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A rare case of paradoxical embolization due to an acquired extracardiac right-to-left shunt during covid-19 infection: Every street leads to heart.
J Cardiol Cases
October 2024
Pediatric Cardiology Unit, University of Campania "Luigi Vanvitelli", AORN "Ospedali dei Colli", Monaldi Hospital, Naples, Italy.
Unlabelled: Right-to-left shunt may be a cause of paradoxical embolization (and cryptogenic cerebral ischemic events). Patent foramen ovale and pulmonary arterio-venous malformations are the most common cause of paradoxical embolization; however, some rare cardiovascular lesions may cause a right-to-left shunt with consequent paradoxical embolization. We describe a case of a young child with superior sinus venosus atrial septal defect who underwent surgical closure and developed a cryptogenic cerebral ischemic attack due to a rare cause of paradoxical embolization, during a long-term follow-up.
View Article and Find Full Text PDFEchocardiography evaluation of neonatal vein of Galen aneurysmal malformation.
Cardiol Young
April 2024
Division of Cardiology, Department of Pediatrics, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
Background: In neonatal vein of Galen aneurysmal malformation, vein of Galen aneurysmal malformation echocardiography remains the mainstay for early detection and explains various haemodynamic changes occurring due to a large systemic arterio-venous shunt. However, there is limited evidence of echocardiography in risk stratifying neonatal vein of Galen aneurysmal malformation vein of Galen aneurysmal malformation. The objective of this study was to identify echocardiographic parameters that could be associated with major outcomes and guide timing of neuro-intervention.
View Article and Find Full Text PDFPalliative Procedures for Congenital Heart Disease: Imaging Findings and Complications.
Radiographics
April 2023
From the Department of Radiology, Mayo Clinic, 200 1st St SW, Rochester, MN 55905-0002 (P.S.R.); Speciality Hospital, IMMS Western National Medical Center, Guadalajara, Mexico, and UdG, Health Science University Center, Guadalajara, Mexico (M.J.S.); Department of Cardiology, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa (R.A.); and Pediatric Hospital, Western National Medical Center, IMSS, Guadalajara, Mexico, and Imaging and Diagnostic Center CID, Guadalajara, Mexico (H.G.).
Palliative procedures are performed for congenital heart diseases that are not amenable for definitive surgical procedures or as a component of hybrid procedures along with transcatheter interventions. Multimodality imaging plays an important role in the follow-up of these palliative procedures, mainly for the timely detection of complications and for planning any subsequent palliative or definitive procedure. Echocardiography is the first-line imaging modality, with CT and MRI used as complementary techniques in indeterminate cases.
View Article and Find Full Text PDFSystemic-pulmonary arteriovenous fistulae with pulmonary hypertension: A case report.
Medicine (Baltimore)
February 2018
Department of Echocardiography Department of Respiratory, Beijing Chaoyang Hospital, Capital Medical University, Beijing, P.R. China.
Background: Arteriovenous (AV) fistulae is an extremely rare disease of vascular malformation that involves fistulae formation between the systemic and pulmonary AV systems.
Case Representation: This case report describes a rare systemic-pulmonary AV fistulae of congenital origin, accompanied by pulmonary hypertension, as determined by aortic angiography and echocardiography.
Conclusion: Characteristics, diagnosis, and therapeutic approaches of this rare abnormality are explored.
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