(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-2B.1, IV-4D) Patient with thrombophilia after the episode of deep vein thrombosis of lower extremity with insignificant ASD Danuta Sorysz MD, PhD
EXPERTISE 1 EXPERTISE 2 “Development of the European Network in Orphan Cardiovascular Diseases” “Rozszerzenie Europejskiej Sieci Współpracy ds. Sierocych Chorób Kardiologicznych”
(IV-2B.1) 57-year-old woman with Eisenmenger’s syndrome and ischemic stroke in anamnesis Joanna Stanisz-Kempa MD Małgorzata Biedroń MD Assoc. Prof. Józefa Dąbek MD, PhD Prof. Zbigniew Gąsior MD, PhD
EXPERTISE 1 EXPERTISE 2 “Development of the European Network in Orphan Cardiovascular Diseases” “Rozszerzenie Europejskiej Sieci Współpracy ds. Sierocych Chorób Kardiologicznych”
(IV – 2A.1; IV – 5A.2) Patient with congenital heart desease – Tetralogy of Fallot – after surgical correction and with severe pulmonic valve regurgitation and moderate tricuspid valve regurgitation
“Development of the European Network in Orphan Cardiovascular Diseases” “Rozszerzenie Europejskiej Sieci Współpracy ds. Sierocych Chorób Kardiologicznych”
(IV – 2A.1) Patient after operation of tetralogy of Falot with patent blalock – Taussig Natalia Dłużniewska MD; dr n. med. Lidia Tomkiewicz – Pająk MD, Jakub Stępniewski; PhD; prof. Maria Olszowska MD, PhD; Prof. Piotr Podolec MD, PhD
EXPERTISE 1 EXPERTISE 2 EXPERTISE 3 “Development of the European Network in Orphan Cardiovascular Diseases” “Rozszerzenie Europejskiej Sieci Współpracy ds. Sierocych Chorób Kardiologicznych”
(IV- 2A.1) Patient after corection of Tetralogy of Fallot with pulmonary valve regurgitation Natalia Dłużniewska MD, Lidia Tomkiewicz-Pająk MD, PhD, Assoc. Prof. Maria Olszowska MD, PhD, Prof. Piotr Podolec MD, PhD
BRIEF COMMENTS EXPERT: Prof. Piotr Podolec Affiliation: Department of Cardiac and Vascular Diseases, John Paul II Hospital, Krakow, Poland COMMENT Despite the lack of symptoms there is a significant leakage, reduced contractility of the left and right ventricle and the pulmonary artery trunk extension. It seems reasonable to close of atrial septal defect – to consider is the choice of method (percutaneous using Amplatz device or surgical, which additional advantage is a possibility of leaving a little septal communication …
(IV-2A.1) Patient after corection of Tetralogy of Fallot with pulmonary valve regurgitation Natalia Dłużniewska MD, Lidia Tomkiewicz-Pająk MD, PhD, Assoc. Prof. Maria Olszowska MD, PhD, Prof. Piotr Podolec MD, PhD
BRIEF COMMENTS EXPERT: Krzysztof Szymoński, MD Affiliation: Department of Cardiovascular Surgery and Transplantology, John Paul II Hospital, Krakow, Poland COMMENT Regarding whole clinical presentation biological pulmonary valve replacement and tricuspid valvuloplasty seems appropriate, especially taking into account that the patient is planning pregnancy. Concomitant right ventricular plasty may also be considered. CONCLUSIONS Regarding the patient is planning pregnancy, biological pulmonary valve replacement together with tricuspid valvuloplasty seems reasonable, concomitant right ventricular plasty may also be considered. “Development of the …
(IV-2A.1 ) Adult patient with Tetralogy of Fallot after Blalock-Taussing anastomosis Agnieszka Żygadło MD, Lidia Tomkiewicz-Pająk MD, PhD, Leszek Drabik MD, PhD, Monika Smaś-Suska MD, Natalia Dłużniewska MD, Joanna Łuszczak MD, Prof. Maria Olszowska MD, PhD, Prof. Piotr Podolec MD, PhD
BRIEF COMMENTS EXPERT: Prof. Janusz Skalski, MD, PhD Affiliation: Department of Pediatric Cardiac Surgery, Jagiellonian University Medical College, Krakow, Poland COMMENT There are indications for surgical intervention. However, heart catheterisation should be performed in the first place. Optimal management would be VSD and shunt closure, and creating communication between atria. Minimal ventriculotomy may also be considered. EXPERT: Prof. Zbigniew Kordon, MD, PhD Affiliation: Department of Pediatric Cardiology, Jagiellonian University Medical College, Krakow, Poland COMMENT Pulmonary hypertension is suspected in …
(IV-2B.1) Patient after pulmonary valve valvulotomy with ASD sinus venosus type Natalia Dłużniewska MD, Lidia Tomkiewicz-Pająk MD PhD, Sylwia Wiśniowska-Śmiałek MD, Prof. Maria Olszowska MD PhD, Prof. Piotr Podolec MD PhD
BRIEF COMMENTS EXPERT: Assoc. Prof. Bogusław Kapelak MD Affiliation: Department of Cardiovascular Surgery and Transplantology, John Paul II Hospital, Krakow COMMENT Surgical ASD closure is required. Careful neurological evaluation and close cooperation with a neurologist periprecedural is required. The influence of extracorporeal circulation on the brain function is unknown in this patient. EXPERT: Prof. Janusz Skalski MD, PhD Affiliation: Department of Pediatric Cardiac Surgery, Jagiellonian University Medical College, Krakow COMMENT The risk that operation will have negative influence on …