Congenital heart disease
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Congenital heart disease · Jan 2011
Case ReportsClinical features of the complete closure of the ductus arteriosus prenatally.
Prenatal constriction of the ductus arteriosus associated with maternal drug ingestion was reported several decades ago. There are fewer reports of the complete closure of the ductus arteriosus; therefore, the clinical features of the latter are poorly understood. The aim of this study is to clarify the clinical features of complete ductal closure and postnatal pulmonary hypertension by performing echocardiography of the fetus. ⋯ Right heart dilatation and severe tricuspid regurgitation in the absence of a cardiac defect in the fetus strongly suggested ductal dysfunction. Careful evaluation of ductal patency and right ventricular function can lead to precise early diagnosis and good prognosis.
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Congenital heart disease · Jan 2011
Case ReportsDiagnosis and repair of anomalous right coronary artery from pulmonary artery in a neonate.
We describe a case of an anomalous right coronary artery from the pulmonary artery that presented in the neonatal period with significant arrhythmias. The repair demonstrates that this can be performed safely and effectively in the neonate.
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The study aims to describe the clinical profile of the adult Fontan survivor and identify the worries, symptoms, and the impact of cardiac surveillance most commonly experienced. ⋯ Fontan survivors experience residua and sequelae from multiple surgical procedures and the natural disease course. Our results support the need for ongoing assessment of both physical symptoms and psychosocial concerns, and suggest the need for multiple risk factor intervention strategies that improve physical and emotional health in Fontan survivors.
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Congenital heart disease · Jan 2011
Outcome of complex adult congenital heart surgery in the developing world.
There is scanty information on the outcome of adult congenital heart disease surgery from the developing world. ⋯ A retrospective evaluation of 153 adults with congenital heart disease who underwent open heart surgery at a single center in India showed strikingly fewer reoperations compared with large European studies. There was a similar prevalence of complex lesions. Surgical mortality was low, and long-term functional outcome was gratifying.