- Successful management of living donor liver transplantation for biliary atresia with single ventricle physiology-from peri-transplant through total cavopulmonary connection: A case report. [Case Reports]
- PTPediatr Transplant 2018 Feb 19
- Children with single ventricle physiology have complete mixing of the pulmonary and systemic circulations, requiring staged procedures to achieve a separation of these circulations, or Fontan circula...
Children with single ventricle physiology have complete mixing of the pulmonary and systemic circulations, requiring staged procedures to achieve a separation of these circulations, or Fontan circulation. The single ventricle physiology significantly increases the risk of mortality in children undergoing non-cardiac surgery. As liver transplantation for patients with single ventricle physiology is particularly challenging, only a few reports have been published. We herein report a case of successful LDLTx for an 8-month-old pediatric patient with biliary atresia, heterotaxy, and complex heart disease of single ventricle physiology. The cardiac anomalies included total anomalous pulmonary venous return type IIb, intermediate atrioventricular septal defect, tricuspid regurgitation grade III, coarctation of aorta, interrupted inferior vena cava, bilateral superior vena cava, and polysplenia syndrome. Following LDLTx, the patient sequentially underwent total cavopulmonary shunt + Damus-Kaye-Stansel at 3 years of age and extracardiac total cavopulmonary connection (EC-TCPC) completion at 5 years of age; 7 years have now passed since LDLTx (2 years post-EC-TCPC). We describe the details of the management of LTx in the presence of cardiac anomalies and report the long-term cardiac and liver function, from peri-LDLTx through EC-TCPC completion.
- Prosthetic mitral valve thrombosis, malfunction, and paroxysmal mitral regurgitation. [Journal Article]
- EEchocardiography 2018 Feb 19
- Intermittent dysfunction of mechanical mitral valve prosthesis is an uncommon condition. It carries serious clinical implications if unrecognized. Here, we present a case of a 28-year-old female with...
Intermittent dysfunction of mechanical mitral valve prosthesis is an uncommon condition. It carries serious clinical implications if unrecognized. Here, we present a case of a 28-year-old female with a history of rheumatic multivalvular disease, for which she had undergone double valve replacement and tricuspid annuloplasty. Six months later, she presented with heart failure. Clinical examination revealed intermittent loss of closing clicks followed by a pansystolic murmur at the apex, suggestive of mitral prosthetic valve dysfunction. We highlight the echocardiographic findings of paroxysmal mitral valvular regurgitation secondary to prosthetic valve malfunction secondary to prosthetic valve thrombosis.
- Dilated aortic root influences pulmonary artery catheter placement in anesthetized patients. [Journal Article]
- JCJA Clin Rep 2018; 4(1):15
- CONCLUSIONS: The present study showed that enlargement of the aortic root is associated with long placement time of the catheter.
- More Aggressive Intervention Contributes to Avoiding Recurrent Tricuspid Regurgitation. [Letter]
- ATAnn Thorac Surg 2018; 105(3):985-986
- Severe tricuspid regurgitation and seizure on postpartum day 10: case report of late postpartum eclampsia. [Journal Article]
- ACActa Clin Belg 2018 Feb 16; :1-4
- CONCLUSIONS: This caseemphasizes the importance of considering late postpartum eclampsia in patients presenting with signs of pulmonary edema even several days after delivery, as early diagnosis and prompt initiation of appropriate antihypertensive and anticonvulsant therapy can prevent severe complications.
- Chronic aortic dissection with tricuspid regurgitation: report of a case. [Journal Article]
- CCClin Case Rep 2018; 6(2):306-308
- Dilatation of aortic root may distort the tricuspid annulus. We experienced a case of chronic aortic dissection presented with tricuspid regurgitation. Chest computed tomography revealed an enlarged ...
Dilatation of aortic root may distort the tricuspid annulus. We experienced a case of chronic aortic dissection presented with tricuspid regurgitation. Chest computed tomography revealed an enlarged ascending aorta displacing the right heart. The patient successfully underwent replacement of the aorta and tricuspid annuloplasty with a prosthetic annulus.
- Caval Valve Implantation: Are 2 Valves Better Than 1? [Editorial]
- CCCirc Cardiovasc Interv 2018; 11(2):e006334
- Interventional Treatment of Severe Tricuspid Regurgitation: Early Clinical Experience in a Multicenter, Observational, First-in-Man Study. [Journal Article]
- CCCirc Cardiovasc Interv 2018; 11(2):e006061
- CONCLUSIONS: Caval valve implantation for the treatment of severe TR and advanced right ventricular failure is associated with a high procedural success rate and seems safe and feasible in an excessive-risk cohort. The study demonstrates hemodynamic efficacy with consistent elimination of TR-associated venous backflow and initial clinical improvement. These results encourage further trials to determine which patients benefit most from this interventional approach.
- Benfluorex-induced severe primary tricuspid and mitral regurgitation requiring a double-valve replacement. [Journal Article]
- EJEur J Cardiothorac Surg 2018 Feb 12
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- Endovenous varicose vein treatment in patients with right heart failure and tricuspid valve regurgitation - A relative contraindication? [Journal Article]
- PPhlebology 2018; 33(2):138-139