Methodist DeBakey cardiovascular journal最新文献_第4页

Reoperative Aortic Root Surgery in Adults with Prior Conotruncal Repair. 成人主动脉根部修复术的再手术治疗。

Methodist DeBakey cardiovascular journal Pub Date : 2026-06-30 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1812

Ziyab Sarfaraz, Sarah Stuart, Amritha Nair, Andrea Giulio Quarti

引用次数: 0

Heart Failure in Adult Congenital Heart Disease. 成人先天性心脏病的心力衰竭。

Methodist DeBakey cardiovascular journal Pub Date : 2026-06-30 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1815

Jessica N Richardson, Cindy M Martin

{"title":"Heart Failure in Adult Congenital Heart Disease.","authors":"Jessica N Richardson, Cindy M Martin","doi":"10.14797/mdcvj.1815","DOIUrl":"10.14797/mdcvj.1815","url":null,"abstract":"Advances in the management of congenital heart disease have resulted in a rapidly expanding population of adults with congenital heart disease (ACHD), among whom heart failure (HF) has emerged as a leading cause of morbidity and mortality. HF in ACHD represents a distinct and heterogeneous clinical entity shaped by lifelong abnormal loading conditions, prior surgical interventions, arrhythmogenic substrates, and limited representation in randomized clinical trials. The systemic ventricle may be morphologically left, right, or single, each conferring unique susceptibility to maladaptive remodeling, myocardial fibrosis, valvular dysfunction, and progressive contractile decline. Accurate diagnosis requires longitudinal, multimodal assessment incorporating echocardiography, cardiovascular magnetic resonance, cardiopulmonary exercise testing, biomarkers, rhythm surveillance, and selective invasive hemodynamic evaluation. Management prioritizes identification and correction of reversible contributors, including residual structural lesions, atrioventricular valve regurgitation, arrhythmias, pulmonary vascular disease, and extracardiac comorbidities. Pharmacologic therapy remains largely extrapolated from acquired HF paradigms and demonstrates variable efficacy across ACHD subgroups, underscoring the need for physiology-driven individualized care within specialized centers. Advanced therapies, including heart transplantation and mechanical circulatory support, are increasingly utilized, with improving outcomes despite higher perioperative complexity. This review presents a ventricle-based framework for understanding the pathophysiology, evaluation, and management of HF in ACHD and highlights critical gaps requiring further investigation.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 3","pages":"124-135"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13330930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lifelong Bonds. 终身债券。

Methodist DeBakey cardiovascular journal Pub Date : 2026-06-30 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1885

Philip Alexander

引用次数: 0

The Initial Diagnostic Approach to Adult Congenital Heart Disease: A Practical Imaging Pathway for General Cardiologists and Cardiac Imagers. 成人先天性心脏病的初步诊断方法：普通心脏病专家和心脏成像仪的实用成像途径。

Methodist DeBakey cardiovascular journal Pub Date : 2026-06-30 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1868

Alicia Rangosch, Aneesh Dhore-Patil, Valeria E Duarte

{"title":"The Initial Diagnostic Approach to Adult Congenital Heart Disease: A Practical Imaging Pathway for General Cardiologists and Cardiac Imagers.","authors":"Alicia Rangosch, Aneesh Dhore-Patil, Valeria E Duarte","doi":"10.14797/mdcvj.1868","DOIUrl":"10.14797/mdcvj.1868","url":null,"abstract":"Adult congenital heart disease (ACHD) is among the most anatomically and physiologically complex domains in cardiovascular medicine. Advances in pediatric cardiac surgery and cardiology have shifted congenital heart disease (CHD) from a predominantly pediatric condition to a lifelong disease, resulting in a growing adult population that now outnumbers the affected children. In addition, increased detection of CHD in adulthood has broadened the spectrum of ACHD encountered outside specialized centers, underscoring the importance of familiarity among general cardiologists and cardiac imagers. This state-of-the-art review outlines a structured imaging approach for adults with suspected or known CHD. The proposed pathway includes four stages: (1) clinical-anatomic orientation with systematic review of prior data including operative notes and prior imaging; (2) protocolized adult congenital transthoracic echocardiography using sequential segmental analysis; (3) question-driven cardiac magnetic resonance (CMR) with flow quantification; and (4) selective use of cardiac computed tomography (CCT) for detailed cardiac and extracardiac anatomy, coronary artery origins, surgical planning, sternal re-entry and cannulation or in cases of hardware-related imaging limitations. Beyond modality selection, we address the specialized protocol requirements, training milestones, and competency standards expected of ACHD sonographers, CMR, and CCT technologists-all personnel whose expertise is central to diagnostic quality and accuracy in this patient population. Lesion-specific scenarios and case examples illustrate application in practice. A multimodality and team-based strategy supported by standardized protocols and structured reporting is the foundation of accurate, safe, and efficient ACHD imaging in contemporary cardiovascular practice.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 3","pages":"5-27"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13330995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unrepaired Congenital Shunt Lesions in Adults: Principles for Clinical Management. 未修复的成人先天性分流病变：临床处理原则。

Methodist DeBakey cardiovascular journal Pub Date : 2026-06-30 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1801

Diana Mariela Mouratian, Judith Beatriz Ackerman, Laura Mariana Riznyk, Carla Pasinato, Florencia Giacomozzi, Amalia Elizari

引用次数: 0

Common Clinical Scenarios in Adult Congenital Heart Disease: A Practical Guide for General Cardiologists. 成人先天性心脏病的常见临床情况：普通心脏病专家的实用指南。

Methodist DeBakey cardiovascular journal Pub Date : 2026-06-30 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1800

Tripti Gupta, Matthew R Carazo

引用次数: 0

Embolization Followed by Self-Repositioning of a CardioMEMS™ Wireless Pulmonary Artery Hemodynamic Monitoring Sensor Device. 栓塞后CardioMEMS™无线肺动脉血流动力学监测传感器装置的自我重新定位。

Methodist DeBakey cardiovascular journal Pub Date : 2026-04-16 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1765

Chloe Kharsa, Fatima Qamar, Joseph Elias, Karl Abou Zeid, Sachin S Goel, Joe Aoun

引用次数: 0

Anomalous Origin of the Vertebral Artery from Thyrocervical Trunk: A Rare Anatomical Variant. 甲状腺颈干椎动脉异常起源：一种罕见的解剖变异。

Methodist DeBakey cardiovascular journal Pub Date : 2026-04-06 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1810

Arun Sharma, Gurkawal Kaur, Mansi Verma, Manphool Singhal

引用次数: 0

Value of Myocardial Strain in Assessing Cardiac Masses: A Case Report. 心肌应变在评估心脏肿块中的价值：1例报告。

Methodist DeBakey cardiovascular journal Pub Date : 2026-04-02 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1768

Julianna West, Ihab Hamzeh, Jonathan You, Efstratios Koutroumpakis, Cezar Iliescu, Leslie Ynalvez, Hyeon-Ju Ali, Anita Deswal, Shaden Khalaf

引用次数: 0

Transient Cortical Blindness and Hemi-Spatial Neglect Following Watchman Device Implantation. 看守人装置植入后的短暂性皮质盲和半空间忽视。

Methodist DeBakey cardiovascular journal Pub Date : 2026-04-01 eCollection Date: 2026-01-01 DOI: 10.14797/mdcvj.1769

Mansunderbir Singh, Divleen Sidhu, Priyanka Anvekar, Shubhika Jain, Harnoor Katyal, Vijaywant Brar

{"title":"Transient Cortical Blindness and Hemi-Spatial Neglect Following Watchman Device Implantation.","authors":"Mansunderbir Singh, Divleen Sidhu, Priyanka Anvekar, Shubhika Jain, Harnoor Katyal, Vijaywant Brar","doi":"10.14797/mdcvj.1769","DOIUrl":"10.14797/mdcvj.1769","url":null,"abstract":"A 66-year-old male with prior right middle cerebral artery stroke status post thrombectomy-as well as right internal carotid artery (ICA) stenting and chronic occlusion, paroxysmal atrial fibrillation, and hypertension-underwent left atrial appendage occlusion with a Watchman device for stroke prevention. Immediately following the procedure, he developed acute bilateral vision loss accompanied by headache and worsening left-sided weakness. Emergent computed tomography (CT) and CT angiography demonstrated no hemorrhagic stroke or new large-vessel occlusion and confirmed the previously known chronic right ICA occlusion. The patient was not a candidate for thrombolysis due to recent heparin exposure during his procedure, and thrombectomy was not pursued given the absence of any new large vessel occlusion. In the context of contrast exposure and negative initial imaging, contrast-induced cortical blindness was considered the leading diagnosis, with embolism, hypoperfusion, and post-stroke recrudescence as alternative considerations. This case highlights the diagnostic complexity of acute cortical blindness and hemispatial neglect following Watchman implantation. Mechanisms may include microembolic shower, transient hypoperfusion, seizure-related cortical dysfunction, post-stroke recrudescence, or contrast induced cortical blindness. Negative initial CT imaging should not preclude suspicion for ischemia, especially in patients with preexisting cerebrovascular compromise. Early magnetic resonance imaging and multidisciplinary coordination are essential.","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"22 1","pages":"26-29"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0