Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Introduction: Double chambered right ventricle (DCRV) is a rare congenital anomaly in which right ventricle (RV) is divided into two chambers by anomalous muscle band (AMB), a proximal high-pressure and distal low pressure chamber. Most of DCRV cases present during childhood, however, less commonly manifest in adulthood because of the nonspecific nature of symptoms leading to a delayed diagnosis. However, there are very few studies of DCRV in adults with regard to clinical features, hemodynamic data, treatment and prognosis, hence these are assessed in this current study. Methods: A total of 10 adult patients (age ≤18 years) diagnosed as DCRV by echocardiograpy and cardiac catheterization in our hospital from January 2008 to December 2015 were included. Nine patients had a history of a known heart disease since childhood (PM-VSD) with one patient being operated at the age ...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract The heart with its intrinsic and indispensable function is a vital organ in the human body. Surgical management of diseases affecting it was initially thought to be incompatible with life. Surgeons who desired the respect of their colleagues were barred from operating on the heart, on the ground that human knowledge is very limited in that area. This notion was however changed in 1893 when laceration in the left ventricle was successfully repaired at Chicago Provident Hospital in USA. Three years later, the same feat was successfully reproduced several times in Fran K furt Germany. Also by 1938 in Boston Children Hospital, Massachusetts, USA, Robert Gross successfully interrupted a PDA in a 7 year old child. This was followed by successful repair of coarctation of the aorta and the famous blue baby operation, all in 1944, thus unequivocally, proving that successful operation ...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Background:: Patent ductus arteriosus (PDA) is a common congenital cardiac disorder; the treatment of choice is fluoroscopy-guided transcatheter occlusion. Closure of PDA under transesophageal echocardiography (TEE) with Trans aortic imaging guidance was studied in adult patients. In pediatric patients, transthoracic echocardiography (TTE) provides excellent images for PDA and may replace fluoroscopy as an imaging tool to guide PDA closure. Purpose: The goal was to study the feasibility of device closure under TTE guidance in patients who are not candidates for transfer to the cardiac catheterization laboratory or in those with contraindications for contrast and/or radiation applications. Methods: Eighteen patients (7 males, median age 7 months, median weight 8 kg) underwent TTE guidance device closure of PDA from July 2013 to May 2015. Conscious sedation was used in 17...