complex cyanotic congenital heart disease the heterotaxy syndromes
Báo cáo y học: "Role of vasopressin in the treatment of anaphylactic shock in a child undergoing surgery for congenital heart disease: a case report" docx
... and low perfusion pressure rather than inadequate systemic oxygen delivery only The distribution of cardiac output to the various organs and to the regulation of the microcirculation that can ... experiences [12], the above described pharmacological rationale and the choice of avoiding escalating therapy with alpha agonists This pharmacological approach allowed us to titrate the drug to the minimum ... vasodilatation, but histamine seems to play the major role [4] Stimulation of histamine-H1 receptors on endothelium cells activates both the nitric oxide (NO) and the prostacycline mediated vasodilating...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 1 pptx
... Because there is very little written on the topic of pacemaker and ICD implantation in adult congenital heart disease, the authors have joined together to create such a text utilizing their individual ... part is further subdivided according to the level of challenge the operator will face As many of the implanters will be unsure of the anatomy, particularly in relation to the pathways to the venous ... instructive schematic drawings of congenital heart anatomy My sincerest appreciation to all Peter P Karpawich Pacing Options in the Adult Patient with Congenital Heart Disease Harry G Mond, MBBS, MD,...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 2 potx
... sewing in the valve, the lead can be positioned on the endocardial surface of the ventricle, using the approach just described via the atrium The sewing ring of the valve will then cover the lead ... rare occasions, other methods of venous access to the inferior vena cava have been reported in patients with complex congenital heart disease and no access to the heart from above These include ... inserted at the apex of the right ventricle at the time of tricuspid valve replacement The lead was positioned in the ventricle first, via a purse string in the atrium and the sewing ring of the valve...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 3 docx
... required There is a ball and cage mitral valve prosthesis (MVP) innominate vein toward the heart, but rather proceed retrograde towards the arm in the axillary vein or up into the neck in the internal ... Steerable catheter (SelectSite® , Medtronic Inc.) At the distal end, four views of the catheter are shown demonstrating the range through which the catheter can be steered In the center is the thin ... that the curve can be created from the straight position without removing the stylet In the center, the preformed atrial J stylet allows the lead to enter the atrial appendage or attach to the...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 4 pdf
... defect The coronary sinus is absent The aorta (AO) and pulmonary (PA) arteries at the level of the valves are indicated Table 11.1 Possible abnormalities of the coronary sinus in congenital heart disease ... system on the left In Figure 10.4 (left), the Glidewire® cannot pass beyond the upper part of the right atrium After much manipulation, the wire and then a second Glidewire® are passed to the pulmonary ... through the long introducer and lies near the floor of the right atrium (white arrows) Right: The ventricular lead has been passed with much difficulty to the apex of the right ventricle below the...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 5 doc
... which then gives rise to the pulmonary artery In congenitally corrected L-transposition of the great vessels, the embryologic heart tube bends or loops to the left instead of the right, yet the ... inverts all the structures derived from the bulboventricular part of the heart, which includes the atrioventricular valves, the ventricles and the proximal part of the great arteries; hence the terms ... depending on the size of the ventricular chambers, their orientation and the way they sit on the diaphragm, the fluoroscopic course of the ventricular lead may not turn sharply medial and to the left...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 6 pot
... show the ventricular lead emerging from the coronary sinus looping in the right atrium and then passing to the floor of the right ventricle The atrial lead (At) lies against the lateral wall of the ... and attached to the apex of the left ventricle The black arrow points to where the lead crosses the atrial septum The appearance is characteristic of a lead in the left ventricle The intra cardiac ... vena cava, the loop of lead was reversed as it emerged from the coronary sinus, so that the tip went superior into the body of the ventricle rather than to the floor and apex [182] The active-fixation...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 7 potx
... pass behind the baffle at the junction of the right atrium with the superior vena cava (broken line) The atrial lead must then be positioned on the roof of the left atrium, whereas the ventricular ... branch block appearance and the axis will depend on where the lead lies For instance, if the lead lies low in the heart such as in the middle or lateral cardiac vein, then there will be a leftward ... from the right subclavicular region to the superior vena cava and the stub of the right atrium It then proceeds behind the baffle into the anatomical left atrium, where it is attached to the roof...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 8 pps
... from V1 to V4 (Figure 20.11) The axis is, however, dependent on the position of the lead in the left ventricle The higher the lead in the chamber, the more prominent the R wave in lead III (Figures ... positioned in the ventricle, via the atrium and the sewing ring of the prosthetic tricuspid valve will then cover the lead as it traverses the annulus (Figure 4.3) This lead can be tunneled to the anterior ... ventricular pacing, the lead must be passed to the left atrium and then via the anatomical mitral valve to the left ventricle where it is positioned in the body of the chamber [224] The major concern...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 9 doc
... congenital heart disease Am J Cardiol 2004; 94: 1352–1354 129 Dubin A, Cecchin F, Law, I et al Resynchronization therapy in pediatric and congenital heart disease patients: A multicenter study Heart ... behind the breast For ventricular pacing, two screw-in epimyocardial leads are attached to the lowermost portion of the single ventricle The two epimyocardial leads are on top of each other in the ... implanted via the transvenous route Following the second stage attachment of the epicardial/epimyocardial lead the pulse generator can be inserted in the subclavicular fossa or the atrial lead...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 10 pptx
... endocardial pacing, 22 congenital atrioventricular block, 5, 19, 40, 49–55, 52–53 definition, 49 congenital bradycardia syndromes, 49 congenital cardiac abnormalities, 5, 40 congenital heart disease adult ... cardiac catheterization, 3, 40 cardiac conduction abnormalities, 50 cardiac venous system, 85–86 ventricular pacing from, 39 cardiovascular anatomy, of adult with congenital heart disease, 3–5 catheters, ... 45 congenital heart surgery, open thoracotomy associated with, coronary sinus in, possible abnormalities, 41 in growing teenager, 42–44 congenital long QT syndromes, 62–63 mechanisms, 62 congenitally...
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Tài liệu Sport and Physical Activity in Children with Congenital Heart Disease ppt
... with congenital heart disease (e1, 8, e5, 9, 11, 12, 13, e8, e9, 17) Physical activity in children with congenital heart disease should start as often as possible at nursery school, school, or the ... group The children's heart group is a medically prescribed and supervised outpatient therapeutic service for children with congenital heart disease, which is run by a qualified sports therapist ... JA: Task Force 2: congenital heart disease J Am Coll Cardiol 2005; 45: 1326–33 10 Reybrouck T, Mertens L: Physical performance and physical activity in grown-up congenital heart disease Eur J Cardiovasc...
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Parenting Stress in Mothers of Children with Congenital Heart Disease pptx
... usually visit the clinic for follow-up once a year, they tend to visit the clinic during their break period The age of the children with CHD ranged from newborn to years old The purpose of the research ... was familiarized with the goal of this study, the diagnosis of CHD, and the contents of the questionnaire The research assistant then explained the goal of this study to the participants, obtained ... understand the prognosis of their child’s disease While the majority of parents could name the cardiac lesion and were knowledgeable concerning surgical and catheter interventions, their knowledge of the...
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Nomenclature and Classification of Congenital Heart Disease doc
... connections the relationships of the arterial trunks in space the position of the heart and the orientation of its apex Cardiac Description the segmental anatomy of the heart the classification of the ... arteries Cardiac Description the segmental anatomy of the heart the classification of the cardiac lesion the description of the cardiac lesion The International Paediatric and Congenital Cardiac Code ... of their interspatial relations Segmental Approach Van Praagh & Vlad the sidedness of the atrial chambers, or, in other words, the atrial “situs”, the ventricular topology, in other words, the...
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Abnormal Brain Development in Newborns with Congenital Heart Disease doc
... in newborns with congenital heart disease before they underwent heart surgery Methods We studied 41 term newborns with congenital heart disease — 29 who had transposition of the great arteries ... with congenital heart disease (32%) and in no control newborns Conclusions Term newborns with congenital heart disease have widespread brain abnormalities before they undergo cardiac surgery The ... exponentiation of the mean differences of the log-transformed values from the regression model.40 The values are the relative differences between newborns with congenital heart disease and control...
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CONGENITAL HEART DISEASE – SELECTED ASPECTS ppt
... of the isthmus of the aorta (the portion of the aorta between the origin of the left subclavian artery and the ductus arteriosus) and transverse aortic arch (the arch between the origin of the ... consistency of the Doppler methodology in estimating the size of the VSD The higher the estimated RV pressure, larger is the size of the VSD Congenital Heart Defects – A Review 21 5.2.4 Cardiac catheterization ... shunts (cyanotic heart defects) In cyanotic congenital heart defects systemic venous blood bypasses the pulmonary circulation and gets shunted across into the left side of the heart Thus, there...
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Bệnh tim bẩm sinh ở tuổi trưởng thành (Adult congenital heart disease) (Kỳ 1) pot
... động kinh, thuốc chống ung thư, thuốc ức chế miễn dịch, sulfamid Phân loại bệnh tim bẩm sinh (theo Perloff J.K.) Phân loại dựa vào lâm sàng hay giải phẫu học phôi thai Phân loại lâm sàng thường ... chủ: - Hẹp van - Hẹp van - Hẹp van + Hở van động mạch chủ + Hẹp eo động mạch chủ (coarctation of the aorta) 2.2.2 Bất thường bắt nguồn từ tim bên phải (từ gần đến xa nhất): + Bệnh Ebstein + Hẹp...
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Bệnh tim bẩm sinh ở tuổi trưởng thành (Adult congenital heart disease) (Kỳ 3) pps
... phổi có rung miu tâm thu Tại ổ van động mạch phổi có T2 đanh, tách đôi cố định, không thay đổi theo nhịp thở tăng áp lực động mạch phổi - Các triệu chứng suy tim phải: tim phải đập mũi ức [dấu...
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