Cor triloculare biatriatum

Mandel, Armand; Hirch, Victor

doi:10.1016/0002-8703(63)90077-2

Cited by 16 publications

(2 citation statements)

References 7 publications

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“…Since single-ventricular pregnancy was first reported in 1963, only a few studies have addressed perioperative anesthesia management in these pregnant women. [1] Systemic and pulmonary circulations originate from a single ventricle, where saturated and desaturated blood are mixed, leading to various degrees of systemic arterial desaturation. [2] Pregnancy and its accompanying hemodynamic alterations increase the burden on this ventricle, resulting in a significantly increased risk of maternal morbidity or mortality.…”

Section: Introductionmentioning

confidence: 99%

“…Pregnancy and delivery rarely occur among these patients. Since single-ventricular pregnancy was first reported in 1963, only a few studies have addressed perioperative anesthesia management in these pregnant women [1] . Systemic and pulmonary circulations originate from a single ventricle, where saturated and desaturated blood are mixed, leading to various degrees of systemic arterial desaturation [2] .…”

Section: Introductionmentioning

confidence: 99%

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Anesthetic management for cesarean section in parturient with an uncorrected single ventricle

Yang-Liu²,

Chen

et al. 2022

Medicine

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Rationale:Patients with a single ventricle, who have not undergone surgery, reportedly have a lower survival rate. Furthermore, multiple pregnancies are rare among these females. We reported a case of anesthesia management of cesarean section in an uncorrected single-ventricular multi-pregnancy woman and review the anesthesia management of the published similar cases.Patient concerns:An uncorrected single ventricular pregnant woman with a cardiac function of New York Heart Association class II, who had experienced one spontaneous abortion and three vaginal deliveries, was scheduled for cesarean section at 37+6 weeks of gestation.Diagnoses: Echocardiography revealed a complex congenital heart disease in the mother: a single ventricle (the left ventricle is dominant), atrioventricular valve ectopic, double-inlet left ventricle, abnormal location of the great arteries, probably pulmonary stenosis, atrial septal defect, and left-to-right shunt. The fetus was in breech presentation with umbilical cord around the neck.Interventions:Cesarean section was successfully performed under the combined spinal epidural anesthesia with careful monitoring.Outcomes: Both mother and newborn recovered good and were discharged from the hospital 5 days after surgery without any adverse reactions.Lessons:Single ventricular pregnant woman with a cardiac function of New York Heart Association class I–II could tolerate pregnancy and delivery well. Both general and regional anesthesia are applicable to cesarean section in these patients. The principle of anesthesia management is to maintain the appropriate balance between systemic vascular resistance and pulmonary vascular resistance, as well as to maintain preload and cardiac output.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Anesthetic management for cesarean section in parturient with an uncorrected single ventricle

Yang-Liu²,

Chen

et al. 2022

Medicine

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Aortic dextroposition complexes in the fowl: A study in comparative pathology

Siller

1967

J. Pathol.

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CONGENITAL anatomical defects in the human heart and its associated great vessels have, naturally, been the subject of much study. Similar defects occur in other mammals, but many records of this aspect of comparative cardiology are located in obscure journals. In the last decade, however, with the increasing interest in comparative medicine, certain specific cardiac malformations in domestic mammals (van Nie, 1961; Detweiler, 1962; Patterson, 1963; Fisher and Pirie, 19643) as well as in birds (Siller, 1958) have been the subject of extensive study. It is noteworthy that the heart defects found in birds, where the embryo develops in the independent closed system of the egg, appear to be homologous with malformations in the mammal, where the foetus develops in a very Werent and maternally dependent environment.Reports of spontaneous cardiac malformations in birds are rare and most refer to duplication of the heart. The earliest reference known to the author on dupZicitaS cordis in birds is the statement attributed to Theophrastus , that in Paphlagonia partridges have two hearts. This seems to have been common belief in those days since both Pliny in his Natural history and Gellius in his Attic nights make mention of it. Though it would not be difficult to guess the explanation of this belief, its true origin is lost in obscurity.Littre (1709) reported on two cases of cardiac duplication in fowls and D'Aboville (1786) was so astounded by his discovery of two hearts in a partridge that he obtained affidavits on the veracity of his observation from two friends.Similar observations on birds with two hearts were made subsequently by Meckel (1815), Panum (1859), Constantinescu (1900) and Stanski (1951). However, Larcher (1874) believed that the duplication of hearts in birds is not genuine, but due to exaggerated fissure of the normal heart. He refers to a specimen of a fowl heart in the Museum for Comparative Anatomy at Bologna where the two sides of the heart are completely separated one from the other so that each side has a ventricle and an atrium. Four normal hearts have been reported in one fowl (Mostafa, 1952) and there is the famous case of Verocay (1905) who saw seven apparently normal hearts in one chicken.Descriptions have been given of an ectopic heart in a wild teal (Waterston, 1905-06), one in a pigeon (Joest, 1913) and one in a parakeet (Tuttle and Greene. 1957). Reinhardt (1925, cited by Reis and Nobrega) and Gylstofl (1961) each record a case of patent foramen ovale in a fowl. The morphology of ventricular J. PATH. BACT.-VOL. 94 (1967) 155 156 W. G. S I U E R septal defects in fowls has been described in detail by Siller and their embryological development by Rychter, LemeZ and Siller (1W). FOWL HEART DEFECTS 157 PLATE LIX FIG . 12 (case 19).-Cor triloculare biatrium. View from below and to left of the 1 of the left side of the common ventricle. Under the glass rod is the very large cuspid left AV valve. Below and to the left of it is the stenotic bicuspid right valve, which has becn incised. X...

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Epidural anaesthesia for labour and Caesarean section in a parturient with a single ventricle and transposition of the great arteries

et al. 1990

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We describe a case of a 29-year-oM Pregnancy is rare in patients with a single ventricle and transposition of the great arteries (TGA). Single ventricle anomalies occur in only 1.5 per cent of patients with congenital heart disease, and 80 per cent of these patients have TGA with an equal incidence of dextro-and laevo-malpositions. 1 Previously, pregnancy has been reported in only eight patients with a single ventricle with or without an associated TGA. 2-9 According to Mangano, ~~ in parturients with cyanotic congenital heart disease avoidance of regional anaesthetic techniques may be wise because a decreased systemic vascular resistance and/or venous return may worsen the right-to-left-shunt. This case presents the management of a parturient with a single ventricle and laevo-TGA. It is the first report of the use of lumbar epidural analgesia/anaesthesia with a local anaesthetic for labour, emergency Caesarean section, and postoperative pain. Case reportA 29-yr-old patient was admitted for induction of labour after an amniocentesis indicated fetal maturity. Her complex past medical history included cyanotic congenital heart disease. Five years before this admission, cardiac catheterization revealed a single ventricle, laevo-TGA, ventricular inversion, atrial septal defect, right atrioventricular valve atresia and mild subvalvular and valvular stenosis. Her single ventricle pressure was 120/10 mmHg with a mean pulmonary artery pressure of 15-20 mmHg and a normal pulmonary vascular resistance. Her haemoglobin oxygen saturations (SaOs) were: inferior vena cava and right atrium 75 per cent, left atrium and ventricle 87 per cent, aorta 88 per cent and pulmonary artery 86 per cent. The ventricular ejection fraction was 28 per cent, and the haematocrit (Hct) was 56 per cent. The patient never had hypercyanotic spells or congestive heart failure.Her obstetrical history included two spontaneous abortions six years before this admission and an uncomplicated successful pregnancy and vaginal delivery four years prior to admission. Throughout her previous pregnancy, the patient had a Hct of 55-60 per cent and an SaO2 of approximately 88 per cent. Labour was induced at 35 weeks gestation; the first stage lasted three hours with a fifteen-minute second stage. She delivered vaginally with CAN J ANAESTH 1990 / 37:6 /pp6S0-4

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Cor triloculare biatriatum

Cited by 16 publications

References 7 publications

Anesthetic management for cesarean section in parturient with an uncorrected single ventricle

Anesthetic management for cesarean section in parturient with an uncorrected single ventricle

Aortic dextroposition complexes in the fowl: A study in comparative pathology

Epidural anaesthesia for labour and Caesarean section in a parturient with a single ventricle and transposition of the great arteries

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