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2.
Cesk Patol ; 55(2): 115-119, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31181944

RESUMO

We present macroscopic and microscopic findings in a case of chronic dissecting aneurysm of ascending aorta and aortic arch associated with isolated tears of aortic wall without its rupture in a 71-year-old female presenting with minimal clinical symptomatology. Aneurysmal dilation of the aorta was caused not only by the bridging of the vascular wall based on the presence of an organizing intramural thrombus in the false lumen between the separated layers, but also by a wide flat defect in the aortic intima and media with the preservation of the aortic wall integrity due to fibrotical alteration of tunica adventicia. Histologic examination of the thoracic aorta detected cystic medial degeneration with mild atherosclerosis.


Assuntos
Aneurisma Dissecante , Trombose , Idoso , Aneurisma Dissecante/diagnóstico , Aorta/anormalidades , Feminino , Humanos , Trombose/diagnóstico
3.
Cardiol Young ; 29(5): 699-700, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31122308

RESUMO

We describe the case of a newborn girl who displayed association of aortic atresia and interrupted aortic arch, with retrograde flow in ascending aorta, through extracranial anastomoses between vertebral arteries (arisen from descending aorta) and external carotids.


Assuntos
Anastomose Cirúrgica , Aorta/anormalidades , Doenças da Aorta/cirurgia , Malformações Vasculares/cirurgia , Aorta Torácica/anormalidades , Doenças da Aorta/congênito , Feminino , Humanos , Recém-Nascido , Procedimentos Cirúrgicos Vasculares
4.
Pediatr Cardiol ; 40(6): 1134-1143, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31087143

RESUMO

The effect of pregnancy on aortic root in women with repaired conotruncal anomalies (CTA) has not been clarified. This study examined aortic diameters during and after pregnancy in women with repaired CTA. A retrospective review of consecutive pregnant women with repaired CTA was performed for results of echocardiography from 1 year before pregnancy to 3 years after delivery and compared with findings from healthy pregnant volunteers. Participants comprised 42 subjects and 49 deliveries with repaired CTA (CTA group), and 47 healthy pregnant women (control group). Although no maternal aortic events were encountered, aortic diameters during pregnancy increased by 1.0 ± 2.2 mm (maximum, 7.0 mm) in the CTA group and 0.6 ± 1.3 mm (maximum, 3.4 mm) in the control group (p = 0.13). The CTA subgroup with increase in aortic diameter ≥ 3.5 mm during pregnancy showed no reversion to baseline diameter at follow-up > 6 months after delivery. Significant risk factors for increased aortic diameter and no reversal included pulmonary atresia, history of aortopulmonary shunt, older age at repair, and smaller left ventricular end-diastolic diameter pre-pregnancy. Women with repaired CTA tolerated pregnancy and delivery well. However, the aortic root progressively dilated during pregnancy and 1/4 of them, especially those with longstanding high aortic blood flow before repair, showed an increase of aortic root size of ≥ 3.5 mm during the peripartum period; this dilatation tended not to revert to the pre-pregnancy diameter. Therefore, serial measurement of the aortic root during pregnancy and after delivery is recommended in these women.


Assuntos
Aorta/patologia , Valva Aórtica/patologia , Seio Aórtico/patologia , Adulto , Fatores Etários , Aorta/anormalidades , Aorta/diagnóstico por imagem , Valva Aórtica/anormalidades , Valva Aórtica/diagnóstico por imagem , Estudos de Casos e Controles , Angiografia por Tomografia Computadorizada , Parto Obstétrico/efeitos adversos , Dilatação Patológica/etiologia , Ecocardiografia , Feminino , Cardiopatias Congênitas/cirurgia , Humanos , Imagem Tridimensional , Imagem por Ressonância Magnética , Masculino , Gravidez , Atresia Pulmonar/etiologia , Estudos Retrospectivos , Fatores de Risco , Seio Aórtico/diagnóstico por imagem , Fatores de Tempo
5.
Cardiol Young ; 29(5): 727-729, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31133077

RESUMO

We report the case of a 14-year-old female who had tetralogy of Fallot along with anomalous origin of the left pulmonary artery from the ascending aorta with co-dominant double aortic arch forming a complete vascular ring compressing the oesophagus along with a left main coronary artery to right ventricular outflow tract fistula. She underwent surgical correction without conduit placement.


Assuntos
Aorta/anormalidades , Fístula Artério-Arterial/diagnóstico , Anomalias dos Vasos Coronários/diagnóstico , Artéria Pulmonar/anormalidades , Tetralogia de Fallot/diagnóstico , Adolescente , Fístula Artério-Arterial/congênito , Fístula Artério-Arterial/cirurgia , Procedimentos Cirúrgicos Cardíacos , Angiografia por Tomografia Computadorizada , Anomalias dos Vasos Coronários/cirurgia , Feminino , Humanos , Imagem Tridimensional , Tetralogia de Fallot/cirurgia , Procedimentos Cirúrgicos Vasculares
6.
J Thorac Cardiovasc Surg ; 158(2): 534-545.e1, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30982588

RESUMO

OBJECTIVE: Midline unifocalization has been developed for the surgical treatment of pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries. All patients will eventually require reoperation due to the presence of a conduit, and some may also require revision of the distal unifocalized bed. The purpose of this study was to evaluate the surgical results of unifocalization revision. METHODS: This was a retrospective review of 254 patients who underwent midline unifocalization for treatment of pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries. Forty-eight of 254 patients (18%) have subsequently undergone unifocalization revision. Thirty-two of these patients had previously undergone a single-stage complete repair, whereas 16 had a unifocalization and placement of a central shunt. RESULTS: For the 32 patients who previously underwent a complete repair, there have been no early or late deaths. The peak systolic pulmonary artery to aortic pressure ratio was 0.44 ± 0.11 after the initial repair and increased to 0.82 ± 0.18 before revision. The pressure ratio decreased to 0.41 ± 0.09 after revision. Three of 32 patients (9%) have subsequently undergone a second unifocalization revision. The 16 patients who previously had a unifocalization/shunt underwent unifocalization revision and complete repair (n = 14) and revision and repeat shunt (n = 2). There was 1 operative mortality and 3 late deaths (25% total) in this cohort. Three (25%) of 12 survivors have subsequently undergone a second unifocalization revision. CONCLUSIONS: The data demonstrate that unifocalization revision can be performed with a successful outcome in a majority of patients. Patients who underwent an initial unifocalization/shunt had a higher failure rate than patients who were initially repaired.


Assuntos
Anomalias dos Vasos Coronários/cirurgia , Defeitos dos Septos Cardíacos/cirurgia , Atresia Pulmonar/cirurgia , Aorta/anormalidades , Aorta/cirurgia , Defeito do Septo Aortopulmonar/cirurgia , Circulação Colateral , Anomalias dos Vasos Coronários/complicações , Feminino , Defeitos dos Septos Cardíacos/complicações , Humanos , Lactente , Recém-Nascido , Masculino , Artéria Pulmonar/anormalidades , Artéria Pulmonar/cirurgia , Atresia Pulmonar/complicações , Reoperação , Estudos Retrospectivos
8.
J Cardiothorac Surg ; 14(1): 82, 2019 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-31029153

RESUMO

OBJECTIVE: This study sought to summarize the clinical experience of surgical treatment of anomalous origin of pulmonary arteries from the ascending aorta (AOPA) in Fuwai hospital. METHODS: Fifty-two patients (28 males, 17.2 ± 27.2 months old and 8.7 ± 10.2 Kg weight) who have AOPA undertook surgical treatment between 1998 and 2017 were reviewed in this study, 47 out of 52 are anomalous origin of the right pulmonary artery (AORPA), among the rest of the patients are anomalous origin of left pulmonary artery (AOLPA). 27 out of 52 associate with simple cardiac abnormalities, 20 out of 52 associate with complex cardiac malformations, the remaining 5 patients without cardiac abnormalities. Among all patients who underwent surgical treatment, the direct end-to-side anastomosis strategy was applied in 26 patients, autologous pericardial-homograft patch and aortic flap were employed in 20 patients, and synthetic graft was used in 6 patients. RESULTS: No patient died during the perioperative period. 50 out of 52 patients were followed-up for 100.1 ± 70.9 months. The rate of pulmonary arterial free restenosis for 2 years, 5 years, and 10 years is 98.0, 96.0 and 92.0%, respectively. CONCLUSIONS: The correct diagnosis and appropriate surgical treatment for AOPA could obtain excellent early and medium-term result.


Assuntos
Aorta/cirurgia , Anormalidades Cardiovasculares/cirurgia , Cardiopatias Congênitas/cirurgia , Artéria Pulmonar/cirurgia , Adolescente , Anastomose Cirúrgica , Aorta/anormalidades , Aorta/transplante , Procedimentos Cirúrgicos Cardiovasculares , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pericárdio/transplante , Artéria Pulmonar/anormalidades , Artéria Pulmonar/transplante , Estudos Retrospectivos , Retalhos Cirúrgicos , Resultado do Tratamento , Adulto Jovem
9.
Cardiol Young ; 29(4): 531-533, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30957729

RESUMO

We report a rare case of anomalous aortic origin of the right coronary artery from the posterior/non-coronary sinus of Valsalva in a 9-year-old male diagnosed during the workup of premature ventricular contractions. The finding was initially noted on transthoracic echocardiogram and further confirmed with computed tomography. The anomalous coronary artery shows a wide ostium with no intramural or interarterial course.


Assuntos
Aorta/anormalidades , Anomalias dos Vasos Coronários/diagnóstico por imagem , Seio Aórtico/anormalidades , Aorta/diagnóstico por imagem , Criança , Angiografia Coronária , Ecocardiografia , Humanos , Imagem Tridimensional , Masculino , Seio Aórtico/diagnóstico por imagem , Tomografia Computadorizada por Raios X
10.
Ann Thorac Surg ; 108(1): 154-159, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30928554

RESUMO

BACKGROUND: Pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries (MAPCAs) is a rare form of congenital heart disease characterized by the entirety of pulmonary blood flow originating from systemic vessels. This study measured the residual collateral flow after harvesting of the MAPCAs for surgical repair. METHODS: The study enrolled 32 patients with pulmonary atresia with ventricular septal defect and MAPCAs who were undergoing their first surgical procedure. The median age was 6.8 months, and median weight was 5.7 kg. The patients had a mean of 4.2 ± 0.7 MAPCAs. The cardiopulmonary bypass circuit was modified to contain a diversion loop in the left ventricular vent system to accurately measure residual collateral flow. During the period of aortic cross-clamp (for ventricular septal defect repair), the diversion loop was opened for 1-minute intervals, and the residual collateral flow collected. The systemic perfusion temperature was 25° and flow rate was 100 mL · kg-1 · min-1. RESULTS: The mean residual collateral flow was 5.5 mL · kg-1 · min-1 (range, 0.8 to 15.2 mL · kg-1 · min-1). The corresponding calculated pulmonary blood flow-to-systemic blood flow ratio values ranged from 1.01 to 1.36. There was a significant correlation between residual collateral flow and preoperative saturation (p < 0.05). CONCLUSIONS: The data demonstrate a wide range of residual collateral flow values after harvesting of the MAPCAs. The amount of residual collateral flow was correlated with preoperative saturation. These results suggest that some patients at the higher end of this spectrum may require adjustments in pump flow to assure adequate systemic perfusion.


Assuntos
Circulação Colateral/fisiologia , Defeitos dos Septos Cardíacos/fisiopatologia , Atresia Pulmonar/fisiopatologia , Aorta/anormalidades , Aorta/diagnóstico por imagem , Aortografia , Defeitos dos Septos Cardíacos/cirurgia , Humanos , Lactente , Oxigênio/sangue , Artéria Pulmonar/diagnóstico por imagem , Artéria Pulmonar/fisiopatologia , Artéria Pulmonar/cirurgia , Atresia Pulmonar/cirurgia , Veias Pulmonares/diagnóstico por imagem , Veias Pulmonares/fisiopatologia
11.
Vet Clin North Am Equine Pract ; 35(1): 139-157, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30871834

RESUMO

Pericardial, myocardial, and great vessel diseases are relatively rare in horses. The clinical signs are often nonspecific and vague, or related to the underlying cause. Physical examination usually reveals tachycardia, fever, venous distension or jugular pulsation, a weak or bounding arterial pulse, ventral edema, and abnormal cardiac auscultation such as arrhythmia, murmur, or muffled heart sounds. The prognosis depends on the underlying cause and the disease progression, and ranges from full recovery to poor prognosis for survival. This article focuses on the etiology, diagnosis, prognosis, and treatment of pericarditis, pericardial mass lesions, myocarditis, cardiomyopathy, and great vessel aneurysm or rupture.


Assuntos
Anormalidades Cardiovasculares/veterinária , Cardiopatias/veterinária , Doenças dos Cavalos/diagnóstico , Animais , Aorta/anormalidades , Cardiomiopatias/diagnóstico , Cardiomiopatias/etiologia , Cardiomiopatias/terapia , Cardiomiopatias/veterinária , Anormalidades Cardiovasculares/diagnóstico , Anormalidades Cardiovasculares/etiologia , Anormalidades Cardiovasculares/terapia , Cardiopatias/diagnóstico , Cardiopatias/etiologia , Cardiopatias/terapia , Doenças dos Cavalos/etiologia , Doenças dos Cavalos/terapia , Cavalos , Miocardite/diagnóstico , Miocardite/etiologia , Miocardite/terapia , Miocardite/veterinária , Pericardite/diagnóstico , Pericardite/etiologia , Pericardite/terapia , Pericardite/veterinária , Prognóstico
13.
World J Pediatr Congenit Heart Surg ; 10(1): 111-115, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30799720

RESUMO

Left mainstem bronchial compression by a midline descending thoracic aorta is a rare anatomic variant. Translocation of the descending thoracic aorta to the ascending aorta has recently been described to treat this condition. We performed an aortic translocation and right pulmonary artery reimplantation in a 4-month-old infant with severe pulmonary hypertension secondary to right pulmonary artery stenosis and left bronchial compression by a midline descending thoracic aorta. The procedure was successful in ameliorating the patient's left mainstem bronchial compression and pulmonary hypertension. Descending aortic translocation should be considered when the left bronchus is compressed causing respiratory symptoms.


Assuntos
Aorta/cirurgia , Broncopatias/cirurgia , Constrição Patológica/cirurgia , Artéria Pulmonar/cirurgia , Procedimentos Cirúrgicos Vasculares/métodos , Aorta/anormalidades , Aorta/diagnóstico por imagem , Broncopatias/congênito , Broncopatias/diagnóstico , Constrição Patológica/congênito , Constrição Patológica/diagnóstico , Humanos , Lactente , Masculino , Artéria Pulmonar/anormalidades , Artéria Pulmonar/diagnóstico por imagem , Reimplante , Tomografia Computadorizada por Raios X
14.
J Vet Cardiol ; 21: 57-66, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30797446

RESUMO

INTRODUCTION: There is scarce information about the prevalence of anomalies and anatomical variations of the main great thoracic vessels in dogs, particularly in dogs without congenital heart disease. ANIMALS: The study included 878 privately owned dogs. MATERIAL AND METHODS: Computerized tomography (CT) thoracic studies carried out between 2011 and 2014 for a variety of reasons were reviewed. The prevalence of anomalies and anatomical variations of the aorta and vena cava, the arterial branches of the aortic arch and the main branches of the intrathoracic veins in dogs with no evidence of congenital heart disease was evaluated. Poor-quality CTs, CTs with thoracic pathology that impaired visualization or those of young dogs with clinical evidence or suspicion of congenital cardiac disease were excluded. RESULTS: Eight hundred two CT studies were analysed. Eight dogs (1%) showed an anatomic anomaly. The most common anomaly was an aberrant retroesophageal right subclavian artery (n = 7, 0.8%). One dog showed a dilated azygos vein secondary to an interrupted vena cava. Three types of branching of the common carotid arteries were observed: both arteries arising at the same point (type I: n = 506/742; 68.2%), separated (type II: n = 212/742; 28.6%) or from a common trunk (type III: n = 24/742; 3.2%). CONCLUSIONS: Major anatomical variations or anomalies of the main great thoracic vessels in dogs without congenital cardiac disease were rare. An aberrant retroesophageal right subclavian artery was the most common anomaly found. Three slight variations of common carotid artery branching were identified. These findings might be of relevance for surgical or catheterization procedures.


Assuntos
Aorta Torácica/anormalidades , Aorta/anormalidades , Cães/anormalidades , Veias Cavas/anormalidades , Animais , Aorta/diagnóstico por imagem , Aorta Torácica/diagnóstico por imagem , Estudos Transversais , Feminino , Masculino , Especificidade da Espécie , Tórax/irrigação sanguínea , Tórax/diagnóstico por imagem , Tomografia Computadorizada por Raios X/veterinária , Veias Cavas/diagnóstico por imagem
15.
Ann Thorac Surg ; 107(1): e51-e53, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-29890146

RESUMO

Anomalous origin of the coronary artery from the aortic arch associated with hypoplastic left heart syndrome is an extremely rare anomaly. Coronary anomalies can significantly deteriorate the clinical outcomes of hypoplastic left heart syndrome. We describe the case of a newborn with concomitant hypoplastic left heart syndrome and abnormal origin of the left coronary artery arising from the distal aortic arch.


Assuntos
Anomalias dos Vasos Coronários/cirurgia , Síndrome do Coração Esquerdo Hipoplásico/cirurgia , Aorta/anormalidades , Aorta/cirurgia , Anomalias dos Vasos Coronários/patologia , Evolução Fatal , Feminino , Parada Cardíaca/etiologia , Humanos , Síndrome do Coração Esquerdo Hipoplásico/patologia , Recém-Nascido , Complicações Intraoperatórias/etiologia , Ligadura , Procedimentos de Norwood , Cuidados Paliativos , Artéria Pulmonar/cirurgia
16.
Semin Thorac Cardiovasc Surg ; 31(1): 118-121, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30031947

RESUMO

Aortic atresia with interrupted aortic arch (IAA) is an exceptional condition. In absence of associated lesion, the flow to the brain and the retrograde flow to the coronary arteries can only come from vessels on the descending aorta. This flow needs to be large enough to supply the brain and the myocardium. The only IAA type compatible with survival is type C where the flow from descending aorta could be insured by the left carotid and the left vertebral artery, branch of the left subclavian artery. Only one such a case was described in the literature. All the other surviving cases had an associated lesion including: a double aortic arch, an aorto-pulmonary window (AP window), an aberrant right subclavian artery or a bilateral patent ductus arteriosus (PDA). We report a case of aortic atresia with IAA type B associated with a double aortic arch that underwent a successful bi-ventricular one-stage neonatal Norwood-Rastelli repair and is doing well after 18 months.


Assuntos
Aorta/anormalidades , Doenças da Aorta/cirurgia , Procedimentos Cirúrgicos Cardiovasculares/métodos , Ventrículos do Coração/cirurgia , Malformações Vasculares/mortalidade , Malformações Vasculares/cirurgia , Aorta Torácica/anormalidades , Doenças da Aorta/congênito , Doenças da Aorta/mortalidade , Procedimentos Cirúrgicos Cardíacos/métodos , Feminino , Humanos , Recém-Nascido , Procedimentos de Norwood/métodos , Procedimentos Cirúrgicos Vasculares/métodos
17.
Ann Thorac Surg ; 108(1): e35-e36, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30012346

RESUMO

Anomalous origin of the pulmonary artery from the ascending aorta can lead to congestive heart failure in infancy, and with advancing age many patients will experience severe pulmonary hypertension. Surgical intervention has high mortality and morbidity risks if this happens. Strategies to manage these patients seem only limited to heart-lung transplantation or lung transplantation. Here, we successfully performed surgical intervention in an adult patient who had anomalous origin of the right pulmonary artery from the ascending aorta with high pressures in the ascending aorta and normally originating pulmonary artery.


Assuntos
Aorta/anormalidades , Hipertensão Pulmonar/cirurgia , Artéria Pulmonar/anormalidades , Adulto , Feminino , Humanos
18.
Heart ; 105(8): 603-608, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30322846

RESUMO

OBJECTIVE: Bicuspid aortic valve (BAV) is the most common congenital heart disease. This study aimed to determine the prevalence rate of BAV in first-degree relatives (FDR) and the inheritance pattern according to different morphotypes and aortic dilation. METHODS: BAV probands were consecutively studied at eight tertiary referral centres. After sequential screening, FDR were included in the study. The BAV morphotype, aortic dilation and aortic phenotype were assessed by transthoracic echocardiography. RESULTS: Seven hundred and twenty-four FDR of 256 BAV probands agreed to undergo family screening. The prevalence of BAV was 6.4% in FDR (9.2% in men, 3.5% in women, p=0.002). Aortic dilation was diagnosed in 9.6% of FRD with tricuspid aortic valves (TAV), with a root phenotype in 2.7% and tubular in 6.9% and more frequently in the presence of arterial hypertension (OR 4.48; CI 95% 2.51 to 7.99; p=0.0001) and valvular regurgitation (OR 5.87, CI 95% 1.37 to 25.16; p=0.025). The heritability (h2 ) of BAV was highly significant (0.47; p=0.002); however, no concordance was observed among valve morphotypes. Aortic dilation heritability was not significant. CONCLUSIONS: The BAV prevalence rate in FDR was low (6.4%) but aortic dilation was observed in 9.6% of FDR with TAV. The heritability of BAV was high without concordance in valve morphotypes, and aortic dilation heritability was not observed. Patients with BAV should be made aware of its familial pattern.


Assuntos
Aorta , Doenças da Aorta , Valva Aórtica/anormalidades , Família , Doenças das Valvas Cardíacas , Adulto , Aorta/anormalidades , Aorta/diagnóstico por imagem , Aorta/patologia , Doenças da Aorta/diagnóstico , Doenças da Aorta/etiologia , Doenças da Aorta/fisiopatologia , Valva Aórtica/fisiopatologia , Variação Biológica da População , Análise por Conglomerados , Dilatação Patológica/diagnóstico por imagem , Dilatação Patológica/etiologia , Dilatação Patológica/fisiopatologia , Ecocardiografia/métodos , Saúde da Família/estatística & dados numéricos , Feminino , Doenças das Valvas Cardíacas/complicações , Doenças das Valvas Cardíacas/diagnóstico , Doenças das Valvas Cardíacas/epidemiologia , Doenças das Valvas Cardíacas/fisiopatologia , Humanos , Padrões de Herança , Masculino , Pessoa de Meia-Idade , Linhagem , Prevalência , Análise de Sequência/métodos , Espanha/epidemiologia
19.
J Ultrasound Med ; 38(3): 795-803, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30312989

RESUMO

Aortopulmonary window (APW) is a rare congenital heart anomaly. A total of 8 cases with APW confirmed by echocardiography and surgery were retrospectively reviewed and the echocardiographic features analyzed. Among the 8 APW cases, 5 were type II and 3 were type III, the latter of which includes 2 cases complicated with Berry syndrome. Prenatal echocardiography can provide accurate information for the diagnosis of fetal APW. The prognosis depends on the timing of surgery and the nature of the associated cardiac anomalies.


Assuntos
Defeito do Septo Aortopulmonar/diagnóstico por imagem , Ecocardiografia/métodos , Ultrassonografia Pré-Natal/métodos , Adulto , Aorta/anormalidades , Aorta/diagnóstico por imagem , Feminino , Humanos , Gravidez , Artéria Pulmonar/anormalidades , Artéria Pulmonar/diagnóstico por imagem , Reprodutibilidade dos Testes , Estudos Retrospectivos , Adulto Jovem
20.
World J Pediatr Congenit Heart Surg ; 10(2): 228-230, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-28743203

RESUMO

We report a case of interrupted aortic arch type C with aortic atresia and a ventricular septal defect with two well-developed ventricles, who underwent a successful single-stage biventricular repair with the modified Yasui procedure and arch reconstruction. Angiography done during conduit revision showed bilateral brachiocephalic trunks with high branching. The child is doing well six years after the initial operation.


Assuntos
Aorta/anormalidades , Coartação Aórtica/cirurgia , Comunicação Interventricular/cirurgia , Ventrículos do Coração/cirurgia , Anormalidades Múltiplas/cirurgia , Aorta/cirurgia , Angiografia Coronária , Humanos , Recém-Nascido , Masculino , Estudos Retrospectivos
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