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In adults with congenital heart disease (ACHD patients), atrial arrhythmias (AA) and heart failure (HF) are common. 1 Factors related to congenital heart disease, such as underlying anatomy, surgical repair technique and scars, can all be considered as AA substrates.
6, 2025 Medtronic plc hasannounced it received CE ( Conformit Europenne ) Mark for the Harmony Transcatheter Pulmonary Valve (TPV) System, a minimally invasive alternative to open-heart surgery for congenital heart disease patients with native or surgically repaired right ventricular outflow tract (RVOT). 1 Hoffman JL, Kaplan S.
Coronary artery fistulas (CAFs) are rare congenital heart defects that are typically managed through interventional closure, traditional surgery, or minimally invasive hybrid closure surgery. However, treating CAFs with complex anatomy, such as tortuous vessels, presents a significant challenge, particularly in young children.
Adult patients surviving with congenital heart disease (ACHD) is growing. We examine the factors associated with heart transplant outcomes in this challenging population with complex anatomy requiring redo-sur.
Advances in pediatric cardiac surgery have resulted in a recent growing epidemic of children and young adults with congenital heart diseases (CHDs). In these patients, congenital defects themselves, surgical operations and remaining lesions may alter cardiac anatomy and impact the mechanical performance of both ventricles.
Cardiac device therapy is frequently required for individuals with adult congenital heart disease (ACHD), whether it be for bradyarrhythmia, ventricular tachyarrhythmia, or cardiac resynchronization therapy (CRT).
of all congenital cardiac anomalies However, isolated PLSVC may occur in 10-20% of PLSVC cases. Persistent left superior vena cava (PLSVC) is a common anomaly in the thoracic venous system, accounting for 0.2-4.3%
Due to the dramatically improved survival of children with congenital heart disease over the last 5 decades, there has been a steady increase in the prevalence of adults with congenital heart disease, which necessitates that clinicians become familiar with the anatomy and the evaluation of right ventricular outflow tract and PV anomalies.
Congenital complete atrioventricular block (CCAVB) is typically associated with structurally normal cardiac anatomy and coronary artery blood flow, yet patients remain at risk to develop myocardial dysfunction and heart failure.
Right Heart Catheterization in Tetralogy of Fallot With the availability of high resolution echocardiographic images and Doppler echocardiography, role of cardiac catheterization has come down in tetralogy of Fallot and other congenital heart diseases in general. If McGoon’s ratio is below 0.8, References Wagdy R. 2018 Jun 28;3:e72-e79.
Abstract Introduction Patients with congenital heart disease are at increased risk for requiring cardiac pacing during their lifetime. Due to atrial and ventricular pacing dependence, a comprehensive congenital care team concluded the need for lead extraction and replacement of pacemaker via leadless peacemaking device.
However, the vertebral‐basilar anatomy is more challenging for MT compared to the anterior circulation due to several congenital variants such as hypoplastic vertebral artery, fenestration on the vertebrobasilar junction, or chronic asymptomatic occlusions of vertebral arteries, and tortuous subclavian arteries and vertebral arteries (VAs).
Congenital Heart Defects Some individuals are born with heart defects that cause parts of the heart to work harder, leading to enlargement over time. Arrhythmias (Irregular Heartbeats) Persistent abnormal heart rhythms can disrupt the heart’s pumping efficiency, eventually causing it to enlarge to maintain blood flow.
Introduction:Dextrocardia is a rare congenital condition where the heart's apex points to the right, with an incidence of about 0.01%. Circulation, Volume 150, Issue Suppl_1 , Page A4140682-A4140682, November 12, 2024. Patients usually have a normal life expectancy unless other structural heart diseases are present.
Background:The persistently patent arterial duct accounts for ~12% of congenital heart lesions. Circulation, Volume 150, Issue Suppl_1 , Page A4142090-A4142090, November 12, 2024. Untreated, it may result in heart failure due to volume loading of the left heart, pulmonary hypertension, and infective endarteritis.
To revise the anatomy lessons, this is the external jugular vein and this is the internal jugular vein. So a prominent A wave in a complex congenital heart disease situation would indicate that interventricular septum is intact. These are assessed in the internal jugular vein and not in the external jugular vein.
A good knowledge of the anatomy of the heart is needed for interpretation of images from each view. This becomes more difficult in complex congenital heart diseases where the cardiac chamber positions and size may vary. Parasternal views are often obtained first, followed by apical, subcostal, and suprasternal.
Atrioventricular nodal reentrant tachycardia (AVNRT) is a common supraventricular tachycardia in children and congenital heart disease (CHD) patients. However, in this subgroup ablation remains challenging and experience limited, since anatomy may be atypical and the areas of ablation less predictable or less accessible.
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