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Celiacomesenteric trunk: a variation that must be known before aortic surgery  [cached]
Nicolas Lagoutte,Olivier Facy,Boris Guiu,Claire Favier
Clinics and Practice , 2011, DOI: 10.4081/cp.2011.e69
Abstract: The celiac trunk and the mesenteric arteries may present variations with different clinical significance. A celiacomesenteric trunk was discovered in a patient with mesenteric ischemia and a history of aortic bypass without inferior mesenteric artery reimplantation. Despite thrombectomies and digestive resections, the patient died. Anatomic variations like celiacomesenteric trunk must be known before aortic surgery.
Celiacomesenteric trunk: a variation that must be known before aortic surgery  [cached]
Nicolas Lagoutte,Olivier Facy,Boris Guiu,Claire Favier
Clinics and Practice , 2011, DOI: 10.4081/cp.2011.e69
Abstract: The celiac trunk and the mesenteric arteries may present variations with different clinical significance. A celiacomesenteric trunk was discovered in a patient with mesenteric ischemia and a history of aortic bypass without inferior mesenteric artery reimplantation. Despite thrombectomies and digestive resections, the patient died. Anatomic variations like celiacomesenteric trunk must be known before aortic surgery.
Association of pulmonary atresia with intact ventricular septum and aortic valve stenosis. Prenatal diagnosis
Rivera, Ivan Romero;Moises, Valdir Ambrósio;Silva, Celia Camelo;Andrade, José Lázaro;Carvalho, Antonio Carlos;
Arquivos Brasileiros de Cardiologia , 2000, DOI: 10.1590/S0066-782X2000000500006
Abstract: a rare association of pulmonary atresia with an intact septum was diagnosed through echocardiography in a fetus 32 weeks of gestational age. the diagnosis was later confirmed by echocardiography of the newborn infant and further on autopsy. the aortic valve was bicuspid with a pressure gradient of 81mmhg, and the right ventricle was hypoplastic, as were the pulmonary trunk and arteries, and the blood flow was totally dependent on the ductus arteriosus.
Association of pulmonary atresia with intact ventricular septum and aortic valve stenosis. Prenatal diagnosis  [cached]
Rivera Ivan Romero,Moises Valdir Ambrósio,Silva Celia Camelo,Andrade José Lázaro
Arquivos Brasileiros de Cardiologia , 2000,
Abstract: A rare association of pulmonary atresia with an intact septum was diagnosed through echocardiography in a fetus 32 weeks of gestational age. The diagnosis was later confirmed by echocardiography of the newborn infant and further on autopsy. The aortic valve was bicuspid with a pressure gradient of 81mmHg, and the right ventricle was hypoplastic, as were the pulmonary trunk and arteries, and the blood flow was totally dependent on the ductus arteriosus.
Isolated spontaneous dissection of the celiac trunk in a patient with bicuspid aortic valve  [cached]
Abdel-Rauf Zeina,Alicia Nachtigal,Anton Troitsa,et al
Vascular Health and Risk Management , 2010,
Abstract: Abdel-Rauf Zeina1, Alicia Nachtigal1, Anton Troitsa2, Gil Admon2, Nina Avshovich31Department of Radiology, 2Department of Surgery A, 3Department of Internal Medicine C, Hillel Yaffe Medical Center, Hadera, Israel. Hillel Yaffe Medical Center is affiliated with the Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, IsraelAbstract: Isolated spontaneous dissection of celiac trunk is a rare entity. The spontaneous dissection of the visceral artery occurs without aortic dissection. The most consistent presenting symptom is acute onset abdominal pain. Complications consist of ischemia, aneurysm formation, and rupture. We report an exceptional case of an isolated spontaneous dissection of the celiac trunk which occurred in a 49 year old male with a previously undiagnosed bicuspid aortic valve (BAV). We also describe the classical appearance in different imaging modalities with a particular emphasis on multidetector computed tomography, and discuss the clinical manifestation and its relationship to BAV.Keywords: celiac trunk dissection, isolated spontaneous dissection, CT angiography, bicuspid aortic valve, MRA
Surgical Correction of Congenital Aortic and Pulmonary Stenosis in an Adult
Saleh Alsalehi,Mehmet Altu? Tuncer,Eylem Yayla Tuncer,Rahmi Zeybek
Ko?uyolu Kalp Dergisi , 2012,
Abstract: Although aortic and pulmonary valve stenosis are among the most common congenital heart defects, the combination of both aortic and pulmonary valve stenosis in the same patient appears to be very uncommon. Accurate diagnosis of combined valvular stenosis is imperative prior to surgical correction otherwise surgery of only one of the lesions may result in an insufficient hemodynamic improvement. A 34-year-old man with congenital aortic and pulmonary valve stenosis underwent Nick’s operation, aortic valve replacement, pulmonary valvotomy and resection of anomalous muscle of the right ventricular outflow tract. The operation was successfully performed and postoperative course was uneventful.
The prenatal development of aorta and pulmonary trunk valves.  [PDF]
Kozlovs’ka G.O.
Морфолог?я , 2007,
Abstract: The features of development of valvular vehicle of aorta and pulmonary trunk in 32 hearts of embryos and early and late fetuses were studied using the macro-microscopic and histological methods. Our data showed that the cusps of valves contain the loosely scattered mesenchyme cells on the onset of development, so they have the same composition as endocardial cushions of the atrio-ventricular canal and endocardial ridges of conotruncus. The primary valves are represented with mesenhymal outgrowths to the cavity of a vessel, the base of which is considerably wide and stars from the vessel wall, and free edge is thin and faces to vessel lumen. On the early stages of development in the place where the onset of primary cusps development takes place, the wall of large vessels of the heart contains the substantial layer of cardiomyocites, and there is a slight amount of cardiogelly between mesenhyma of the leaflets and vessel wall. On the next stages of the embryogenesis the number and density of collagen fibers increase in the leaflets.
Isolated spontaneous dissection of the celiac trunk in a patient with bicuspid aortic valve
Abdel-Rauf Zeina, Alicia Nachtigal, Anton Troitsa, et al
Vascular Health and Risk Management , 2010, DOI: http://dx.doi.org/10.2147/VHRM.S9912
Abstract: olated spontaneous dissection of the celiac trunk in a patient with bicuspid aortic valve Case report (3663) Total Article Views Authors: Abdel-Rauf Zeina, Alicia Nachtigal, Anton Troitsa, et al Published Date May 2010 Volume 2010:6 Pages 383 - 386 DOI: http://dx.doi.org/10.2147/VHRM.S9912 Abdel-Rauf Zeina1, Alicia Nachtigal1, Anton Troitsa2, Gil Admon2, Nina Avshovich3 1Department of Radiology, 2Department of Surgery A, 3Department of Internal Medicine C, Hillel Yaffe Medical Center, Hadera, Israel. Hillel Yaffe Medical Center is affiliated with the Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel Abstract: Isolated spontaneous dissection of celiac trunk is a rare entity. The spontaneous dissection of the visceral artery occurs without aortic dissection. The most consistent presenting symptom is acute onset abdominal pain. Complications consist of ischemia, aneurysm formation, and rupture. We report an exceptional case of an isolated spontaneous dissection of the celiac trunk which occurred in a 49 year old male with a previously undiagnosed bicuspid aortic valve (BAV). We also describe the classical appearance in different imaging modalities with a particular emphasis on multidetector computed tomography, and discuss the clinical manifestation and its relationship to BAV.
Anomalous origin of the left coronary artery from the pulmonary trunk. Clinical features and midterm results after surgical treatment
Amaral, Fernando;Carvalho, Julene S.;Granzotti, Jo?o A.;Shinebourne, Elliot A.;
Arquivos Brasileiros de Cardiologia , 1999, DOI: 10.1590/S0066-782X1999000300004
Abstract: objective: to report the authors' experience with the anomalous origin of the left coronary artery (aolca) from the pulmonary trunk, emphasizing preoperative data, surgical aspects and midterm results of the follow-up. methods: retrospective analysis of 11 patients operated upon at the royal brompton hospital from october, 84 to april, 97. results: nine infants had heart failure (hf) and two other children presented with dyspnea and chest pain. all had ecg changes. the echocardiogram identified the anomalous origin of the coronary artery in 7 (64%) patients and hemodynamic studies were performed in 7 patients. all infants were operated upon between the 2nd and 10th month of life. six patients were treated with aortic reimplantation of the left coronary artery, whereas five were operated upon according to the takeuchi technique. all patients are alive, with clear improvement of the ecg changes and ventricular function, as evaluated by echocardiography. two patients operated upon according to the takeuchi technique required additional surgery due to severe supravalvular pulmonary stenosis. conclusion: aolca is a rare disease. most patients show early signs of severe hf associated with ecg findings. surgical therapy must be instituted early in the disease, preferentially through aortic implantation of the anomalous coronary artery, with a high possibility of success. shortly after surgery, clinical and ecg improvement, as well as normalization of left ventricular function, should be expected.
Anomalous origin of the left coronary artery from the pulmonary trunk. Clinical features and midterm results after surgical treatment  [cached]
Amaral Fernando,Carvalho Julene S.,Granzotti Jo?o A.,Shinebourne Elliot A.
Arquivos Brasileiros de Cardiologia , 1999,
Abstract: OBJECTIVE: To report the authors' experience with the anomalous origin of the left coronary artery (AOLCA) from the pulmonary trunk, emphasizing preoperative data, surgical aspects and midterm results of the follow-up. METHODS: Retrospective analysis of 11 patients operated upon at the Royal Brompton Hospital from October, 84 to April, 97. RESULTS: Nine infants had heart failure (HF) and two other children presented with dyspnea and chest pain. All had ECG changes. The echocardiogram identified the anomalous origin of the coronary artery in 7 (64%) patients and hemodynamic studies were performed in 7 patients. All infants were operated upon between the 2nd and 10th month of life. Six patients were treated with aortic reimplantation of the left coronary artery, whereas five were operated upon according to the Takeuchi technique. All patients are alive, with clear improvement of the ECG changes and ventricular function, as evaluated by echocardiography. Two patients operated upon according to the Takeuchi technique required additional surgery due to severe supravalvular pulmonary stenosis. CONCLUSION: AOLCA is a rare disease. Most patients show early signs of severe HF associated with ECG findings. Surgical therapy must be instituted early in the disease, preferentially through aortic implantation of the anomalous coronary artery, with a high possibility of success. Shortly after surgery, clinical and ECG improvement, as well as normalization of left ventricular function, should be expected.
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