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Valvular Stenosis (valvular + stenosis)

Distribution by Scientific Domains
Medical Sciences100%

Selected Abstracts

Successful Surgical Correction of a Single Atrium Associated with Cleft Mitral Valve Persistent Left Superior Vena Cava and Pulmonary Valvular Stenosis as an Isolated Cardiac Defect

JOURNAL OF CARDIAC SURGERY, Issue 3 2005
Akin Izgi M.D.
It is extremely rare for SA to be observed as an isolated defect. We report here a 13-year-old male patient with SA as an isolated cardiac defect, successfully corrected by surgery. [source]

ECHO ROUNDS: Percutaneous Balloon Valvuloplasty for Pulmonic Stenosis: The Role of Multimodality Imaging

ECHOCARDIOGRAPHY, Issue 2 2008
Davinder S. Jassal M.D., F.R.C.P.C.
Pulmonic valvular stenosis represents the most frequent cause of right ventricular outflow obstruction. Transthoracic echocardiography is the imaging modality of choice in the diagnosis, evaluation and longitudinal follow-up of individuals with pulmonic stenosis (PS). Although valvular PS is usually diagnosed by two-dimensional imaging, Doppler echocardiography allows for the quantification of severity of the valvular lesion. In patients with limited acoustic windows, computed tomography and cardiac magnetic resonance imaging may provide complementary anatomical characterization of the pulmonic annulus and valve prior to percutaneous balloon valvuloplasty. [source]

Rapid quantitation of cardiovascular flow using slice-selective fourier velocity encoding with spiral readouts

MAGNETIC RESONANCE IN MEDICINE, Issue 4 2007
Joao L. A. Carvalho
Abstract Accurate flow visualization and quantitation is important for the assessment of many cardiovascular conditions such as valvular stenosis and regurgitation. Phase contrast based methods experience partial volume artifacts when flow is highly localized, complex and/or turbulent. Fourier velocity encoding (FVE) avoids such problems by resolving the full velocity distribution within each voxel. This work proposes the use of slice selective FVE with spiral readouts to acquire fully localized velocity distributions in a short breath-hold. Scan-plane prescription is performed using classic protocols, and an automatic algorithm is used for in-plane localization of the flow. Time and spatially-resolved aortic valve velocity distributions with 26-msec temporal resolution and 25 cm/sec velocity resolution over a 600 cm/sec field-of-view were acquired in a 12-heartbeat breath-hold. In carotid studies, scan time was extended to achieve higher spatial resolution. The method was demonstrated in healthy volunteers and patients, and the results compared qualitatively well with Doppler ultrasound. Acquisition time could be reduced to 7 heartbeats (a 42% reduction) using partial Fourier reconstruction along the velocity dimension. Magn Reson Med 57:639,646, 2007. © 2007 Wiley-Liss, Inc. [source]

Balloon valvuloplasty for congenital heart disease: Immediate and long-term results of multi-institutional study

PEDIATRICS INTERNATIONAL, Issue 5 2001
Shigeyuki EchigoArticle first published online: 21 DEC 200
AbstractBackground and Objectives: Several studies have been reported in Japan. However, the reports consist of small series at individual institutions. We evaluated the immediate to long-term results of balloon valvuloplasty (BVP) of congenital pulmonary and aortic stenosis at multi-institutions in Japan. Methods and Results: Immediate and follow-up data were obtained from eight institutions in Japan. In our series of 172 cases of pulmonary valuvuloplasty excluding critical pulmonary stenosis, the mean pressure gradient decreased immediately after BVP from 61~27 mmHg to 28~20 mmHg and the reduced gradient continued at follow-up in most cases. The BVP for critical pulmonary stenosis could be accomplished in 35 of 39 patients. The mean right ventricular systolic pressure decreased from 102~29 mmHg to 62~23 mmHg. One of them required the surgical operation for perforation of the right ventricular outflow tract. In BVP for congenital aortic valvular stenosis of 77 cases excluding critical aortic stenosis, the mean pressure gradient decreased immediately after BVP from 68~24 mmHg to 34~23 mmHg. Thirty-one cases (55%) were free from any interventions in long-term follow-up. The BVP for critical aortic stenosis was performed in 29 neonates. The overall mortality rate was 34% and 24% of the patients required repeat intervention. The remaining 42% was free from any interventions. Conclusions: Balloon valvuloplasty for congenital pulmonary valvular stenosis is a safe and effective procedure and the initial treatment of choice. In spite of an occasional major complication, BVP for critical pulmonary stenosis is effective in many infants. Balloon aortic valvuloplasty is palliative. However, this procedure has the efficacy in deferring the surgical intervention. Balloon valvuloplasty for neonatal critical aortic stenosis is a useful method to recover from serious conditions. [source]