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Right Ventricular Outflow Obstruction


Presentation

  • Sinus of Valsalva aneurysms rarely present until rupture occurs.[ncbi.nlm.nih.gov]
  • A rare case of single, pedunculated, ball-like rhabdomyoma of the pulmonary valve, causing moderate right ventricular outflow obstruction in an infant with tuberous sclerosis, is presented. The diagnostic and surgical implications are discussed.[ncbi.nlm.nih.gov]
  • This report presents a case of an unusually large unruptured sinus of Valsalva aneurysm complicated by right ventricular outflow tract obstruction, right coronary artery occlusion and incomplete right bundle branch block.[ncbi.nlm.nih.gov]
  • Here, we describe a 76-year-old woman who presented to our hospital with shortness of breath on exertion and was finally diagnosed as infundibular pulmonary stenosis by multiple modalities.[ncbi.nlm.nih.gov]
  • We present a case of a 16-year-old girl who underwent infundibular myectomy for right ventricular outflow tract obstruction complicated by biventricular non-compaction. The pathogenesis of this condition remains unknown.[ncbi.nlm.nih.gov]
Collapse
  • Eight hours after the operation there was a sudden collapse which rapidly progressed to cardiac arrest and death.[ncbi.nlm.nih.gov]
  • Echocardiography showed a large unruptured aneurysm of sinus of Valsalva arising from the right coronary cusp (RCC) protruding into the left ventricular outflow tract (LVOT), predominantly filling in diastole ( A ) and partly collapsing in systole ( B[onlinejacc.org]
Heart Disease
  • CONCLUSIONS: These data support the view that intravascular stenting will become an important adjunct in the management of children with congenital heart disease.[ncbi.nlm.nih.gov]
  • A unique case of radiation-induced heart disease associated with acquired right ventricular outflow obstruction is presented. Surgical management of this case is described.[ncbi.nlm.nih.gov]
  • Cardiac cachexia is a common complication of chronic heart disease [ 3 ].[ekjm.org]
  • Amplatz K, Moller JH, Castaneda-Zuniga W (1986) Radiology of heart disease . Thieme Medical Publishers, New York, pp 519–521 Google Scholar 3.[link.springer.com]
  • […] doi: 10.1097/PCC.0000000000000818 Congenital Heart Disease Abstract Author Information Authors Article Metrics Metrics The objectives of this review are to discuss the anatomy, pathophysiology, clinical course, and current treatment strategies for pulmonary[journals.lww.com]
Systolic Murmur
  • At 5 years of age, a harsh systolic murmur was detected for the first time.[ncbi.nlm.nih.gov]
  • Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[onlinejacc.org]
  • In this case report, we presented a patient who complained of dyspnea and showed cachectic morphology with a harsh mid-systolic murmur on initial presentation and diagnosed pectus excavatum with severe RV compression (Haller index, 11.25).[ekjm.org]
Heart Murmur
  • Familiar and personal medical history was unremarkable except for a systolic heart murmur known since childhood. The ECG showed left axis deviation and left ventricular (LV) hypertrophy pattern (Panel A) in the absence of an obvious cause.[e-coretvasa.cz]
Ejection Murmur
  • The ejection murmur was detected in the outflow tract by intracardiac phonocardiography. The second patient was a 60-year-old man who had had an acute infarction at age 47.[ncbi.nlm.nih.gov]
Osteoporosis
  • Severe osteoporosis on bone densitometry was noted. We diagnosed near obstruction of the mid-RV by pectus excavatum and cachectic morphology.[ekjm.org]

Treatment

  • BACKGROUND: Intravascular stenting has been established as a useful treatment in adults with coronary and peripheral vascular disease.[ncbi.nlm.nih.gov]
  • Surgical treatment of right ventricular outflow tract obstruction after Tetralogy of Fallot {S,D,I} repair.. European Journal of Cardio-Thoracic Surgery, 42(2), e28-30.[hsrc.himmelfarb.gwu.edu]
  • The original Palmaz balloon expandable stent has been used extensively for the treatment of vascular stenoses in older children and young adults.[ncbi.nlm.nih.gov]
  • […] doi: 10.1097/PCC.0000000000000818 Congenital Heart Disease Abstract Author Information Authors Article Metrics Metrics The objectives of this review are to discuss the anatomy, pathophysiology, clinical course, and current treatment strategies for pulmonary[journals.lww.com]
  • Treatment Treatment varies widely due to the array of defects that fall into the category of RVOTO. For pulmonary atresia or stenosis, the baby is usually administered a medication called prostaglandin E1 to help the blood move into the lungs.[mblynchfirm.com]

Prognosis

  • Conclusion: ATC is aggressive carcinoma with a miserable prognosis. It should be borne in mind that possibility of cardiac metastasis and a cause of cardiac death.[thyroidworldcongress.com]
  • Cardiac cachexia is a common complication of chronic heart disease, which is associated with a poor prognosis, independent of functional disease severity, age, measures of exercise capacity, and left ventricular ejection fraction [ 3 ].[ekjm.org]

Etiology

  • […] right ventricular outflow tract obstruction after Tetralogy of Fallot {S,D,I} repair Journal European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery Keywords Postoperative Complications--etiology[hsrc.himmelfarb.gwu.edu]

Pathophysiology

  • […] doi: 10.1097/PCC.0000000000000818 Congenital Heart Disease Abstract Author Information Authors Article Metrics Metrics The objectives of this review are to discuss the anatomy, pathophysiology, clinical course, and current treatment strategies for pulmonary[journals.lww.com]

Prevention

  • The Centers for Disease Control and Prevention (CDC) conducted a study that linked the development of congenital heart defects.[mblynchfirm.com]
  • Once this condition is recognized, surgical repair can prevent the complications associated with sudden development of an aortocardiac fistula, such as bacterial endocarditis and heart failure. Full English text available at: www.revespcardiol.org[revespcardiol.org]
  • In the absence of a shunt, minimal manipulation should be performed before cannulation to prevent hypoxic spells. Besides confirming the anatomy with transesophageal echocardiography, an external examination of the heart is conducted.[thoracickey.com]

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