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PERCUTANEOUS OCCLUSION OF MAJOR AORTOPULMONARY COLLATERALS IN TRANSPOSITION OF THE GREAT ARTERIES USING AMPLATZER PICCOLO OCCLUDERS: CASE REPORT.
Georgian Med News
October 2024
1Jo Ann University Hospital, Tbilisi, Georgia.
Collateral vascular arteries from the descending aorta to the pulmonary arteries are uncommon after arterial switch operation. We describe a case of transposition of the great arteries (TGA) with significant aortopulmonary collateral vessels causing management difficulties after an arterial switch operation. Preoperatively, the presence of collaterals exacerbated aortic diastolic runoff and led to myocardial ischemia.
View Article and Find Full Text PDFDiagnosis and Management of Ventricular Septal Defects.
Rev Cardiovasc Med
November 2024
Children's Heart Institute, UT Health McGovern Medical School, Houston, TX 77030, USA.
This review addresses the diagnosis and management of ventricular septal defects (VSDs). The VSDs are classified on the basis of their size, their number, and their location in the ventricular septum. Natural history of VSDs includes spontaneous closure, development of pulmonary hypertension, onset of infundibular obstruction, and progression to aortic insufficiency.
View Article and Find Full Text PDFArticle Synopsis
- Transcatheter closure of paravalvular leaks (PVL) is a viable treatment for high-risk patients, yet limited research exists on its effectiveness using Amplatzer devices in Japanese patients with mitral PVL.
- A study involving 12 patients (average age 78) showed successful closure procedures were performed, with a reduction in PVL severity and no major complications reported within 30 days.
- One year later, an all-cause mortality rate of 16.7% was noted, with 25% of patients needing further intervention due to symptom recurrence, indicating the treatment's potential but also the need for monitoring.
Advancements in Cardiovascular Imaging: Substituting Magnetic Resonance Imaging for Contrast-Enhanced Computed Tomography in the Assessment of Patent Ductus Arteriosus.
Cureus
October 2024
Department of Cardiology, Pulmonology, Hypertension, and Nephrology, Graduate School of Medicine, Ehime University, Toon City, JPN.
Article Synopsis
- * Instead, an MRI was utilized to assess the PDA, revealing it was aneurysmal and classifying it as type D.
- * The closure was successfully completed using an Amplatzer Vascular Plug II, and the patient was discharged without any complications.
Isolated Blind-Ended Major Aortic Pulmonary Collateral Artery With an Aneurysm in an Infant With Trisomy 21.
Cureus
October 2024
Division of Pediatrics, Faculty of Medicine, University of Miyazaki, Miyazaki, JPN.
Article Synopsis
- * A case study of a 22-day-old girl with trisomy 21 revealed a blind-ended aneurysmal vessel that emerged from the descending aorta, assessed by echocardiography and confirmed via CT scan.
- * The vessel was diagnosed as a blind-ended major aortopulmonary collateral artery and successfully treated through catheter embolization using an Amplatzer vascular plug.
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