Congenital Heart Disease

Andropoulos, Dean B.; Gottlieb, Erin A.

doi:10.1016/b978-1-4377-2787-6.00003-6

Cited by 4 publications

(5 citation statements)

References 136 publications

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“…Infracardiac cases of TAPVC (13–25% of cases) have the pulmonary venous confluence connecting to a descending VV that courses through the oesophageal hiatus, and usually drains into the portal venous system. Mixed types of TAPVC are rare and account for less than 5% of cases …”

Section: Discussionmentioning

confidence: 99%

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Antenatal diagnosis of isolated infracardiac infradiaphragmatic total anomalous venous connection – Pictorial essay and discussion

Nandhini

Atkinson

Krishna

et al. 2018

Australas J Ultrason Med

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Introduction: Antenatal diagnosis of isolated infracardiac total anomalous pulmonary venous connection (TAPVC) is rare. Making the diagnosis antenatally is critical as delayed management could result in neonatal deterioration and poor outcome after surgery. Method: A multipara at 29 weeks of gestation was referred to our tertiary unit for ultrasound review. The fetal growth and biophysical profile were normal. A fetal echocardiogram revealed normal cardiac position with atrioventricular and ventriculoarterial concordance. There was a mild discrepancy in size of the right and left chambers of the heart. A connection between the pulmonary veins and the left atrium could not be established. A pulmonary venous confluence was noted posterior to the left atrium, from which a descending vertical vein emerged traversing the diaphragm and draining into the left portal vein into the liver. Results: A diagnosis of infracardiac infradiaphragmatic total anomalous pulmonary venous connection was made. The pregnancy was delivered at 39 weeks by lower segment caesarean section. The antenatal findings were confirmed by postnatal echocardiogram. Successful sutureless repair of the pulmonary veins was performed. Conclusion: Isolated infracardiac total anomalous pulmonary venous connection can be diagnosed antenatally. This ensures early postnatal evaluation and successful repair.

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Section: Discussionmentioning

confidence: 99%

“…If the interatrial communication is large, however, it allows flow of blood into the left heart reducing pulmonary hypertension. Infants with TAPVC who are not obstructed, or who have an adequate atrial septal defect, may escape diagnosis in the neonatal period and present later in childhood …”

Section: Discussionmentioning

confidence: 99%

Antenatal diagnosis of isolated infracardiac infradiaphragmatic total anomalous venous connection – Pictorial essay and discussion

Nandhini

Atkinson

Krishna

et al. 2018

Australas J Ultrason Med

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“…Reproduced with permission from [8]. The outflow from the right ventricle has been reconstructed during a neonatal surgery.…”

Section: Noncardiac Surgerymentioning

confidence: 99%

“…Reproduced with permission from[8]. In both configurations, there is no pulmonary (right) ventricle.…”

mentioning

confidence: 99%

Anesthesia for the patient with congenital heart disease presenting for noncardiac surgery

Gottlieb

Andropoulos

2013

Current Opinion in Anaesthesiology

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119

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“…This increase in left atrial pressures leads to increased left atrial size predisposing to arrhythmias and clot formation as well as pulmonary venous congestion. Mitral valve prolapse and cleft or parachute mitral valves can lead to mitral insufficiency, left atrial volume overload, and increased left atrial and pulmonary venous pressures [24].…”

Section: Congenital Mitral Valve Diseasementioning

confidence: 99%

Perioperative Care of Adults with Congenital Heart Disease for Non-cardiac Surgery

Howard‐Quijano

Smith

Schwarzenberger

2013

Curr Anesthesiol Rep

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In 2010 it was estimated that 1.2 million young adults in the United States have some form of congenital heart disease (CHD). Data from large adult congenital heart disease (ACHD) centers show that as many as 50 % of these patients are over 40 years of age. As this population ages, physicians are likely to encounter such patients in their practice. Risk stratification and an interdisciplinary approach are paramount in achieving safe outcomes. The assessment of the patient must consider the variable expression of CHD. As most lesions are ''fixed but not cured'' the altered physiology of the heart and the physiological challenges of surgical interventions must be considered. The 2008 AHA/ACC guidelines for the Management of Adults with CHD establish for the first time a streamlined approach to the care of these patients. This review will apply these guidelines to the ACHD patient undergoing non-cardiac surgery.

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Congenital Heart Disease

Cited by 4 publications

References 136 publications

Antenatal diagnosis of isolated infracardiac infradiaphragmatic total anomalous venous connection – Pictorial essay and discussion

Antenatal diagnosis of isolated infracardiac infradiaphragmatic total anomalous venous connection – Pictorial essay and discussion

Anesthesia for the patient with congenital heart disease presenting for noncardiac surgery

Perioperative Care of Adults with Congenital Heart Disease for Non-cardiac Surgery

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