Vascular ring anomalies are developmental anomalies of the thoracic great vessels resulting in complete or partial encircling of the esophagus and the trachea by a vascular ring formation. Persistent right aortic arch with left ligamentum arteriosum accounts for 95% of vascular ring anomalies in dogs. The dog in this report had a double aortic arch, which is a type 4 vascular ring anomaly. Double aortic arch is a rare congenital heart defect resulting from the improper development of the embryonic arches. The prognosis for dogs that have undergone surgery for correction of double aortic arches is generally regarded as poor. The dog in this report underwent surgery for correction of double aortic arches and recovered without dilation or motility disorders of the esophagus. Results indicate that small animals that undergo early surgical correction of double aortic arches with relief of esophageal constriction can have a good prognosis. To the authors' knowledge, there have been no previous reports of dogs that have survived long enough to be discharged from the hospital after surgical correction of double aortic arches.
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http://dx.doi.org/10.2460/javma.2004.225.1222 | DOI Listing |
J Cardiovasc Dev Dis
December 2024
German Heart Centre Munich, 80636 Munich, Germany.
(1) Background: Cerebral magnetic resonance imaging has reported new cerebral ischemic lesions after left atrial appendage (LAA) closure in about one- third of patients. Stroke occurs predominantly periprocedurally. This study evaluated the characteristics of embolized debris captured by the SENTINEL cerebral embolic protection system in patients undergoing LAA closure; (2) Methods: Sixty filters of 30 consecutive patients undergoing LAA closure with the WATCHMAN FLX device were collected and captured debris was analyzed by histopathology and histomorphometry.
View Article and Find Full Text PDFEur J Vasc Endovasc Surg
January 2025
Department of Cardiovascular Surgery, West China Hospital of Sichuan University, Chengdu, China. Electronic address:
JACC Clin Electrophysiol
January 2025
Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, Liaoning, China. Electronic address:
Background: Calcium-mediated autonomic denervation has been shown to suppress postoperative atrial fibrillation (POAF) after coronary artery bypass grafting.
Objectives: This study sought to evaluate whether similar autonomic denervation can prevent POAF after mitral or aortic valve surgeries.
Methods: This research consisted of 2 single-center, randomized, double-blind, sham-controlled trials: CAP-AF2 (Calcium Autonomic Denervation Prevents Postoperative Atrial Fibrillation in Patients Undergoing Isolated Mitral Valve Surgery for Mitral Regurgitation) for mitral valve (MV) surgery and CAP-AF3 (Calcium Autonomic Denervation Prevents Postoperative Atrial Fibrillation in Patients Undergoing Isolated Aortic Valve Surgery) for aortic valve surgery.
Cureus
December 2024
Cardiology, Avicenna Military Hospital, Marrakesh, MAR.
Introduction Atrial fibrillation (AF), the most common cardiac arrhythmia, poses challenges in predicting thromboembolic risk. While the CHADS-VASc (congestive heart failure, hypertension, age ≥ 75 years (doubled), type 2 diabetes mellitus, previous stroke, transient ischemic attack, or thromboembolism (doubled), vascular disease, age 65-74 years, and sex category) score remains essential, its limitations include failure to identify left atrial (LA) thrombus in some patients. Transesophageal echocardiography (TEE) provides superior detection of LA thrombi and thrombogenic factors compared to transthoracic echocardiography (TTE), improving risk stratification, especially in intermediate-risk groups.
View Article and Find Full Text PDFJACC Clin Electrophysiol
January 2025
Section of Cardiac Pacing and Electrophysiology, Division of Cardiology, Cleveland Clinic, Cleveland, Ohio, USA.
Background: In patients with mechanical aortic and mitral valves requiring catheter ablation of ventricular tachycardia (VT), a technique for access from the right atrium (RA) to the left ventricle (LV) via puncture of the inferoseptal process of the LV was previously described in a single-center series.
Objectives: This study sought to report the multicenter experience of VT ablation using this novel LV access approach.
Methods: We assembled a multicenter registry of patients with double mechanical valves who underwent VT ablation with RA-to-LV access.
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