Symptoma

Multiple Ventricular Septal Defects

Pulmonary artery hypertension was present in 21 patients (group 1), and pulmonary stenosis was present in the remaining 12 (group 2). [ncbi.nlm.nih.gov]

The time is definitely right for a comprehensive presentation of these new diagnostic modalities and the way in which they will influence the field of congenital heart management. * First and only volume on the market presenting all the pre- and post-operative [books.google.com]

  • Pulmonary Valve Stenosis

    Sixty-one children had pulmonary protection, 51 had pulmonary artery banding, and 10 had pulmonary valve stenosis. [ncbi.nlm.nih.gov]

    valve stenosis Q22.2 Congenital pulmonary valve insufficiency Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. [icd10data.com]

    Additional congenital heart lesions (eg, muscular right ventricular outflow tract obstruction, pulmonary valve stenosis, pulmonary venous obstruction, persistent elevation of PVR, mitral stenosis) can restrict shunting, possibly leading to right-to-left [emedicine.medscape.com]

    valve stenosis, 2.3%; 2 with coarctation of the aorta, 0.6 %; 2 with moderate to severe tricuspid regurgitation, 0.6%; 1 with permeable foramen ovale (PFO); 1 aortic insufficiency; 1 with mitral parachute valve; 1 with suspected pulmonary hemangioma [medcraveonline.com]

  • Coarctation of the Aorta

    These are most commonly VSDs which are associated with other cardiac defects (for example, Tetralogy of Fallot, coarctation of the aorta, etc.). Cases with multiple VSDs ("Swiss cheese" defects) are also harder to treat. [medicinenet.com]

    In particular, this technique provides a major advantage to patients who present in the neonatal period for repair of associated cardiac lesions, such as newborns with coarctation of the aorta with significant mVSDs. [annalspc.com]

    […] of the aorta, 0.6 %; 2 with moderate to severe tricuspid regurgitation, 0.6%; 1 with permeable foramen ovale (PFO); 1 aortic insufficiency; 1 with mitral parachute valve; 1 with suspected pulmonary hemangioma as finding during the catheterization; 1 [medcraveonline.com]

  • Recurrent Respiratory Infections

    Five infants (5/17 29.4%) required pre-operative mechanical ventilation, with a mean duration of 64 days (range 7–240 days), mostly due to the late referral for surgery from other institutions or to the presence of recurrent respiratory infections. [frontiersin.org]

    Recurrent respiratory infections may also occur. With very large VSDs the features are similar but more severe. [patient.info]

  • Streptococcal Infection

    Congenital heart disease is related to events occurring in the embryonal stage, while rheumatic heart disease is a sequela of immune-mediated damage following streptococcal infection. [ncbi.nlm.nih.gov]

  • Left Ventricular Dysfunction

    She was discarched with a moderate residual isthmic gradient (maximum 35 mm/Hg at echocardiography) and left ventricular dysfunction which was treated medically. [academic.oup.com]

    Arora R, Clark L, Taylor M: Treatment of high-risk African American patients: left ventricular dysfunction, heart failure, renal disease, and postmyocardial infarction. J Clin Hypertens (Greenwich) 2003;5:26-31. [karger.com]

    ventricular dysfunction in 8. 21 There were no serious complications in the patients described in this report. [nejm.org]

    ventricular dysfunction (due to a primary or secondary cardiomyopathy, anomalous origin of the left coronary artery from the pulmonary artery, or long-standing severe left ventricular outflow obstruction), or to significant obstruction to left atrial [clinicaladvisor.com]

  • Mitral Valve Prolapse

    Aside from the bicuspid aortic valve and mitral valve prolapse, ventricular septal defects represent the most common type of congenital heart disease. [clinicaladvisor.com]

Chest radiography, magnetic resonance imaging (MRI), and electrocardiography (ECG) may all provide useful information in the workup of a VSD. [emedicine.medscape.com]

  • Incomplete Right Bundle Branch Block

    Electrocardiographic evidence of combined ventricular hypertrophy and incomplete right bundle-branch block was noted in each instance. Right heart catheterization demonstrated marked pulmonary hypertension of the high-flow, low-resistance type. [circ.ahajournals.org]

  • Ventricular Hypertrophy

    Electrocardiographic evidence of combined ventricular hypertrophy and incomplete right bundle-branch block was noted in each instance. Right heart catheterization demonstrated marked pulmonary hypertension of the high-flow, low-resistance type. [circ.ahajournals.org]

    ECG While small VSDs will remain electrocardiographically occult, larger defects will classically demonstrate some of the following features 12 : left atrial enlargement high left ventricular voltage (HLVV) voltage criteria for left ventricular hypertrophy [radiopaedia.org]

    In those with pulmonary hypertension, right axis deviation, right ventricular hypertrophy (RVH) and right atrial hypertrophy (RAH) may be seen. CXR CXR is normal in patients with small VSDs. [patient.info]

    In patients with large VSDs, left atrial dilatation, manifested by biphasic P waves in leads I, AVR, and V6 associated with right ventricular hypertrophy and left or right axis deviation may be seen. [ejcvsmed.org]

    If right ventricular hypertrophy is indicated, this may suggest pulmonary hypertension. Cardiac catheterization may be performed in certain circumstances. [webmd.com]

  • Prominent A-Wave

    Electrocardiography showed prominent R waves in right sided chest leads. Chest radiograph showed normal cardiac size with normal pulmonary flow. [heartviews.org]

We evaluated the early and midterm results of our strategy (a combination of the sandwich technique and direct closures) and assessed the role of the sandwich technique in the treatment of multiple ventricular septal defects. [ncbi.nlm.nih.gov]

guidelines, discoveries in your fields of interest; be notified You are informed about innovative treatments, techniques and innovations in medicine This video is limited to doctors and other health professionals. [medtube.net]

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.com]

Despite the limited experience with this technique, the results are promising and it could become a treatment of choice. Correspondence: Dr. P. Becker. Marcoleta, 367 6 o. Santiago de Chile. Chile. [revespcardiol.org]

Treatment and prognosis The prognosis is good for small VSDs which show a high spontaneous intrauterine or postnatal closure rate. [radiopaedia.org]

Prognosis The prognosis for a patient with an isolated VSD is excellent. Most small-to-moderate muscular VSDs can be expected to close spontaneously. [patient.info]

Significant independent variables contributing to the prognosis of PMVSD patients were evaluated using stepwise selection methods. [journals.plos.org]

Etiology of ventricular septal defects: an epidemiologic approach. Pediatrics. 1985 Nov;76(5):741-9. Kidd L., Driscoll D.J., Gersony W.M.; Second natural history study of congenital heart defects. [medresearch.in]

The precise etiology for the disruption of normal ventricular septation is not known, although both genetic and environmental factors have been implicated in the development of ventricular septal defects. [clinicaladvisor.com]

Definition and Epidemiology A ventricular septal defect (VSD) is a deficiency in the ventricular septum that can vary in size, number, or location on the septum. [accesssurgery.mhmedical.com]

(See Epidemiology.) When multiple muscular VSDs occur with a very large communication between the ventricles, it is also known as "Swiss cheese" VSD. [emedicine.medscape.com]

Etiology of ventricular septal defects: an epidemiologic approach. Pediatrics. 1985 Nov;76(5):741-9. Kidd L., Driscoll D.J., Gersony W.M.; Second natural history study of congenital heart defects. [medresearch.in]

Epidemiology VSDs are the most common form of congenital heart disease. 1.5–5.7 per 1,000 term births 4.5–7.0 per 1,000 preterm births, by classic teaching Echo data show a higher incidence of 50 per 1,000 live births, mostly asymptomatic muscular VSDs [unboundmedicine.com]

Pulsed Doppler, continuous wave Doppler, and more recently, color flow mapping techniques have been used to study the pathophysiology, and to make quantitative measurements thereof. [books.google.com]

These associations play an important role in the pathophysiologic consequences of the defect, its long-term complications, and treatment options. [annals.org]

The proposed pathophysiological mechanisms in the development of traumatic VSD are early mechanical rupture and delayed inflammatory rupture. [onlinejets.org]

Pathophysiology Degree and direction of shunting between the right and left ventricles depend on size (restrictive or nonrestrictive) and balance between the systemic vascular resistance (SVR) and pulmonary vascular resistance (PVR). [accesssurgery.mhmedical.com]

Pathophysiology Both the size of the VSD and the ratio of pulmonary vascular resistance (PVR) to systemic vascular resistance (SVR) determine the direction and amount of shunting. [unboundmedicine.com]

Because it was only aimed at preventing reduction of the space between both coronary arteries (that would have resulted with a direct closure), it was important that the patch be narrow. [academic.oup.com]

In three instances difficulty in identifying all of the multiple fenestrations prevented complete surgical repair. Postmortem examination was done in six patients. [circ.ahajournals.org]

Endocarditis Prevention Antibiotics to prevent endocarditis are needed before certain dental procedures. See the section on Endocarditis for more information. [heart.org]

As a matter of courtesy we request that the content provider (Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities) be credited and notified in any public or private usage of this image. [cdc.gov]

Ntaios et al (2013) examined if PFO closure is superior to medical therapy in preventing recurrence of cryptogenic ischemic stroke or TIA. [aetna.com]