The patient was checked for a ventricular septal defect via an intraoperative echocardiography. Subsequently, he had an uneventful recovery and was discharged.Cardiovasc. j. 2016; 9(1): 60-63

Significance of left ventricular wall stress in infants with atrioventricular septal defect, common atrioventricular orifice and regurgitation across the left atrioventricular valve

1991 ◽  
Vol 1 (4) ◽  
pp. 390-395
Author(s):  
Masahi Seguchi ◽  
Makoto Nakazawa ◽  
Kataro Oyama ◽  
Masa-aki Kawada ◽  
Hiromi Kurosawa ◽  
...  
Keyword(s):  
Septal Defect ◽  
Primary Repair ◽  
Wall Stress ◽  
Ventricular Volume ◽  
Atrioventricular Septal Defect ◽  
Left Ventricular ◽  
Ventricular Wall ◽  
Atrioventricular Valve ◽  
Left Heart Failure ◽  
Young Infants

SummaryThe outcome of primary repair in young infants having atrioventricular septal defect with a common atrioventricular orifice and regurgitation across the left atrioventricular valve is not yet satisfactory. We studied the significance of the characteristics of left ventricular volume and mass and the predicted wall stress for the outcome of repair in 13 infants with this lesion. Three patients died of left heart failure after operation, although neither residual shunting at ventricular level nor regurgitation across the left atrioventricular valve was present. End-diastolic volume and ejection fraction of the left ventricle were 228 ±66% and 0.65 ±0.06 of normal, respectively, with no difference between the survivors and non-survivors. End-diastolic thickness of the posterior ventricular wall, determined by echocardiogram, was within normal range for body size in all patients.

TO CORRELATE ECG CHANGES AND CLINICO-RADIOLOGICAL FINDINGS WITH THE SEVERITY OF VSD.

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Deepak Kumar Uikey ◽  
Ankur Roy
Keyword(s):  
Pulmonary Hypertension ◽  
Ventricular Hypertrophy ◽  
Septal Defect ◽  
Left Ventricular ◽  
Age Group ◽  
Radiological Findings ◽  
Ecg Changes ◽  
X Ray ◽  
Chest X Ray ◽  
Grade Ii

Background & Method: This study was conducted in 56 children in age group of 02 months to 14 years with Echocardio graphically proved Ventricular Septal Defect, over a period of 01 and a half year, after taking consent from the parents and explaining them the purpose and method of this study. Result: Out of these 27 patients in 2 to 6 months age group, 11 were large VSDs, 16 were moderate VSDs and 2 were small VSDs. Out of 17 patients in age group 6 to 12 months, 10 patients were large VSDs, 5 patients had moderate VSDs and 3 patients were with small VSDs. Among patients with moderate VSDs only 4out of 25 patients had signs of right ventricular hypertrophy (16%). Left ventricular hypertrophy was evident clinically in 24 patients out of 25 (96%) & obviously no patients had biventricular hypertrophy. A loud ESM was heard (grade II-IV). Conclusion: Clinical examination can also suggest LVH in moderate VSD & sometimes BVH in large VSD, Palpable P2 and loud P2 are very important findings that suggest pulmonary hypertension. Pansystolic murmur is heard in small-moderate VSD and ESM in large VSD. Complications like CCF, pulmonary hypertension, malnutrition and FTT are mostly present in moderate-large VSD. Chest x-ray suggests cardiomegaly, plethora and also enlargement of PA segment in moderate –large VSD. Keywords: ECG, Clinico-radiological, VSD & Severity. Study Designed: Observational Study.

scholarly journals X-ray Diffraction from a Left Ventricular Wall of Rat Heart

2004 ◽  
Vol 86 (4) ◽  
pp. 2286-2294 ◽  
Author(s):  
Naoto Yagi ◽  
Juichiro Shimizu ◽  
Satoshi Mohri ◽  
Jun’ichi Araki ◽  
Kazufumi Nakamura ◽  
...  
Keyword(s):  
Rat Heart ◽  
Left Ventricular ◽  
Left Ventricular Wall ◽  
Ventricular Wall ◽  
X Ray Diffraction ◽  
X Ray

scholarly journals Herpes Zoster-Induced Ogilvie’s Syndrome

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Irfan Masood ◽  
Zain Majid ◽  
Waqas Rind ◽  
Aisha Zia ◽  
Haris Riaz ◽  
...  
Keyword(s):  
Herpes Zoster ◽  
Uneventful Recovery ◽  
Ogilvie's Syndrome ◽  
Diagnostic Challenge ◽  
Time Intervals ◽  
Ogilvie’S Syndrome ◽  
Surgical Interventions ◽  
X Ray ◽  
Rare Manifestation ◽  
History Of

Ogilvie’s syndrome due to herpes zoster infection is a rare manifestation of VZV reactivation. The onset of rash of herpes zoster and the symptoms of intestinal obstruction can occur at different time intervals posing a significant diagnostic challenge resulting in avoidable surgical interventions. Herein, we describe a case of 35-year-old male who presented with 6-day history of constipation and colicky abdominal pain along with an exquisitely tender and vesicular skin eruption involving the T8–T11 dermatome. Abdominal X-ray and ultrasound revealed generalized gaseous distention of the large intestine with air up to the rectum consistent with paralytic ileus. Colonoscopy did not show any obstructing lesion. A diagnosis of Ogilvie’s syndrome associated with herpes zoster was made. He was conservatively managed with nasogastric decompression, IV fluids, and acyclovir. The patient had an uneventful recovery and was later discharged.

Postinfarction ventricular septal defect closure

2021 ◽  
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Suture Line ◽  
Left Ventricular ◽  
Ventricular Wall ◽  
Defect Closure ◽  
Usual Manner ◽  
Ventricular Septal Defect Closure ◽  
Postinfarction Ventricular Septal Defect ◽  
The Right

After a median full sternotomy, cardiopulmonary bypass is installed in the usual manner. Apical ventriculotomy is performed through the infarcted myocardium. Polypropylene pledgeted mattress sutures are passed from the right to the left ventricular side through the ventricular septal defect, with the pledgets remaining on the right ventricle. Great care must be taken to place the suture on healthy myocardium and away from the edge of the ventricular septal defect; otherwise the chances of a recurrent postoperative ventricular septal defect would increase. The sutures are subsequently positioned through a heterologous patch, previously prepared to be appropriate for the ventricular septal defect closure. A collar of 3 to 4 cm is left on the external side of the patch. A 4-0 polypropylene running suture is placed through this collar and the left ventricle to further reinforce the ventricular septal defect closure. The left ventricular incision is closed with polypropylene 3-0 continuous sutures. For each ventricular edge, the running suture is passed through 2 polytetrafluoroethylene felts: one on the endoventricular side and the other on the epicardial side. Finally, the suture line is reinforced with a continuous 2-0 polypropylene suture, which is passed through the polytetrafluoroethylene felts, the ventricular wall, and the heterologous patch used to close the ventricular septal defect.

Quadricuspid Aortic Valve and Associated Abnormalities in a Dog

2005 ◽  
Vol 41 (6) ◽  
pp. 406-412 ◽  
Author(s):  
Frank Kettner ◽  
Etienne Côté ◽  
Robert M. Kirberger
Keyword(s):  
Aortic Valve ◽  
Septal Defect ◽  
Clinical Signs ◽  
Left Ventricular ◽  
Quadricuspid Aortic Valve ◽  
Ventricular Enlargement ◽  
Heart Murmur ◽  
History Of ◽  
Left Ventricular Enlargement ◽  
Associated Abnormalities

An 11-month-old, female Scottish terrier was presented with a history of a heart murmur. The electrocardiogram showed signs of left ventricular enlargement, and radiography confirmed generalized cardiomegaly. Echocardiography revealed four equally sized aortic valve cusps. A ventricular septal defect, with systolic left-to-right shunting, and aortic regurgitation into both ventricles were also present. The dog was free of clinical signs 1 year after diagnosis.

Evidence for left ventricular diastolic suction in closed-chest dogs

1959 ◽  
Vol 197 (6) ◽  
pp. 1152-1156 ◽  
Author(s):  
Heiner Scheu ◽  
W. F. Hamilton
Keyword(s):  
Venous Pressure ◽  
Left Ventricular ◽  
Ventricular Pressure ◽  
Ventricular Wall ◽  
Elastic Recoil ◽  
Suction Force ◽  
X Ray ◽  
Cardiac Pumping ◽  
The Difference ◽  
Ventricular Filling

The question of ventricular filling by "suction" was investigated by recording the transmural ventricular pressure in normally breathing animals who had recovered from surgery. This transmural pressure was recorded as the difference between the thoracic pressure and the intraventricular pressure. It was considered positive whenever the ventricular pressure exceeded the thoracic pressure as is the case during systole, and negative when it was less than the thoracic pressure. During diastole the difference between these pressures are always small (±10 mm Hg or less). In the normal untraumatized animal it is zero or positive (filling by venous pressure). After the animal deteriorates from repeated experiments it may become negative, (filling by an action of the ventricular wall or suction). This suction is greater as a result of conditions which interfere with venous return and diminish the size of the ventricles by x-ray (mitral stenosis or bleeding). The force of suction is lessened after transfusions which increase the size of the ventricles. Considerations are advanced for believing that the suction force originates in elastic recoil of the ventricular wall and that it is not clearly an important factor in the mechanism of cardiac pumping.

Transmitral thrombectomy to treat a patient with Takotsubo cardiomyopathy

2017 ◽  
Vol 26 (3) ◽  
pp. 236-238 ◽  
Author(s):  
Kenta Zaikokuji ◽  
Masaru Sawazaki ◽  
Shiro Tomari ◽  
Tomonari Uemura
Keyword(s):  
Takotsubo Cardiomyopathy ◽  
Wall Motion ◽  
Left Ventricular ◽  
Left Ventricular Wall ◽  
Ventricular Wall ◽  
Left Ventricular Wall Motion ◽  
History Of ◽  
Endoscopic Assistance ◽  
Ventricular Wall Motion

A 68-year-old woman with a history of bipolar disorder was admitted to another hospital with a gastric ulcer. On admission, Takotsubo cardiomyopathy was suspected because her electrocardiogram was abnormal and the characteristic left ventricular wall motion was apparent. On hospital day 11, echocardiography revealed a thrombus in the apex of the left ventricle. She was transferred to our hospital and heparin treatment was commenced. On follow-up echocardiography, the left ventricular wall motion had normalized but thrombus mobility had increased. Thrombectomy was performed via a transmitral approach with endoscopic assistance. Endoscopy allowed excellent visualization of the intracardiac structure.

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