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Transposition of the great arteries with an intact ventricular septum in older children.
Cardiol Young
December 2024
Department of Cardiovascular Surgery, Xiangya Hospital, Central South University, Changsha, China.
Complete transposition of the great arteries is a common life-threatening complex cyanotic congenital heart disease in infants, resulting in the operation usually performed about one week after birth. However, little is known about the surgical strategy and experience of transposition of the great arteries with an intact ventricular septum in older patients. Herein, we present an abandoned 7-year-old boy with severe cyanosis with clubbed fingers and toes and then diagnosed with transposition of the great arteries with an intact ventricular septum, atrial septal defect, patent ductus arteriosus, and pulmonary hypertension.
View Article and Find Full Text PDFA new strategy for monitoring of direct oral anticoagulants in patients with cyanotic and complex congenital heart disease.
Int J Cardiol Congenit Heart Dis
December 2024
Service of Cardiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Background: Patients with congenital heart disease (CHD) often require an oral anticoagulation. Vitamin K antagonists (VKA) are the standard treatment, however, an increased hematocrit in patients with secondary erythrocytosis due to cyanosis complicates the correct measurement of the international normalized ratio. Direct oral anticoagulants (DOAC) could be an alternative, but data on their efficacy and safety in complex and cyanotic CHD patients are scarce.
View Article and Find Full Text PDFA case report of an unprovoked neonatal pulmonary embolism: management strategies and cardiopulmonary complications.
Eur Heart J Case Rep
November 2024
Department of Pediatrics, Division of Pediatric Critical Care, Washington University School of Medicine, 660 S. Euclid Ave, St. Louis, MO 63110-1093, USA.
Background: Neonatal pulmonary embolism is a rare occurrence, especially when idiopathic, instead occurring in patients with identifiable risk factors including severe dehydration, presence or history of a central venous line, or identifiable genetic causes. Given the rarity of paediatric and neonatal pulmonary emboli, few guidelines exist to support the clinician in both the initial resuscitation and ongoing management of the critically ill patient with pulmonary emboli.
Case Summary: We present a 5-day-old female with unprovoked massive pulmonary embolism and associated haemodynamic compromise.
Successful transcatheter treatment of large right pulmonary artery to left atrial fistula: a case series and literature review.
Int J Emerg Med
November 2024
Rajaei Cardiovascular Medical and Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Article Synopsis
- Cyanotic congenital heart diseases are serious conditions in newborns, with a rare form involving the direct connection between the right pulmonary artery and left atrium, needing prompt correction to prevent heart failure.
- Two patients, aged 2 and 13, presented with central cyanosis and difficulty breathing, leading to a diagnosis of abnormal blood flow via imaging techniques.
- Treatment has evolved from surgical methods to less invasive percutaneous techniques, emphasizing the importance of early diagnosis and appropriate intervention based on the unique characteristics of the congenital anomaly.*
Obstructive shock and cardiac arrest due to diaphragmatic hernia after esophageal surgery: a case report.
Surg Case Rep
November 2024
Department of Surgery, Kinki Central Hospital, 3-1 Kurumazuka, Itami, Hyogo, 664-8533, Japan.
Background: We report the exceedingly rare case of diaphragmatic hernia after esophageal surgery resulting in obstructive shock and cardiac arrest.
Case Presentation: An 82-year-old man, who had undergone a robotic-assisted thoracoscopic esophagectomy and gastric tube reconstruction via a subcutaneously route with three-field lymphadenectomy for esophagogastric junction cancer at another hospital 3 months prior, complaining of persistent epigastric pain and nausea. Computed tomography revealed that the proximal jejunum had herniated through the esophageal hiatus into the left thoracic cavity, with dilation of the subcutaneous gastric tube and duodenum.
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