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  • Open Access

    ARTICLE

    Fate of the Fontan connection: Mechanisms of stenosis and management

    Donald J. Hagler1,2, William R. Miranda2, Brielle J. Haggerty1, Jason H. Anderson1, Jonathan N. Johnson1, Frank Cetta1,2, Sameh M. Said1,3, Nathaniel W. Taggart1

    Congenital Heart Disease, Vol.14, No.4, pp. 571-581, 2019, DOI:10.1111/chd.12757

    Abstract Background: Stenosis of the venous connections and conduits is a well‐known late complication of the Fontan procedure. Currently, data on the outcomes of percuta‐ neous intervention for the treatment of extra‐ or intracardiac conduits and lateral tunnel baffles obstruction are limited. In an attempt to better define the nature and severity of the stenosis and the results of catheter interventional management, we reviewed Fontan patients with obstructed extra‐ or intracardiac conduits and lateral tunnel baffles.
    Methods: Retrospective review of all Fontan patients who had cardiac catheteriza‐ tion from January 2002 to October 2018 was performed. Hemodynamic and angio‐ graphic data… More >

  • Open Access

    ARTICLE

    Interobserver variability in the classification of congenital coronary abnormalities: A substudy of the anomalous connections of the coronary arteries registry

    Athanasios Koutsoukis1, Xavier Halna du Fretay2, Patrick Dupouy3, Phalla Ou4, Jean-Pierre Laissy4, Jean-Michel Juliard5, Fabien Hyafil6, Pierre Aubry5

    Congenital Heart Disease, Vol.12, No.6, pp. 726-732, 2017, DOI:10.1111/chd.12504

    Abstract Objective: The diagnosis of anomalous connections of the coronary arteries (ANOCOR) requires an appropriate identification for the management of the patients involved. We studied the observer variability in the description and classification of ANOCOR between a nonexpert group of physicians and a group of expert physicians, using the ANOCOR cohort.
    Patients and design: Consecutive patients identified by 71 referring cardiologists were included in the ANOCOR cohort. Anomalous connection was diagnosed by invasive and/or computed tomography coronary angiography. Angiographic images were reviewed by an angiographic committee with experience in this field. Both investigators and angiographic committee filled out a questionnaire to… More >

  • Open Access

    EDITORIAL

    Forgotten knowledge of the coronary-cameral connections and the rediscovery of their dynamic nature in development: The result of a misnomer, ambiguous use of nomenclature, and varied evaluation methods

    Brett Snodgrass, Aruna Chilakala

    Congenital Heart Disease, Vol.12, No.5, pp. 647-648, 2017, DOI:10.1111/chd.12522

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Pulsatile Glenn as long‐term palliation for single ventricle physiology patients

    Martin A. Chacon‐Portillo1,2, Rodrigo Zea‐Vera1,2, Huirong Zhu3, Heather A. Dickerson4,5, Iki Adachi1,2, Jeffrey S. Heinle1,2, Charles D. Fraser1,2, Carlos M. Mery1,2

    Congenital Heart Disease, Vol.13, No.6, pp. 927-934, 2018, DOI:10.1111/chd.12664

    Abstract Objective: There are limited studies analyzing pulsatile Glenn as a long‐term pallia‐ tion strategy for single ventricle patients. This study sought to determine their out‐ comes at a single institution.
    Design: A retrospective review was performed.
    Setting: Study performed at a single pediatric hospital.
    Patients: All single ventricle patients who underwent pulsatile Glenn from 1995 to 2016 were included.
    Outcome measures: Pulsatile Glenn failure was defined as takedown, transplant, or death. Further palliation was defined as Fontan, 1.5, or biventricular repair. Risk fac‐ tors were assessed by Cox multivariable competing risk analyses.
    Results: Seventy‐eight patients underwent pulsatile Glenn at age… More >

  • Open Access

    ARTICLE

    Arteriovenous fistula creation for hypoxia after single ventricle palliation: A single‐institution experience and literature review

    Andrew D. Spearman1, Steven J. Kindel1, Ronald K. Woods2, Salil Ginde1,3

    Congenital Heart Disease, Vol.14, No.6, pp. 1199-1206, 2019, DOI:10.1111/chd.12828

    Abstract Background: Hypoxia is a common and sometimes severe morbidity of single ven‐ tricle congenital heart disease (CHD). Creation of an arteriovenous fistula (AVF) is occasionally performed for patients after superior or total cavopulmonary connec‐ tion (SCPC or TCPC) in an attempt to improve oxygen saturations. Despite previ‐ ous reports, AVF creation is a rare palliation with inadequately defined benefits and risks. We sought to determine changes in peripheral oxygen saturation (SpO2) and risk of adverse event after AVF creation in children with single ventricle CHD at our institution.
    Methods: We conducted a retrospective chart review of patients with a history… More >

  • Open Access

    ARTICLE

    Seismic Analysis of the Connections of Buried Segmented Pipes

    Wei Liu1, 2, *, Zhaoyang Song2, Yunchang Wang2

    CMES-Computer Modeling in Engineering & Sciences, Vol.123, No.1, pp. 257-282, 2020, DOI:10.32604/cmes.2020.07220

    Abstract Seismic analysis of buried pipes has been one study focus during the last decades, but the systematic seismic research of pipe connections, especially its relationship with the connected straight pipe, is nearly blank. On the basis, the influence of pipe connections on the joint deformations (JDs) of buried segmented pipes is analyzed in detail by considering different parameters, namely, connection shapes, ground conditions, pipe diameters, branch angles, seismic incident angles, and input ground motions. Moreover, an influence coefficient, which measures the influence of pipe connections on pipe JDs, is calculated. Results show that pipe connections can reduce the JDs of… More >

  • Open Access

    ARTICLE

    Mechanical Experimental Study on Tensile Bolted Connections of Crosslaminated Timber

    Chenxiao Su, Haibei Xiong*

    Structural Durability & Health Monitoring, Vol.14, No.1, pp. 81-94, 2020, DOI:10.32604/sdhm.2020.08221

    Abstract In order to explore a kind of high-strength, earthquake-resistant, economical and suitable connection, 4 groups of cross-laminated timber wall-to-floor and wall-to-wall bolted connections were tested under monotonic and cyclic loading. The deformation characteristics and failure modes of the cross-laminated timber wall-to-floor and wall-to-wall bolted connections were exploited. Load-slip curves, bearing capacity, yielding point, stiffness and ductility of each group of specimens were analyzed. The test results indicate that the loading process of cross-laminated timber bolted connections under tension can be categorized as five stages, namely the elastic stage, the slip stage, the embedding stage, the yielding stage and the ultimate… More >

  • Open Access

    ABSTRACT

    Connection and Execution of Prediction Modules Using the MI Workflow System

    Kaita Ito*, Satoshi Minamoto, Takuya Kadohira, Makoto Watanabe, Masahiko Demura

    The International Conference on Computational & Experimental Engineering and Sciences, Vol.22, No.2, pp. 134-134, 2019, DOI:10.32604/icces.2019.05440

    Abstract In the Materials Integration (MI) system, workflow designers and players are implemented as ones of the core subsystems. When the user wants to predict a certain material parameter by using the MI system, the user selects a prediction module in the workflow designer that can output the objective parameter. If the all required input parameters of the prediction module are not given directly, further modules can be connected.
    Each input and output parameters of the prediction module on the MI system is directly associated with one term of material science and engineering. It is not defined as a specific… More >

  • Open Access

    ABSTRACT

    An Intergrid Boundary Reconnection Technique for Conservative Unstructured Overset Mesh Scheme

    Mun Seung Jung1, Oh Joon Kwon2

    The International Conference on Computational & Experimental Engineering and Sciences, Vol.11, No.3, pp. 77-78, 2009, DOI:10.3970/icces.2009.011.077

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Review on Connections for Original Bamboo Structures

    Chaokun Hong1a,2, Haitao Li1a,2,*, Rodolfo Lorenzo3, Gang Wu1b, Ileana Corbi4, Ottavia Corbi4, Zhenhua Xiong5, Dong Yang1a,2, Huizhong Zhang1a,2

    Journal of Renewable Materials, Vol.7, No.8, pp. 713-730, 2019, DOI:10.32604/jrm.2019.07647

    Abstract Bamboo is a green construction material in line with sustainable development strategies. The use of raw bamboo in architecture has existed since ancient times. In the long development years of original bamboo buildings, many areas in the world gradually formed unique bamboo buildings, which have become an important local cultural feature. For building structures, joints are the key to ensure structural load transfer. Because of hollow and thin-walled material property of bamboo, the connection in raw bamboo buildings has always been a major difficulty and problem in the application of bamboo, which seriously hinders the development of original bamboo structures.… More >

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