Presentation
Sinus of Valsalva aneurysms rarely present until rupture occurs. [ncbi.nlm.nih.gov]
Entire Body System
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Epilepsy
This streamlined new edition covers the latest on genetics, neurology, infectious disease, melamine poisoning, sexual identity and adolescent homosexuality, psychosis associated with epilepsy, and more. [books.google.com]
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Goiter
Examination findings were suggestive of multi nodular goiter. In view of her symptoms of dysphagia and hoarseness of voice, she underwent right hemithyroidectomy. [mjdrdypu.org]
Cardiovascular
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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]
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]
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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]
Case presentation A 5-month-old female presented to our hospital with a harsh S1 sound and a grade IV systolic murmur on the left sternal boarder. [cardiothoracicsurgery.biomedcentral.com]
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]
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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]
On examination there was a systolic thrill and a loud ejection murmur in the pulmonary area. Chest radiography suggested a large anterior mediastinal mass, which was confirmed by thoracic computed tomography (CT). [heart.bmj.com]
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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]
Musculoskeletal
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Severe Osteoporosis
Severe osteoporosis on bone densitometry was noted. We diagnosed near obstruction of the mid-RV by pectus excavatum and cachectic morphology. [ekjm.org]
Psychiatrical
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Suggestibility
The importance of a low, fixed cardiac output and nonspecific physical findings in suggesting the clinical diagnosis is emphasized. [ncbi.nlm.nih.gov]
We suggest that this is the plausible cause of the cardiac cachexia in this patient. [ekjm.org]
Doppler echocardiography suggested a significant mid-right ventricular pressure gradient ( Figure 2, top left and top right; Movie I). [circ.ahajournals.org]
Workup
X-Ray
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Mediastinal Mass
Chest radiography suggested a large anterior mediastinal mass, which was confirmed by thoracic computed tomography (CT). [heart.bmj.com]
Axis
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Left Axis Deviation
An ECG showed left atrial abnormality, left axis deviation, and left ventricular strain pattern ( Figure 1 ). [circ.ahajournals.org]
The ECG showed left axis deviation and left ventricular (LV) hypertrophy pattern (Panel A) in the absence of an obvious cause. [e-coretvasa.cz]
An initial electrocardiogram showed sinus bradycardia (50 beats per minute), a left axis deviation with an inferior axis, and low voltage in the limb leads. [ekjm.org]
Hypertrophy
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Right Ventricular Hypertrophy
All six fetuses with severe pulmonary stenosis and four fetuses with pulmonary atresia had right ventricular hypertrophy. Tricuspid regurgitation was present in five fetuses with severe pulmonary stenosis and in two with pulmonary atresia. [jhu.pure.elsevier.com]
Production and reversibility of right ventricular hypertrophy and right heart failure in dogs. Ann Thorac Surg 1992 ; 54 : 104 – 110. 10. Yacoub, MH, Banner, NR, Khaghani, A, Fitzgerald, M, Madden, B, Tsang, V, Radley-Smith, R, Hodson, M. [cambridge.org]
In the case described in the present report, the presence of a sub-pulmonary membrane likely concurred to right ventricular hypertrophy. [e-coretvasa.cz]
Distortion of the interventricular septum and right ventricular hypertrophy may cause left ventricular outflow tract obstruction. [radiologykey.com]
Tetralogy of Fallot An anatomic anomaly consisting of a ventricular septal defect, right ventricular outflow tract obstruction with resultant right ventricular hypertrophy, and dextroposition of the aorta was described by Fallot in 1888. [thoracickey.com]
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Left Ventricular Strain Pattern
An ECG showed left atrial abnormality, left axis deviation, and left ventricular strain pattern ( Figure 1 ). [circ.ahajournals.org]
Treatment
BACKGROUND: Intravascular stenting has been established as a useful treatment in adults with coronary and peripheral vascular disease. [ncbi.nlm.nih.gov]
Conn's Current Therapy provides faster access to the latest therapeutic treatment [books.google.com]
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]
Standard treatment of right ventricular outflow tract or pulmonary artery obstruction involves open chest surgery. [nice.org.uk]
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 metastasis has been shown to have a dismal prognosis. Thus, simple noninvasive routine echocardiography as a part of metastatic work up in thyroid malignancy can help in early diagnosis of metastasis rather than at autopsy. [mjdrdypu.org]
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]
Mortality/Morbidity Prognosis mainly depends on the severity of stenosis in the absence of any additional lesions. Patients with mild-to-moderate stenosis live normal lives with no symptoms, apart from the risk of IE. [emedicine.medscape.com]
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]
Epidemiology
Epidemiology Frequency United States In the United States, the relative frequency of IPS among all obstructive lesions of the RV outflow tract is 2-10%. Internationally, no reliable figures have been reported. [emedicine.medscape.com]
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]
Most fundamentally, the study sample was comprised of symptomatic patients with heterogeneous pathophysiology. [journals.plos.org]
Pathophysiology IPS has 2 forms. In the more common type, stenosis of the proximal portion of the infundibulum is due to a fibrous or muscle band at the junction of the main cavity of the RV and the infundibulum. [emedicine.medscape.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]
Louis, Missouri, USA (3) Department of Clinical Radiology and Imaging Diagnostics, 4th Military Hospital, Wrocław, Poland (4) Center for Diagnosis Prevention and Telemedicine, John Paul II Hospital, Kraków, Poland Abstract Congenital pulmonary valve abnormalities [radiologykey.com]
prevent collapse of the RV inflow, which could impede right-sided early diastolic filling) when left ventricular systolic pressure is markedly elevated. [journals.plos.org]