RESUMO
Coarctation of aorta is typically a discrete narrowing of the thoracic aorta just distal to the left subclavian artery. Managmnet of Coarctation of aorta depends upon age, clinical presentation, type of coarctation, associated arch hypoplasia, and associated heart defects as ventricular septal defect. In this article we are discussing management of coarctation of aorta from neonatal period to adult.
Assuntos
Angioplastia com Balão/métodos , Coartação Aórtica/terapia , Stents , Adolescente , Adulto , Angiografia , Coartação Aórtica/diagnóstico , Criança , Pré-Escolar , Ecocardiografia , Humanos , Lactente , Recém-Nascido , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Adulto JovemRESUMO
Echocardiography has evolved over last 3 decades from M-mode echocardiography, two-dimensional echocardiography, Dopplerimaging, three-dimensional echocardiography to intravascular /intracardiac echocardiography with its immense role in evaluation of a patient with congenital heart disease. The refinement in echocardiography imaging technique has made echocardiography as the main stay in diagnosis and decision making in patient with congenital heart defects (CHD). It is used fr defining anatomy, hemodyanamic assessment, guiding and immediate assessment of procedural results as well as detection of complication. In this review article, we are discussing the role of echocardiography (transthoracic/transesophageal) in catheter interventions in congenital heart defects.
Assuntos
Cateterismo Cardíaco/métodos , Ecocardiografia/métodos , Cardiopatias Congênitas/diagnóstico por imagem , Cardiopatias Congênitas/terapia , Cateterismo/métodos , Diagnóstico Diferencial , Humanos , Reprodutibilidade dos TestesRESUMO
Pulmonary atresia with ventricular septal defect is an anomaly with highly variable anatomy. Rarely, a coronary artery-to-pulmonary artery fistula may contribute to pulmonary blood flow. Since 1996, we have treated 4 patients with coronary-pulmonary fistula associated with pulmonary atresia and ventricular septal defect. Two fistulas originated from the left coronary, one from the right coronary, and one from a right-sided solitary coronary system. All terminated in the main pulmonary artery, which was adequate in all cases. The fistulas were managed by direct internal closure. Total intracardiac repair was then accomplished in all patients at the same sitting. There was one death. In children with favorable anatomy, direct closure of the fistula from the pulmonary artery is adequate and allows single-stage intracardiac repair.