OBJECTIVES To evaluate the quality of images obtained with 3D balanced fast-field echo whole heart (WH3D) MRI sequences for assessing the coronary anastomosis and coronary stenosis in patients with D-transposition of the great arteries who have undergone the Jatene switch procedure. MATERIAL AND METHODS We retrieved 100 WH3D studies done in 83 patients who had undergone the Jatene switch proc...

The science and art of cardiac surgery has made rapid development in the past 65 years. The surgery for transposition of great arteries (TGA) symbolises the manner in which cardiac surgery has progressed. The eventually successful solution in the form of the now popular arterial switch operation (ASO) was elucidated after multiple contributions from several surgical stalwarts and geniuses over ...

OBJECTIVE Long-term angiographic evaluation of left ventricular performance and size of the great arteries after one-stage neonatal versus two-stage arterial switch operation (ASO) of simple transposition. METHODS Analysis of cineangiographic studies obtained during the process of two-stage ASO for 34 patients and after neonatal repair for 52 patients. RESULTS At early follow-up after two-s...

The results of 26 completed balloon atrial septostomies in complete arterial transposition in infancy are described, and complications discussed. Of 7 deaths following this procedure, 3 were clearly or probably related to it or to its failure to produce an adequate septal defect, while 4 were unrelated. Atrial perforations occurred on 4 occasions. Necropsy information regarding the defects prod...

A 76-year-old woman with no cardiac history was admitted to our hospital for knee joint surgery. The ECG showed negative T wave in leads I, aVL, V3-V6. Transthoracic echocardiography showed diffuse mild hypokinesis and prominent trabeculations of the left side ventricle (Picture 1). Mild aortic regurgitation and mild left atrioventricular regurgitation were also observed. Contrast-enhanced thre...

OBJECTIVE To examine sporadic cases of primary pulmonary hypertension of coancestry. DESIGN An epidemiologic study of families of patients with primary pulmonary hypertension. SETTING A university-affiliated referral population. PARTICIPANTS Family members of 13 patients with primary pulmonary hypertension. MEASUREMENTS Family pedigrees involving grandparents, parents, siblings, and chi...

Introduction of a cardiac catheter into the pulmonary artery from the right heart is not possible in a substantial proportion of patients with transposition of the great vessels. It is necessary to obtain the pulmonary artery pressure and oxygen saturation value to evaluate the degree of pulmonary stenosis and the pulmonary vascular resistance. Twenty-three patients are described in whom this w...

Before the advent of the atrial switch operation, hardly any infant born with complete transposition of the great arteries (TGA) survived beyond the first year of life. In the 1950s and 1960s, two operations introduced by Senning and Mustard, respectively, revolutionized the outcome of the condition, allowing patients to survive well into adulthood. However, ongoing long-term complications, as ...

With the rapidly increasing global energy needs, offshore oil production has become an attractive source of energy. Supplying offshore oil production installations is a complex logistics problem that hinges on many factors with significant uncertainties. So, it is critical to provide the necessary supplies and services without interruption. In a typical offshore oil production effort, oil compa...