PBLD Table #39 Anesthetic Implications of Neonatal Vein of Galen Aneurysmal Malformation (VGAM) Ira S Landsman, M.D. Nashville, Tennessee Than Nguyen, MD Nashville, Tennessee OBJECTIVES Outline the diagnostic tools available to identify neonatal VGAM. Discuss the etiology of cardiac failure and pulmonary hypertension. Formulate a rational evaluation of the patient’s clinical status and understa...

Twelve newborn infants of poorly-controlled diabetic mothers were transferred from outlying maternity hospitals for neonatal intensive care. Respiratory distress and cardiomegaly were the presenting signs. Ten infants were large for dates (macrosomic) and had echocardiographic evidence of myocardial hypertrophy, reduced ejection time, and systolic anterior movement of the mitral valve (in 6 inf...

BACKGROUND-The prevalence, clinical significance, and determinants of abnormal ECG patterns in trained athletes remain largely unresolved. METHODS AND RESULTS-We compared ECG patterns with cardiac morphology (as assessed by echocardiography) in 1005 consecutive athletes (aged 24+/-6 years; 75% male) who were participating in 38 sporting disciplines. ECG patterns were distinctly abnormal in 145 ...

The study was designed with the main intent to assess and explain the differences between athlete's heart syndrome and the heart of healthy non-athletes, and to distinguish between physiological and pathological heart condition. Prolonged athletic training causes changes in heart that are termed "athlete's heart syndrome". Athlete's heart diagnosis and related issues are a great challenge due t...

A 76-year-old female presented with rheumatic mixed mitral valve pathology. A chest X-ray revealed massive cardiomegaly and splaying of the carina (Fig. 1). CT scan showed gross isolated left atrial (LA) enlargement (Fig. 2a), which was plicated from within (Fig. 2b). A mitral valve replacement and LA reduction was performed but she died of an operative complication. Fig. 1. Chest X-ray shows m...

This study proposes a novel automated method for cardiomegaly detection in chest X-rays (CXRs). The algorithm has two main stages: i) heart and lung region localization on CXRs, and ii) radiographic index extraction from the heart and lung boundaries. We employed a lung detection algorithm and extended it to automatically compute the heart boundaries. The typical models of heart and lung region...