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Explanatory deep learning to predict elevated pulmonary artery pressure in children with ventricular septal defects using standard chest x-rays: a novel approach

Frontiers in Cardiovascular Medicine

Objective Early risk assessment of pulmonary arterial hypertension (PAH) in patients with congenital heart disease (CHD) is crucial to ensure timely treatment. We hypothesize that applying artificial intelligence (AI) to chest x-rays (CXRs) could identify the future risk of PAH in patients with ventricular septal defect (VSD).

VSD 59
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X-Ray Chest PA View in Severe PAH

All About Cardiovascular System and Disorders

The striking finding is the huge enlargement of the right pulmonary artery, almost aneurysmal dilatation of right pulmonary artery. Main pulmonary artery is also grossly dilated. And you can see left pulmonary artery shadow and rest of it is not seen here. So massive enlargement of pulmonary arteries.

VSD 52
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Important Complications of Eisenmenger Syndrome

All About Cardiovascular System and Disorders

Transcript of the video: Eisenmenger syndrome is an important complication of large left to right shunts which develop later due to development of pulmonary vascular obstructive disease and severe pulmonary hypertension. Diagrammatic representation of VSD Eisenmenger. It is also called Eisenmenger complex.

VSD 52
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Collection of a few ECGs in congenital heart diseases

All About Cardiovascular System and Disorders

Crochetage sign on ECG in ASD ECG in ASD with severe pulmonary hypertension: Tall R’ in V1, ST depression in inferior leads and V2-V5, and T inversion in inferior leads and V1-V6 are seen. The sign has been described in VSD with biventricular hypertrophy in children.

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Corvia atrial shunt system: Mean LA pressure reduction device in HFpEF

Dr. S. Venkatesan MD

This is to create a small regulatory orifice in the IAS ( A complicated term for a small ASD ) to decompress the LA and reduce pulmonary congestive symptoms. Curious minds might ask, can’t we decompress LV it self by creating a small VSD. Antonio F Corno, et al JTVS 200 3 Remote controlled pulmonary artery banding

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Evaluation of JVP

All About Cardiovascular System and Disorders

Right atrial hypertrophy as in tricuspid stenosis, pulmonary stenosis and pulmonary hypertension. But in a VSD with pulmonary hypertension A wave is not prominent. It will not occur in the presence of a large VSD which equalizes both right ventricular and left ventricular pressures.