Aortopathy in pregnancy
Aortic dissection is one of the most common causes of death in pregnancy. Most cases are caused by hereditary thoracic aortopathy (HTA), and women are often unaware they are at risk. Awareness, early recognition and involvement of senior clinicians from the expert cardio-obstetric team are essential to facilitate early diagnosis and carefully planned and coordinated antenatal and postnatal care. Frequent imaging antenatally and good blood pressure control are key. Delivery needs particular attention with optimal pain control and techniques to minimise maternal effort. Dissection is most common post partum and a period of c...
Source: Heart - November 10, 2022 Category: Cardiology Authors: Curtis, S. L., Swan, L. Tags: Review articles Reviews Source Type: research

Enzyme treatment given directly to fetus prevents symptoms of rare genetic disease
In a medical first, researchers have delivered an enzyme into the womb to treat a fetus’ rare genetic disorder, helping head off heart and muscle defects. The girl, who cannot make the enzyme on her own, is now a seemingly healthy 16-month-old who has escaped the fate of two of her siblings. Both died from the same disease early in life. This success paves the way for treating other genetic disorders in fetuses by infusing a needed enzyme through a pregnant person’s umbilical vein, researchers conclude today in their report on the toddler in The New England Journal of Medicine ( NEJM ). It is ...
Source: Science of Aging Knowledge Environment - November 9, 2022 Category: Geriatrics Source Type: research

Partial heart transplantation can ameliorate donor organ utilization
ConclusionPartial heart transplantation can be performed using donor hearts with poor ventricular function and slow progression to donation after cardiac death. This should ameliorate donor heart utilization and avoid both primary orthotopic heart transplantation in children with unrepairable heart valve dysfunction and progression of these children to end-stage heart failure. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - October 19, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Curry Sherard, Miriam Atteya, Andrew D. Vogel, Cora Bisbee, Lillian Kang, Joseph W. Turek, Taufiek K. Rajab Tags: REVIEW Source Type: research

Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section
We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.PMID:36254920 | DOI:10.4103/aca.aca_315_20 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 18, 2022 Category: Anesthesiology Authors: Ruddi Hartono Dendy D Ramadhani Isngadi Isngadi Source Type: research

Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section
We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.PMID:36254920 | DOI:10.4103/aca.aca_315_20 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 18, 2022 Category: Anesthesiology Authors: Ruddi Hartono Dendy D Ramadhani Isngadi Isngadi Source Type: research

Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section
We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.PMID:36254920 | DOI:10.4103/aca.aca_315_20 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 18, 2022 Category: Anesthesiology Authors: Ruddi Hartono Dendy D Ramadhani Isngadi Isngadi Source Type: research

Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section
We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.PMID:36254920 | DOI:10.4103/aca.aca_315_20 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 18, 2022 Category: Anesthesiology Authors: Ruddi Hartono Dendy D Ramadhani Isngadi Isngadi Source Type: research

Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section
We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.PMID:36254920 | DOI:10.4103/aca.aca_315_20 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 18, 2022 Category: Anesthesiology Authors: Ruddi Hartono Dendy D Ramadhani Isngadi Isngadi Source Type: research

Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section
We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.PMID:36254920 | DOI:10.4103/aca.aca_315_20 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 18, 2022 Category: Anesthesiology Authors: Ruddi Hartono Dendy D Ramadhani Isngadi Isngadi Source Type: research

Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section
We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.PMID:36254920 | DOI:10.4103/aca.aca_315_20 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 18, 2022 Category: Anesthesiology Authors: Ruddi Hartono Dendy D Ramadhani Isngadi Isngadi Source Type: research

Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section
We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.PMID:36254920 | DOI:10.4103/aca.aca_315_20 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 18, 2022 Category: Anesthesiology Authors: Ruddi Hartono Dendy D Ramadhani Isngadi Isngadi Source Type: research

Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section
We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.PMID:36254920 | DOI:10.4103/aca.aca_315_20 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 18, 2022 Category: Anesthesiology Authors: Ruddi Hartono Dendy D Ramadhani Isngadi Isngadi Source Type: research

Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section
We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.PMID:36254920 | DOI:10.4103/aca.aca_315_20 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 18, 2022 Category: Anesthesiology Authors: Ruddi Hartono Dendy D Ramadhani Isngadi Isngadi Source Type: research

Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section
We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.PMID:36254920 | DOI:10.4103/aca.aca_315_20 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 18, 2022 Category: Anesthesiology Authors: Ruddi Hartono Dendy D Ramadhani Isngadi Isngadi Source Type: research

Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section
We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.PMID:36254920 | DOI:10.4103/aca.aca_315_20 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 18, 2022 Category: Anesthesiology Authors: Ruddi Hartono Dendy D Ramadhani Isngadi Isngadi Source Type: research