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[Diagnostic characterization and morbi-mortality in pediatric patients with diagnosis of vascular ring].
Arch Cardiol Mex
March 2025
Departamento de Cardiología Pediátrica, Instituto Nacional de Cardiología Ignacio Chávez, Ciudad de México, México.
Objective: To analyze the clinical characteristics and natural history of pediatric patients with a diagnosis of vascular ring.
Method: We retrospectively studied the records of 110 patients of pediatric age, from January 2014 to December 2022, with the following variables: age, clinical manifestations, associated cardiac lesions, diagnostic method and surgical approach.
Results: Of the total, 60 (55%) were female and 50 (45%) were male.
Right Aortic Arch With Kommerell Diverticulum and a Rare Type of Isolated Left Subclavian Artery.
Echocardiography
March 2025
Department of Ultrasound Diagnosis, Children's Hospital of Hebei Province, Shijiazhuang, China.
The isolated left subclavian artery is a rare congenital variation of the vascular structure. Herein, we report the case of a 10-year-old boy with a rare isolated left subclavian artery. The left subclavian artery evolved from stenosis to atresia, resulting in subclavian steal syndrome.
View Article and Find Full Text PDFBackground: Thrombosis in modified Blalock-Taussig-Thomas shunts (mBTTS) poses a life-threatening risk for infants with shunt-dependent congenital heart disease. Although hemodynamics influence thrombosis, the specific geometric contributors remain unclear. This study aimed to identify key variables to inform future hemodynamic analysis, hypothesizing that brachiocephalic, subclavian artery, mBTTS, and/or pulmonary artery (PA) geometry play a critical role in clot formation.
View Article and Find Full Text PDFEndovascular treatment of a giant arteria lusoria aneurysm in a young female with Marfan syndrome.
BJR Case Rep
March 2025
Clinic for Radiology and Neuroradiology, University Hospital of Schleswig-Holstein, Campus Kiel, D-24105 Kiel, Germany.
Aneurysms of an aberrant right subclavian artery (ARSA) are rare but constitute a potentially lethal condition, especially with concomitant Marfan syndrome (MFS). A 27-year-old female with confirmed MFS presented with a relevant progression of a known aneurysm of an ARSA in MRI. The patient had undergone valve-sparing aortic root replacement (David procedure) 4 months prior.
View Article and Find Full Text PDFNeonatal enlargement of the aortic arch roof without cardiopulmonary bypass using ductal patency for lower body perfusion: impact on long-term growth, function and shape of the aortic arch†.
Interdiscip Cardiovasc Thorac Surg
March 2025
Division of Congenital Cardiovascular Surgery, Pediatric Heart Centre & Children's Research Centre, University Children's Hospital Zurich, Zurich, Switzerland.
Objectives: This study evaluates the long-term outcome of neonatal aortic arch roof enlargement using ductal patency in the context of coarctation associated with aortic arch hypoplasia.
Methods: Retrospective single-centre analysis of children undergoing roof enlargement of the distal arch (left common carotid artery-left subclavian artery) without cardiopulmonary bypass (utilizing ductal patency for lower body perfusion); followed by resection and extended end-to-end anastomosis, through a left posterior thoracotomy. This study evaluates the long-term outcome with emphasis on arch growth and shape.
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