Usefulness of the internal jugular venous route for cardiac catheterization in children.
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Biomedical subjects
Publications and source records attributed to M L Garrick.
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The occurrence of tricuspid atresia in association with totally anomalous pulmonary venous connection is a rare one. This combination has been described in the literature only twice previously. Such a case is presented with special regard to the therapeutic options and the need for cardiac catheterization.
We performed a balloon pulmonary valvuloplasty in a child with Ebstein's anomaly using the standard technique. The procedure reportedly has not been performed in the face of this defect and, although difficult, was safely and successfully accomplished. In patients with Ebstein's anomaly and right ventricular outflow obstruction compounded by pulmonary valve stenosis, application of this technique may delay the need for surgical intervention.
Associated intracardiac lesions have been well documented in congenitally corrected transposition. Most often these include ventricular septal defects, dysplasia of the morphologically tricuspid valve and subpulmonic stenosis. Aortic stenosis as the only isolated intracardiac defect in association with corrected transposition has not been described previously. We present such a patient and review the clinical features of corrected transposition.
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