1,721,146 research outputs found

    A concert in the heart. Bilateral melody valve implantation in the branch pulmonary arteries.

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    Patients undergoing right ventricular outflow tract reconstruction are subject to valve and cusp degeneration later in life, requiring further intervention to alleviate the pulmonary regurgitation that ensues. In these cases, percutaneous pulmonary valve implantation can be an effective alternative to surgery; however, since the indications have been limited to dysfunctional valved conduits, only a small number of patients have access to this treatment option. We present the case of an 18-year-old male with a patch-enlarged right ventricle to pulmonary artery conduit who underwent pulmonary valve implantation using two Melody transcatheter pulmonary valves (Medtronic, Inc) into the proximal right and left branch pulmonary arteries

    Anomalous origin of the right coronary artery from the pulmonary artery associated with tetralogy of Fallot: description of the pre-surgical diagnosis and surgical repair.

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    IF 2009 1,183 Cardiol Young. 2011 Aug;21(4):468-70. Epub 2011 Mar 2. Anomalous origin of the right coronary artery from the pulmonary artery associated with tetralogy of Fallot: description of the pre-surgical diagnosis and surgical repair. Pluchinotta FR, Vida V, Milanesi O. Source Pediatric Cardiology Unit, Department of Pediatrics, University of Padua Medical School, Via Giustiniani no. 3, Padua, Italy. Abstract Anomalous origin of the right coronary artery from the pulmonary artery is a rare congenital defect. We describe the case of an infant with anomalous origin of the right coronary artery from the pulmonary artery in association with tetralogy of Fallot. This patient had a pre-operative echocardiographic diagnosis, which was confirmed by angiography, and later underwent a successful surgical repair. PMID: 21362207 [PubMed - indexed for MEDLINE

    Is it possible to percutaneously close an atrial septal defect in babies who weigh less than four kilograms? Report of a successful case

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    J Cardiovasc Med (Hagerstown). 2008 Sep;9(9):929-31. Is it possible to percutaneously close an atrial septal defect in babies who weigh less than four kilograms? Report of a successful case. Maschietto N, Bonato R, Milanesi O. Source Department of Pediatrics, Cardiac Unit, University of Padua, Padua, Italy. [email protected] Abstract A 14-mm Amplatzer septal occluder was implanted in a 3.8-kg baby with a fenestrated atrial septal defect. The patient was eligible for percutaneous closure because of the high surgical risk due to his poor condition. In conclusion, despite the low weight of the baby, the Amplatzer septal occluder proved to be safe and effective. PMID: 18695432 [PubMed - indexed for MEDLINE

    Misleading echocardiographic diagnosis of anomalous origin of the right coronary artery from the pulmonary artery

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    A 1-year-old boy was referred to our hospital for further investigation of mitral regurgitation. Color-Doppler echocardiography revealed the site of the anomalous origin of the left coronary artery which was confirmed by a cineangiographic study. This case is interesting for several reasons: the first is that the anomalous left coronary artery originated from the right pulmonary artery; the second is that two-dimensional echocardiographic findings can be misleading, i.e., a vessel-like structure which seemed to be the left coronary artery arising normally from the aorta was visualized; and the last is that a two-dimensional color-Doppler echocardiogram was useful in the diagnosis of the anomalous origin of the left coronary artery. The patient underwent implantation of the anomalous left coronary artery as well as Kay's plasty of the mitral valve, and has been doing well since then
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