30 results on '"Gruszka, T."'
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2. Hydromechanical Sheet Forming (AHU ® ) - An Innovative Process for the Production of Autobody Parts of New and Further Developed Steel Materials
- Author
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Gruszka, T., Lenzen, F.-J., Rösen, H., Donhauser, Ch., and Stümke, A.
- Published
- 2000
3. Tumory srdce u dětí.
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Molnárová, A., Pavlíček, J., Tomek, V., Klásková, E., Wiedermannová, H., and Gruszka, T.
- Abstract
Copyright of Czecho-Slovak Pediatrics / Česko-Slovenská Pediatrie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
4. Infekční endokarditida s embolizací vegetace do centrální nervové soustavy.
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Pavlíček, J., Molnárová, A., Ptáček, M., Hanzlíková, P., Polanská, S., Gruszka, T., and Hla-Dík, M.
- Abstract
Copyright of Czecho-Slovak Pediatrics / Česko-Slovenská Pediatrie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
5. Akutní myokarditida u dospívajících.
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Mlynárová, S., Polanská, S., Pavlíček, J., Hanzlíková, P., Širůček, P., Gruszka, T., and Hladík, M.
- Subjects
MYOCARDITIS ,ETIOLOGY of diseases ,CHEST pain ,COXSACKIEVIRUS diseases ,DISEASE complications ,HEART function tests - Abstract
Copyright of Czecho-Slovak Pediatrics / Česko-Slovenská Pediatrie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
6. Je koarktace aorty v pediatrii rizikovou diagnózou?
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Pavlíček, J., Klásková, E., Kaprálová, S., Palátová, A., Doležálková, E., Piegzová, A., Špaček, R., Wiedermannová, H., Burčková, H., and Gruszka, T.
- Subjects
CHILDREN'S health ,AORTIC coarctation ,PEDIATRICS ,AORTA ,PROGNOSIS - Abstract
Copyright of Czecho-Slovak Pediatrics / Česko-Slovenská Pediatrie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
7. Echogenní fokusy fetálního srdce z pohledu dětského kardiologa.
- Author
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Pavlíček, J., Klásková, E., Kaprálová, S., Doležálková, E., Matura, D., Špaček, R., Piegzová, A., Gruszka, T., and Procházka, M.
- Published
- 2019
8. Výskyt vrozených srdečních vad - dopad prenatální diagnostiky.
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Pavlíček, J., Klásková, E., Kaprálová, S., Zaoral, T., Trávníček, B., Šilhánová, E., Kaniová, R., Polanská, S., Mužná, A., and Gruszka, T.
- Abstract
Copyright of Czecho-Slovak Pediatrics / Česko-Slovenská Pediatrie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
9. Vývoj prenatální diagnostiky vrozených srdečních vad, zisk z jednotlivých ultrazvukových projekcí.
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Pavlíček, J., Klásková, E., Doležálková, E., Matura, D., Špaček, R., Gruszka, T., Polanská, S., and Procházka, M.
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- 2018
10. Ektopie srdce -- kazuistika.
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Pannová, J., Kováčová, H., Matura, D., Gruszka, T., Pavlíček, J., and Delongová, P.
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- 2015
11. Hydromechanical Sheet Forming (AHU®) -an Innovative Process for the Production of Autobody Parts of New and Further Developed Steel Materials
- Author
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Gruszka, T., primary, Lenze, F.-J., additional, Rösen, H., additional, Donhauser, Ch., additional, and Stümke, A., additional
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- 2000
- Full Text
- View/download PDF
12. Rizikové faktory v anamnéze tĕhotných žen při prenatálním screeningu vrozených srdečních vad.
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Pavlíček, J., Gruszka, T., and Jabůrek, L.
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- 2011
13. Trikuspidální regurgitace u plodu.
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Pavlíček, J., Gruszka, T., Matura, D., Pětroš, M., and Jabůrek, L.
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- 2011
14. The incidence of congenital heart defects – The impact of prenatal diagnosis,Výskyt vrozených srdečních vad – Dopad prenatální diagnostiky
- Author
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Pavlíček, J., Klásková, E., Kaprálová, S., Zaoral, T., Trávníček, B., Šilhánová, E., Romana Kaniova, Polanská, S., Mužná, A., and Gruszka, T.
15. Development of prenatal diagnostics of congenital heart defects, profit of standardized scanning planes,Vývoj prenatální diagnostiky vrozených srdečních vad, zisk z jednotlivých ultrazvukových projekcí
- Author
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Pavlíček, J., Eva Klásková, Doležálková, E., Matura, D., Špaček, R., Gruszka, T., Polanská, S., and Procházka, M.
16. Induced polarization and its interaction with electromagnetic coupling in low-frequency geophysical exploration
- Author
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Gruszka, T
- Published
- 1987
17. Area of the right atrium of the fetal heart and its significance in fetuses with tricuspid regurgitation.
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Pavlicek J, Klaskova E, Salounova D, Tomaskova H, Piegzova A, Gruszka T, and Kacerovsky M
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- Pregnancy, Female, Humans, Ultrasonography, Prenatal, Fetal Heart diagnostic imaging, Heart Atria diagnostic imaging, Tricuspid Valve Insufficiency diagnostic imaging, Tricuspid Valve Insufficiency complications, Heart Defects, Congenital complications, Heart Defects, Congenital diagnostic imaging
- Abstract
Objectives: The first aim was to develop a nomogram for the area of the right atrium (ARA) of the fetal heart in uncomplicated singleton pregnancies. The second aim was to assess diagnostic indices of ARA to distinguish between tricuspid regurgitation (TR) with and without concomitant congenital heart defect (CDH)., Methods: The study was conducted between 2014 and 2019. Fetal echocardiography was performed on fetuses with and without TR. For the first aim, ARA was measured in 460 fetuses without proven structural and chromosomal abnormalities, and for the second aim, ARA was measured in 1077 fetuses with TR., Results: A nomogram for the ARA of fetuses with normal hearts was developed. TR was observed in 4.5% (1077/23,771) of euploid fetuses; 4.3% (1020/23,771) of fetuses had TR without a concomitant CHD, and 0.2% (57/23,771) fetuses had TR with a concomitant CHD. No significant differences in ARAs were found between fetuses with normal hearts without TR ( n = 22,694) and fetuses with TR without CHD ( n = 1020; p = .751). Fetuses with TR and CHDs had different ARA than fetuses with normal hearts without TR and fetuses with TR without CHD ( p < .0005 in both cases)., Conclusions: ARA seems to be an auxiliary marker to distinguish the presence of CHD in fetuses with TR.
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- 2022
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18. Major heart defects: the diagnostic evaluations of first-year-olds.
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Pavlicek J, Klaskova E, Kapralova S, Palatova AM, Piegzova A, Spacek R, and Gruszka T
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- Child, Cohort Studies, Cyanosis etiology, Female, Humans, Infant, Infant, Newborn, Pregnancy, Retrospective Studies, Heart Defects, Congenital diagnosis, Heart Septal Defects, Ventricular
- Abstract
Background: Severe or critical congenital heart defects (CHDs) constitute one third of the heart defect cases detected only after birth. These prenatally unrecognised defects usually manifest as cyanotic or acyanotic lesions and are diagnosed postnatally at various times. The aim of the study was to identify their clinical symptoms and determine individual risk periods for CHD manifestation., Methods: Data were assessed retrospectively based on a cohort of patients born between 2009 and 2018 in a population of 175,153 live births. Occurrence of the first symptoms of CHD was classified into: early neonatal (0-7 days), late neonatal (8-28 days), early infancy (1-6 months), or late infancy (6-12 months). The first symptom for which the child was referred to a paediatric cardiologist was defined as a symptom of CHD., Results: There were 598 major CHDs diagnosed in the studied region, 91% of which were isolated anomalies. A concomitant genetic disorder was diagnosed in 6% of the cases, while 3% presented extracardiac pathology with a normal karyotype. In total, 47% (282/598) of all CHDs were not identified prenatally. Of these, 74% (210/282) were diagnosed as early neonates, 16% (44/282) as late neonates, and 10% (28/282) as infants. The most common symptoms leading to the diagnosis of CHD were heart murmur (51%, 145/282) and cyanosis (26%, 73/282). Diagnosis after discharge from the hospital occurred in 12% (72/598) of all major CHDs. Ventricular septal defect and coarctation of the aorta constituted the majority of delayed diagnoses., Conclusions: In conclusion, murmur and cyanosis are the most common manifestations of prenatally undetected CHDs. Although most children with major CHDs are diagnosed as neonates, some patients are still discharged from the maternity hospital with an unidentified defect., (© 2021. The Author(s).)
- Published
- 2021
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19. Fetal heart rhabdomyomatosis: a single-center experience.
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Pavlicek J, Klaskova E, Kapralova S, Prochazka M, Vrtel R, Gruszka T, and Kacerovsky M
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- Child, Female, Fetal Heart diagnostic imaging, Humans, Infant, Newborn, Pregnancy, Retrospective Studies, Tuberous Sclerosis Complex 2 Protein genetics, Fetal Diseases diagnostic imaging, Fetal Diseases epidemiology, Fetal Diseases genetics, Prenatal Diagnosis
- Abstract
Objectives: The primary aim of the study was to evaluate the prevalence of fetal heart tumors in a single tertiary referral center over a period of 15 years. The secondary aim was to confirm the presence of tuberous sclerosis complex (TSC) through the evaluation of germline mutation in TSC1 / TSC2 and assess the outcomes in affected fetuses and newborns. Methods: A retrospective study was conducted between 2003 and 2017. Fetal echocardiography was performed in the second trimester of pregnancy in the study population. The identification of heart tumors and further follow-up were performed by a pediatric cardiologist. Molecular genetic analysis was conducted on fetuses and children in cases where TSC was suspected. Results: In total, 39,018 fetuses were examined between 2003 and 2017. Heart tumors were detected in nine fetuses and were diagnosed as rhabdomyoma in all cases. We identified mutations in one of the TSC1 or TSC2 genes in all cases with multiple rhabdomyomas (8/9). In all born children (5/9), the genetically confirmed diagnosis of TSC was established, and clinically pathological deposits in the brain were found. Conclusion: Fetal heart tumors are usually represented by rhabdomyomas having a good cardiac prognosis. However, rhabdomyoma is usually the first symptom of TSC with a subsequent brain disorder and impaired neurological development.
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- 2021
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20. Parents' request for termination of pregnancy due to a congenital heart defect of the fetus in a country with liberal interruption laws.
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Pavlicek J, Gruszka T, Polanska S, Dolezalkova E, Matura D, Spacek R, Simetka O, Salounova D, and Kacerovsky M
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- Echocardiography, Female, Fetus, Humans, Parents, Pregnancy, Retrospective Studies, Ultrasonography, Prenatal, Heart Defects, Congenital diagnostic imaging, Heart Defects, Congenital epidemiology
- Abstract
Objectives: This study aimed to evaluate the prenatal rate of congenital heart defects (CHDs) and the frequency of termination of pregnancy (TOP) due to a CHD, depending on the severity of the defect and concomitant diseases of the fetus. Methods: The data were assessed retrospectively between 2002 and 2017. Ultrasound examination was performed mostly in the second trimester. For analysis, the CHDs were divided into three groups of severity and three groups of fetus impairment. Results: A total of 40,885 fetuses underwent echocardiography. The CHDs were detected in 1.0% (398/40,885) and were an isolated anomaly in 69% (275/398). Forty-nine percent (197/398) of families decided to TOP. In all groups of severity, the rate of TOP rose linearly when comparing isolated defects and cases with associated morphological and genetic impairments. The TOP was significantly dependent on the associated anomalies in patients with the most correctable defects ( p < .001) and the severity of CHDs in isolated cases without any other impairment ( p < .001). Conclusion: The parents' decision to terminate increased with the severity of the defect and the associated anomalies of the fetus. The parents were mostly influenced by the associated anomalies when the CHD was correctable, and genetic factors played a more important role than morphological ones.
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- 2020
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21. Congenital fetal heart defect - an agreement between fetal echocardiography and autopsy findings.
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Pavlicek J, Tauber Z, Klaskova E, Cizkova K, Prochazka M, Delongova P, Stefunko B, Szotkovska I, Dvorackova J, and Gruszka T
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- Czech Republic, Female, Humans, Pregnancy, Retrospective Studies, Sensitivity and Specificity, Abortion, Induced, Autopsy, Fetal Diseases diagnostic imaging, Heart Defects, Congenital diagnostic imaging, Ultrasonography, Prenatal
- Abstract
Aims: To determine the frequency of pregnancy terminations due to prenatal congenital heart defect (CHD) and assess the agreement fetal echocardiography (FECHO) and autopsy findings., Methods: The data were retrospectively assessed between 2008 and 2017 in a population of 116 698 live births. The correlations between the FECHO and autopsy findings were classified into five levels of agreement: complete, partial, altered diagnosis, disagreement, and unfeasible autopsy., Results: Totally, 293 CHDs were identified and 49% of families (143/293) decided to terminate the pregnancy. In 1% (2/143) of cases, the autopsy could not be performed, for the other 99% (141/143), the pathologist confirmed the presence of CHDs. Complete agreement between FECHO and autopsy was achieved in 85% (122/143). In 10% (14/143) of cases, the pathologist found minor findings, which were not described in the FECHO. In 4% (5/143) of cases, the pathologist changed the main diagnosis., Conclusion: Altogether, the results indicated that FECHO is a highly sensitive method for the prenatal detection of CHD but is incapable of detecting the complete spectrum of cardiac defects. Autopsies verified the diagnosis, confirmed the overall impairment in the fetus, and provided data for further counselling of the affected family.
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- 2020
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22. Congenital heart defects according to the types of the risk factors - a single center experience.
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Pavlicek J, Klaskova E, Prochazka M, Dolezalkova E, Matura D, Spacek R, Simetka O, Gruszka T, Polanska S, and Kacerovsky M
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- Adult, Cohort Studies, Czech Republic epidemiology, Female, Humans, Infant, Newborn, Pregnancy, Prevalence, Retrospective Studies, Risk Factors, Heart Defects, Congenital epidemiology
- Abstract
Objective: The main aim of this study was to compare the prevalence of congenital heart defects (CHDs) between pregnant women with and those without the risk factors. The secondary aim was to determine the influence of the specific risk factors, divided into subgroups, on the development of the CHD. Methods: The presented results were obtained over the course of a 15-year study between years 2002 and 2016. Fetal echocardiography was performed as a planned screening examination during the second trimester of gravidity. A total of 35,831 singleton pregnancies were examined at our center. Risk factors for the development of CHDs were analyzed and divide into the following groups: (i) maternal age ≥35 years; (ii) mother-related risk factors; (iii) pregnancy- and fetus-related risk factors; (iv) pregnancy after in vitro fertilization (IVF); (v) history of CHDs in the first-degree family member; (vi) history of CHDs in the second-degree family member; and (vii) positive genetic family history. Results: The risk factors were identified in 25% (8990/35,831) of pregnancies. In total, CHDs were detected in 1.1% (394/35,831) of fetuses. The prevalence rate of CHDs was higher in the pregnancies with than in those without the risk factors (2.5% [221/8990] versus 0.6% [173/26,841]; p < .0001). The presence of pregnancy- and fetus-related risk factors (odds ratio [OR], 6.5; 95% confidence interval [CI], 4.3-9.7) and pregnancy after IVF (OR, 2.8; 95% CI, 1.5-5.2) were found to be independent risk factors of CHDs. Conclusions: The presence of specific risk factors is related to the increasing prevalence of CHDs. Pregnancy- and fetus-related risk factors and in vitro fertilization were found to be the independent risk factors of CHD.
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- 2019
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23. Echogenic foci in fetal heart from a pediatric cardiologists point of view.
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Pavlíček J, Klásková E, Kaprálová S, Doležálková E, Matura D, Špaček R, Piegzová A, Gruszka T, and Procházka M
- Subjects
- Cardiologists, Child, Female, Fetal Monitoring, Humans, Pregnancy, Pregnancy Trimester, Second, Retrospective Studies, Echocardiography, Fetal Heart diagnostic imaging, Heart Ventricles diagnostic imaging, Ultrasonography, Prenatal
- Abstract
Objectives: To evaluate the occurrence and the significance of echogenic foci in the fetal heart and to assess the prognosis of the fetus and child., Setting: Department of Pediatrics and Prenatal Cardiology, Department of Pediatrics, University Hospital, Faculty of Medicine, Ostrava., Design: Original article., Methods: A retrospective study was conducted between 2008-2017. Fetal echocardiography was performed in the second trimester of pregnancy in the study population. The identification of echogenic heart foci, and their follow up during and after the pregnancy were performed by a pediatric cardiologist., Results: In the monitored period, a total of 27,633 fetuses were examined. Isolated cardiac hyperechogenic foci were detected in 3% (829/27,633) of the fetuses. The foci was found in 93%, 5%, and 2% in the left ventricle, mainly in valvular apparatus of the mitral valve, in the both ventricles, and in the right ventricle, respectively. In 1% (11/829) of the fetuses with cardiac echogenic foci, the others concomitant pathologies (tricuspid regurgitation, extrasystoles, renal pathology) were found. No genetic abnormalities were detected in the fetuses with cardiac hyperechogenic foci., Conclusion: The echogenic focus in fetal heart is a relatively common, mostly insignificant finding, with any serious consequences for the fetus and the child.
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- 2019
24. Associations between congenital heart defects and genetic and morphological anomalies. The importance of prenatal screening.
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Pavlicek J, Gruszka T, Kapralova S, Prochazka M, Silhanova E, Kaniova R, Polanska S, Cernickova R, and Klaskova E
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- Autopsy, Chromosome Aberrations embryology, Echocardiography, Female, Gestational Age, Heart Defects, Congenital embryology, Heart Defects, Congenital mortality, Humans, Incidence, Infant, Newborn, Pregnancy, Pregnancy Outcome, Retrospective Studies, Ultrasonography, Prenatal, Heart Defects, Congenital diagnostic imaging, Prenatal Diagnosis statistics & numerical data
- Abstract
Aim: To study congenital heart defects (CHDs), evaluate their relation to extra-cardiac pathologies, and assess the significance of prenatal diagnostics for heart diseases., Methods: Data from 1999-2017 were analyzed for the incidence of significant CHDs in fetuses (prenatal ultrasound/echocardiography) and children, including, where applicable, autopsy data and genetic evaluation., Results: Among 220,400 fetuses, 819 (3.7 cases per 1000) significant CHDs were observed. Of the total, 53% (435/819) of CHDs were diagnosed prenatally. The heart defect was an isolated impairment in 78% (640/819), associated with a genetic impairment in 16% (128/819), and with extra-cardiac malformations without genetic pathology in 6% (51/819). Chromosomal aberrations were diagnosed prenatally in 70% (90/128) of those affected and extra-cardiac conditions in 86% (44/51). The CHD and genetic pathology association was more frequent prenatally [21% (90/435) vs. postnatally: 10% (38/384; P<0.0001)], as was the association between CHD with other extra-cardiac pathology and a normal karyotype [prenatally: 10% (44/435) vs. postnatally: 2% (7/384; P<0.0001)]., Conclusion: Heart defects are most frequently isolated, with genetic and other extra-cardiac anomalies in about one third of cases, significantly linked to prenatal diagnostics.
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- 2019
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25. [Development of prenatal diagnostics of congenital heart defects, profit of standardized scanning planes].
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Pavlíček J, Klásková E, Doležálková E, Matura D, Špaček R, Gruszka T, Polanská S, and Procházka M
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- Female, Humans, Pregnancy, Prenatal Diagnosis, Retrospective Studies, Fetal Heart, Heart Defects, Congenital diagnostic imaging, Ultrasonography, Prenatal
- Abstract
Objective: To audit the development and success rate of prenatal detection of congenital heart defects (CHDs), and to evaluate the effectiveness of diagnostics performed in standardized scanning planes., Setting: Department of Pediatrics, University Hospital Ostrava., Design: Retrospective study., Methods: Ultrasound examination of fetal heart (fetal echocardiography) was performed in the second trimester pregnancy. The observed region was the Moravian-Silesian region; the assessment was performed in the retrospective study performed between 2000- 2016. The knowledge of all significant heart defects in the region, processing of data from genetic reporting, further examination of all prenatal pathologies by a pediatric cardiologist, presence of a pediatric cardiologist at all autopsies, with a precise description of the defect, birth of a pathological new-born at a specialized centre. Analysis of detected CHDs was performed in relation to the ultrasound scans used., Results: During the monitored 17-year period, a total of 748 (3.8 cases per 1,000 foetuses) of prenatally identified and postnatally significant CHDs were observed in the total population of 198,300 foetuses. There were 53% (393/748) CHDs detected prenatally and 47% (355/748) of cases were not prenatally recognized. The effectiveness of CHD screening has improved progressively, from the initial 10% up to the current 74%. The best results were obtained using the basic four-chamber (4CH) scan; the results in practice gradually decreased, from the basic 4CH projection to the aortic arch., Conclusion: The effectiveness of prenatal detection of congenital heart defects gradually improves, namely in cases of hypoplasia and significant ventricular anomalies, with up to 100% prenatally detected cases in the past three years. The level of detection statistically decreases, from the four-chamber projection to out-flow tracts, great arteries and the aortic arch. Congenital heart defect is generally well detectable prenatally, and is usually observed as an isolated anomaly. The most important factors include a precise diagnosis, overall examination of the pregnancy and correct counselling provided for the affected family.
- Published
- 2018
26. Biventricular noncompaction cardiomyopathy with malignant arrhythmia as a cause of sudden death.
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Handlos P, Gruszka T, Staňková M, Marecová K, and Joukal M
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- Adolescent, Cardiomyopathies congenital, Endocardium pathology, Fibrosis, Heart Ventricles pathology, Humans, Hypertrophy, Male, Myocardium pathology, Myocytes, Cardiac pathology, Cardiomyopathies diagnosis, Death, Sudden, Cardiac etiology, Heart Defects, Congenital pathology, Tachycardia, Ventricular complications
- Published
- 2017
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27. [Ectopia cordis - case report].
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Pannová J, Kováčová H, Matura D, Gruszka T, Pavlíček J, and Delongová P
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- Adult, Diagnosis, Differential, Female, Gestational Age, Heart Defects, Congenital diagnostic imaging, Humans, Pregnancy, Ultrasonography, Prenatal, Ectopia Cordis diagnostic imaging, Hernia, Umbilical diagnostic imaging
- Abstract
Object: Case report of ectopia cordis in a fetus at 23 weeks gestation., Design: Case repor., Setting: Obstetrics and Gynecology Clinic, University of Ostrava and University Hospital in Ostrava., Methods and Results: We report a case of pentalogy of Cantrell variant in a 23-week fetus with an ultrasound finding of ectopia cordis, associated intracardial defects and omphalocele containing liver and guts. The patient opted for termination of pregnancy by using prostaglandins. Autopsy of the fetus revealed a cleft sternum and thoracic wall defect with nude ectopic heart-thoracic type and omphalocele containing liver and guts. Detailed examination of the heart revealed a double outlet right ventricle with a complete atrioventricular septal defect. Our study describes typical ultrasound findings in a correlation with autopsy findings., Conclusion: Ectopia cordis is a rare congenital malformation with an estimated incidence of 1:100 000 live births in developed countries. It is characterized by abnormal heart placement outside the thorax, mostly on the thoracoabdominal side. This form is often associated with pentalogy of Cantrell.
- Published
- 2015
28. [Risk factors in the medical history of pregnant women undergoing congenital heart defect prenatal screening].
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Pavlícek J, Gruszka T, and Jabůrek L
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- Adult, Female, Humans, Pregnancy, Risk Factors, Echocardiography, Heart Defects, Congenital diagnostic imaging, Ultrasonography, Prenatal
- Abstract
Aims: Evaluation of the congenital heart defects (CHDs) incidence and their prenatal detection rate in the Moravian-Silesian region. Presentation of fetal echocardiography as a screening method. Investigation of the relationship between risk factor and congenital heart defects., Methodology: Long-term study between 1999-2009. Overall evaluation of CHDs incidence and their follow-up and analysis of their link to possible risk factors. The data were collected from medical notes of the gynecologist and pediatric cardiologist in the region. Fetal echocardiography was performed as a primary screening during the second term of pregnancy. A number of 22 743 pregnant women were included in the study. When any pregnancy pathology detected, more detailed examination followed (extracardial diseases, chromosomal aberrations)., Results: In the observed period, there were a total of 453 significant CHD (3.55/1000 births). In prenatal phase 208 CHDs (45.9%) were diagnosed. At least one risk factor was mentioned in 15.9 % of the screened families. When compared with the group without and with any risk factor, the difference is significant (chi=7.28, p<0.0001). Mothers younger than 35 were compared with those aged 35 and older and the difference in values was not significant. However, generally, the probability of CHDs grow with age (GLM, z=2.468, p=0.013)., Conclusions: Prenatal detection of CHDs has the highest success rate as a rutine screening method during the second trimester of pregnancy. We confirmed the existence of a higher occurrence of the CHD in the group of pregnant women with a history of risk factors in comparison with the group without such a history. The risk families should be offered a detailed examination by paediatric cardiologist skilled in fetal echocardiography. Heart defects are the most common morphology anomalies, mostly occuring as an isolated issue.
- Published
- 2011
29. [Fetal tricuspid regurgitation].
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Pavlícek J, Gruszka T, Matura D, Petros M, and Jabůrek L
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- Female, Humans, Pregnancy, Echocardiography, Fetal Diseases diagnostic imaging, Tricuspid Valve Insufficiency diagnostic imaging, Ultrasonography, Prenatal
- Abstract
Aims: To study the incidence and significance of fetal tricuspid insufficiency (TI). Evaluation of this incidence of physiological fetuses and of fetuses with congenital heart defects (CHDs). Possibility of prediction the other significant heart pathology or pathology of fetal circulation of fetuses with tricuspid regurgitation (TR)., Methodology: The study was undertaken between June 2006 and 2010. Fetal echocardiography in the Moravian-Silesian region was mostly performed as a primary screening in the second term of pregnancy. The diameters of the right side of the heart (tricuspid valve annulus, pulmonary valve annulus, surface of the right atrium and diastolic size of the right ventricle) of fetuses with and without TI were evaluated. The pathology of the pregnancy was generally examined and delivery of the newborn was planned. The fetuses with TI were monitored and examined after delivery., Results: In the observed period, 8 896 pregnancies were examined and we diagnosed 90 significant CHDs. TR occurred in 178 (2%) fetuses. Out of them 20 (11%) fetuses had a defined CHD or significant heart arrhythmia. The most critical CHD with TR was hypoplastic left heart syndrome. TI was insignificant in 158 (89%) fetuses. Progression of the significance of TR with the color Doppler mapping correlated with increased speed of flow. The parameters of the right side of the heart of fetuses with TI do not significantly differ from that of fetuses with a normal tricuspid valve. After the delivery of fetuses with TI, no CHD or chromosomal aberrations were confirmed., Conclusions: The detection of fetal TI during pregnancy is possible. In some fetuses, there is TI connected with some other CHDs which might be detected by fetal echocardiography what provides us detailed description and diagnosis. TI was always insignificant after a CHD had been eliminated and this TR in the fetus did not significantly affect haemodynamics and did not predict any pathology.
- Published
- 2011
30. Hepaticojejunostomy vs. end-to-end biliary reconstructions in the treatment of iatrogenic bile duct injuries.
- Author
-
Jabłońska B, Lampe P, Olakowski M, Górka Z, Lekstan A, and Gruszka T
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Anastomosis, Roux-en-Y, Chi-Square Distribution, Female, Humans, Iatrogenic Disease, Male, Middle Aged, Postoperative Complications, Quality of Life, Reoperation, Retrospective Studies, Statistics, Nonparametric, Treatment Outcome, Anastomosis, Surgical, Bile Ducts injuries, Biliary Tract Surgical Procedures methods, Jejunum surgery
- Abstract
Background: Retrospective comparison of short- and long-term results and quality of life in patients treated for iatrogenic bile duct injuries (IBDI) with Roux-Y hepaticojejunostomy (HJ) or end-to-end ductal anastomosis (EE)., Methods: Between January 1990 and March 2005, 94 patients underwent reconstructive surgery for IBDI: 49, Roux-Y HJ, and 45, EE., Results: Early postoperative complications were observed in 12 (24.5%) patients undergoing HJ and three (6.7%) undergoing EE (p = 0.0239). Reoperations in the early postoperative period were performed in four (8%) patients after HJ and in zero patients after EE. Following HJ, one (2%) hospital death occurred due to acute circulatory insufficiency. Long-term results were evaluated in 69 (72%) patients. Postoperative mean weight gain was significantly higher after EE than HJ (p = 0.0191). Recurrent stricture was observed in two (5.3%) patients after HJ and three (9.6%) after EE (p = 0.6509). Terblanche long-term results were comparable in both groups (p = 0.3173). Good Karnofsky quality of life was comparable in both groups (p = 0.8377)., Conclusions: More early complications occurred after HJ than after EE. Long-term results were comparable after both reconstructive methods. After EE, patients achieved a higher weight gain than after HJ. Quality of life in both groups was comparable.
- Published
- 2009
- Full Text
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