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Prenatal MR Diagnosis of Total Anomalous Pulmonary Venous Connection and Related Brain Growth Changes.
J Magn Reson Imaging
December 2024
Department of Radiology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Article Synopsis
- - The study assesses the effectiveness of fetal MRI in diagnosing total anomalous pulmonary venous connection (TAPVC) and its impact on fetal brain development by comparing brain volumes in affected fetuses to normal controls and those with another heart condition, tetralogy of Fallot (TOF).
- - Among 21 TAPVC fetuses studied, the majority were classified as supracardiac or intracardiac, with significant post-natal confirmation of cases, while some fetuses also presented other cardiac abnormalities.
- - Key MRI findings included a dilated coronary sinus and pulmonary edema, with notable differences in brain volumes where TAPVC fetuses exhibited lower cerebellum and brainstem volumes compared to controls, alongside an increase in subc
Pseudo hepatic vein thrombosis in a newborn with infracardiac total anomalous pulmonary venous connection.
Pediatr Radiol
November 2024
University of Toronto, The Hospital for Sick Children, Toronto, Canada.
Article Synopsis
- A newborn with a rare heart condition was found to have an unusual liver blood flow pattern during a CT scan that was initially thought to be a blood clot.
- The case highlights how the baby's unique anatomy affects liver blood flow distribution, leading to the misinterpretation of imaging results.
- Gaining a clearer understanding of these hepatic perfusion abnormalities can help medical professionals correctly identify similar cases in the future, preventing misdiagnosis and extra tests.
Successful repair of infracardiac total anomalous pulmonary venous connection with nonconfluent bilateral pulmonary veins.
Asian Cardiovasc Thorac Ann
November 2024
Department of Cardiovascular Surgery, Miyagi Children's Hospital, Sendai, Japan.
We report a rare case of an infracardiac-type total anomalous pulmonary venous connection with nonconfluent bilateral pulmonary veins in a patient diagnosed with heterotaxy syndrome with right atrial isomerism, mitral valve atresia, a single atrium, and double-outlet right ventricle. On the fourth day of life, the patient underwent successful repair using a sutureless technique. Two years after the surgery, the patient remained well without any signs of pulmonary venous obstruction.
View Article and Find Full Text PDFAtrial thrombus after total anomalous pulmonary venous connection repair.
Asian Cardiovasc Thorac Ann
June 2024
Department of Cardiovascular and Thoracic Surgery, Kanagawa Children's Medical Center, Yokohama, Japan.
A 6-year-old boy had previously undergone total anomalous pulmonary venous connection repair and postoperative pulmonary vein stenosis release. Magnetic resonance imaging revealed blood stasis caused by a collision between the inflow from the pulmonary veins and the outflow from the left atrial appendage. A surgical specimen revealed evidence of advanced thrombus attachment.
View Article and Find Full Text PDFClinical Outcomes, Predictors, and Surgical Management of Infracardiac Total Anomalous Pulmonary Venous Connection.
Pediatr Cardiol
July 2024
Department of Cardiovascular Surgery, National Center for Cardiovascular Diseases, Fuwai Hospital,, Chinese Academy of Medical Sciences and Peking Union Medical College, No.167 Beilishi Road Xicheng, Beijing, China.
This study sought to find the risk factors of postoperative pulmonary venous obstruction (PVO), PVO-related reintervention, and postoperative mortality, determine the relationship between pulmonary venous confluence (PVC) morphology and the clinical outcomes, and provide the basis for the selection of the optimal surgical strategy for infracardiac total anomalous pulmonary venous connection (TAPVC). From December 2009 to December 2023, 101 patients with infracardiac TAPVC undergoing surgical repair in our institution were included [Conventional surgery (CS) group, n = 73; Sutureless technique (ST) group, n = 28]. The Kaplan-Meier curve was used to demonstrate the survival estimates.
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