(IV-1C.3a, IV-2A.O) 38-year old female patient with a congenitally corrected transposition of the great arteries Monika Smaś-Suska, Lidia Tomkiewicz-Pająk, Maria Olszowska, Piotr Podolec
“Development of the European Network in Orphan Cardiovascular Diseases” “Rozszerzenie Europejskiej Sieci Współpracy ds. Sierocych Chorób Kardiologicznych”
(IV-1C.3a, V-2B.O ) 25 – year old patient with a transposition of the great arteries and arrhythmia Monika Smaś-Suska, Lidia Tomkiewicz-Pająk, Paweł Iwaszczuk, Maria Olszowska, Piotr Podolec
EXPERTISE 1 “Development of the European Network in Orphan Cardiovascular Diseases” “Rozszerzenie Europejskiej Sieci Współpracy ds. Sierocych Chorób Kardiologicznych”
Posted in – Others, 1. Abnormalities of the position and connection of the heart and vessels, 2. Arrhythmias secondary to rare structural diseases of the heart, 3. Great arteries, B. Due to congenital heart diseases, C. Veins and arteries, Case presentations, IV. Rare congenital cardiovascular diseases, V. Rare arrhythmias
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(IV-1D.2d) 21-year old patient with bicuspid aortic valve Monika Smaś-Suska, Lidia Tomkiewicz-Pająk, Natalia Dłużniewska, Maria Olszowska, Piotr Podolec
EXPERTISE 1 “Development of the European Network in Orphan Cardiovascular Diseases” “Rozszerzenie Europejskiej Sieci Współpracy ds. Sierocych Chorób Kardiologicznych”
( I – 2A.0; IV – 1D.2d ) Patient with artificial aortic valve with aneurysm of ascending aorta Natalia Dłużniewska MD; Lidia Tomkiewicz – Pająk MD, PhD; Aleksandra Lenart MD, Monika Smaś – Suska MD, Prof. Maria Olszowska MD, PhD; Prof. Piotr Podolec MD, PhD
BRIEF COMMENTS EXPERT: Assoc. Prof. Jacek Kołcz, MD, PhD, pediatric cardiac surgeon Affiliation: Department of Pediatric Cardiac Surgery, Jagiellonian University Medical College, Krakow, Poland COMMENT Ascending aorta’s diameter has shown widening tendency. It is difficult to determine if the implanted AV is still suitable for the patient. I recommend consideration of AVR procedure (for example implantation of biological valve and plasty of the ascending aorta). Bioprothesis might improve the patient’s quality of life. Aortic homograft implantation would make possible …
Posted in 1. Abnormalities of the position and connection of the heart and vessels, 2. Connective tissue disorders causing aneurysmal disease, 2. Left heart valves, A. Aneurysmal disease of the aorta, Case presentations, D. Valves, I. Rare diseases of systemic circulation, IV. Rare congenital cardiovascular diseases, Others
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(IV-1C.3/II-2A.1) 41-year old patient with arterial pulmonary hypertension and unilateral pulmonary artery absence Blaszczak Piotr MD PhD, Grzywna Ryszard MD PhD, Gorczyca Daria MD, Siudak Łukasz MD
EXPERTISE 1 “Development of the European Network in Orphan Cardiovascular Diseases” “Rozszerzenie Europejskiej Sieci Współpracy ds. Sierocych Chorób Kardiologicznych”
Posted in 1. Abnormalities of the position and connection of the heart and vessels, 1. Atresia of the pulmonary artery, 2. Inborn anomalies of the pulmonary vessels, 3. Great arteries, A. Anomalous morphology, C. Veins and arteries, Case presentations, II. Rare diseases of pulmonary circulation, IV. Rare congenital cardiovascular diseases
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(IV-1C.3a) Patient after operation of complex congenital heart disease with left ventricle ischaemia Agnieszka Żygadło MD, Lidia Tomkiewicz-Pająk MD, PhD, Leszek Drabik MD, PhD, Monika Smaś-Suska MD, Natalia Dłużniewska MD, Prof. Maria Olszowska MD, PhD, Prof. Piotr Podolec MD, PhD
BRIEF COMMENTS EXPERT: Prof. Janusz Skalski, MD PhD, pediatric cardiac surgeon Affiliation: Department of Pediatric Cardiac Surgery, Jagiellonian University Medical College, Krakow COMMENT Computed tomography picture suggests that the homograft compresses the left coronary artery causing exercise ischemia. The homograft, in my opinion, should be replaced surgically. Coronary angiography should be performed, in order to investigate coronary arteries status. Reconsultation should be done before deciding for any coronary intervention coronary angiography. EXPERT: Tomasz Mroczek, MD PhD, pediatric cardiac surgeon …
(IV-1C.1) 60-year-old patient with total anomalous pulmonary venous return and atrial septal defect Sarnecka A. MD, Kopeć G. MD, PhD, Tomaszewski M. MD, PhD, Prof. Podolec P. MD, PhD
Experts: Prof. Roland Hetzer, PhD; Jacek Kołcz, MD, PhD; Lidia Tomkiewicz-Pająk, MD, PhD; Zbigniew Kordon, MD, PhD; Prof. Egle Ereminiene, MD, PhD
BRIEF COMMENTS EXPERT: Prof. Roland Hetzer, MD PhD, cardiac surgeon Affiliation: Deutsches Herzzentrum, Berlin, Germany COMMENT Unusual case – usually such patients are operated short after birth. There are a few aspects to consider: 6 minutes walking test result was reduced, but not very low. Future problem will be tricuspid regurgitation. Another aspect is whether complete or partial correction should be performed. If patient wants operation, it should be considered. Risk of the surgical correction is about 5-10%. There …
(IV-1B.1a) 55 years old patient with congenital heart malformation Joanna Stanisz-Kempa, Daniel Jakubowski, Maria Kasztelan- Masłowska, Barbara Monastyrska-Cup, Romuald Twardowski, Mariusz Skowerski, Zbigniew Gąsior
Background Cor triatriatum (or triatrial heart) is a congenital heart defect where the left atrium(cor triatriatum sinistrum) or right atrium (cor triatriatum dextrum) is subdivided by a thin membrane, resulting in three atrial chambers. Cor triatriatum is a rare congenital anomaly with a ratio of men to women of 1.5:1 [1] Cor triatriatum represents 0.1% -0,4% of all congenital cardiac malformations and usually refers to the left atrium. [2-3]In cor triatriatum sinister the left atrium is divided by a fibromuscular …
(IV-1D.1o) 47-year-old patient with severe tricuspid regurgitation Sarnecka A. MD, Kopeć G. MD, PhD, Leśniak-Sobelga A. MD, PhD, Prof. Podolec P. MD, PhD
Background Pathological tricuspid regurgitation is more often secondary than due to a primary valve lesion. Isolated primary tricuspid regurgitation progresses slowly and can be well-tolerated for years. However, the data on the natural history of this heart disease suggest that the prognosis is poor. The timing of surgical treatment of severe isolated tricuspid regurgitation can be difficult. The valve repair is preferable method of surgery. Case presentation Presentation A 47-year-old man with severe tricuspid regurgitation and suspicion of Ebstein anomaly …
(IV-1D.2c) 20-year-old male with asymptomatic aortic stenosis Joanna Łuszczak MD, Lidia Tomkiewicz- Pajak MD, PhD, Maria Olszowska MD, PhD, Prof. Piotr Podolec MD, PhD, Paweł Rubiś MD, PhD, Jakub Podolec MD.
Background Aortic stenosis (AS) is the most common valvular heart disorder. The prevalence increases with age and is estimated on 2-7% in population over 65 years old. Congenital AS is often associated with bicuspid aortic valve. Deterioration of the left ventricle (LV) systolic function is a predictor of the worse outcome after aortic valve replacement (AVR). Among the asymptomatic patients with preserved LV systolic function the risk of death is relatively low- about 1%, but increases significantly when symptoms occur. …