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  • Open Access

    ARTICLE

    White Matter Lesions in Young-Middle Aged Migraineurs with Patent Foreman Ovale: A Case-Control Study

    Yang Hua#, Jinyu Sun#, Yuxuan Lou, Hao Zhang, Jing Shi*, Wei Sun*
    Congenital Heart Disease, DOI:10.32604/chd.2024.051190
    Abstract Background: White matter lesion (WML) is common in aging brain and is associated with cognitive impairment and dementia. However, recent studies reported an association between patent foramen ovale (PFO) and WML in migraineurs, especially in young, middle-aged migraineurs. Our retrospective, case-control study aims to describe the clinical characteristics of WML in this population and to explore potential risk factors. Methods: 226 patients with migraine and PFO were consecutively initially screened. Relevant factors were selected by the least absolute shrinkage and selection operator (LASSO) regression and multivariable logistic regression model. A Nomogram was employed to visualize the prediction… More >

  • Open Access

    CASE REPORT

    Fate of Right Coronary Artery Occlusion after a Surgically Repaired AortoVentricular Tunnel in a Neonate

    Sherif Negm1,2, Loic Mace1, Fedoua El Louali3, Beatrice Desnous4, Philipe Aldebert3, Virginie Fouilloux1, Marien Lenoir1,*
    Congenital Heart Disease, DOI:10.32604/chd.2024.051642
    Abstract The aorto-ventricular tunnel is a rare congenital cardiac anomaly. We present a case of aorto-ventricular tunnel diagnosed via fetal echocardiography. Emergency surgery was performed on the 2nd day of life to close the tunnel, located just in front of the right coronary ostium, due to the patient’s unstable health condition. The postoperative period revealed complete occlusion of the right coronary artery. Due to the patient’s stability, we opted not to reintervene on the right coronary artery. The patient fully recovered without the need for further coronary intervention. In cases of patients with an aorto-ventricular tunnel More >

  • Open Access

    ARTICLE

    The Impact of a Prior Norwood Procedure on Cardiac Transplantation in Failed Fontan Physiology

    Ryan G. McQueen1, Nikki M. Singh2, Ronald K. Woods3,*
    Congenital Heart Disease, DOI:10.32604/chd.2024.052108
    Abstract Objective: The objective of this study was to compare cardiac transplant operative and postoperative courses of patients with failed Fontan physiology who were initially palliated with a Norwood (FFN) to those without a prior Norwood (FF). Methods: A single-institution retrospective review of all patients with Fontan failure who underwent cardiac transplantation from 2003–2021 was completed—22 underwent prior Norwood (FFN) and 11 did not (FF). Descriptive and inferential statistics were calculated for operative course and patient outcomes. Results: The operative course of the FFN cohort appeared to be more complex (not statistically significant, but clinically relevant)—this group… More >

  • Open Access

    ARTICLE

    Transcatheter Closure of Postoperative Residual Atrial or Ventricular Septal Shunts in Patients with Congenital Heart Disease

    Jiawang Xiao, Jianming Wang, Zhongchao Wang, Lili Meng, Ming Zhao, Qiguang Wang*
    Congenital Heart Disease, DOI:10.32604/chd.2024.051427
    Abstract Background: Transcatheter closure (TCC) has emerged as the preferred treatment for selected congenital heart disease (CHD). While TCC offers benefits for patients with postoperative residual shunts, understanding its mid- and long-term efficacy and safety remains crucial. Objective: This study aims to assess the mid- and long-term safety and efficacy of TCC for patients with residual atrial or ventricular septal shunts following CHD correction. Methods: In this consecutive retrospective study, we enrolled 35 patients with residual shunt who underwent TCC or surgical repair of CHD between June 2011 to October 2022. TCC candidacy was determined based on… More >

  • Open Access

    CASE REPORT

    Case Report: Surgical Correction of Transposition of the Great Arteries with Aortopulmonary Window

    Qiqi Shi1,#, Xuan Lei2,#, Wenbo Zhang1,*, Ming Ye1,*
    Congenital Heart Disease, DOI:10.32604/chd.2024.051370
    Abstract Introduction: Transposition of the great arteries (TGA) with aortopulmonary window is a rare type of congenital heart disease with limited experience. We reported a neonate aged 25 days receiving the arterial switch operation and assisted with extracorporeal membrane oxygenation. Conclusion: TGA with aortopulmonary window can be safely correctly with the arterial switch operation. More >