Publications by authors named "Gonzalo Espinosa-Islas"

Introduction: The double-chambered right ventricle (DCRV) is an uncommon congenital heart disease; it represents the 0,5% of these congenital cardiopathies.

Objective: To describe the clinical and echocardiographic characteristics of a series of 11 patients.

Methods: Eleven patients with DCRV were studied.

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Pentalogy of Cantrell is a rare disease. Approximately 185 cases have been reported around the world. The authors performed a retrospective study that reviewed the clinical files and pathological samples of 22 cases of pentalogy of Cantrell treated at the Hospital Infantil de México Federico Gómez.

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Article Synopsis
  • The study aimed to evaluate left ventricular function in patients who underwent successful repair of aortic coarctation and to identify factors that might lead to later functional issues.
  • Echocardiographic data from 40 patients (mean age 6.9 years at repair) showed improvements in ejection fraction and shortening fraction in the majority, but 47.5% still had abnormal myocardial performance indices post-repair.
  • Higher abnormalities in myocardial performance were found in patients with prior arterial hypertension, older age at repair, and more severe left ventricular issues prior to the procedure.
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Objective: To evaluate the effect of carvedilol administrated during 8 months in children with heart failure secondary to dilated cardiomyopathy.

Methods: We initiated carvedilol in patients who, despite optimization of standard treatment, had persistent left ventricular ejection fraction < or = 40% and evaluated the systolic and diastolic left ventricular function before and after 4 and 8 months of treatment.

Results: 19 patients were included in the study, 10 women; median age: 6.

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Article Synopsis
  • The study aimed to analyze pulmonary venous flow in children with dilated cardiomyopathy and its relationship with mitral Doppler flow and functional class.
  • Results showed that all 14 patients had abnormal pulmonary venous flow, and 9 of them had abnormal diastolic function when assessed through mitral Doppler flow.
  • The findings suggest that pulmonary venous flow is a better indicator of diastolic function and correlates more closely with the functional class compared to mitral Doppler flow.
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Objective: To present our experience in the echocardiographic diagnosis of anomalous origin of one pulmonary artery from the ascending aorta (AOPA). To analyze its clinical presentation, treatment and outcomes with special emphasis in the echocardiographic data.

Method: We reviewed restrospectively the clinical, hemodynamic data, and surgical findings of patients with an echocardiographic diagnosis of AOPA studied in the Hospital Infantil of Mexico "Federico Gomez" from 1991 to 2002.

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