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total pulmonary venous drainage through a persistent left superior
total pulmonary venous drainage through a persistent left superior

... of our patients. Five were slightly cyanosed at rest and the sixth after exertion, while four had early finger clubbing. Low systemic blood pressures occurred in two. Similar pressures were noted by Gardner and Oram (1953) in two of their patients and by Taussig (1947), who thought they were the res ...
the surgical treatment of the tetralogy of fallot
the surgical treatment of the tetralogy of fallot

... artery and its two branches. The exterior of the heart and its main vessels were inspected, special attention being directed to the main pulmonary artery and its branches. At this stage, the surgeon should decide whether a two-stage operation or the complete correction is to be performed. Where the ...
VSD
VSD

...  Extension of left-to-right shunt might produce signs of congestive heart failure  Heart murmur might become smaller (but 2. heart sound more pronounced) and congestive heart failure might improve if pulmonary resistance rises in large non-restrictive VSD due to PAH  Pulmonary vascular remodellin ...
PART 15 - Mike South
PART 15 - Mike South

... Pulmonary flow murmur This is a soft, blowing ejection murmur, maximal in the pulmonary area. Murmurs of this kind are frequently heard in early infancy and may radiate softly to the axillae, when they may be labelled as innocent with a high degree of confidence, and are less common later in childho ...
Miscellaneous Cardiac Diseases
Miscellaneous Cardiac Diseases

... Ruptured Sinus of Valsalva Aneurysm Congenital vs. Acquired ...
Full Paper - Daniel Burkhoff MD PhD
Full Paper - Daniel Burkhoff MD PhD

... It has recently been proposed that creation of a small permanent opening in the interatrial septum to allow left-to-right shunting of blood could provide a means of limiting left atrial pressure rises, thus potentially improving exercise tolerance and protecting a patient from episodes of acute pulm ...
Truncus Arteriosus
Truncus Arteriosus

...  Usually evident in the neonatal period  Volume of pulmonary blood flow  Decreased flow may result from: o Stenosis of pulmonary arteries o Pulmonary vascular resistance o May protect lungs from pulmonary overcirculation  Cardiac output from both ventricles  Complete intracardiac mixing  Combi ...
but unusual neurological complication of the investigation
but unusual neurological complication of the investigation

... A further case in which the diagnosis was confirmed by cardiac catheterization is here put on record. Angiography demonstrated an important alternative venous pathway carrying lower extremity blood to the superior vena cava by the azygos vein. The patient sustained an unfortunate but unusual neurolo ...
PE1918 Ventricular Septal Defect
PE1918 Ventricular Septal Defect

... Seattle Children’s offers interpreter services for Deaf, hard of hearing or non-English speaking patients, family members and legal representatives free of charge. Seattle Children’s will make this information available in alternate formats upon request. Call the Family Resource Center at 206-987-22 ...
ANATOMICAL CORRELATION OF CARDIAC ELECTRICAL
ANATOMICAL CORRELATION OF CARDIAC ELECTRICAL

... first septal perforator branch of the left anterior descending artery. The entire AV bundle is insulated by a collagenous sheet. With increasing age the fibrous septa become thicker and the functional elements maybe partially replaced by adipose tissue. Ultra structurally the AV bundle is made of pu ...
2/09 Transpostion of the Great Arteries
2/09 Transpostion of the Great Arteries

... - Caution with the use of beta-blockers (AVB, bradycardia) - Two-stage repair surgery (pulmonary artery banding to “retrain” the LV, followed by baffle take-down and arterial switch) is extensive and LV failure occurs after pulmonary banding ...
Suzanne "Shine" Tobias Admin Coordinator  Tel
Suzanne "Shine" Tobias Admin Coordinator Tel

... pericarditis. During inspiration, right heart filling proceeds at the expense of left ventricular filling (seen on spectral Doppler pattern)—shifting the interventricular septum to the left. This is followed by an abrupt cessation of diastolic filling (diastolic “checking”) corresponding to a third ...
Pak Heart J - Pakistan Heart Journal
Pak Heart J - Pakistan Heart Journal

... Pulmonary atresia with intact ventricular septum (PAIVS) is a disease having morphologic variability, it affects not only the pulmonary valve but also the RV cavity, the tricuspid valve and coronary arteries. PAIVS involves complete blockage of the pulmonary valve located on the right side of the he ...
Double-Chambered Right Ventricle and Situs Inversus With
Double-Chambered Right Ventricle and Situs Inversus With

... Double-chambered right ventricle is a form of subvalvular right ventricular outflow tract obstruction caused by anomalous muscle bundles that divide the right ventricle into a high-pressure proximal chamber and a lowerpressure distal chamber.1 The anomalous muscle bundles, which can range from 1 to ...
Oxygen Consumption
Oxygen Consumption

... regression of those factors they monitored pre-op (MAP, SvO2, BE, Qp, Qs, Hgb etc. etc.) the odds ratio of anaerobic metabolism at an SvO2 of less than 30% is 8 This was NOT apparent when MAP, SaO2 and base deficit are examined, even in combination Svo2, therefore, is deemed to be an essential part ...
PDF file - Kardiologia Polska
PDF file - Kardiologia Polska

... models enhances physicians’ understanding of the complex anatomy, so these models are valuable for perioperative planning and intraoperative orientation [9–11]. Because of this, the use of models can avoid improvisation, save intraoperative time, and improve the chances of a better outcome [2]. We e ...
The Parallel Circulation2
The Parallel Circulation2

... George M. Hoffman, Venous saturation and the anaerobic threshold in neonates after the Norwood procedure for hypoplastic left heart syndrome, The Annals of Thoracic Surgery, Volume 70, Issue 5, , November 2000, ...
Preoperative Alcohol Septal Ablation for Hypertrophic Obstructive
Preoperative Alcohol Septal Ablation for Hypertrophic Obstructive

... palpitation and extremely high blood pressure. Transthoracic echocardiography (TTE) revealed systolic anterior motion of mitral valve, with peak velocity crossing the left ventricular outflow tract (LVOT) about 4.9 m/s and severe mitral regurgitation (MR). The study for secondary hypertension reveal ...
Arrhythmogenic Right Ventricular Dysplasia / Cardiomyopathy : A
Arrhythmogenic Right Ventricular Dysplasia / Cardiomyopathy : A

... systolic and diastolic dysfunction of the RV 2-7. However, there are some limitations to MRI. The RV free wall is so thin that quantification of wall thickness is unreliable. Also, recent studies have demonstrated that more than 50% of normal elderly people have significant fatty infiltration of the ...
Rotational angiography and 3D overlay in transcatheter congenital
Rotational angiography and 3D overlay in transcatheter congenital

... ƒƒ Fluoroscopy and cineangiography continue to be essential and are the backbone of imaging in the catheterization laboratory. ƒƒ Advances in 2D and 3D echocardiography have resulted in the widespread use of transesophageal and intracardiac imaging to guide interventions, so much so that these techn ...
patent_ductus_arteriosus
patent_ductus_arteriosus

... that blood flows into the lungs, where it gets oxygen and allows carbon dioxide to be removed from the body  “Patent ductus arteriosus” (PDA) occurs when the open blood vessel persists and does not close following birth; this allows continued blood flow between the aorta and the pulmonary artery, w ...
CASE REPORT Usefulness of central venous oxygen saturation
CASE REPORT Usefulness of central venous oxygen saturation

... oxygen saturation (SvO2) (6). As ScvO2 depends on the cardiac output/hemoglobin level/arterial blood oxygen saturation involved in oxygen transport, as well as metabolism involved in oxygen consumption, continuous monitoring of the oxygen demand/supply balance is possible (7). A study performed a pr ...
Patent Ductus Arteriosus
Patent Ductus Arteriosus

... that blood flows into the lungs, where it gets oxygen and allows carbon dioxide to be removed from the body • “Patent ductus arteriosus” (PDA) occurs when the open blood vessel persists and does not close following birth; this allows continued blood flow between the aorta and the pulmonary artery, w ...
right ventricle
right ventricle

... Ventricles contract, forcing semilunar valves to open and blood to enter the pulmonary trunk and the ascending aorta. ...
Pulmonary Valve
Pulmonary Valve

... Should be considered a syndrome with associated findings in lungs and airways  Associated tracheobronchial anomalies, including significant malacia  Abnormal pulmonary vascular branching and wall structure ...
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Atrial septal defect



Atrial septal defect (ASD) is a congenital heart defect in which blood flows between the atria (upper chambers) of the heart. Normally, the atria are separated by a dividing wall, the interatrial septum. If this septum is defective or absent, then oxygen-rich blood can flow directly from the left side of the heart to mix with the oxygen-poor blood in the right side of the heart, or vice versa. This can lead to lower-than-normal oxygen levels in the arterial blood that supplies the brain, organs, and tissues. However, an ASD may not produce noticeable signs or symptoms, especially if the defect is small.A ""shunt"" is the presence of a net flow of blood through the defect, either from left to right or right to left. The amount of shunting present, if any, determines the hemodynamic significance of the ASD. A ""right-to-left-shunt"" typically poses the more dangerous scenario.During development of the fetus, the interatrial septum develops to separate the left and right atria. However, a hole in the septum called the foramen ovale, allows blood from the right atrium to enter the left atrium during fetal development. This opening allows blood to bypass the nonfunctional fetal lungs while the fetus obtains its oxygen from the placenta. A layer of tissue called the septum primum acts as a valve over the foramen ovale during fetal development. After birth, the pressure in the right side of the heart drops as the lungs open and begin working, causing the foramen ovale to close entirely. In approximately 25% of adults, the foramen ovale does not entirely seal. In these cases, any elevation of the pressure in the pulmonary circulatory system (due to pulmonary hypertension, temporarily while coughing, etc.) can cause the foramen ovale to remain open. This is known as a patent foramen ovale (PFO), which is a type of atrial septal defect.
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