Presentation
Presents comprehensive coverage of valvular heart disease to provide you with a complete reference and one-stop shop for this specialty in cardiac medicine. [books.google.ro]
Bharat Kharwar Safal Sudhanshu Dwivedi Ram Kirti Saran Sharad Chandra Received: 31 March 2014 / Revised: 1 September 2014 / Accepted: 30 September 2014 / Published online: 22 October 2014 Japanese Society of Echocardiography 2014 A 20-year-old male presented [deepdyve.com]
Entire Body System
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Surgical Procedure
Presents detailed illustrations and images in full color to better showcase valve anatomy and dysfunction, as well as important techniques and surgical procedures. [books.google.ro]
There were several initial surgical procedures performed in patients with congenital subaortic stenosis: fibrous or fibromuscular subaortic resection, apical aortic conduit insertion, aortic valve replacement with mechanical valve, Ross and/or Konno procedure [paperity.org]
Surgical procedures for accessory pathway-mediated tachycardia and atrioventricular nodal reentrant tachycardia provided excellent (100%) freedom from recurrence. [journals.lww.com]
Surgical intervention for the supravalvular aortic stenosis has been successful in most cases with good medium and long-term results. [ 283 ] [ 284 ] A variety of surgical procedures may be performed, all of which are tailored to the type of pathology [fqz301.brinkster.net]
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Congestive Heart Failure
Congestive heart failure is unusual except in infants who have critical stenosis. Diagnosis a. [elearning.sumdu.edu.ua]
Bacterial endocarditis can also result in hemodynamically significant aortic regurgitation and congestive heart failure in patients with SAS. Iwata Y, Imai Y, Shin'oka T, Kurosawa H. Subaortic stenosis associated with systolic anterior motion. [emedicine.medscape.com]
The ventricular volume overload can result in congestive heart failure. [journals.lww.com]
Congestive heart failure with pulmonary edema often ensues between the fourth and sixth decades [ 60 ]. Aortic regurgitation, not previously reported in CTGA, is now known to be a frequent problem in this population [ 69 ]. [omicsonline.org]
Patients can be asymptomatic, or they can present with minimal symptoms of epistaxis, headache, and leg weakness on exertion or more serious symptoms of congestive heart failure, angina, aortic stenosis, aortic dissection, or unexplained intracerebral [fqz301.brinkster.net]
Gastrointestinal
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Vomiting
Gain new insight into today’s hottest topics, including sleep-disordered breathing, cuffed endotracheal tubes, premedication, emergence agitation, postoperative vomiting, and new airway devices. [books.google.ro]
Infants with Williams syndrome often exhibit feeding difficulties, failure to thrive, and gastrointestinal problems in the form of vomiting, constipation, and colic. [fqz301.brinkster.net]
Cardiovascular
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Heart Disease
Presents comprehensive coverage of valvular heart disease to provide you with a complete reference and one-stop shop for this specialty in cardiac medicine. [books.google.ro]
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Diastolic Murmur
murmurs are found in case of aortic- or mitral insufficiency. [slideshare.net]
There is a diastolic murmur in 65% due to cusp thickening or eddy currents. X-rays show that the ascending aorta is not dilated and calcification of the valve is absent, while echocardiography (ECG) reveals severe LV hypertrophy. [radcliffecardiology.com]
Cardiac auscultation revealed normal first heart sound, a loud pulmonary component of second heart sound, a grade 4 pansystolic murmur along the left parasternal border and a grade 3 mid diastolic murmur over the mitral area. [heartviews.org]
Physical examination revealed a harsh systolic murmur at the base and 3/6 diastolic murmur at the left sternal border. He underwent TTE examination. [clinmedjournals.org]
Typical findings include a normal S 1, a mid-diastolic murmur with or without some presystolic accentuation, and no opening snap. 1541 LABORATORY INVESTIGATIONS ECG. [fqz301.brinkster.net]
Neurologic
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Agitation
Gain new insight into today’s hottest topics, including sleep-disordered breathing, cuffed endotracheal tubes, premedication, emergence agitation, postoperative vomiting, and new airway devices. [books.google.ro]
Color flow imaging along with injection of agitated saline into a peripheral or central vein may assist in the detection of residual intracardiac shunts or acquired baffle leaks. [journals.lww.com]
Workup
Two-dimensional (2D) echocardiography with color Doppler imaging is the current modality of choice to establish the diagnosis of SAS (see Workup). [emedicine.medscape.com]
Blocks
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Right Bundle Branch Block
Left anterior hemiblock is found in older patients and reveals severe myocardial disorder associated with excessive dysplastic muscle in younger patients; right bundle branch block occurs in about 3% of the patients. [slideshare.net]
The QRS is wide with a right bundle branch block pattern due to infra- Hisian conduction disturbances [ 35 ]. Up to 30% of patients have evidence of an accessory pathway (Wolf-Parkinson-White pattern). [omicsonline.org]
Treatment
Emphasizes the treatment of corrected congenital heart disease for coverage of the clinical management of cardiac problems in the adolescent and young adult. [books.google.ro]
Every topic and chapter has been revised and updated to reflect the latest medical and surgical treatments for all congenital and acquired heart diseases. New surgical approaches, including hybrid procedures, have been updated. [books.google.com]
Prognosis
Severity of mitral valve obstruction correlates with poor long-term prognosis. [heartviews.org]
Full Text Authors, ,, , Source MeSH Adolescent Aortic Stenosis, Subvalvular Aortic Valve Stenosis Cardiac Catheterization Cardiomyopathy, Hypertrophic Child Child, Preschool Diagnosis, Differential Echocardiography Female Humans Infant Male Middle Aged Prognosis [wwww.unboundmedicine.com]
Right-to-left commissures have worse prognosis in bicuspid aortic than anteroposterior commissures in developing aortic stenosis. Also eccentric orifices have worse prognosis than central orifices in developing aortic stenosis. [pedcard.rush.edu]
Prognosis Although natural history studies have not delineated the annual mortality rate, 2-10% of sudden deaths are reported in untreated individuals with severe left ventricular outflow tract (LVOT) obstruction, including subvalvar aortic stenosis [emedicine.medscape.com]
If postoperative pulmonary hypertension persists, the prognosis is unfavorable, with right ventricular failure occurring commonly ( 65,66 ). [journals.lww.com]
Etiology
Etiology The rarity of fixed subaortic stenosis in newborns and its absence in the developing heart, its progressive and probably acquired nature have been the subject of several studies (18). [slideshare.net]
Showing 1-10 of 24 references Potential role of mechanical stress in the etiology of pediatric heart disease The trilogy of double - chambered right ventricle, perimembranous ventricular septal defect and subaortic narrowing – a more common association [pdfs.semanticscholar.org]
Interaction of genetic predisposition and morphologically deformed long and narrow LVOT cause rheological abnormalities and increased shear stress in the region of subaortic stenosis and seem to be the main etiological factor alongwith poorly defined [japi.org]
Etiology The etiology of subvalvar aortic stenosis (SAS) still is not fully understood. [emedicine.medscape.com]
Potential role of mechanical stress in the etiology of pediatric heart disease: septal shear stress in subaortic stenosis. J Am Coll Cardiol. 1997;30:247-54. Medline 9. Lim DS, Ensing GJ, Ludomirski A, Mooradian SJ, Rocchini AP. [revespcardiol.org]
Epidemiology
Epidemiology Left ventricular outflow tract obstruction (LVOTO) occurs in 2.8 of 10,000 live births, accounting for 3 to 6 percent of congenital heart defects. [mhmedical.com]
However, the Newfoundland dog has been shown to experience an increased incidence of subaortic membranes, which may in part be secondary to inbreeding and is consistent with an autosomal inheritance. [10] Epidemiology The approximate incidence of congenital [emedicine.medscape.com]
Epidemiologic studies suggest that these defects account for nearly 30% (range, 16%–50%) of all cases ( 47,48 ). Communications at the ventricular level can be found in isolation or may be seen in the context of other structural malformations. [journals.lww.com]
Pathophysiology
Pathophysiology Rare in infancy, subaortic stenosis may present as distinct fibromuscular stenosis, or as hypertrophic obstructive cardiomyopathy (HOCM). [chw.org]
Pathophysiology. To maintain cardiac output, right ventricular pressure rises. In severe stenosis, right ventricular end-diastolic pressure may also increase. [elearning.sumdu.edu.ua]
Pathophysiology Obstruction at any level causes increased left ventricular systolic pressure and wall stress and consequent left ventricular hypertrophy. Left ventricular hypertrophy produces subendocardial ischemia and diastolic dysfunction. [mhmedical.com]
Left Ventricular False Tendons: Anatomic, Echocardiographic, and Pathophysiologic Insights. Journal of the American Society of Echocardiography, Vol. 26, Issue. 6, p. 582. [cambridge.org]
Prevention
Cardiology is a rapidly changing and expanding field with management protocols changing regularly and newer categories of treatment options being discovered, with greater emphasis on the prevention of cardiovascular diseases. [books.google.ro]
The use of intraoperative TEE helps to detect the location and extension of the resection and thus to prevent a residual gradient from remaining. As a result, surgery-related heart block and iatrogenic VSD due to operations can be prevented. [tgkdc.dergisi.org]
Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. [books.google.es]
Early surgical repair of SAS has been advocated to prevent rapid progression of LVOTO. A significant LV-aortic mean gradient, óÔÇ ä30mmHg in children and óÔÇ ä50mmHg in adults, requires surgery. SAS has a progressive nature in adult patients. [radcliffecardiology.com]