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Successful simultaneous ipsilateral stenting of common iliac artery
Successful simultaneous ipsilateral stenting of common iliac artery

... artery disease and PAD, are often found concurrently in elderly patients presenting with severe symptomatic AS. Fusini et al. reported that iliac and femoral stenosis was found in 29.2% and 22%, respectively, of TAVR candidates.[8] PAD has a pivotal role in access site evaluation of TAVR patients, b ...
Shone`s complex – a rare case report
Shone`s complex – a rare case report

... Discussion ...
Non-coronary sinus of Valsalva aneurysm diagnosed after a road
Non-coronary sinus of Valsalva aneurysm diagnosed after a road

... infection, and associated congenital cardiac malformations) may increase the risk. Treatment of asymptomatic and uncomplicated sinus of Valsalva aneurysms is controversial. Opinion is divided between those who see surgery as a last resort and those who think it is necessary to prevent the developmen ...
Coarctation of the aorta is typically a disease of childhood and early
Coarctation of the aorta is typically a disease of childhood and early

... descending aorta immediately distal to the coarctation segment (post-stenotic dilatation) is usually present. Collateral vessels that connect arteries from the upper part of the body to the vessels below the level of coarctation may be seen; these may be present as early as a few weeks to a few mont ...
Cardiac Channelopathies and Sudden Death: Recent Clinical and
Cardiac Channelopathies and Sudden Death: Recent Clinical and

... heart, which could underlie the pathogenesis of BrS-pattern ECG [42]. KCNE5 is located on the X chromosome and encodes an auxiliary β subunit for K channels. Mutations in KCNE5 cause modifications to potassium channels that lead to an increase in the Ito current and have been linked to BrS [43]. Fun ...
Severe coronary artery ectasia and abdominal aortic aneurysm
Severe coronary artery ectasia and abdominal aortic aneurysm

... AAA. Hopefully, these pathophysiological insights will lead to new treatment concepts in the future. To date, surgical or endovascular repair is the standard therapy for end-stage AAA, smoking cessation and control of hypertension may help to slow AAA growth. CAE seems not to be a benign condition, ...
mr imaging of right aortic arch with anomalous - ASCI
mr imaging of right aortic arch with anomalous - ASCI

... Right aortic arch is a kind of congenital aortic anomalies, which occurs in approximately 0.1% of general adult population [1]. Secondary to interruption of left arch at different segments, there are three major types of right arch anomalies: mirror image, aberrant left SA and isolated left SA [2]. ...
Wolff-Parkinson-White Syndrome: An Uncommon Cause of
Wolff-Parkinson-White Syndrome: An Uncommon Cause of

... revealed that the patient was doing well without any recurrence of dysrhythmia. DISCUSSION The case patient’s ECG shows a rapid, wide QRS complex tachycardia (Figure 1), which is defined as tachycardia having a QRS duration greater than 120 msec (0.12 sec). Wide complex tachycardias are often caused ...
Supraventricular tachycardia
Supraventricular tachycardia

... Of all the supraventricular tachycardias, atrial fibrillation is by far the most common and the most important. It may affect up to 4% of individuals aged 70 years or more. The risk of AF is measured by the presence of underlying cardiovascular disease including myocardial infarction and hypertensio ...
an Echocardiography Casebook Example
an Echocardiography Casebook Example

... The interventricular septum and left ventricular wall are mildly thickened in  diastole (except when using the Golden Retriever breed specific reference range  where the IVS was considered to be normal). There is good systolic function shown  by normal FS% and normal left ventricular chamber size in ...
Congenital Aortic Stenosis in Children
Congenital Aortic Stenosis in Children

... If the patients have an established HLHS circulation with an underdeveloped LV, all the treatment options are directed to the future completion of the Fontan circulation, a final goal for patients with single ventricular circulation. However, if the LV size and components are to be sufficient to gen ...
AUSCULTATION SKILLS for ATHLETIC TRAINERS
AUSCULTATION SKILLS for ATHLETIC TRAINERS

... UMDNJ-Robert Wood Johnson Medical School New Brunswick, NJ The Athletes Heart (Athletic Heart Syndrome) I. ...
Pitfalls in the Estimation of the Severity of a
Pitfalls in the Estimation of the Severity of a

... variable increase in flow during DSE can make interpretations for individual patients difficult. To overcome this difficulty, the projected AVA (the expected AVA with standard flow of 250ml/sec) can be derived from the AVA/flow curve. A projected AVA<1.0cm² is considered as marker for severe CAVS.2, ...
OCR Document
OCR Document

... discordant atrioventricular connections. The tricuspid valve had an apically displaced attachment to the ventricular septum. Color Doppler interrogation revealed moderate tricuspid regurgitation. There was a large perimembranous ventricular septal defect. The aorta arose from the right ventricle and ...
Echotech Reporting Guidelines
Echotech Reporting Guidelines

... • If the anterosposterior LA diameter cannot be measured, assess the LA volume by biplane technique from the apical 4 and 2 chamber views • For Biplane LA volume measurement, note that the largest LA volume is measured in diastole before mitral valve opening. The LA appendage, the pulmonary vein ori ...
Acute Aortic Dissection Clinician Update
Acute Aortic Dissection Clinician Update

... above, familial thoracic aortic aneurysm syndromes are an everexpanding cause of aortic dissection. Comprehensive family studies have recognized that ⬇20% of individuals with a thoracic aortic aneurysm or dissection will have another firstdegree relative with thoracic aortic disease.9 Screening firs ...
EISENMENGER SYNDROME
EISENMENGER SYNDROME

... cyanosis and moderate breathlessness since infancy.He managed well enough ,until January 1894 when dyspnoea increased and edema set in. Seven months later he was admitted to hospital in a state of heart failure.He improved with rest and digitalis, but collapsed and died more or less suddenly on Nove ...
EISENMENGER SYNDROME
EISENMENGER SYNDROME

... cyanosis and moderate breathlessness since infancy.He managed well enough ,until January 1894 when dyspnoea increased and edema set in. Seven months later he was admitted to hospital in a state of heart failure.He improved with rest and digitalis, but collapsed and died more or less suddenly on Nove ...
Heart Sounds and Murmurs
Heart Sounds and Murmurs

... Best heard: bell at apex in LLD position. Timing: lub….du..dub S1 ...
Percutaneous implantation of self-expandable aortic
Percutaneous implantation of self-expandable aortic

... Aortic valve stenosis (AS) is becoming a common disease in elderly population. In patients with symptomatic severe AS there is unfavorable prognosis with survival rates of only 15–50% in 5 years 1. Surgical valve replacement is the therapy of choice in patients with symptomatic AS, but the mortality ...
ACQUIRED VITIUMS
ACQUIRED VITIUMS

... atrial septal defect Diagnosis: ECHOCARDIOGRAPHY NOTA BENE! : stenosis is overestimated Important to know wheather the stenosis or the regurgitation dominates! – Stenosis: treatment of the mitral stenosis – Regurgitaiton: early operation, NYHA II ...
PDF file - Via Medica Journals
PDF file - Via Medica Journals

... dures. In situations when the foetus dies, the findings should be confirmed by autopsy. This is essential not only for educational but also for clinical reasons [21]. All congenital heart diseases can be described by the pathologist using sequential segmental analysis, as described by Anderson et al ...
AANA Journal Course 3: Aortic stenosis: A review
AANA Journal Course 3: Aortic stenosis: A review

... tricuspid disease and congenital bicuspid valves. An inflammatory, atherosclerotic disease process also has been identified in aortic stenosis. Patients with aortic stenosis are at high risk for perioperative cardiac complications. Anesthetic management often includes invasive hemodynamic monitoring ...
Anesthesia Seminars in Cardiothoracic and Vascular
Anesthesia Seminars in Cardiothoracic and Vascular

... 19% of pregnancies. Related comorbidities, such as neonatal intensive care unit admission, intraventricular hemorrhage, small for gestational age, and neonatal mortality are also more common.18,24,25 In the absence of genetic syndromes, the offspring of women with CHD have a 3% to 10% incidence of h ...
Camera-Ready Format
Camera-Ready Format

... accessory pathway localization method (for patients suffering from Wolff-Parkinson-White syndrome) with suggestions to increase the overall performance. The Arruda method was tested on a total of 121 patients, and a 90% localization performance was reached. This was considered almost as performing r ...
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Turner syndrome



Turner syndrome (TS) also known as Ullrich–Turner syndrome, gonadal dysgenesis, and 45,X, is a condition in which a female is partly or completely missing an X chromosome. Signs and symptoms vary among those affected. Often, a short and webbed neck, low-set ears, low hairline at the back of the neck, short stature, and swollen hands and feet are seen at birth. Typically they are without menstrual periods, do not develop breasts, and are unable to have children. Heart defects, diabetes, and low thyroid hormone occur more frequently. Most people with TS have normal intelligence. Many, however, have troubles with spatial visualization such as that needed for mathematics. Vision and hearing problems occur more often.Turner syndrome is not usually inherited from a person's parents. No environmental risks are known and the mother's age does not play a role. Turner syndrome is due to a chromosomal abnormality in which all or part of one of the X chromosomes is missing or altered. While most people have 46 chromosomes, people with TS usually only have 45. The chromosomal abnormality may be present in just some cells in which case it is known as TS with mosaicism. In these cases, the symptoms are usually fewer and possibly none occur at all. Diagnosis is based on physical signs and genetic testing.No cure for Turner syndrome is known. Treatment, however, may help with symptoms. Human growth hormone injections during childhood may increase adult height. Estrogen replacement therapy can promote development of the breasts and hips. Medical care is often required to manage other health problems with which TS is associated.Turner syndrome occurs in between one in 2000 and one in 5000 females at birth. All regions of the world and cultures are affected about equally. People with TS have a shorter life expectancy, mostly due to heart problems and diabetes. Henry Turner first described the condition in 1938. In 1964, it was determined to be due to a chromosomal abnormality.
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