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  • Open Access

    ARTICLE

    Fetal heart size measurements as new predictors of homozygous α-thalassemia-1 in mid-pregnancy

    Xinyan Li1, Xiaoxia Qiu1, Huan Huang1, Yili Zhao2, Xueqin Li1, Meng Li1, Xiaoxian Tian1

    Congenital Heart Disease, Vol.13, No.2, pp. 282-287, 2018, DOI:10.1111/chd.12568

    Abstract Objective: To evaluate the efficacy of using fetal heart size measurements derived from axial echocardiography to predict homozygous α-thalassemia-1.
    Design: Prospective diagnostic study.
    Setting: The carrier rate of α-thalassemia-1 (–/αα) in China’s Guangxi Zhuang Autonomous Region is approximately 15%. If both parents are carriers, the risk of homozygous a-thalassemia-1 in one pregnancy is 25%.
    Patients: Singleton mid-pregnancies at risk of homozygous α-thalassemia-1 were enrolled.
    Outcome Measures: Fetal heart measurements, including heart diameter (HD), heart length (HL), heart circumference (HC), and heart area (HA), were measured. The z-scores for these heart parameters were then calculated separately based on previously constructed z-score… More >

  • Open Access

    ARTICLE

    Impact of pregnancy on autograft dilatation and aortic valve function following the Ross procedure

    Horacio G. Carvajal1,2, Kathryn J. Lindley3, Trupti Shah1, Anoop K. Brar1, Philip M. Barger3, Joseph J. Billadello3, Pirooz Eghtesady1

    Congenital Heart Disease, Vol.13, No.2, pp. 217-221, 2018, DOI:10.1111/chd.12554

    Abstract Objective: The effects of pregnancy on autograft dilatation and neoaortic valve function in patients with a Ross procedure have not been studied. We sought to evaluate the effect of pregnancy on autograft dilatation and valve function in these patients with the goal of determining whether pregnancy is safe after the Ross procedure.
    Design: A retrospective chart review of female patients who underwent a Ross procedure was conducted.
    Patients: Medical records for 51 patients were reviewed. Among the 33 patients who met inclusion criteria, 11 became pregnant after surgery and 22 did not.
    Outcome Measures: Echocardiographic reports were used to… More >

  • Open Access

    REVIEW

    Cardiovascular outcomes of pregnancy in Marfan’s syndrome patients: A literature review

    So Yeon Kim1,2, Diana S. Wolfe2, Cynthia C. Taub2

    Congenital Heart Disease, Vol.13, No.2, pp. 203-209, 2018, DOI:10.1111/chd.12546

    Abstract Aims: Pregnancy in patients with Marfan’s syndrome (MFS) carries an increased risk of cardiovascular complications, resulting in increased maternal and fetal mortality and morbidity. Literature on MFS pregnant patients is relatively sparse, and there has yet to be a concrete consensus on the management of this unique patient population. The purpose of our paper is to provide a literature review of case reports and studies on MFS during pregnancy (published between 2005 and 2015) and to explore cardiovascular outcomes of patients with MFS.
    Methods and Results: Of the 852 women in our review, there were 1112 pregnancies,… More >

  • Open Access

    RESIDENT’S CORNER

    Bilateral obstructing ureteric calculi in pregnancy: a rare cause of acute renal failure

    Todd G. Manning1,2, Daniel Christidis1,2, David Wetherell1,2, Ruth Cameron-Jeffs3, Nathan Lawrentschuk1,4,5

    Canadian Journal of Urology, Vol.24, No.2, pp. 8770-8772, 2017

    Abstract Bilateral obstructing ureteric calculi is a rare cause of acute renal failure. Although urolithiasis in later pregnancy is not uncommon, the development of bilateral obstruction secondary to ureteric calculi in the first trimester is rare and poses difficulty to diagnosis and management. Symptoms of diseases and physiological changes associated with pregnancy can obscure diagnosis of urolithiasis and obstructive uropathy. Advances in minimally invasive endourology afford intervention with reduced risk to fetal health. We present the second case of acute renal failure caused by bilateral obstructing ureteric calculi in a pregnant patient and discuss current management More >

  • Open Access

    REVIEW

    Pregnancy-related acute aortic dissection in Marfan syndrome: A review of the literature

    Katherine Smith, Bernard Gros

    Congenital Heart Disease, Vol.12, No.3, pp. 251-260, 2017, DOI:10.1111/chd.12465

    Abstract A well-established association exists between acute aortic dissection and pregnancy, particularly in women with Marfan syndrome. However, there is debate regarding appropriate management guidelines. In particular, there are differing opinions regarding when prophylactic aortic root repair should be recommended as well as the efficacy of beta blockers in this clinical scenario. The current study evaluated 10 years of published literature (2005-2015) in the PubMed/Medline database. Fifty articles, describing 72 cases of women who presented with aortic dissection in the antepartum or postpartum period were identified. Comparisons on demographic variables and clinical outcomes between cases of… More >

  • Open Access

    RESIDENT’S CORNER

    Early pregnancy likely caused by an intravesical intrauterine device

    Jim K. Shen, Edmund Y. Ko, Andrea Staack

    Canadian Journal of Urology, Vol.23, No.5, pp. 8487-8490, 2016

    Abstract A 42-year-old female with remote history of intrauterine device (IUD) placement presented with gross hematuria, urinary urgency, and dyspareunia. Cystoscopy showed an encrusted, free-floating intravesical foreign body consistent with a heavily calcified IUD. It was removed endoscopically using holmium laser cystolitholapaxy. The patient remained symptom free postoperatively. While most intravesical IUDs are thought to be the result of migration after several months, this patient became pregnant within 4 weeks after initial insertion. Therefore this may represent a case either of early intravesical migration or of accidental IUD placement into the bladder at the time of More >

  • Open Access

    ARTICLE

    Acute renal colic during pregnancy: management and predictive factors

    Marie N’gamba1,*, Souhil Lebdai1,*, Camille Hasting2, Paul Panayotopoulos1, Myriam Ammi1, Loïc Sentilhes2, Philippe Descamps2, Abdel-Rahmène Azzouzi1, Pierre Bigot1

    Canadian Journal of Urology, Vol.22, No.2, pp. 7732-7738, 2015

    Abstract Introduction: The aim of this study was to identify predictive factors of urolithiasis etiology for acute renal colic (ARC) during pregnancy.
    Materials and methods: We performed a retrospective review of all pregnant women hospitalized for an ARC between January 2007 and October 2012 in the department of Obstetrics and Gynecology of a University Hospital. Univariate and multivariate regression models were used to assess potential predictive factors of urolithiasis etiology.
    Results: We included 82 patients. A urolithiasis was identified in 24 (29.3%) patients. In univariate analysis, we identified the following predictive factors for a urolithiasis etiology: primiparity… More >

  • Open Access

    RESIDENT’S CORNER

    Combined partial cystectomy and cesarean delivery in a pregnant female with bladder pheochromocytoma

    Ryan S. Hsi1, Christopher J. Welty1, Mathew D. Sorensen1, Aashiyana F. Koreishi2, Hunter Wessells1

    Canadian Journal of Urology, Vol.20, No.1, pp. 6646-6648, 2013

    Abstract We report the first known case of concurrent partial cystectomy and cesarean delivery in a pregnant female with bladder pheochromocytoma. A 28-year-old G4P2 female presented at 28 weeks gestation with labile blood pressures requiring three antihypertensive medications. Urinary catecholamines were elevated, and a subsequent MRI showed a 2.6 cm x 3.2 cm bladder wall mass. She underwent combined cesarian section and partial cystectomy at 37 weeks. Fluid resuscitation and vasopressors were required in the immediate postoperative period. While bladder pheochromocytoma with pregnancy is a rare occurrence, concurrent delivery and removal of the bladder tumor can More >

  • Open Access

    ARTICLE

    Evaluation of potential embryo toxicity of albendazole sulphoxide in CF1 mice

    MIRIAM TERUEL1,2, JAQUELINE D’ERCOLE1 AND RODOLFO CATALANO2

    BIOCELL, Vol.35, No.1, pp. 29-34, 2011, DOI:10.32604/biocell.2011.35.029

    Abstract Benzimidazole compounds are used in both humans and animals for controlling helminth parasites. Albendazole has teratogenic effects attributed to its active metabolite albendazole sulphoxide. The aim of this work was to evaluate the effect of the latter compound when administered to pregnant CF1 mice during the preimplantation period. Females were superovulated by intraperitoneal injection of 10 IU of eCG and 10 IU of hCG (48h later) and were paired with males of proven fertility. Albendazole sulphoxide (200 mg/kg) was orally administered by gavages at day 1, 2 or 3 of pregnancy; the control group received More >

  • Open Access

    CASE REPORT

    Two cases of delayed patency following “failed” epididymovasostomy and subsequent percutaneous epididymal sperm aspiration

    J. Herman van Roijen

    Canadian Journal of Urology, Vol.17, No.1, pp. 5022-5025, 2010

    Abstract Summary: We describe two patients who underwent bilateral epididymovasostomy and subsequent percutaneous epididymal sperm aspiration (PESA) because of persistent azoospermia, after which sperm returned to the ejaculates of both patients, resulting in an unexpected natural pregnancy in one of the couples.
    Patients: Two men, Patient A (age 35 years) and Patient B (age 37 years), underwent vasectomy reversal 8 and 9 years following vasectomies, respectively. In both cases, bilateral epididymovasostomy was required due to epididymal obstruction. Semen analysis was performed at 3 month intervals following the procedure. Both patients underwent PESA, and one couple completed intracytoplasmic sperm… More >

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