• Despite advances in drug therapy, pulmonary hypertension-particularly arterial hypertension (PAH)-remains a fatal disease. (revespcardiol.org)
  • Percutaneous balloon pulmonary angioplasty, another interventional therapy, has re-emerged in the last few years as a clear alternative for the management of patients with distal, inoperable, chronic thromboembolic pulmonary hypertension. (revespcardiol.org)
  • The current review discusses the physiological background, experimental evidence, and potential clinical and hemodynamic benefits of all these interventional therapies regarding their use in the setting of RHF due to severe pulmonary hypertension. (revespcardiol.org)
  • The primary objective of performing PAB is to reduce excessive pulmonary blood flow and protect the pulmonary vasculature from hypertrophy and irreversible (fixed) pulmonary hypertension. (medscape.com)
  • Within the first year of life, this unrestricted flow and pressure can lead to medial hypertrophy of the pulmonary arterioles and fixed pulmonary hypertension. (medscape.com)
  • Knowledge of the pathophysiologic consequences of chronic renal failure is too important for anesthesiologists, because many of these patients have at least one of these sequences, most commonly hypertension, coronary artery diseases, diabetes mellitus and pulmonary dysfunction. (intechopen.com)
  • The most common underlying conditions requiring heart-lung transplants are congenital cardiac diseases with Eisenmenger syndrome and certain pulmonary hypertension disorders [1] . (physio-pedia.com)
  • pulmonary hypertension - where high blood pressure develops inside the blood vessels of the lungs, which can damage both the lungs and the heart. (physio-pedia.com)
  • When successful, the procedure is also associated with a marked improvement in quality of life and a proven survival advantage in patients with CF, idiopathic pulmonary fibrosis and pulmonary hypertension. (ersjournals.com)
  • von Willebrand Factor Is Produced Exclusively by Endothelium, Not Neointima, in Occlusive Vascular Lesions in Both Pulmonary Hypertension and Atherosclerosis. (stanfordchildrens.org)
  • Upfront Combination Therapy: Growing the Case to Get Ahead of Pediatric Pulmonary Arterial Hypertension. (stanfordchildrens.org)
  • Chronic Daily House Dust Mite Exposure in Mice is an Effective Model to Quantify the Effect of Pharmacologic Agents on Discrete Stages of Artery Remodeling in Pulmonary Hypertension. (stanfordchildrens.org)
  • Pulmonary hypertension (PH) is a heterogenous and incurable disease marked by varying degrees of pulmonary vascular remodeling. (stanfordchildrens.org)
  • Eisenmenger syndrome refers to any untreated congenital cardiac defect with intracardiac communication that leads to pulmonary hypertension, reversal of flow, and cyanosis. (medscape.com)
  • Development of the syndrome represents a point at which pulmonary hypertension is irreversible and is an indication that the cardiac lesion is likely inoperable (see the image below). (medscape.com)
  • This was the first description of a link between a large congenital cardiac shunt defect and the development of pulmonary hypertension. (medscape.com)
  • Advances in the medical treatment of patients with severe pulmonary hypertension may improve survival in patients with Eisenmenger syndrome and may potentially reverse the process in selected patients to a point at which they again become candidates for surgical repair. (medscape.com)
  • Pulmonary hypertension is defined as a mean pulmonary artery pressure of more than 25 mm Hg at rest or more than 30 mm Hg during exercise. (medscape.com)
  • [ 6 ] Eisenmenger syndrome is considered part of the group 1 causes of pulmonary hypertension, according to the Venice classification. (medscape.com)
  • The inferior part of the distal PA anastomosis was controlled using a side-biting clamp that was positioned during the aortic cross-clamping. (ctsnet.org)
  • Tetralogy of Fallot patients with pulmonary atresia (TOF/PA) present a pulmonary blood supply directly from aortic collateral arteries. (stanford.edu)
  • Her survival and function was secondary to an innate large atrial and ventricular communication with normal left ventricle, mitral, aortic and pulmonary valves, indicating Fontan may not be needed in all structural anatomic cases of tricuspid atresia. (uwi.edu)
  • We compared the outcomes of extended branched stented anastomosis frozen elephant trunk repair and conventional total arch replacement in acute aortic dissection type A. Methods: We compared the clinical course of patients undergoing total arch replacement using sutureless direct branch vessel stent grafting with frozen elephant trunk (extended branched stented anastomosis frozen elephant trunk repair) for acute aortic dissection type A with patients undergoing conventional total arch replacement. (elsevierpure.com)
  • 05). Conclusions: Extended branched stented anastomosis frozen elephant trunk repair has shown comparable safety and efficacy to conventional total arch replacement and can be used for acute aortic dissection type A emergency repair. (elsevierpure.com)
  • All patients underwent modified "button technique" by interposing a glutaraldehyde-treated pericardial strip at the graft-coronary anastomoses and proximal aortic conduit suturing using interlocking, interrupted, pledgeted mattress sutures. (jsurgery.com)
  • To detect anastomotic complications of the coronary ostia, proximal and distal aortic anastomoses, survivors underwent echocardiography every 6 months and computed tomographic angiography at 12 months or whenever indicated. (jsurgery.com)
  • The modified open button technique and proximal aortic conduit suturing is associated with reduced perioperative bleeding, no aneurysm or pseudo-aneurysm formation at the coronary and distal aortic anastomoses. (jsurgery.com)
  • Severe cyanosis due to pulmonary arteriovenous fistulas occurs often after a bidirectional superior cavopulmonary anastomosis (Glenn operation) and also in some congenital anomalies in which hepatic venous blood bypasses the lungs in the first passage. (nih.gov)
  • the Wanek HLHS Consortium Clinical Pipeline 2021, ' Clinical Impact of Autologous Cell Therapy on Hypoplastic Left Heart Syndrome After Bidirectional Cavopulmonary Anastomosis ', Seminars in thoracic and cardiovascular surgery , vol. 33, no. 3, pp. 791-801. (elsevierpure.com)
  • b) stenosis of esophagogastric anastomosis n=8 (15.1%) in group A vs. n=15 (38.4%) in group B (p=0.0105. (scielo.br)
  • Authorized by Federal law for use in patients under 19 years of age for correction or reconstruction of the Right Ventricular Outflow Tract (RVOT) in the following congenital heart malformations: Pulmonary Stenosis, Tetraogy of Fallot, Truncus Arteriosus, Transposition with Ventricular Septal Defect (VSD), Pulmonary Atresia. (medtronic.com)
  • A large study called the Second Natural History Study of Congenital Heart Defects analyzed the treatment, quality of life, echocardiography findings, complications, exercise responses, and predisposition to endocarditis with regards to cardiac valvular disease, and pulmonary stenosis was found to be the most benign valvular lesion. (medscape.com)
  • [ 1 ] In this report, Muller and Danimann described palliation by the "creation of pulmonary stenosis" in a 5-month-old infant who had a large ventricular septal defect (VSD) and pulmonary overcirculation. (medscape.com)
  • PAB may not be tolerated in patients who have cardiac defects that depend on mixing of the systemic and pulmonary venous blood to maintain adequate systemic oxygen saturations. (medscape.com)
  • Two-dimensional echocardiography in the pre- and postoperative management of totally anomalous pulmonary venous connection. (qxmd.com)
  • The records of 23 infants who underwent surgical repair of isolated totally anomalous pulmonary venous connection were reviewed to assess the accuracy of pre- and postoperative echocardiographic diagnoses. (qxmd.com)
  • Postoperative echocardiographic examination revealed obstruction to pulmonary venous return in 7 of 19 patients. (qxmd.com)
  • Two-dimensional echocardiography with pulsed Doppler examination and Doppler color flow mapping is an excellent means of diagnosing totally anomalous pulmonary venous connection. (qxmd.com)
  • Echocardiography also provides an extremely accurate method of evaluating surgical repair and of identifying and localizing postoperative obstruction to pulmonary venous return. (qxmd.com)
  • Evaluate retrospectively the results comparing mechanical vs. manual suture at cervical esophagogastric anastomosis in megaesophagus treatment. (scielo.br)
  • Cervical esophagogastric anastomosis by means of mechanical suture is more proper than the manual with lower incidence of local complications and, in the long-term evaluation, regular deglutition was acquired in both suture techniques in equal quality. (scielo.br)
  • 15 15 Hsu HH, Chen JS, Huang P. Comparison of manual and mechanical cervical esophagogastric anastomosis after esophageal resection for squamous cell carcinoma: a prospective randomized controlled trial. (scielo.br)
  • Song M, Gao L, Liu J, Cao F. Application of reversely connecting circular stapler technique in cervical esophagogastric anastomosis. (termedia.pl)
  • Pulmonary artery anastomoses between the distal PA and proximal PA that was reconstructed with the autopericardium was done again with the beating heart and sinus rhythm was restored. (ctsnet.org)
  • INTRODUCTION Most surgeons have performed laparoscopy-assisted distal gastrectomy (LADG) with extracorporeal anastomosis rather than total laparoscopic procedures because of the technical difficulties of intracorporeal anastomosis. (sages.org)
  • Pulmonary artery sling is a rare congenital vascular anomaly in which the left pulmonary artery originates from the right pulmonary artery and encircles the right main-stem bronchus and distal trachea before entering the hilum of the left lung. (northwestern.edu)
  • Major aorto-pulmonary collateral arteries (MAPCAs) present substantial clinical and surgical management challenges. (stanford.edu)
  • Surgical operations to reestablish and promote further development of a pulmonary arterial connection preferentially utilize MAPCAs for reconstruction of central pulmonary arteries. (stanford.edu)
  • This vascular remodeling, which includes thickening of the smooth muscle layer (an early finding) and formation of occlusive neointimal lesions (a late finding) in the pulmonary arteries, is a major driver of morbidity and mortality in PH. (stanfordchildrens.org)
  • Congenital heart defects with left-to-right shunting and unrestricted pulmonary blood flow (PBF) due to a drop in pulmonary vascular resistance result in pulmonary overcirculation. (medscape.com)
  • Primary tracheal resection with direct end-to-end anastomosis after release of the surrounding anatomical structures is insufficient when the length of trachea resected is greater than 50% in adults or 30% in children. (ersjournals.com)
  • The surgical repair included a partial colon resection, Paul-Mikulicz colostomy, partial small intestine resection, an end-to-end anastomosis, and bladder and rectum repairs. (medpagetoday.com)
  • Do not insist on wedge resection or patch reconstruction when a sleeve with end-to-end anastomosis can ensure a larger caliber and a straight arterial axis. (sts.org)
  • More extensive defects of the PA (Table 1) may require reconstruction by a patch (of various materials), sleeve resection and reconstruction by end-to-end anastomosis, or sleeve resection and reconstruction by a prosthetic conduit. (sts.org)
  • All underwent esophageal mucosectomy, performing anastomosis of the esophagus stump with the gastric tube at the cervical level. (scielo.br)
  • This report describes the use of a dehydrated human amnion-chorion membrane (dHACM) placenta allograft patch for reinforcement of an esophageal anastomosis. (elsevierpure.com)
  • Babliak O, Babliak D, Volodymyr D, Marchenko A. Minimally Invasive Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) and Mitral Valve Repair. (ctsnet.org)
  • This video presents the case of a minimally invasive mitral valve (MV) and anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) repair in a twenty-one-month-old female patient. (ctsnet.org)
  • An echocardiography showed poor left ventricle contractility with 25 percent LVEF and a small apical aneurysm, severe MV insufficiency that was due to anomalous posterior leaflet and annular dilatation, and the left coronary artery arising from anterior sinus of the pulmonary artery. (ctsnet.org)
  • The left coronary artery ostium was resected with the wide, 10 x 20 mm area of the pulmonary artery wall, which was used to elongate the coronary vessel. (ctsnet.org)
  • Surgeons then performed tubular elongation of the left coronary artery at the expense of the pulmonary artery wall. (ctsnet.org)
  • In conclusion, differences in resting pulmonary vascular regulation, intracardiac shunt and IPAVA blood flow do not appear to account for any adaptation to HA in Sherpas. (southwales.ac.uk)
  • Test of pulmonary function was performed on preoperative day and postoperative day 4. (sages.org)
  • During that time, he developed a life-threatening postoperative pulmonary embolism in his right lung. (medpagetoday.com)
  • The size of the venoatrial anastomosis was measured on postoperative echocardiograms performed on 14 patients. (qxmd.com)
  • Of 10 long-term survivors nine have had postoperative studies to determine the patency of the left pulmonary artery. (northwestern.edu)
  • Similar pulmonary arteriovenous fistulas are observed in hereditary haemorrhagic telangiectasia, and in liver disease (hepatopulmonary syndrome). (nih.gov)
  • The incidence of blood flow through intracardiac shunt and intrapulmonary arteriovenous anastomoses (IPAVA) may differ between Sherpas permanently residing at high altitude (HA) and sea-level (SL) inhabitants as a result of evolutionary pressure to improve gas exchange and/or resting pulmonary haemodynamics. (southwales.ac.uk)
  • Pulmonary artery banding (PAB) is a technique of palliative surgical therapy used by congenital heart surgeons as a staged approach for operative correction of congenital heart defects. (medscape.com)
  • Patients who are selected for pulmonary artery banding (PAB) and staged cardiac repair are determined based on the experience and training of the pediatric cardiologists and congenital heart surgeons at any given institution. (medscape.com)
  • Patients in underdeveloped countries are more likely to present late with uncorrected congenital cardiac lesions and a markedly elevated pulmonary vascular resistance (PVR). (medscape.com)
  • In the acute setting, this leads to pulmonary edema and congestive heart failure in the neonate. (medscape.com)
  • A heart-lung transplant is performed for unsalvagable dual cardiac and pulmonary failure. (physio-pedia.com)
  • 60 years and have normal cardiac and pulmonary function and no history of coronary artery disease or other heart disorders. (msdmanuals.com)
  • METHODS AND PROCEDURES In this prospective study, 35 patients with early gastric cancer were randomized to either TLDG or LADG with Billroth II anastomosis from February to August 2001. (sages.org)
  • 2001. Pulmonary function of workers exposed to ammonia: A study in the Eastern Province of Saudi Arabia. (cdc.gov)
  • To improve the exposure of coronary vessels and LV aneurysm, separate tapes were placed around left pulmonary veins and the inferior vena cava. (ctsnet.org)
  • Tension developing at the suture line of the side-to-side coronary anastomosis and/or blood accumulation within the space around the graft conveyed significant risk of coronary artery dehiscence, pseudo-aneurysm formation and reoperation 1, 2 . (jsurgery.com)
  • The cross-sectional area of the anastomosis was less than 0.3 cm2/m2 of body surface area in the four patients with obstruction of the anastomosis, and greater than 0.95 cm2/m2 in all long-term survivors examined. (qxmd.com)
  • If left unchecked, increased pulmonary blood flow and/or elevated pulmonary arterial pressure can result in remodeling of the pulmonary microvasculature, with subsequent obstruction to pulmonary blood flow. (medscape.com)
  • Preoperative echocardiographic diagnoses were accurate in 22 of 23 patients, including the sites of connection of the individual pulmonary veins. (qxmd.com)
  • The connections of the individual pulmonary veins can be identified in nearly all cases. (qxmd.com)
  • Atrial septostomy, Potts anastomosis, and pulmonary artery denervation are interventional procedures serving this purpose. (revespcardiol.org)
  • a single anastomosis joins the retained posterior atrial wall to that of the donor organ. (msdmanuals.com)
  • Among the anastomoses of the gastrointestinal tract, those of the esophagus are of special interest due to several anatomical or even general peculiarities. (scielo.br)
  • Das anastomoses do trato gastrointestinal, as do esôfago têm especial interesse devido às varias peculiaridades anatômicas e mesmo sistêmicas. (scielo.br)
  • Degastrogastrectomy and hepatico-jejunal and gastrointestinal anastomosis. (cdc.gov)
  • The Fontan circulation has burdens of multisystem abnormalities, including ventricular dysfunction (72%), dysrhythmias (40%) and renal, hepatic, gastrointestinal and pulmonary complications. (uwi.edu)
  • An intracardiac communication allows high pulmonary artery pressures to develop and produces right-to-left intracardiac blood flow. (medscape.com)
  • The Contegra ® Conduit is an integrated valved conduit for reconstruction or replacement of the natural right ventricular outflow tract (RVOT) or replacement of a failed homograft or composite pulmonary conduit in patients. (medtronic.com)
  • In addition, the Contegra Pulmonary Valved Conduit is indicated for the replacement of previously implanted dysfunctional pulmonary homografts or valved conduits. (medtronic.com)
  • High-tension anastomosis must be avoided, do not hesitate to interpose a conduit. (sts.org)
  • The incidence of anastomotic leakage is relatively high (6-26%) in esophagogastrocervical anastomosis. (termedia.pl)
  • The traditional anastomotic mode has high tissue tension in the process of anastomosis, which can easily cause tissue tear in the anastomotic area and increase the incidence of anastomotic leakage. (termedia.pl)
  • Compared with the conventional connection group, the reverse connecting group had lower incidence of anastomotic leakage, shorter anastomotic time, shorter hospital stay, and lower incidence of pulmonary and chest infections and hoarseness. (termedia.pl)
  • 14 14 Honda M, Kariyama A, Noma H, Nunobe S, Furkawa T. Hand-sewn versus mechanical esophagogastric anastomosis after esophagectomy: a systematic review and meta-analysis. (scielo.br)
  • Miller, DL & Watkins, KT 2022, ' Dehydrated Human Amnion-Chorion Membrane (Placenta) Reinforcement of Esophagectomy Anastomosis ', Annals of Thoracic Surgery , vol. 114, no. 2, pp. e137-e139. (elsevierpure.com)
  • Glenn (1958) was successful in using a superior vena cava to right pulmonary anastomosis. (uwi.edu)
  • Most recently, computed tomography and magnetic resonance imaging have been used to diagnose pulmonary artery sling and associated complete tracheal rings when present. (northwestern.edu)
  • Tracheal reconstruction is one of the greatest challenges in thoracic surgery when direct end-to-end anastomosis is impossible or after this procedure has failed. (ersjournals.com)
  • Rendina EA, Venuta F, . Reconstruction of the Pulmonary Artery. (sts.org)
  • An extensive experience accrued to date in transplanting CF patients has generally allayed these concerns, demonstrating arate of bacterial pulmonary infections similar to that encountered in other patient populations 5 . (ersjournals.com)
  • This technique should be used safely especially with it's advantages for cardiovascular and pulmonary compromised elderly patients. (dergisi.org)
  • Nine patients had pulmonary angiography. (northwestern.edu)
  • However, in some other indications, including chronic obstructive pulmonary disease (COPD), this remains less clear because a substantial improvement in quality of life may not be matched by an increase in overall survival. (ersjournals.com)
  • In 139 pulmonary lobectomies and segmentectomies for tuberculosis through 1961, the BCH team showed a significant reduction in life-threatening complication of bronchial fistula, from 14% using manual closures to 4.6% using staplers. (wikipedia.org)
  • Lesions in Eisenmenger syndrome, such as large septal defects, are characterized by high pulmonary pressure and/or a high pulmonary flow state. (medscape.com)
  • This radiograph reveals an enlarged right heart and pulmonary artery dilatation in a 24-year-old woman with an unrestricted patent ductus arteriosus (PDA) and Eisenmenger syndrome. (medscape.com)
  • Chronic obstructive pulmonary disease, which includes chronic bronchitis and emphysema, is a common somatic comorbidity of epilepsy. (cdc.gov)
  • Despite elevated pulmonary pressures and profound hypoxaemia, IPAVA blood flow in all subjects at HA was lower than expected compared to acute normobaric hypoxia. (southwales.ac.uk)
  • The pulmonary annulus and the right ventricular outflow tract (RVOT) may be narrowed as well. (medscape.com)
  • These shunts initially cause increased pulmonary blood flow. (medscape.com)
  • La insuficiencia ventricular derecha (IVD) debida a HAP refractaria a tratamiento finalmente se produce y permanece como una causa importante de muerte en estos pacientes. (revespcardiol.org)
  • CONCLUSION(S) This study suggests that TLDG with Billroth II anastomosis was safe and feasible as LADG in early gastric cancer. (sages.org)