检索结果-南通市图书馆

An Unusual Cause of Irritability in a Single Ventricle Patient after bidirectional glenn shunt

Congenital Heart Disease 2021年第4期16卷 393-396页

作者： Sarah Pradhan Eileen Broomall Russel Hirsch The Heart Institute Cincinnati Children’s Hospital Medical CenterUniversity of Cincinnati College of MedicineCincinnatiOhioUSA Division of Neurology Cincinnati Children’s Hospital Medical CenterDepartment of PediatricsUniversity of Cincinnati College of MedicineCincinnatiOhioUSA

The differential diagnosis for irritability in children is *** patients with congenital heart disease,one must strongly consider cardiac etiologies such as low cardiac output or elevated central venous pressure(CVP).In patients with single-ventricle physiology,the second stage of palliation includes bidirectional glenn,which involves anastomosis of the superior vena cava to the pulmonary artery resulting in volume offloading of the single systemic ***,early in the post-operative period,patients may experience a headache due to the acute increase in CVP,and symptoms improve over *** intracranial hypertension(IIH),also known as pseudotumor cerebri,is a rare neurologic disorder in children,characterized by raised intracranial pressure(ICP)in the absence of brain parenchymal lesions or cerebrospinal fluid(CSF)*** the pathogenesis of IIH is unknown,early recognition and treatment of IIH are important to prevent permanent vision *** are only rare reports of IIH in patients with Fontan *** our knowledge,we report the first case of IIH in a 2-year-old female after bidirectional glenn.

关键词： Single ventricle bidirectional glenn shunt idiopathic intracranial hypertension pseudotumor cerebri

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Cardiac catheterization and comprehensive clinical evaluation after bidirectional glenn shunt surgery in 60 patients with complex congenital heart disease

引用

South China Journal of Cardiology 2018年第2期19卷 89-96页

作者：汤尚秋李一凡张智伟 Guangdong General Hospital Guangdong Academy of Medical Sciences Guangdong Cardiovascular Institute

Background The bidirectional glenn shunt surgery is a palliative procedure for patients with complex congenital heart disease（CHD） who are not suitable for biventricular repair in early life. There is limited evidence of successful strategies for long-term hemodynamic stabilization. Furthermore, there have been no data on optimal hemodynamics that could be used as a reference for patients＇ follow-on management. Methods Sixty CHD patients, 44 male and 16 female, with bidirectional glenn shunt surgery and cardiac catheterization were enrolled at our hospital between January 2014 and December 2016. Pre-and post glenn shunt percutaneous oxygen saturation（SpO_2）, 6-minute walk test（6 MWT）, superior vena cava pressure（SVCP）, pulmonary arterial pressure（PAP）, pulmonary capillary wedge pressure（PCWP）, pulmonary vascular resistance（PVR）, small pulmonary vascular resistance（s PVR） were measured. Pre-and post-total cavopulmonary connection（TCPC） SpO_2, and in-hospital complications were monitored. The optimal hemodynamic cutoff values for TCPC patient selection were estimated by receive operating characteristic（ROC） curve analysis. Results SpO_2 was significantly increased by bidirectional glenn shunt surgery（75.42 ± 9.62% to 86.98 ± 7.63%, P 〈 0.001） from 82.70 ± 5.99% to 95.00 ±4.07% in the 47 patients with TCPC. Forty-two patients completed the 6 MWT with a mean distance of 362.7 ±75.0 m and a SpO_2 decrease from 81.80 ± 7.84% to 67.59 ± 1.82%（P 〈 0.001）. The △SpO_2 and 6-minute walk distance（6 MWD） in the 32 who underwent TCPC and ten of them did not reach statistical significance（17.22 ±13.82% vs. 13.87 ± 8.74%, P = 0.08 and 358.88 ± 78.97 m vs. 374.80 ± 62.55 m, P = 0.564]. After cardiac catheterization, 47 patients were selected for TCPC. The right pulmonary artery systolic pressure（s RPAP）, mean right pulmonary artery pressure（m RPAP）, mean left pulmonary artery pressure（m LPAP）, PVR, and s PVR were significantly lower in the TCPC group than in the non-TCPC group. The

关键词： bidirectional glenn shunt 6-minute walk test cardiac catheterization study total cavopulmonary connection

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

The glenn shunt Revisited, A Single Center Registry in Ain Shams University Cardiology Department

引用

Congenital Heart Disease 2022年第1期17卷 71-85页

作者： Mina Tewfik Maiy El-Sayed Alaa Roushdy Soha Romeih Dina Ezzeldin Hebatalla Attia Cardiology Department Ain Shams UniversityCairoEgypt Prof.Magdy Yacoub Aswan Heart Centre AswanEgypt Cardiology Department Tanta UniversityTantaEgypt

Background:bidirectional glenn shunts have long been available as palliative procedures for patients with single ventricle physiology that is,patients unsuitable for biventricular *** our country they are performed at an older age than that recommended by the ***,we aim to assess post bidirectional glenn shunt patients to detect the presence of any complications and to evaluate their functional ***:This was a descriptive study that included all patients who underwent a bidirectional glenn shunt and were referred for follow up in Ain shams university *** taking including NYHA class and physical activity,clinical examination,six-minutes-walk test,laboratory investigations,full echocardiographic assessment were done for all *** patients needed invasive cardiac ***:Our registry included 178 patients who underwent bidirectional glenn procedure referred for follow up in Ain Shams university hospital from January 2019 till July *** mean age of the registry was 18.7±8.26 years(range between 5 and 37 years),85 males(48%)and 93 females(52%).Regarding the basic anatomy,double outlet right ventricle with hypoplastic left ventricle was the ***,our descriptive study confirmed many characteristic similarities between our patients and patients in developing *** patients underwent bidirectional glenn shunt at a median age of 6 years which is considered a relatively old age but similar to other studies that have been made in developing countries like Pakistan,India and *** is a significant delay in the operation in Egyptian patients due to lack of patients’awareness,few numbers of primary health care facilities and high economic ***:Although the presence of slight systemic desaturation,our study demonstrated a satisfactory functional capacity among our patients;thus,bidirectional glenn can be considered an acceptable definite univentricular repair in patients

关键词： bidirectional glenn shunt single ventricle univentricular repair

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：