Lung Ultrasound in Congenital Cardiac Abnormality: ALCAPA

Valentini, Piero; Curatola, Antonietta; Morello, Rosa; Musolino, Anna Maria; Piastra, Marco; Buonsenso, Danilo

doi:10.1007/s12098-020-03208-z

Cited by 3 publications

(4 citation statements)

References 7 publications

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“…The progress of this stage depends on the progress of wireless network technology, mobile devices, Internet of Things technology, and computer systems. At present, there have been various degrees of research on mobile nursing at home and abroad, and some achievements have also been made [ 19 ].…”

Section: Methods Based On the Mobile Information System In The Cardia...mentioning

confidence: 99%

Diagnosis of Blood Vessel Stenosis Caused by Arterial Thrombosis of Lower Extremities by Ultrasound Based on the Mobile Information System

Wu¹,

Zhang²

2022

Journal of Healthcare Engineering

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The thrombosis process is a multifactorial evolution process that includes many genetic and environmental factors that interact with each other. It refers to the existence of blood deposits in the heart or blood vessel walls or abnormal blood clots in the circulatory blood flow during the survival period of humans or animals for some reason. This article aims to analyze the research of blood vessel stenosis caused by arterial thrombosis of the lower extremities under the diagnosis of cardiac ultrasound based on the mobile information system. This article first introduces the mobile information nursing system and its development process. The mobile nursing information system has experienced three stages of development and is an important application of the further development of science and technology in medical information technology. It also proposes a medical diagnosis method based on SRM on a mobile platform and gives a technical roadmap for heart sound analysis and processing. Then, based on the mobile information system, the formation of arterial thrombosis in the lower extremities was analyzed and discussed in the ultrasound diagnosis of the heart, and the vascular stenosis caused by the arterial thrombosis of the lower extremities was analyzed by imaging. Experimental results show that when there is >50% stenosis or complete occlusion, the CTA false positive is more prominent, especially when the calf artery type is complete stenosis. The main cause is that the circulation of the lower limbs is very poor, the blood entering the blood vessels of the lower limbs is scarce, the capillaries are weakly enhanced, and the quality cannot be improved.

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Section: Methods Based On the Mobile Information System In The Cardia...mentioning

confidence: 99%

Diagnosis of Blood Vessel Stenosis Caused by Arterial Thrombosis of Lower Extremities by Ultrasound Based on the Mobile Information System

Wu¹,

Zhang²

2022

Journal of Healthcare Engineering

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“…In addition, LUS had a better inter-reader agreement for all the mentioned signs [62]. Other diseases that showed non-specific LUS findings are sickle cell disease [64], scoliosis [65], anomalous origin of left coronary artery from the pulmonary artery (ALCAPA) [66], acute asthma [67], interstitial lung diseases [68], neuromuscular diseases [69] and cystic fibrosis [70,71]. A case series of four patients with severe scoliosis showed that LUS could be useful to detect lung consolidation in these patients when CXR is hampered by costal deviations [65].…”

Section: Lus In Bronchiolitis Pneumothorax and Other Paediatric Respiratory Diseasesmentioning

confidence: 98%

Usefulness of Lung Ultrasound in Paediatric Respiratory Diseases

et al. 2021

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Respiratory infection diseases are among the major causes of morbidity and mortality in children. Diagnosis is focused on clinical presentation, yet signs and symptoms are not specific and there is a need for new non-radiating diagnostic tools. Among these, lung ultrasound (LUS) has recently been included in point-of-care protocols showing interesting results. In comparison to other imaging techniques, such as chest X-ray and computed tomography, ultrasonography does not use ionizing radiations. Therefore, it is particularly suitable for clinical follow-up of paediatric patients. LUS requires only 5–10 min and allows physicians to make quick decisions about the patient’s management. Nowadays, LUS has become an early diagnostic tool to detect pneumonia during the COVID-19 pandemic. In this narrative review, we show the most recent scientific literature about advantages and limits of LUS performance in children. Furthermore, we discuss the major paediatric indications separately, with a paragraph fully dedicated to COVID-19. Finally, we mention potential future perspectives about LUS application in paediatric respiratory diseases.

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“…14,15 Echocardiogram reveals the defect of an anomalous coronary artery arising from the pulmonary artery, rather than the aorta. 16 In the first weeks to months of life, as the pulmonary vascular resistance drops, a "coronary steal" phenomenon occurs in which blood flows retrograde from the anomalous left coronary artery into the low-pressure pulmonary artery. 17 This abnormal coronary blood flow leads to myocardial ischemia in the distribution of the anomalous coronary.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…An ALCAPA, first described by HS Brooks in 1885, is a rare and serious congenital cardiac anomaly, with an incidence of 1 in 300,000 live births 14,15 . Echocardiogram reveals the defect of an anomalous coronary artery arising from the pulmonary artery, rather than the aorta 16 . In the first weeks to months of life, as the pulmonary vascular resistance drops, a “coronary steal” phenomenon occurs in which blood flows retrograde from the anomalous left coronary artery into the low-pressure pulmonary artery 17 .…”

Section: Review Of the Literaturementioning

confidence: 99%

A Rare Complication of Anomalous Left Coronary Artery From the Pulmonary Artery Identified by Point-of-Care Ultrasound

Gutowski¹,

Donovan

Firnberg³

et al. 2022

Pediatr Emer Care

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Point-of-care ultrasound is a valuable tool in the evaluation of undifferentiated respiratory distress in children. This case report describes a 9-month-old male infant who presented with 4 months of progressively worsening cough and was found to be tachypneic in the emergency department. Chest radiography revealed complete opacification of the left hemithorax with cardiomegaly. Point-of-care ultrasound demonstrated atelectasis of the entire left lung and severe dilation of the left ventricle with poor function. Electrocardiogram and echocardiogram findings were consistent with a diagnosis of anomalous left coronary artery from the pulmonary artery. The patient underwent successful cardiac surgery to improve myocardial perfusion. Bronchoscopy visualized the etiology of his atelectasis, pulsatile compression of the left mainstem bronchus by the dilated heart. Focused cardiac and lung ultrasound techniques, as well as pertinent sonographic findings, are reviewed.

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Lung Ultrasound in Congenital Cardiac Abnormality: ALCAPA

Cited by 3 publications

References 7 publications

Diagnosis of Blood Vessel Stenosis Caused by Arterial Thrombosis of Lower Extremities by Ultrasound Based on the Mobile Information System

Diagnosis of Blood Vessel Stenosis Caused by Arterial Thrombosis of Lower Extremities by Ultrasound Based on the Mobile Information System

Usefulness of Lung Ultrasound in Paediatric Respiratory Diseases

A Rare Complication of Anomalous Left Coronary Artery From the Pulmonary Artery Identified by Point-of-Care Ultrasound

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