RESUMEN
A 25-year-old pregnant woman with low oxygen saturation due to unclear congenital heart disease was admitted. During work-up the rare anomaly of superior vena cava drainage to the left atrium was diagnosed by transthoracic bubble test with agitated saline. The pathology was later confirmed by contrast multislice computed tomography angiography after delivery.
Asunto(s)
Cardiopatías Congénitas , Vena Cava Superior , Femenino , Embarazo , Humanos , Adulto , Vena Cava Superior/diagnóstico por imagen , Vena Cava Superior/anomalías , Atrios Cardíacos/diagnóstico por imagen , Atrios Cardíacos/anomalías , Cardiopatías Congénitas/complicaciones , Cardiopatías Congénitas/diagnóstico por imagen , Cardiopatías Congénitas/cirugía , Angiografía , DrenajeAsunto(s)
Equinococosis , Humanos , Tibet/epidemiología , Factores de Riesgo , China/epidemiología , PrevalenciaRESUMEN
Double outlet right ventricle (DORV) is a highly complex congenital heart disease (CHD) entity, gaining increasing interest due to the rapid progress of cardiac surgery. The number of patients operated for this congenital defect has been growing since 1980s and over following decades with active transitioning of this cohort into the adult medicine. However, the diversity of initial anomaly and performed interventions makes challenging the management of these patients. This is particularly important in the regions where specialized adult CHD cardiology still remains underdeveloped. In this review, we observe the basic principles of DORV nomenclature, main types of the operations and possible late complications. The article focuses on adult patients and offers illustrations from clinical practice.
Asunto(s)
Procedimientos Quirúrgicos Cardíacos , Ventrículo Derecho con Doble Salida , Adulto , Procedimientos Quirúrgicos Cardíacos/efectos adversos , Ventrículo Derecho con Doble Salida/diagnóstico por imagen , Ventrículo Derecho con Doble Salida/cirugía , Humanos , Complicaciones Posoperatorias/diagnóstico por imagenRESUMEN
The speckle tracking strain is becoming a frequently used marker of subclinical left ventricular systolic dysfunction. Despite the wide range of data concerning left ventricular strain variability in the general population and its changes in various pathologic conditions, the information about the impact of medical therapy on left ventricle strain is limited. This article provides an analysis of published studies of left ventricle strain changes in response to different agents and combinations of medical therapies used for hypertension and congestive heart failure.
