Prenatal diagnosis of abnormal cardinal systemic venous return without other heart defects: a case series

2011 ◽  
Vol 31 (4) ◽  
pp. 380-388 ◽  
Author(s):  
Catherine Barrea ◽  
Caroline Ovaert ◽  
Stéphane Moniotte ◽  
Jean-Marc Biard ◽  
Patricia Steenhaut ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Venous Return ◽  
Heart Defects ◽  
Case Series ◽  
Systemic Venous Return

scholarly journals Prenatal diagnosis of isolated total anomalous systemic venous return to the coronary sinus

2010 ◽  
Vol 35 (1) ◽  
pp. 117-119 ◽  
Author(s):  
C. Barrea ◽  
J.-M. Biard ◽  
G. Hutchings ◽  
P. Bernard
Keyword(s):  
Prenatal Diagnosis ◽  
Coronary Sinus ◽  
Venous Return ◽  
Systemic Venous Return

Transition to Ductal Stenting for Single Ventricle Patients Led to Improved Survival: An Institutional Case Series

2021 ◽  
Vol 12 (4) ◽  
pp. 518-526 ◽  
Author(s):  
Neel K. Prabhu ◽  
Alexander Zhu ◽  
James M. Meza ◽  
Kevin D. Hill ◽  
Gregory A. Fleming ◽  
...  
Keyword(s):  
Single Ventricle ◽  
Heart Defects ◽  
Ductus Arteriosus ◽  
Pulmonary Atresia ◽  
Case Series ◽  
Stage Ii ◽  
Shunt Revision ◽  
High Morbidity ◽  
Mechanical Ventilation Duration ◽  
Hospital Morbidity

Background: The use of systemic-to-pulmonary shunts (SPS) in neonates with single ventricle heart defects and ductal-dependent pulmonary blood flow (ddPBF) was historically associated with high morbidity and mortality at our center. As a result, we transitioned to the preferential use of ductus arteriosus stents (DS) when feasible. This report describes our initial results with this strategy. Methods: A single-center study of single ventricle patients that received DS or SPS from 2015 to 2019 was performed to assess whether DS was associated with decreased in-hospital morbidity and increased survival to stage II palliation. Results: A total of 34 patients were included (DS = 11; SPS = 23). Underlying cardiac anomalies were similar between groups and included pulmonary atresia, unbalanced atrioventricular septal defect, and tricuspid atresia. Procedure success was similar between groups (82% vs 83%). Two DS patients were converted to SPS, due to ductal vasospasm or pulmonary artery obstruction, and four SPS patients required surgical shunt revision. In DS patients, postprocedure mechanical ventilation duration was shorter (one vs three days, P = .009) and fewer required postprocedure extracorporeal membrane oxygenation (9% vs 39%, P = .11). A higher proportion of DS patients survived to stage II palliation (100% vs 64%, P = .035), and the probability of one-year survival was higher in DS patients (100% vs 61%, P = .02). Conclusions: At our center, patients with single ventricle heart defects and ddPBF that received DS experienced reduced in-hospital morbidity and increased survival to stage II palliation compared to SPS.

Prenatal diagnosis of congenital complete heart block — A case series

2008 ◽  
Vol 84 ◽  
pp. S153-S154
Author(s):  
Sofia Granja ◽  
Patrícia Costa ◽  
Ana Carriço ◽  
Cláudia Moura ◽  
José Monterroso ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Heart Block ◽  
Complete Heart Block ◽  
Case Series ◽  
Congenital Complete Heart Block

RV filling modulates LV function by direct ventricular interaction during mechanical ventilation

2005 ◽  
Vol 289 (2) ◽  
pp. H549-H557 ◽  
Author(s):  
Jamie R. Mitchell ◽  
William A. Whitelaw ◽  
Rozsa Sas ◽  
Eldon R. Smith ◽  
John V. Tyberg ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Left Ventricular Function ◽  
Right Ventricular ◽  
Ventricular Function ◽  
Left Ventricular Volume ◽  
Venous Return ◽  
Ventricular Volume ◽  
Left Ventricular ◽  
Ventricular Interaction ◽  
Systemic Venous Return

During mechanical ventilation, phasic changes in systemic venous return modulate right ventricular output but may also affect left ventricular function by direct ventricular interaction. In 13 anesthetized, closed-chest, normal dogs, we measured inferior vena cava flow and left and right ventricular dimensions and output during mechanical ventilation, during an inspiratory hold, and (during apnea) vena caval constriction and abdominal compression. During a single ventilation cycle preceded by apnea, positive pressure inspiration decreased caval flow and right ventricular dimension; the transseptal pressure gradient increased, the septum shifted rightward, reflecting an increased left ventricular volume (the anteroposterior diameter did not change); and stroke volume increased. The opposite occurred during expiration. Similarly, the maneuvers that decreased venous return shifted the septum rightward, and left ventricular volume and stroke volume increased. Increased venous return had opposite effects. Changes in left ventricular function caused by changes in venous return alone were similar to those during mechanical ventilation except for minor quantitative differences. We conclude that phasic changes in systemic venous return during mechanical ventilation modulate left ventricular function by direct ventricular interaction.

Immediate and long-term outcomes in children with prenatal diagnosis of selected isolated congenital heart defects

2007 ◽  
Vol 29 (1) ◽  
pp. 38-43 ◽  
Author(s):  
I. B. Fuchs ◽  
H. Müller ◽  
H. Abdul-Khaliq ◽  
T. Harder ◽  
J. W. Dudenhausen ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
Long Term Outcomes
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