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[PMID]:28460765
[Au] Autor:Lanjewar C; Phadke M; Singh A; Sabnis G; Jare M; Kerkar P
[Ad] Endereço:Department of Cardiology, Seth G.S. Medical College & King Edward VII Memorial Hospital, Mumbai, India.
[Ti] Título:Percutaneous balloon valvuloplasty with Inoue balloon catheter technique for pulmonary valve stenosis in adolescents and adults.
[So] Source:Indian Heart J;69(2):176-181, 2017 Mar - Apr.
[Is] ISSN:0019-4832
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Percutaneous balloon pulmonary valvuloplasty is the procedure of choice for uncomplicated severe or symptomatic pulmonary stenosis. The present study describes our experience in balloon pulmonary valvuloplasty using the Inoue balloon catheter in adolescent and adult patients. AIMS: To assess the immediate and mid-term outcomes of percutaneous balloon valvuloplasty with Inoue balloon catheter in adolescent and adult patients. METHODS AND RESULTS: Between June 2010 and July 2015, we performed percutaneous balloon pulmonary valvuloplasty with Inoue balloon catheter in 32 patients (59.37% females) aged 8 to 54 years (mean 23.6±11.5). Following the procedure, the mean right ventricular systolic pressure and the pulmonary valvular peak-to-peak systolic gradient decreased from (121.6±42.4 to 61.19±24.5mmHg, p=0.001) and (100.9±43.3 to 36.4±22.5mmHg, p=0.001), respectively. Twenty patients (Group A) showed immediate optimal results with post-procedure peak systolic gradient <36mmHg while 12 patients (Group B) had suboptimal results. An increase in pulmonary regurgitation by one grade was detected in 17 patients (53.2%). Twenty-three patients available for follow-up (mean duration, 2.75 years [range 0.25-5 years]) had a mean residual peak gradient of 23.6±2.51mmHg on Doppler echocardiography with attenuation of reactive RVOT stenosis in all Group B patients. There was no further increase in grade of pulmonary regurgitation or restenosis on mid-term follow-up. CONCLUSION: Percutaneous Inoue balloon technique is an attractive alternative with excellent mid-term results for adolescents and adults with isolated pulmonary stenosis.
[Mh] Termos MeSH primário: Valvuloplastia com Balão/métodos
Cateterismo Cardíaco/métodos
Estenose da Valva Pulmonar/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Ecocardiografia Doppler
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estenose da Valva Pulmonar/diagnóstico
Estenose da Valva Pulmonar/fisiopatologia
Sístole
Fatores de Tempo
Resultado do Tratamento
Função Ventricular Direita/fisiologia
Pressão Ventricular
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE


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[PMID]:28469102
[Au] Autor:Sun PF; Ding GC; Zhang MY; He SN; Gao Y; Wang JH
[Ad] Endereço:Department of Ultrasound, Aerospace Center Hospital, Beijing 100049, China.
[Ti] Título:Prevalence of Congenital Heart Disease among Infants from 2012 to 2014 in Langfang, China.
[So] Source:Chin Med J (Engl);130(9):1069-1073, 2017 May 05.
[Is] ISSN:0366-6999
[Cp] País de publicação:China
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Congenital heart disease (CHD) is the most common congenital malformations with high mortality and morbidity. The prevalence of CHD reported previously ranged from 4 per 1000 live births to 50 per 1000 live births. In this cross-sectional study, we aimed to document the prevalence of CHD in Langfang district of Hebei Province, China by analyzing data collected by hospitals located in 11 the counties of the district, as supported by a public health campaign. METHODS: A total of 67,718 consecutive 3-month-old infants were included from July 19, 2012 to July 18, 2014. Structural abnormalities were diagnosed based on echocardiography findings, including two-dimensional and color Doppler echocardiography results. RESULTS: Of the 67,718 infants, 1554 were found to have cardiac structural abnormalities. The total prevalence of CHD was 22.9 per 1000 live births, a value significantly higher than the previously reported prevalence of 8 cases per 1000 live births. The top five most common cardiac abnormalities were as follows: atrial septal defect (ASD, 605 cases, 8.93‰); ventricular septal defect (550 cases, 8.12‰); patent ductus arteriosus (228 cases, 3.37‰); pulmonary stenosis (66 cases, 0.97‰); and tetralogy of Fallot (32 cases, 0.47‰). The CHD prevalence differed by gender in this study ( χ2 = 23.498,P < 0.001), and the majority of ASD cases were females. Regional differences in prevalence were also found ( χ2 = 24.602,P < 0.001); a higher prevalence was found in urban areas (32.2 cases per 1000 live births) than in rural areas (21.1 cases per 1000 live births). There was a significant difference in the prevalence of CHD in preterm versus full-term infants ( χ2 = 133.443,P < 0.001). Prevalence of CHD in infants of maternal aged 35 years or over was significantly higher ( χ2 = 86.917,P < 0.001). CONCLUSIONS: The prevalence of CHD in Langfang district was within the range reported using echocardiography. Echocardiography can be used to early diagnose the CHD.
[Mh] Termos MeSH primário: Cardiopatias Congênitas/patologia
[Mh] Termos MeSH secundário: China
Estudos Transversais
Canal Arterial/patologia
Ecocardiografia
Feminino
Comunicação Interatrial/patologia
Seres Humanos
Masculino
Prevalência
Estenose da Valva Pulmonar/patologia
Tetralogia de Fallot/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.4103/0366-6999.204923


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[PMID]:29173614
[Au] Autor:Kozicka U; Weronski K; Ruzyllo W; Demkow M; Kowalski M; Spiewak M; Piotrowicz E; Siudalska H; Hoffman P; Biernacka EK
[Ad] Endereço:Department of Congenital Heart Diseases, Institute of Cardiology, Warsaw, Poland. Electronic address: ukozicka@ikard.pl.
[Ti] Título:Pregnancy After Transcatheter Pulmonary Valve Implantation.
[So] Source:Can J Cardiol;33(12):1737.e5-1737.e7, 2017 Dec.
[Is] ISSN:1916-7075
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Transcatheter pulmonary valve implantation (TPVI) is a relatively new method of treating patients with significant pulmonary regurgitation or pulmonary stenosis, or both, after reconstruction of the right ventricular outflow tract. It is an attractive alternative to conduit replacement in this group of patients, who are typically young and active. This report includes 4 young women who after successful TPVI became pregnant and gave birth. Transthoracic echocardiography, cardiopulmonary exercise testing, and cardiac magnetic resonance imaging were performed in all patients. The results suggest that pregnancy and delivery after successful TPVI is safe when the appropriate precautions have been taken.
[Mh] Termos MeSH primário: Insuficiência da Valva Pulmonar/cirurgia
Estenose da Valva Pulmonar/cirurgia
Valva Pulmonar/cirurgia
[Mh] Termos MeSH secundário: Adulto
Cateterismo Cardíaco/métodos
Ecocardiografia
Teste de Esforço
Feminino
Seguimentos
Seres Humanos
Imagem Cinética por Ressonância Magnética
Período Pós-Operatório
Gravidez
Resultado da Gravidez
Valva Pulmonar/diagnóstico por imagem
Insuficiência da Valva Pulmonar/diagnóstico
Estenose da Valva Pulmonar/diagnóstico
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171204
[Lr] Data última revisão:
171204
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:28954831
[Au] Autor:Carlson SD; Steinberg ZL; Krieger EV
[Ad] Endereço:Department of Medicine, Division of Cardiology, University of Washington Medical Center, Seattle, Washington, USA.
[Ti] Título:Exertional dyspnoea in a 28-year-old woman.
[So] Source:Heart;103(22):1779-1829, 2017 Nov.
[Is] ISSN:1468-201X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:CLINICAL INTRODUCTION: A 28-year-old woman with a history of critical pulmonic stenosis, status postsurgical valvotomy and subsequent pulmonary valve replacement, presented to the cardiology clinic with 1 year of progressive exertional dyspnoea. She has a heart rate of 75 bpm and blood pressure of 110/55 mm Hg. Cardiac auscultation reveals a 1/6 systolic ejection murmur along the left sternum and an early 3/6 diastolic decrescendo murmur. A transthoracic echocardiogram is obtained (figure 1). QUESTIONS: Which of the following would be most likely found during right heart catheterisation?Ratio of pulmonary to systemic blood flow (Qp:Qs) >1.5Pulmonary vascular resistance >3 Wood unitsRight atrial pressure >10mm HgPulmonary artery systolic pressure >45mm Hg E. Pulmonary artery diastolic pressure <10mm Hg.
[Mh] Termos MeSH primário: Dispneia/etiologia
Implante de Prótese de Valva Cardíaca/efeitos adversos
Esforço Físico
Insuficiência da Valva Pulmonar/diagnóstico
Estenose da Valva Pulmonar/cirurgia
Valva Pulmonar/cirurgia
[Mh] Termos MeSH secundário: Adulto
Função do Átrio Direito
Pressão Atrial
Pressão Sanguínea
Cateterismo Cardíaco
Ecocardiografia Doppler de Pulso
Feminino
Frequência Cardíaca
Seres Humanos
Valor Preditivo dos Testes
Valva Pulmonar/fisiopatologia
Insuficiência da Valva Pulmonar/etiologia
Insuficiência da Valva Pulmonar/fisiopatologia
Estenose da Valva Pulmonar/diagnóstico
Estenose da Valva Pulmonar/fisiopatologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170929
[St] Status:MEDLINE
[do] DOI:10.1136/heartjnl-2017-312174


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[PMID]:28912039
[Au] Autor:Glancy DL
[Ad] Endereço:Section of Cardiology, Department of Medicine, LSU Health Sciences Center, New Orleans, Louisiana. Electronic address: dglanc@lsuhsc.edu.
[Ti] Título:Acquired Heart Disease Superimposed on Congenital Heart Disease.
[So] Source:Am J Cardiol;120(10):1903-1904, 2017 Nov 15.
[Is] ISSN:1879-1913
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A 50-year-old man with a murmur since birth developed systemic arterial hypertension as an adult. He came to the hospital because of dyspnea. He had a pulmonic valve ejection click and a murmur of pulmonic stenosis. His echocardiogram showed biventricular hypertrophy, a flat ventricular septum, a D-shaped left ventricle, systolic doming of the pulmonic valve, and Doppler evidence of a 70 mm Hg peak systolic pressure gradient across the pulmonic valve and a peak right ventricular systolic pressure of 100 mm Hg. His electrocardiograms showed no evidence of the right ventricular and right atrial enlargement so evident on echocardiogram, presumably because it was obscured by the marked changes of left ventricular hypertrophy. Three years later, when he was admitted for sepsis and worsening heart failure with anasarca, the voltage changes of left ventricular hypertrophy had virtually disappeared, likely due to the large amount of fluid between the heart and the electrodes.
[Mh] Termos MeSH primário: Cardiopatias Congênitas/complicações
Hipertrofia Ventricular Esquerda/complicações
Estenose da Valva Pulmonar/complicações
[Mh] Termos MeSH secundário: Ecocardiografia Doppler
Eletrocardiografia
Evolução Fatal
Cardiopatias Congênitas/diagnóstico
Seres Humanos
Hipertrofia Ventricular Esquerda/diagnóstico
Masculino
Meia-Idade
Estenose da Valva Pulmonar/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170916
[St] Status:MEDLINE


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[PMID]:28633265
[Au] Autor:De Rosa R; Schranz D; Zeiher AM; Fichtlscherer S
[Ad] Endereço:Division of Cardiology, Department of Medicine III, Goethe University Hospital Frankfurt, Frankfurt am Main, Germany. Electronic address: robertaderosa984@gmail.com.
[Ti] Título:Again, Two Melodies in Concert: Transcatheter Double Valve Replacement in Hedinger Syndrome.
[So] Source:Ann Thorac Surg;104(1):e61-e63, 2017 Jul.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Transcatheter pulmonary valve implantation is established as a valuable option to reconstruct failing right ventricular outflow tract function. Percutaneous tricuspid valve-in-valve or valve-in-ring reconstruction is even applied with increasing acceptance. A 46-year-old woman with a diagnosis of carcinoid-dependent right heart failure underwent surgical bioprosthetic tricuspid and pulmonary valve replacement. Almost 1 year later, she presented again with markedly dilatated and reduced right heart function caused by degeneration of both biologic valves. We report a successful two-stage percutaneous transcatheter double-valve replacement with the use of a Melody valve in pulmonary and tricuspid positions.
[Mh] Termos MeSH primário: Bioprótese
Doença Cardíaca Carcinoide/complicações
Cateterismo Cardíaco/métodos
Implante de Prótese de Valva Cardíaca/métodos
Estenose da Valva Pulmonar/cirurgia
Valva Pulmonar/cirurgia
Estenose da Valva Tricúspide/cirurgia
[Mh] Termos MeSH secundário: Doença Cardíaca Carcinoide/diagnóstico
Doença Cardíaca Carcinoide/cirurgia
Ecocardiografia Doppler
Feminino
Seres Humanos
Meia-Idade
Desenho de Prótese
Estenose da Valva Pulmonar/diagnóstico
Estenose da Valva Pulmonar/etiologia
Síndrome
Estenose da Valva Tricúspide/diagnóstico
Estenose da Valva Tricúspide/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170622
[St] Status:MEDLINE


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[PMID]:28631207
[Au] Autor:Paech C; Dähnert I; Riede FT; Wagner R; Kister T; Nieschke K; Wagner F; Gebauer RA
[Ad] Endereço:Department for Pediatric Cardiology, University of Leipzig- HELIOS Heart Center, Strümpellstr. 39, 04289, Leipzig, Germany. christian.paech@medizin.uni-leipzig.de.
[Ti] Título:QRS Width as a Predictor of Right Ventricular Remodeling After Percutaneous Pulmonary Valve Implantation.
[So] Source:Pediatr Cardiol;38(6):1277-1281, 2017 Aug.
[Is] ISSN:1432-1971
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Recent data showed a right ventricular dyssynchrony in patients with tetralogy of Fallot (TOF). Percutaneous pulmonary valve implantation (PPVI) has become an important procedure to treat a pulmonary stenosis and/or regurgitation of the right ventricular outflow tract in these patients. Despite providing good results, there is still a considerable number of nonresponders to PPVI. The authors speculated that electrical dysfunction of the right ventricle plays an underestimated role in the outcome of patients after PPVI. This study aimed to investigate the influence of right ventricular electrical dysfunction, i.e., right bundle branch block (RBBB) on the RV remodeling after PPVI. The study included consecutive patients after correction of TOF with or without RBBB, who had received a PPVI previously at the Heart Center of the University of Leipzig, Germany during the period from 2012 to 2015. 24 patients were included. Patients without RBBB, i.e., with narrow QRS complexes pre-intervention, had significantly better RV function and had smaller right ventricular volumes. Patients with pre-interventionally QRS width below 150 ms showed a post-interventional remodeling of the right ventricle with the decreasing RV volumes (p = 0.001). The parameters of LV function and volume as well as RV ejection fraction remained unaffected by RBBB. The presented data indicate that the QRS width seems to be a valuable parameter in the prediction of right ventricular remodeling after PPVI, as it represents both electrical and mechanical functions of the right ventricle and may serve as an additional parameter for optimal timing of a PPVI.
[Mh] Termos MeSH primário: Bloqueio de Ramo/fisiopatologia
Eletrocardiografia
Implante de Prótese de Valva Cardíaca
Tetralogia de Fallot/cirurgia
Disfunção Ventricular Direita/fisiopatologia
Remodelação Ventricular/fisiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Arritmias Cardíacas/complicações
Arritmias Cardíacas/diagnóstico
Arritmias Cardíacas/fisiopatologia
Bloqueio de Ramo/complicações
Bloqueio de Ramo/diagnóstico
Criança
Feminino
Implante de Prótese de Valva Cardíaca/métodos
Ventrículos do Coração/fisiopatologia
Seres Humanos
Masculino
Insuficiência da Valva Pulmonar/complicações
Insuficiência da Valva Pulmonar/fisiopatologia
Insuficiência da Valva Pulmonar/cirurgia
Estenose da Valva Pulmonar/complicações
Estenose da Valva Pulmonar/fisiopatologia
Estenose da Valva Pulmonar/cirurgia
Estudos Retrospectivos
Tetralogia de Fallot/complicações
Disfunção Ventricular Direita/complicações
Função Ventricular Direita/fisiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170621
[St] Status:MEDLINE
[do] DOI:10.1007/s00246-017-1658-x


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[PMID]:28616649
[Au] Autor:Sullivan RT; Frommelt PC; Hill GD
[Ad] Endereço:Pediatrics, Medical College of Wisconsin Affiliated Hospitals, 999 N 92nd Street, Suite 730, Wauwatosa, WI, 53226, USA.
[Ti] Título:Earlier Pulmonary Valve Replacement in Down Syndrome Patients Following Tetralogy of Fallot Repair.
[So] Source:Pediatr Cardiol;38(6):1251-1256, 2017 Aug.
[Is] ISSN:1432-1971
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The association between Down syndrome and pulmonary hypertension could contribute to more severe pulmonary regurgitation after tetralogy of Fallot repair and possibly earlier pulmonary valve replacement. We compared cardiac magnetic resonance measures of pulmonary regurgitation and right ventricular dilation as well as timing of pulmonary valve replacement between those with and without Down syndrome after tetralogy of Fallot repair. Review of our surgical database from 2000 to 2015 identified patients with tetralogy of Fallot with pulmonary stenosis. Those with Down syndrome were compared to those without. The primary outcome of interest was time from repair to pulmonary valve replacement. Secondary outcomes included pulmonary regurgitation and indexed right ventricular volume on cardiac magnetic resonance imaging. The cohort of 284 patients included 35 (12%) with Down syndrome. Transannular patch repair was performed in 210 (74%). Down syndrome showed greater degree of pulmonary regurgitation (55 ± 14 vs. 37 ± 16%, p = 0.01) without a significantly greater rate of right ventricular dilation (p = 0.09). In multivariable analysis, Down syndrome (HR 2.3, 95% CI 1.2-4.5, p = 0.02) and transannular patch repair (HR 5.5, 95% CI 1.7-17.6, p = 0.004) were significant risk factors for valve replacement. Those with Down syndrome had significantly lower freedom from valve replacement (p = 0.03). Down syndrome is associated with an increased degree of pulmonary regurgitation and earlier pulmonary valve replacement after tetralogy of Fallot repair. These patients require earlier assessment by cardiac magnetic resonance imaging to determine timing of pulmonary valve replacement and evaluation for and treatment of preventable causes of pulmonary hypertension.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardíacos/efeitos adversos
Síndrome de Down/complicações
Implante de Prótese de Valva Cardíaca
Insuficiência da Valva Pulmonar/cirurgia
Valva Pulmonar/cirurgia
Tetralogia de Fallot/cirurgia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Insuficiência da Valva Pulmonar/etiologia
Estenose da Valva Pulmonar/cirurgia
Estudos Retrospectivos
Tetralogia de Fallot/complicações
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170616
[St] Status:MEDLINE
[do] DOI:10.1007/s00246-017-1653-2


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[PMID]:28592081
[Au] Autor:Xie YQ; Yan J; Hua ZD; Ouyang WB; Pang KJ; Zhang YB; Zhang GJ; Li SJ
[Ad] Endereço:Department of Cardiovascular Surgery, National Center for Cardiovascular Diseases China, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
[Ti] Título:[Comparison of transthoracic or percutaneous balloon pulmonary valvuloplasty in the therapy of pulmonary valve stenosis].
[So] Source:Zhonghua Wai Ke Za Zhi;55(6):459-462, 2017 Jun 01.
[Is] ISSN:0529-5815
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To compare the clinical outcome of patients with pulmonary valve stenosis underwent transthoracic and percutaneous balloon pulmonary valvuloplasty. Clinical data of 806 patients diagnosed as pulmonary valve stenosis underwent transthoracic(171 patients as group A)or percutaneous balloon pulmonary valvuloplasty (635 patients as Group B) in Fuwai Hospital from February 2006 to January 2016 were analyzed retrospectively. There were 72 males in group A (42.1%) and 344 males in group B (54.2%). The average age was (1.6±1.1) years in group A and (21.0±18.5) years in group B. The median weight was 7.65 (7.68) kg ( ( )) in group A and 43.75 (47.38) kg in group B. There were 732 (90.9%) patients followed up from 3 months to 10 years, with an average interval of (6.3±3.6) years. Sixty cases were ligated patent ductus arteriosus simultaneously, and 20 cases got Blalock-Taussig shunt at the same time of valvuloplasty in group A. There were 47 cases of transcatheter closure of atrial septal defect and 6 cases of transcatheter closure of patent ductus arteriosus in group B. The test, rank sum test and χ(2) test were used to compare data of two groups. There were no hospital death or cardiac tamponade and other serious complications for all patients. The postoperative hospital stayin group A was significantly longer than that in group B (8(5) days . 2(2) days, =-9.404, =0.000). In every further consultation, patients were reviewed with transthoracic echocardiography to assess transpulmonary gradient and pulmonary regurgitation. There were significant difference between group A and B of preoperative transpulmonary pressure gradient ((80.6±22.4) mmHg .(72.6±20.5) mmHg, =1.611, =0.032, 1 mmHg=0.133 kPa) and so as transpulmonary pressure gradient reduction value ((55.9±21.0) mmHg . (46.6±23.4) mmHg, =-1.710, =0.026). Patients in both groups had good cardiac function during follow-up interval. One patient needed surgical valvuloplasty 10 months after percutaneous balloon pulmonary valvuloplasty and 1 case occurred moderate to severe tricuspid regurgitation in group B. During follow-up period, there was no significant difference between group A and B of transpulmonary pressure gradient ((22.3±6.5) mmHg . (25.2±12.6) mmHg, =1.320, =0.072), the incidence of pulmonary valve regurgitation in patients of group A was significantly lower than patients of group B (56.1% .65.2%, χ(2)=4.755, =0.029). The clinical outcome and complications are similar between patients underwent two different routes of balloon pulmonary valvuloplasty. Transthoracic balloon pulmonary valvuloplasty is more suitable for infant and underweight children patients with pulmonary valve stenosis. Percutaneous balloon pulmonary valvuloplasty is more suitable for the treatment of the elder children or adults.
[Mh] Termos MeSH primário: Valvuloplastia com Balão
Estenose da Valva Pulmonar/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Procedimentos Cirúrgicos Cardíacos
Cateterismo
Criança
Ecocardiografia
Feminino
Seguimentos
Seres Humanos
Incidência
Lactente
Masculino
Período Pós-Operatório
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170609
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.0529-5815.2017.06.012


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[PMID]:28385408
[Au] Autor:Tanase D; Ewert P; Georgiev S; Meierhofer C; Pabst von Ohain J; McElhinney DB; Hager A; Kühn A; Eicken A
[Ad] Endereço:Department of Paediatric Cardiology and Congenital Heart Defects, German Heart Centre of the Technical University Munich, Munich, Germany. Electronic address: tanase@dhm.mhn.de.
[Ti] Título:Tricuspid Regurgitation Does Not Impact Right Ventricular Remodeling After Percutaneous Pulmonary Valve Implantation.
[So] Source:JACC Cardiovasc Interv;10(7):701-708, 2017 Apr 10.
[Is] ISSN:1876-7605
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: This study sought to investigate the impact of tricuspid regurgitation (TR) on right ventricular function after percutaneous pulmonary valve implantation (PPVI). BACKGROUND: PPVI provides a less invasive alternative to surgery in patients with right ventricular-to-pulmonary artery (RV-PA) conduit dysfunction. Recovery of the right ventricle has been described after PPVI for patients with pulmonary stenosis and for those with pulmonary regurgitation. Additional TR enforces RV dysfunction by supplemental volume overload. Limited data are available on the potential of the right ventricle to recover in such a specific hemodynamic situation. METHODS: In a matched cohort study, we compared patients who underwent PPVI with additional TR with those without TR. RESULTS: The degree of TR improved in 83% of the patients. In our patients (n = 36) exercise capacity and right ventricular volume index improved similarly 6 months after PPVI in patients with and without important TR. None of them had significant TR in the long-term follow-up of median 78 months. CONCLUSIONS: PPVI improves not only RV-PA-conduit dysfunction, but also concomitant TR. In patients with a dysfunctional RV-PA conduit and TR, the decision whether to fix TR should be postponed after PPVI.
[Mh] Termos MeSH primário: Cateterismo Cardíaco/métodos
Procedimentos Cirúrgicos Cardíacos/efeitos adversos
Implante de Prótese de Valva Cardíaca/métodos
Insuficiência da Valva Pulmonar/cirurgia
Estenose da Valva Pulmonar/cirurgia
Valva Pulmonar/cirurgia
Insuficiência da Valva Tricúspide/fisiopatologia
Disfunção Ventricular Direita/fisiopatologia
Função Ventricular Direita
Obstrução do Fluxo Ventricular Externo/fisiopatologia
Remodelação Ventricular
[Mh] Termos MeSH secundário: Adolescente
Adulto
Cateterismo Cardíaco/efeitos adversos
Cateterismo Cardíaco/instrumentação
Estudos de Casos e Controles
Criança
Ecocardiografia
Teste de Esforço
Tolerância ao Exercício
Feminino
Implante de Prótese de Valva Cardíaca/efeitos adversos
Implante de Prótese de Valva Cardíaca/instrumentação
Hemodinâmica
Seres Humanos
Imagem Cinética por Ressonância Magnética
Masculino
Valva Pulmonar/diagnóstico por imagem
Valva Pulmonar/fisiopatologia
Insuficiência da Valva Pulmonar/diagnóstico por imagem
Insuficiência da Valva Pulmonar/etiologia
Insuficiência da Valva Pulmonar/fisiopatologia
Estenose da Valva Pulmonar/diagnóstico por imagem
Estenose da Valva Pulmonar/etiologia
Estenose da Valva Pulmonar/fisiopatologia
Recuperação de Função Fisiológica
Fatores de Risco
Índice de Gravidade de Doença
Fatores de Tempo
Resultado do Tratamento
Insuficiência da Valva Tricúspide/diagnóstico por imagem
Insuficiência da Valva Tricúspide/etiologia
Disfunção Ventricular Direita/diagnóstico por imagem
Disfunção Ventricular Direita/etiologia
Obstrução do Fluxo Ventricular Externo/diagnóstico por imagem
Obstrução do Fluxo Ventricular Externo/etiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170408
[St] Status:MEDLINE



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