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1
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Maestrini V, Birtolo LI, Cimino S, Severino P, Mancone M, Francone M, Banypersad SM, Ventriglia F, Tritapepe L, Miraldi F, Fedele F. Giant right atrium and subvalvular pulmonary stenosis: A case report of an interesting combination. Echocardiography 2019; 36:992-995. [PMID: 30873637 DOI: 10.1111/echo.14311] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2018] [Revised: 01/29/2019] [Accepted: 02/13/2019] [Indexed: 11/28/2022] Open
Abstract
A 20-year-old Congolese woman presented with presyncope, dyspnea, and anasarca. Past medical history was unremarkable. Echocardiography revealed a rare combination of giant right atrium (RA), a dilated and hypertrophied right ventricle, subvalvular pulmonary stenosis (subPS), severe tricuspid regurgitation (TR), pericardial effusion and what appeared to be a spontaneously closed ventricular septal defect (VSD). Cardiac Magnetic Resonance and Cardiac Computed Tomography confirmed the findings excluding the presence of intra-cardiac and extra-cardiac shunt and other associated congenital anomalies. The patient underwent subPS resection, right atrioplasty, and tricuspid annuloplasty. Multimodality approach facilitated the detection of the abnormalities and provided clarity when determining the optimal surgical strategy.
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Affiliation(s)
- Viviana Maestrini
- Department of Cardiovascular, Respiratory, Geriatric, Anesthesiologic and Nephrologic Sciences, Sapienza University of Rome, Rome, Italy
| | - Lucia I Birtolo
- Department of Cardiovascular, Respiratory, Geriatric, Anesthesiologic and Nephrologic Sciences, Sapienza University of Rome, Rome, Italy
| | - Sara Cimino
- Department of Cardiovascular, Respiratory, Geriatric, Anesthesiologic and Nephrologic Sciences, Sapienza University of Rome, Rome, Italy
| | - Paolo Severino
- Department of Cardiovascular, Respiratory, Geriatric, Anesthesiologic and Nephrologic Sciences, Sapienza University of Rome, Rome, Italy
| | - Massimo Mancone
- Department of Cardiovascular, Respiratory, Geriatric, Anesthesiologic and Nephrologic Sciences, Sapienza University of Rome, Rome, Italy
| | - Marco Francone
- Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Rome, Italy
| | | | | | - Luigi Tritapepe
- Department of Cardiovascular, Respiratory, Geriatric, Anesthesiologic and Nephrologic Sciences, Sapienza University of Rome, Rome, Italy
| | - Fabio Miraldi
- Department of Cardiology and Cardiac Surgery, Sapienza University of Rome, Rome, Italy
| | - Francesco Fedele
- Department of Cardiovascular, Respiratory, Geriatric, Anesthesiologic and Nephrologic Sciences, Sapienza University of Rome, Rome, Italy
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2
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Abdul Jabbar A, Mufti O, Mazur W, Quraishi MB, Srivastava BK, Tivakaran V. Isolated Aneurysms of the Membranous Ventricular Septum Without Residual Shunts: Systematic Review and Description of 3 Cases in Adults. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2017; 36:869-878. [PMID: 28230264 DOI: 10.7863/ultra.16.02087] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2016] [Accepted: 07/28/2016] [Indexed: 06/06/2023]
Abstract
A ventricular septal defect is the most common congenital cardiac abnormality encountered in infants and children. Many of them survive through adulthood before diagnosis. Two-thirds of the cases involve the membranous part of the septum. In the absence of an interventricular shunt or concomitant cardiac surgery, guidelines for surgical intervention or resection of isolated aneurysms of the membranous septum are not well established. In this report, we discuss a multi-imaging modality approach for the diagnosis and assessment of membranous ventricular septal aneurysms and review the experts' consensuses for follow-up and treatment strategies.
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Affiliation(s)
- Ali Abdul Jabbar
- Department of Internal Medicine, Division of Cardiology, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA
- Department of Cardiovascular Medicine, University of Toledo Health Science Campus, Toledo, Ohio, USA
| | - Omar Mufti
- Department of Internal Medicine, Division of Cardiology, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA
| | - Wojciech Mazur
- Department of Cardiology, Christ Hospital, Cincinnati, Ohio, USA
| | | | - Bal K Srivastava
- Department of Internal Medicine, Division of Cardiology, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA
| | - Vijay Tivakaran
- Department of Cardiology, Dayton VA Medical Center, Dayton, Ohio, USA
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3
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Poser H, Dalla Pria A, De Benedictis GM, Stelletta C, Berlanda M, Guglielmini C. Ventricular septal defect and double-chambered right ventricle in an alpaca. J Vet Cardiol 2015; 17:71-6. [PMID: 25595611 DOI: 10.1016/j.jvc.2014.10.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2014] [Revised: 05/30/2014] [Accepted: 10/28/2014] [Indexed: 10/24/2022]
Abstract
A 20-month-old male alpaca was referred for evaluation of a cardiac murmur evident since birth. Echocardiography identified a ventricular septal defect (VSD) and a fibro-muscular band causing a stenosis of the right ventricular outflow tract. Right ventricular catheterization and selective angiography confirmed the diagnosis of VSD and double-chambered right ventricle with bidirectional shunting.
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Affiliation(s)
- Helen Poser
- Department of Animal Medicine, Production and Health, University of Padova, Viale dell'Università 16, 35020 Legnaro, PD, Italy.
| | - Angela Dalla Pria
- Department of Animal Medicine, Production and Health, University of Padova, Viale dell'Università 16, 35020 Legnaro, PD, Italy
| | - Giulia M De Benedictis
- Department of Animal Medicine, Production and Health, University of Padova, Viale dell'Università 16, 35020 Legnaro, PD, Italy
| | - Calogero Stelletta
- Department of Animal Medicine, Production and Health, University of Padova, Viale dell'Università 16, 35020 Legnaro, PD, Italy
| | - Michele Berlanda
- Department of Animal Medicine, Production and Health, University of Padova, Viale dell'Università 16, 35020 Legnaro, PD, Italy
| | - Carlo Guglielmini
- Department of Animal Medicine, Production and Health, University of Padova, Viale dell'Università 16, 35020 Legnaro, PD, Italy
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