Biomedical subjects

D F Teitel

Publications and source records attributed to D F Teitel.

57 records · Page 4Linked to original sources

PubMed1984

Study of the infradiaphragmatic total anomalous pulmonary venous connection with cross-sectional and pulsed Doppler echocardiography.

We studied neonates with the infradiaphragmatic form of total anomalous pulmonary venous drainage by a combination of cross-sectional echocardiography and pulsed Doppler ultrasound. The diagnosis by ultrasound was made prospectively in all six patients. Three large vascular channels could be observed passing through the diaphragm from the subcostal parasagittal plane. The vessels were identified as the descending aorta (to the left), the inferior vena cava (to the right), and the anomalous pulmonary venous channel (in the center). The vessels were insonated in turn, with pulsed Doppler ultrasound, and the characteristic normal flow signals in the aorta and inferior vena cava were obtained. The signal from the anomalous pulmonary vein was a continuous venous signal, the direction of flow being away from the heart. Pulsed Doppler ultrasound allows accurate recognition of the anomalous pulmonary venous channel without the use of contrast echocardiography.

Diaphragm↗

PubMedDate not supplied

Isolated ventricular inversion: two-dimensional echocardiographic findings and a review of the literature.

In a cyanotic newborn infant, the diagnosis of isolated ventricular inversion in situs solitus was made from the two-dimensional echocardiographic examination and later confirmed at cardiac catheterization and surgery. The four-chamber views were especially useful for identifying the normal atrial situs and discordant atrioventricular connections in this infant. The normal relationships of the great arteries to each other (aortic valve rightward, posterior, and inferior to the pulmonary valve; great arteries coiled around each other) and to the ventricles (mitral-aortic fibrous continuity, well-developed subpulmonic conus) were well defined in the subcostal views. A review of the medical literature revealed a total of 12 cases of isolated ventricular inversion, most of which were diagnosed only at postmortem examination. The two-dimensional echocardiogram provides a rapid, safe technique for prompt diagnosis in these very sick cyanotic infants.

Cardiac Catheterization↗

PubMedDate not supplied

Infective endocarditis and an embolomycotic aneurysm in a 25-month-old child.

Infective endocarditis in young children is uncommon, especially where there is no underlying structural heart disease. While septic embolization in adults occurs in up to 43% of the cases of endocarditis, there is little data on systemic embolization in cases of children. We present an unusual case of a 25-month-old child with infective endocarditis and an embolomycotic aneurysm treated by mitral valve replacement and aortoiliac reconstruction.

Aneurysm, Infected↗