WordNet

used of flowers having more than the usual number of petals in crowded or overlapping arrangements; "double chrysanthemums have many rows of petals and are usually spherical or hemispherical"
increase twofold; "The population doubled within 50 years" (同)duplicate
a base hit on which the batter stops safely at second base; "he hit a double to deep centerfield" (同)two-base hit, two-bagger, two-baser
someone who closely resembles a famous person (especially an actor); "he could be Gingrichs double"; "shes the very image of her mother" (同)image, look-alike
a stand-in for movie stars to perform dangerous stunts; "his first job in Hollywood was as a double for Clark Gable" (同)stunt man, stunt woman
a quantity that is twice as great as another; "36 is the double of 18"
twice as great or many; "ate a double portion"; "the dose is doubled"; "a twofold increase" (同)doubled, twofold, two-fold
consisting of or involving two parts or components usually in pairs; "an egg with a double yolk"; "a double (binary) star"; "double doors"; "dual controls for pilot and copilot"; "duple (or double) time consists of two (or a multiple of two) beats to a measure" (同)dual, duple
having more than one decidedly dissimilar aspects or qualities; "a double (or dual) role for an actor"; "the office of a clergyman is twofold; public preaching and private influence"- R.W.Emerson; "every episode has its double and treble meaning"-Frederick Harrison (同)dual, twofold, two-fold, treble, threefold, three-fold
having two meanings with intent to deceive; "a sly double meaning"; "spoke with forked tongue" (同)forked
bridge: make a demand for (a card or suit)
do double duty; serve two purposes or have two functions; "She doubles as his wife and secretary"
downward and forward; "he was bent double with pain"
hit a two-base hit
large enough for two; "a double bed"; "a double room"
two together; "some people sleep better double"
a chamber of the heart that receives blood from an atrium and pumps it to the arteries (同)heart_ventricle
one of four connected cavities in the brain; is continuous with the central canal of the spinal cord and contains cerebrospinal fluid
increase by a factor of two; "doubling with a computer took no time at all"
raising the stakes in a card game by a factor of 2; "I decided his double was a bluff" (同)double
an arm off of a larger body of water (often between rocky headlands) (同)recess
badminton played with two players on each side
tennis played with two players on each side

PrepTutorEJDIC

(数量・強さ・重さ・価値などが)『2倍の』,倍の / 『二重の』,二様の;複の,対の,2人用の / 表裏のある,二心ある / (意味が)二様にとれる,あいまいな / (花が)八重の,重弁の / 『2倍に』,2倍だけ(twice) / 二重に,二様に / 対をなして,二人いっしょに / 〈U〉『2倍』[の数量・価額など] / 〈C〉2倍のもの / 〈C〉よく似た人(物),生き写し / 〈C〉(映画の)代役 / 《複数形》《単数扱い》(テニスなどの)ダブルス / 〈C〉(獲物が追っ手を逃れるときなどの)逆走,急転回 / 〈C〉2塁打 / 〈C〉(ブリッジの点の)倍加 / 〈C〉(競馬・ドッグレースの)重勝式のかけ,複式 / …‘を'『2倍にする』 / …‘を'『二つ折りにする』 / …‘の'2倍の数(量)がある / 〈二役〉‘を'ひとりで演ずる / 〈船が〉〈岬〉‘を'回る / 『2倍になる』 / (…の役を)兼ねる《+『as』+『名』》 / (急に)取って返す,逆戻りする《+『back』》 / 二つ折りになる / (ブリッジで)相手のせり高を倍加する / 2塁打を打つ
(脳髄・喉頭などの)室,空洞,(心臓の)心室
入り江 / (水などの)入り口

UpToDate Contents

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1. 心室中隔欠損の心エコー評価 echocardiographic evaluation of ventricular septal defects
2. 先天性心疾患女性における妊娠：特定病変 pregnancy in women with congenital heart disease specific lesions
3. 食道の良性病変 benign lesions of the esophagus
4. 幼児および小児における孤立性心室中隔欠損の病態生理および臨床的特徴 pathophysiology and clinical features of isolated ventricular septal defects in infants and children
5. 房室（AV）管欠損のマネージメントおよび転帰 management and outcome of atrioventricular av canal defects

English Journal

Incidence of and risk factors for catheterization-induced complete heart block in the pediatric cardiac catheterization laboratory.

Mah DY1, Porras D, Bergersen L, Marshall AC, Walsh EP, Triedman JK.Author information 1Department of Cardiology, Boston Children's Hospital, MA; and Department of Pediatrics, Harvard Medical School, Boston, MA.AbstractBackground- The majority of the literature on catheterization-induced heart block (CIHB) was published >30 years ago. The field of cardiac catheterization has evolved, performing more interventional compared with diagnostic cases. We sought to determine the incidence and risk factors of CIHB. Methods and Results- A catheterization database that records the occurrence of adverse events on all cases was queried for heart block. Additional retrospective data on event outcome were collected on patients who developed CIHB. Multivariable logistic regression modeling was used to identify risk factors of CIHB (odds ratio, 95% confidence interval). In a 6-year period, 6183 cases were performed. The median weight was 15.0 (7.0-47.0) kg, with 29% consisting of infants <1 year. A total of 72% involved complex congenital heart disease. One hundred thirty-five cases were complicated by CIHB (2.2%; 95% confidence interval, 1.9-2.6). Age <1 year (3.0; 2.2-4.3) and case duration ≥2 hours (3.4; 2.0-6.0) were risk factors of CIHB; cardiac anatomy and intervention performed were not. A total of 96% of CIHB recovered within 1 week but 6 patients underwent pacemaker placement (3 L-loop ventricles, 2 intracardiac devices, 1 double inlet-double outlet RV). Of these, 50% recovered atrioventricular nodal conduction within 1 month; 2 patients with L-loop ventricles and 1 patient with a left ventricular-to-right atrial device did not recover. Conclusions- The incidence of CIHB in the pediatric cardiac catheterization laboratory is low at 2.2%. Risk factors include young age and long case duration. The recovery of atrioventricular nodal function after CIHB is high and follows a similar time course to that of postsurgical heart block.
Circulation. Arrhythmia and electrophysiology.Circ Arrhythm Electrophysiol.2014 Feb 1;7(1):127-33. doi: 10.1161/CIRCEP.113.000731. Epub 2014 Jan 1.
Background- The majority of the literature on catheterization-induced heart block (CIHB) was published >30 years ago. The field of cardiac catheterization has evolved, performing more interventional compared with diagnostic cases. We sought to determine the incidence and risk factors of CIHB. Met
PMID 24382412

Outcomes of Damus-Kaye-Stansel anastomosis at time of cavopulmonary connection in single ventricle patients at risk of developing systemic ventricular outflow tract obstruction.

Alsoufi B1, Al-Wadai A, Khan M, Al-Ahmadi M, Kalloghlian A, Bulbul Z, Al-Fayyadh M, Al-Halees Z.Author information 1The Heart Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.AbstractOBJECTIVES: Children with various single ventricle anomalies are at risk of developing systemic ventricular outflow tract obstruction (SVOTO) following volume unloading with cavopulmonary connection (CPC). We aim to evaluate the value of Damus-Kaye-Stansel (DKS) anastomosis at the time of CPC in eliminating late SVOTO risk.
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.Eur J Cardiothorac Surg.2014 Jan;45(1):77-82. doi: 10.1093/ejcts/ezt251. Epub 2013 May 9.
OBJECTIVES: Children with various single ventricle anomalies are at risk of developing systemic ventricular outflow tract obstruction (SVOTO) following volume unloading with cavopulmonary connection (CPC). We aim to evaluate the value of Damus-Kaye-Stansel (DKS) anastomosis at the time of CPC in eli
PMID 23660552

The failing Fontan: what's NEXT...?

Sanders DB1, Sowell SR, Park SS, Derby C, Willis BC, Lane JE, Pierce CN, Arabia FA, Pophal SG, Nigro JJ.Author information 11Scott and Laura Eller Congenital Heart Center, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.AbstractThe Fontan procedure represents the final stage of the transition to single ventricle physiology. Conversion of very complex congenital heart anatomy, such as hypoplastic left heart syndrome, double-outlet right ventricle or double-inlet left ventricle, to a single ventricle has grown in popularity as morbidity and mortality have improved. As these patients grow, survivors are at risk for impaired ventricular dysfunction, plastic bronchitis, protein-losing enteropathy and late failure. Late failing Fontan patients represent a particularly vexing scenario for clinicians, as the only durable treatment option is cardiac transplantation. However, in the short-term, some of these patients require support beyond medical management, with mechanical circulatory support via extracorporeal life support or a ventricular assist device. We report the successful bridge of an adolescent female post-Fontan conversion with late severe cardiac failure. The patient was initially resuscitated with extracorporeal life support, transitioned to a single Berlin Heart EXCOR® ventricular assist device and, subsequently, underwent successful cardiac transplantation.
Perfusion.Perfusion.2014 Jan;29(1):89-93. doi: 10.1177/0267659113495913. Epub 2013 Jul 10.
The Fontan procedure represents the final stage of the transition to single ventricle physiology. Conversion of very complex congenital heart anatomy, such as hypoplastic left heart syndrome, double-outlet right ventricle or double-inlet left ventricle, to a single ventricle has grown in popularity
PMID 23842614

Japanese Journal

Fontan Completion Following Flow Adjustable Bilateral Pulmonary Artery Banding

Yoshii Takeshi,Miyamoto Takashi,Inui Akitoshi,Tanaka Yuuki,Yoshitake Shuichi,Seki Mitsuru,Kobayashi Tomio
International Heart Journal 55(6), 552-554, 2014
… The patient had a double-inlet left ventricle, a hypoplastic right ventricle, a hypoplastic aortic arch, and coarctation of the aorta. …
NAID 130004699230