Pulsating Varicose Veins: an Early Sign of Right Heart Overload
The interesting paper by Li and colleagues, reporting a rare case of pulsating lower limbs varicose veins, invites to make some patho-physiological considerations.1 This disease, easily detected at Doppler US exploration, interested both the superficial and deep venous systems of the lower limbs, and the inferior vena cava (IVC); it was clearly connected with a severe tricuspid regurgitation. However, we recognize, as a predisposing factor, the right heart overload, secondary to a ventricular septal defect, operated 38 years before, at the adult age of 18.
ConclusionsThe maternal DM including PGDM and GDM are significantly associated with risk of CHDs and its most phenotypes. The PGDM seems to be more likely to cause CHDs in offspring than GDM. Further studies are needed to clarify the underlying mechanisms.
ConclusionsLong-term survival is good without detectable differences between operations. Since the early 2000s increasing use of Nikaidoh and REV-procedures was obvious, with REV performing particularly well. Surgery-specific and unspecific reoperations are most common after Rastelli.
Post-zygotic mutations in GNAQ/GNA11 genes encoding heterotrimeric G protein alpha subunits account for skin mosaic conditions with vascular or pigmentary anomalies (Shirley et al. 2013; Thomas et al. 2016; Couto et al. 2017; Siegel et al. 2018). We sought to delineate the phenotype of 32 patients with skin capillary malformations (CMs) harbouring an activating post-zygotic mutation in GNA11 or GNAQ in affected skin. Nevus flammeus, ipsilateral segmental overgrowth, varicose veins and macrocephaly were associated with GNAQ mutations, whereas cutis marmorata, nevus anemicus, and ipsilateral hypotrophy were associated with GNA11 mutations.
AbstractObjectiveTo evaluate the role of ultrahigh ‐density mapping for conduction isthmus (CI) characterization in adult congenital heart disease (ACHD).BackgroundCatheter ablation remains suboptimal for ACHD with atypical intra ‐atrial reentrant tachycardias (IART) that can be challenging to define using existing mapping technology.MethodsAn ultrahigh ‐density mapping system was selectively employed over a 1‐year period for procedures involving noncavotricuspid isthmus‐dependent‐IART. A global activation histogram (GAH) was assessed for the ability to predict ablation targets. Procedural characteristics were ...
AbstractTransthoracic echocardiogram (TTE) is commonly used to screen for pulmonary hypertension (PHTN) in neonates and young infants. However, in the absence of sufficient tricuspid regurgitation (TR), a ventricular septal defect (VSD), or a patent ductus arteriosus (PDA), the estimation of systolic pulmonary artery pressure (SPAP) becomes challenging. Pulmonary artery acceleration time (PAAT) is an alternate parameter that is easy to obtain in almost all patients and does not require the presence of tricuspid valvar regurgitation or an anatomical cardiac defect. We sought to examine the correlation of PAAT with estimated...
We reported a case of removing a remnant sewing needle without cardiac arrest from the posterior pericardial cavity after open ‐heart surgery for a 17‐year‐old male patient with atrial septal defect.
AbstractCongenital right atrial aneurysm is a rare condition. Here we reported a 16 ‐year‐old male with giant right atrial aneurysm, atrial fibrillation, and atrial septal defect. Surgical resection of extensive right atrium, ASD repair, and maze procedure were performed. In the present case, we found extensive enlargement of right atrium protruding to the apex on the surface o f the right ventricle. With the exist of atrial fibrillation, thrombus formation was always a lethal threat. Surgical treatment can provide excellent clinical results and further avoided life‐threatening complications.
Conclusions: Adjunct sclerotherapy showed complication rate of roughly one tenth and one fifth of the treated cases in immediate and early postoperative follow-up. PMID: 31687213 [PubMed]
Conclusion: All patients with lower leg pigmentation with or without visible varicose vein should undergo vascular US to rule out any venous insufficiency.
Publication date: Available online 5 November 2019Source: Journal of Vascular Surgery: Venous and Lymphatic DisordersAuthor(s): Zhenyu Guo, Xu Li, Tao Wang, Jianjun Liu, Bin Chen, Longhua FanAbstractBackgroundLower limb chronic venous disease (CVD), resulting from iliac vein compression syndrome (IVCS), manifests as a series of symptoms ranging from varicose veins to venous ulcerations. Stent implantation has been considered an effective treatment method; however, the management of CVD has rarely been reported. In the present study, we evaluated the treatment and outcomes of patients with CVD.MethodsWe performed a retrospe...