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Showing posts with the label Pulmonary hypertension

Mitral Valve Replacement in Patients with Extreme Pulmonary Hypertension: Tertiary Center Experience of 680 Cases-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Many forms of left-sided heart disease can be associated with pulmonary hypertension (PH-LHD) which typically indicates more advanced heart disease, more severe symptoms and worse prognosis. Mitral valve disease, both insufficiency and stenosis, can lead to the downstream development of PH. Current guidelines suggest that the most effective therapy for severe mitral valve disease (stenosis and/or regurgitation) is surgical intervention, yet in some cases, the operative outcome bordered by high perioperative risks. Patients and methods: Data for this study included 680 cases of adult patients underwent first-time mitral valve replacement. All patients of the study were divided into 2 groups: those who had PASP 50-80mmHg categorized as severe pulmonary hypertension=(group I) and those who had PASP above 80mmHg Categorized as extreme PH=( group II). Results: Echo-cardio graphic data...

Survival into Adulthood of a Patient with Un-operated Single Ventricle without Pulmonary Stenosis: A Case Report-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract A double inlet single ventricle is a congenital heart malformation in which both atria are connected to a common or dominant ventricle. It's a rare condition that accounts for about 1 to 2% of all congenital heart defects at birth. Prognosis without surgical intervention is considered to be poor, and survival into the adulthood is unusual. A non invasive cardiac imaging (like echocardiography) play major role in diagnosis, assessment of ventricular function and atrioventricular valves and detection of complications in pre and post operative period after a palliative or definitive surgery. A cardiac catheterization will usually be performed to evaluate defects, associated abnormalities and the amount of blood that is mixing. Several surgical options are available for this condition. We report the case of a 28 years old man who has type A of Van Praagh's classification of si...

A 3 Year Old Case of Juvenile Mitral Stenosis- the Youngest Case Reported-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Rheumatic heart disease is a well-known entity in the developing world. The commonest sequelae of rheumatic carditis are mitral stenosis (MS). MS can present at a very young age with severe symptoms. We describe here a case of juvenile rheumatic MS in a 3 year old child with severe pulmonary hypertension. Background Rheumatic fever and rheumatic heart disease (RHD) continues to be a significant cause of morbidity and mortality in developing countries including India. It constitutes the most common form of valvular heart disease in India. The reported prevalence of RHD is 1.0 to 5.4 per 1,000 school children in our country [ 1 ]. Rheumatic mitral stenosis (MS) is a common problem in young children and adolescents and it can often lead to severe symptoms [ 2 ]. MS is a condition characterized by structural abnormality of the mitral valve a...