1/76. Accessory mitral valve tissue causing severe subaortic stenosis with dextrocardia in a premature newborn.We report an unusual case of left-ventricular outflow obstruction caused by accessory mitral valve tissue associated with dextrocardia and ventricular septal defect in a seven-day-old, 2200 grams premature infant, who was referred with a heart murmur. The diagnosis was made by two-dimensional and Doppler echocardiography which demonstrated the accessory tissue as well as a 100 mmHg peak systolic gradient between the left ventricle and the aorta. Ten days after the presentation the infant underwent emergency surgery after respiratory arrest and recurrent episodes of syncope. The accessory mitral valve tissue and its fibrous extension were excised and the ventricular septal defect was closed. We believe that surgical treatment of patients with accessory mitral valve tissue should be performed early because of the possibility of acute deterioration. Combined aortotomy and interatrial approach is very helpful in evaluating the anatomy and the mitral valve function as well as delineating the tissue to be excised.- - - - - - - - - - ranking = 1keywords = heart (Clic here for more details about this article) |
2/76. Fetal diagnosis of atrioventricular septal defect with dextrocardia in trisomy 18.On prenatal ultrasound atrioventricular septal defect is often diagnosed in infants with down syndrome based on an abnormal four-chamber view of the heart. A unique case of atrioventricular septal defect with dextroposition of the heart in an infant with trisomy 18 is presented.- - - - - - - - - - ranking = 2keywords = heart (Clic here for more details about this article) |
3/76. Myocardial infarction during sleep deprivation in a patient with dextrocardia--a case report.A patient with dextrocardia who suffered his first myocardial infarction after approximately 26 hours of a diagnostic sleep deprivation protocol is described. The infarction started about 3 hours after a significant improvement in mood, which persisted during and after infarction. Total sleep deprivation may be an acute risk factor for myocardial infarction.- - - - - - - - - - ranking = 22.682880521395keywords = myocardial infarction, infarction (Clic here for more details about this article) |
4/76. A case with dextrocardia, ventricular septal defect, persistent left superior vena cava and drainage of the great cardiac vein into the left internal thoracic vein.A 17-month-old female patient was operated on for ventricular septal defect and pulmonary stenosis. During the operation several cardiac anomalies were observed; these were dextrocardia, ventricular septal defect, persistent left superior vena cava, drainage of the great cardiac vein into the left internal thoracic vein and a pericardial pouch. These anomalies have not previously been reported together.- - - - - - - - - - ranking = 5.028046225212keywords = cardiac (Clic here for more details about this article) |
5/76. Pulmonary aspergilloma. A report of its occurrence in 2 patients with cyanotic heart disease.This is an account of our experience with 2 patients with congenital cyanotic heart disease who developed pulmonary aspergillomas. Neither patient had a demonstrable cavity in the lung before the appearance of the fungus ball. Both patients had pulmonary artery-to-superior vena cava shunts, but the aspergilloma was in the ipsilateral lung in one and the contralateral lung in the other. Repeated life-threatening hemoptyses made excision of the lung containing the cavity and fungus ball necessary in both patients.- - - - - - - - - - ranking = 5keywords = heart (Clic here for more details about this article) |
6/76. heart block in dextrocardia and situs inversus: a case report.The authors report a case of a 39-year-old woman with dextrocardia and situs inversus who presented with episodes of complete heart block, managed successfully with a permanent dual chamber endocardial pacemaker.- - - - - - - - - - ranking = 1keywords = heart (Clic here for more details about this article) |
7/76. Radiofrequency catheter ablation of a right free-wall accessory pathway in dextrocardia with complete situs inversus.An uncommon case of orthodromic atrioventricular reentrant tachycardia in a patient with dextrocardia and complete situs inversus is reported. There was no associated cardiac abnormality apart from the mirror image dextrocardia. An electrophysiological study and successful catheter ablation of a right free-wall concealed accessory pathway was performed. A simplified three-catheter technique from a femoral approach and monoplane fluoroscopy were used in a noncomplicated procedure of normal duration.- - - - - - - - - - ranking = 0.838007704202keywords = cardiac (Clic here for more details about this article) |
8/76. The versatility of the Amplatzer Septal Occluder for the management of multiple atrial septal defects in a patient with dextrocardia and situs inversus.A 7-year-old male was referred for evaluation of a heart murmur heard on routine check-up. Transthoracic echocardiogram revealed the presence of a fenestrated atrial septal defect (ASD) in a dextrocardia with total situs inversus ( mirror image ). Two Amplatzer Septal Occluders (Cook Incorporated, Bloomington, indiana) were used to successfully occlude the ASDs with no residual shunt.- - - - - - - - - - ranking = 1keywords = heart (Clic here for more details about this article) |
9/76. Surgical correction of unusual double-outlet right ventricle.This paper presents the case history of an 8-year-old girl who had total situs inversus and double-outlet right ventricle with pulmonary stenosis and severe tricuspid insufficiency in the presence of dextrocardia with ventricular discordance. A successful repair was performed using the Rastelli technique in conjunction with replacement of the tricuspid valve with a Bjork-Shiley prosthesis. The postoperative course was uneventful, and follow-up catheterization revealed a good operative result. However, the patient died suddenly during an emotionally upsetting period about two months after the operation. Postmortem examination revealed only signs of moderately severe cardiac decompensation. Some anatomical and embryological comments are made.- - - - - - - - - - ranking = 0.838007704202keywords = cardiac (Clic here for more details about this article) |
10/76. Inferior myocardial infarction in a patient with mirror-image dextrocardia and situs inversus totalis.A case of inferior wall myocardial infarction in a patient with mirror-image dextrocardia and situs inversus totalis is presented. The clinical and electrocardiographic findings are discussed.- - - - - - - - - - ranking = 50.900843680498keywords = myocardial infarction, infarction (Clic here for more details about this article) |
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