Platypnea orthodeoxia is a rare syndrome that describes breathlessness on standing that resolves on lying flat. We present a previously healthy patient who developed platypnea orthodeoxia in her eighth decade of life. Cardiovascular imaging demonstrated an atrial septal defect, extensive Chiari network and atrial septal hypertrophy. We propose the development of lipomatous atrial septal hypertr...

Postoperative data were obtained at cardiac catheterization in twelve patients studied 6-29 months following Mustard's operation for transposition of the great arteries (TGA) to assess the incidence and severity of abnormalities of right ventricular (RV) function. Age at operation was 5-13 months in seven patients (infant group) and 19-25 months in the remaining five patients. RV end-diastolic ...

Case report The patient was initially palliated with balloon atrial septostomy before undergoing Mustard repair at age 1. The subsequent course was complicated by both inferior vena cava baffle stenosis and obstruction to pulmonary venous flow requiring surgical correction. Following these procedures, a dual-chamber permanent pacemaker was implanted for bradycardia at age 22 owing to presumed s...

One hundred and twenty patients with transposition of the great arteries (TGA) were encountered over a decade. Survivors have been followed until after definitive repair, and 39% were alive when reviewed. The majority (69%) had no significant communication between the pulmonary and systemic circulations. Of 48 patients in this poor-mixing group who had an atrial septectomy, 23 (48%) survived to...

Ogee spillway is the most important structure used to get rid of excess water during flood. Scouring phenomenon occurring in downstream region due high energy dissapation an envitable. This study aims reduce amount scour occurred at stilling basin ogee by using three dissipation blocks namely as baffle, triangle and stepped blocks. A new distribution was proposed for each type dissipated block,...

As part of the Advanced Virgo upgrade for O5 observation run in 2026, a more powerful laser and larger end mirrors Fabry–Perot cavities will be installed. The new optical configuration increase beam waist cryogenic trapping area close to towers. This could require enlarging apertures vacuum pipe, now dictated by presence baffle, order avoid clipping noise due coupling with baffle vibrations, po...

Three patients developed late pulmonary vein obstruction (PVO) following Mustard's operation for transposition of the great arteries. In all three the absence of PVO had been documented by an earlier postoperative cardiac catheterization. At reoperation shrinkage and kinking of the dacron baffle was evident. After Mustard's operation, patients should be observed closely for symptoms and signs o...

Methods We performed a retrospective review of patients late after Fontan operation who underwent CMR measurement of APC flow at our institution from 2003 through 2009. APC flow was quantified as either aortic flow minus total caval flow or aortic flow minus sum of branch pulmonary artery flow, and was indexed to body surface area (BSA). Patients with a patent fenestration or baffle leak were e...

The benefits of a baffle fenestration in essentially high-risk Fontan patients have been demonstrated. Described here is the use of a new fenestration between the left atrial appendage and the left superior vena cava after Kawashima operation in a patient with a double-outlet right ventricle with hypoplastic left ventricle, left atrial isomerism, bilateral superior vena cavae with no bridging v...