ABSTRACT
The authors report the case of a woman operated at 50 years of age for a tetralogy of Fallot with a good late result
Subject(s)
Humans , Female , Heart Defects, Congenital , Treatment Outcome , Thoracic Surgery , Cardiac Surgical ProceduresABSTRACT
Two girls aged 6 ans 1 5 years with severe congenital valvular aortic stenosis and left ventricular [LV] dysfunction underwent successful balloon aortic valvotomy [BAV]. Both patients had severe symptoms at the time of initial evaluation. The electrocardiograms showed LV hypertrophy and cardiac enlargement [cardiothoracic ratio 0,7 and 0,65] was evident in the chest roentgenograms. Immediately after BAV, the aortic valve peak-to-peak gradients decreased from 60 to 8 mmHg and 120 to 30 mmHg respectively, the LV end-diastolic pressures decreased from 47 to 13 mmHg and 40 to 15 mmHg, the LV ejection fractions improved from 40 to 65% in the second girl. On follow-up [30 and 36 ms respectively], both patients were asymptomatic with normalization of LV function and without a change in the residual gradient a cross the aortic valve
Subject(s)
Humans , Female , Ventricular Dysfunction, Left , Aortic Valve Stenosis/therapyABSTRACT
The purpose of this prospective study is to analyse the immediate effect of Rashkind's atrioseptostomy on systemic saturation in transposition of the great arteries [TGA]. Thirteen neonates and infants [10 males and 3 females] with TCIA underwent balloon atrial septostomy [BAS] at a median age of 20 days [range 2 ans 60 days]. The mean atrial septal defect diameter apter BAS was 6.5 +/- 1.1 mm. The right ventricular saturation increased from 37 +/- 17% to 67 +/- 13% [p<0.001]. there was no correlation between the atrial septal defect diameter and the increase of systemic saturation aiter BAS
Subject(s)
Humans , Male , Female , Heart Defects, Congenital , Prospective Studies , Heart Septal Defects, Atrial , Heart SeptumSubject(s)
Humans , Male , Coronary Vessels/abnormalities , Respiratory Tract Fistula , Adult , Review , Coronary Disease/congenital , Thoracic SurgerySubject(s)
Humans , Male , Female , Cardiac Catheterization/methods , Cardiac Catheterization/adverse effects , Thrombosis , InfantABSTRACT
47 patients aged from 2 to 59 years affected by valvular congenital or mixed pulmonary stenosis including three fallot trilogies and one patient with right congestive cardiac failure are treated by percutaneous pulmonary valvulotomy between October 1986 and December 1990. All patients have been controlled with a mean follow-up of 6.5 +/- 1.1 years. The total gradient rate between pulmonary artery and right ventricule decrease from 112 +/- 55 mm Hg to 20 +/- 8 mm Hg on the last control with disappearance of infundibular inflammation and their auricular shunt in all the concerned cases. We observe the degression of right cardiac failure symptoms with disappearance of tricuspid insufficiency in the cases of advanced pulmonary stenosis with right ventricular dysfunction. Percutaneous pulmonary valvulotomie by its simplicity and inocuity, its long term efficiency is a good method of treatment of pure valvular or mixed pulmonary stenosis
Subject(s)
Humans , Male , Female , Cardiac Catheterization , Heart Defects, Congenital , Trilogy of FallotABSTRACT
We report a new simplified method of mitral dilatation done on 146 patients. The technique use the lnoue balloon with progressive diameters under ultrasonographic control, avoiding the arterial part of the dilatation. The population include 9 pregnant women, 13 children, 13 with restenosis and closed heart and 12 restenosis after dilatation. Mean age is 32 +/- 16 years [9 to 72] and sex ratio 3.7 [114 F/32 M]. Three groups are individualized according to histopathologic exam of metal struclure, group [26 percent] concern good indication and III [32 percent] bad indication for this technique, group II [42 percent] contain intermediate indications. Commissurolomy increase the mean mitral square for 0.2 to 1.9 +/- cm'. We observe 3 cases of chirurgical mitral insufficiency needing remplacement recuited for 2 patients from the group III. Mean fluoroscopic exposition time is 5.2 +/- 3.3 mn and procedure duration 18 +/- 11 mn. Hospitalisation duration is one day for 95 percent of the patients. This method remaining simple, efficient and safe permit a gain in time of 70 percent with a good confort for patient and a return to work on the 4th day