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  • 1
    ISSN: 1433-0474
    Keywords: Schlüsselwörter Anomaler Abgang der rechten Koronararterie ; Bland-White-Garland-Syndrom ; Angeborene Herzfehler ; Key words Anomalous origin of the right coronary artery ; Bland-White-Garland-Syndrome ; Congenital heart disease
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Anomalous origin of the right coronary artery from the pulmonary trunk is rare, however, it is of considerable clinical significance. Discussion: We report of the findings in an asymptomatic child with anomalous origin of the right coronary artery from the pulmonary trunk and shortly review this entity.
    Notes: Zusammenfassung Der fehlerhafte Abgang der rechten Koronararterie aus der Pulmonalarterie ist selten, jedoch von erheblicher klinischer Relevanz. Diskussion: Wir berichten über die Befunde eines asymptomatischen Schulkinds mit diesem Krankheitsbild und geben einen Überblick über diese Fehlbildung.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1238
    Keywords: Key words Infant ; Congenital heart disease ; ARDS ; Capillary leak ; Soluble l-selectin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective: In critical care patients at risk of developing the acute respiratory distress syndrome (ARDS), low soluble l-selectin (sCD62L) plasma concentrations have been shown to be associated with progression to ARDS and prolonged subsequent mechanical ventilation. This study aimed to determine the usefulness of sCD62L plasma concentrations to identify infants undergoing cardiovascular surgery who are at risk for postoperative pulmonary dysfunction and capillary leaks. Design: Serial measurements of sCD62L plasma concentrations in a cohort of infants with congenital heart disease before, during, and after surgery for 4 consecutive days. Setting and patients: Infants aged 3–337 days undergoing cardiovascular surgery with (N = 27) or without (N = 12) cardiopulmonary bypass in a tertiary care center. Results: sCD62L concentrations before surgery showed a strong correlation with the infant's age (r = 0.77, p 〈 0.001). During surgery, sCD62L levels dropped from 9.0 ± 0.7 to 5.6 ± 0.4 nmol/l (mean ± SEM; p 〈 0.001). The minimum sCD62L concentration during and after surgery did not differ between infants operated upon with or without cardiopulmonary bypass (p 〉 0.1) or in infants who did (N = 10) or did not (N = 29) develop capillary leak syndrome. Whereas capillary leak syndrome was associated with prolonged mechanical ventilation (p 〈 0.01), there was no relationship between sCD62L concentrations at baseline or at any time thereafter and number of hours on the ventilator (p 〉 0.1). Conclusion: sCD62L concentrations before or after surgery are not apt to identify infants at increased risk of prolonged mechanical ventilation.
    Type of Medium: Electronic Resource
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