The common truncus was seen coming out above the ventricular sept

The common truncus was seen coming out above the ventricular septum, whilst the pulmonary arteries arise separated from the truncus communis. No other structural thoraco-abdominal anomalies were found.

A combined diagnostic strategy based on second trimester fetal echocardiography, genetic analysis and necroscopy has made identification of a rare

congenital heart disease possible.”
“Introduction and objectives. To report on our initial experience with the implantation of a pulmonary valve using Nunn’s technique in association with a transannular patch for the complete repair of the tetralogy of Fallot.

Methods. In total, 21 patients were treated between September 2008 and February 2010. Their ages ranged from 7 months to 15 years (median 12 months) and weights from 6.8 kg to 44 kg (median 10 kg).

Four patients had previously undergone palliative shunt placement; in two, it was associated with the diagnosis of a complete atrioventricular septal defect. Use of the transannular patch (treated autologous pericardium) was preceded by implantation of a 0.1-mm polytetrafluoroethylene (PTFE) monocusp valve using posterior fixation. Intraoperative transesophageal echocardiography and pressure gradient measurement were carried out, and echocardiography was repeated before discharge.

Results. No deaths were recorded. One patient had a residual ventricular septal defect that required reintervention. Echocardiography showed that the maximum gradient across the PTFE valve was 25 mmHg. Regurgitation was AZD8055 datasheet mild in 19 cases and moderate in 2 (the first and second in the check details series).

Conclusions. Initial results using a transannular patch with a modified monocusp valve to repair the outflow tract in the tetralogy of Fallot were promising:

there was only a slight pressure gradient and mild regurgitation. A medium- or long-term follow-up study is required to confirm these findings and to compare them with results obtained using other techniques.”
“Ovarian vein thrombosis (OVT) is an uncommon, life-threatening complication of the postpartum period. Symptoms of OVT include lower abdominal and flank pain associated with fever, tachycardia, and nausea and vomiting.

We present a case of OVT in a 22-year-old woman 4 days postpartum presenting to the emergency department with right lower quadrant pain, tachycardia, and leukocytosis. The initial clinical diagnosis was of appendicitis; however, on CT scan, she had findings characteristic of right OVT.

The clinical presentation of OVT can be very similar to that of acute appendicitis and should always be included in the differential diagnosis of right lower quadrant pain in the female patient. Modern imaging techniques enable confirmation of the diagnosis when OVT is suspected.”
“Introduction and objectives.

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