Presentation
Chiari networks are present in the right atrium in a minority of the population and are usually of no clinical significance. [ncbi.nlm.nih.gov]
Entire Body System
- Intravenous Drugs
Page 77 - Influence of human immunodeficiency virus i infection and degree of immunosuppression in the clinical characteristics and outcome of infective endocarditis in intravenous drug users. Arch Intern Med... [books.google.com]
Gastrointestinal
- Periumbilical Pain
Keywords: Chiari's networks, Surgical procedure, Right atrium CASE REPORT A 60-year-old woman visited Daegu Catholic University Medical Center due to periumbillical pain lasting several days. [e-sciencecentral.org]
Cardiovascular
- Heart Disease
CACH (Canadian Adult Congenital Heart) Network A co-operative nation-wide association of Canadian cardiologists, cardiac surgeons, and others, many of whom are situated in regional referral centres for adult congenital heart disease, dedicated to improving [cachnet.org]
Provides a clinically based approach to echocardiography, with an in-depth discussion of the main cardiac events seen in practice, including adult congenital heart disease. [books.google.com]
Cor triatriatum dexter versus prominent eustachian valve in an adult congenital heart disease patient. Congenit Heart Dis 2012,. doi: 10.1111/j.1747-0803.2012.00648.x. [Epub ahead of print]. 6. Aypar, E, Sert, A, Odabas, D. [cambridge.org]
Cor triatriatum dexter versus prominent Eustachian valve in an adult congenital heart disease patient. Congenit Heart Dis. 2013;8:589-91. Medline 3. Bhatnagar KP, Nettleton GS, Campbell FR, Wagner CE, Kuwabara N, Muresian H. [revespcardiol.org]
J Clin Ultrasound 1995; 23:502–4Fiorilli, R Argento, G Tomasco, B Serino, W Valdes-Cruz LM, Cayre RO: Anomalies of the tricuspid valve and right atrium, Echocardiographic Diagnosis of Congenital Heart Disease. [anesthesiology.pubs.asahq.org]
Psychiatrical
- Withdrawn
When the cannula is withdrawn slightly, the fibers appear snagged to its tip. The balloon is often not easily visualized because of thin wall and filling with saline/blood cardioplegia, which has similar acoustic properties to blood. [journals.lww.com]
Workup
As a part of the workup for respiratory distress at the referring hospital, a chest CT scan had been obtained [Figure 1]. [annals.in]
Microbiology
- Staphylococcus Aureus
She had a history of infective endocarditis caused by methicillin-sensitive Staphylococcus aureus a year ago. Echocardiography did not reveal the presence of any vegetation on any of the cardiac valves. [ncbi.nlm.nih.gov]
Treatment
Transoesophageal echocardiogram confirmed entrapment of a thrombus within the Chiari network, which was not visualised following treatment on repeat scanning 1 month later. [ncbi.nlm.nih.gov]
Following thrombolytic treatment the right atrial serpiginous thrombus and apical thrombus disappeared. The patient was discharged 10 days later in excellent general condition on oral anticoagulant treatment. [heart.bmj.com]
Standard Therapies Treatment Treatment of Budd-Chiari syndrome is most successful if the disorder is diagnosed early. There are also various methods of treatment. [rarediseases.org]
Surgery is the only treatment that can correct functional defects or stop progression of damage to the central nervous system. [webmd.com]
Prognosis
Treatment and prognosis A cor triatriatum is usually fatal within the first two years of life. The membrane can be surgically resected. [radiopaedia.org]
Whether you are attempting to choose a course of therapy, ascertain the optimal timing for intervention, arrive at a prognosis, or determine the possible need for periodic diagnostic evaluation, this is an essential resource you'll consult time and time [books.google.com]
Diseases of the Liver and Biliary Tract: Standardization of Nomenclature, Diagnostic Criteria and Prognosis. New York, NY: Raven Press; 1994:161-62. JOURNAL ARTICLE Orloff MJ, et al. [rarediseases.org]
Prognosis after stroke followed by surgical closure of patent foramen ovale: a prospective follow-up study with brain MRI and simultaneous transesophageal and transcranial Doppler ultrasound. Neurology. 1996 Nov. 47(5):1162-6. [Medline]. [emedicine.staging.medscape.com]
Etiology
Cardiac chiari network as an etiology for embolic stroke. J Stroke Cerebrovasc Dis 1994; 4 (4):238-241. Rizzello V, Lombardo A, Colizzi C, Pennestrì F. [ppct.caicyt.gov.ar]
Without argument, paradoxical embolism, defined as an arterial embolic event without evidence of a left-sided source, is one possible etiology for cryptogenic stroke. [citoday.com]
Pathophysiology
Patent Foramen Ovale: Current Pathology, Pathophysiology, and Clinical Status J. Am. Coll. [wikidoc.org]
Although the paradoxical embolism following Chiari network is uncommon, the characteristics of the Chiari network described here might explain the pathophysiology of a paradoxical embolism [4]. Also, how to deal with Chiari network is controversial. [oatext.com]
Percutaneous closure of patent foramen ovale: pathophysiology, indications, and technique. Neurol Sci. 2003 May. 24 Suppl 1:S17-9. [Medline]. Devuyst G, Bogousslavsky J, Ruchat P, et al. [emedicine.staging.medscape.com]
Prevention
The network perhaps functioned as an inferior vena cava filter preventing massive pulmonary embolus. [ncbi.nlm.nih.gov]
Fluid accumulation in the abdomen : A low-salt (sodium) diet and diuretics can help prevent too much fluid from accumulating in the abdomen. Most people need to take anticoagulants indefinitely to prevent new blockages from developing. [msdmanuals.com]
Also preventing from right atrium catheter implantation, pace wire lead insertion and CPB cannulation are related to Chiari network [12-14]. In thrombophilia it acts such as inferior vena cava filter and prevents emboli [15]. [oatext.com]