Turk Pediatri Arsivi-turkish Archives of Pediatrics最新文献

{"title":"Çocuklarda ilaç uygulama hatalarının önlenmesine yönelik yöntemlerin etkinliği","authors":"S. Özkan, Gülseren Kocaman, Candan Öztürk","doi":"10.4274/TPA.540","DOIUrl":"https://doi.org/10.4274/TPA.540","url":null,"abstract":"Amac: Cocuklar ilac hatalari acisindan riskli bir topluluktur Bu toplulugun gelisimsel ozellikleri bir cok ilacin cocuk formunun olmamasi ve sulandirilarak uygulanmasi hata riskini ve etkisini artirmaktadir Bu calismanin amaci cocuk ilac uygulama hatalarini azaltma girisimlerinin etkinliginin degerlendirilmesidir Gerec ve Yontem: Girisimsel ozellikteki bu arastirmanin verilerinin toplanmasinda gozlem yontemi kullanilmistir Girisim oncesinde 1 686 girisim sonrasinda 1 460 ilac dozu gozlemlenmistir Saptanan her hata nedenine yonelik onleme yontemleri uygulanmistir Girisim oncesi ve sonrasi verilerin degerlendirilmesi ki kare analizi ile yapilmistir Etik kuruldan B 30 2 0 82 00 00 1407 ve hastaneden B 30 2 0 70 10 00 3435 gerekli izinler alinmistir Butun hemsirelere calismanin amaci hakkinda bilgi verilmis ve butun hemsireler arastirmaya katilmayi kabul etmistir Bulgular: Girisim oncesi 28 2 olan hata orani girisim sonrasinda 21 4 rsquo;dur Ilac uygulama surecinde en sik zaman ve doz hatasi yapilmistir Girisim oncesi zaman hatasi orani 10 6 iken girisim sonrasi 7 doz hatasi orani 10 3 iken daha sonra 7 3 olmustur Girisim sonrasinda zaman hatasinda 3 6 ve doz hatasinda 3 oraninda anlamli bir azalma oldugu saptanmistir Is yuku ilacin gec gelmesi ve ilac uygulamalarina iliskin rehberlerin yetersizligi hataya en sik yol acan etmenlerdir Cikarimlar: Ilac uygulama hatalarini onleme girisimleri ile hata sikliginda azalma saglanmistir Sonuclarimiz ile uluslararasi diger calisma sonuclarinin benzerligi ilac uygulama hatalarinin evrensel bir sorun oldugunu desteklemektedir Bu calisma ilac uygulama hatalarinin cok etmenli oldugunu hataya yol acan etmenlerin anlasilmasi ve azaltilmasina yonelik yonetim uygulamalarinin kullanilmasini desteklemektedir Turk Ped Arfl 2013; 48: 299 302","PeriodicalId":23392,"journal":{"name":"Turk Pediatri Arsivi-turkish Archives of Pediatrics","volume":"13 1","pages":"299-302"},"PeriodicalIF":1.5,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84327667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An 18-month old male infant with respiratory distress","authors":"B. Kılıçaslan, Unal Paltaci, İ. Erol","doi":"10.4274/tpa.1444","DOIUrl":"https://doi.org/10.4274/tpa.1444","url":null,"abstract":"","PeriodicalId":23392,"journal":{"name":"Turk Pediatri Arsivi-turkish Archives of Pediatrics","volume":"30 1","pages":"345-346"},"PeriodicalIF":1.5,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83244548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Çocukluk çağında idiyopatik interstisyel pnömoniler: Tanı tedavi ve izlem","authors":"Guzin Cinel, Bora Gülhan, Nural Kiper, E. Yalçin, Deniz Doğru, Ugur Ozcelik, Diclehan Orhan","doi":"10.4274/TPA.297","DOIUrl":"https://doi.org/10.4274/TPA.297","url":null,"abstract":"Aim: There is not an exact consensus about the terminology classification therapy and follow up of childhood interstitial lung diseases because of its rarity and wide clinical spectrum The aims of this study are to describe the clinical features and follow up of our patients with idiopathic interstitial pneumonia on an appropriate terminology and popularize this group of illness because of having difficulties on diagnosis and therapy Material and Method: We investigated the files of patients who were diagnosed as interstitial lung diseases with lung biopsy between 1985 and 2009 retrospectively and the group that is classified as ldquo;idiopathic interstitial pneumonia rdquo; according to the European Respiratory Society Task Force is included Results: Ten patients 6 females 4 males with median age 10 8 years were diagnosed as idiopathic interstitial pneumonia with lung biopsies The most common complaintments were cough sputum expectoration failure to thrive cyanosis dyspnea and reduction on physical exertion Five patients had systemic steroid two patients had systemic steroid and hydroxychloroquine two patients had systemic steroid and cyclophosphamide and one patient had systemic steroid and azathioprine therapies Eight patients could be followed up regularly; three patients improved two patients are stable two patients had recurrence and one patient who had been diagnosed lately has end stage pulmonary disease Conclusions: Any child with a normal birth history presenting with the signs and symptoms suggestive of interstitial lung diseases lasting for three months should be evaluated for this disease Early diagnosis and treatment of childhood ILD has an important effect on prognosis Lung biopsy is necessary for histopathologic diagnosis; but it rsquo;s rarely performed The number of patients will increase with awareness of this disease To constitute appropriate diagnosis therapy and follow up consensus multicenter studies must be done Turk Arch Ped 2013; 48: 281 7","PeriodicalId":23392,"journal":{"name":"Turk Pediatri Arsivi-turkish Archives of Pediatrics","volume":"121 1","pages":"281-287"},"PeriodicalIF":1.5,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73001563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erken başlangıçlı Graves olgusu","authors":"Ayça Altıncık, Pinar Gencpinar, Korcan Demir, Gönül Çatlı, Ayhan Abaci, Ece Böber","doi":"10.4274/TPA.833","DOIUrl":"https://doi.org/10.4274/TPA.833","url":null,"abstract":"Graves rsquo; disease is an autoimmune disorder presenting with hyperthyroidism and the disease is rare in childhood Two year old female patient was admitted to our clinic for her evident orbital puffiness Physical examination revealed propitosis tachycardia and a hyperpigmented spot with a diameter of 6x4 cm on the skin of the left hemithorax Evaluation of thyroid function tests showed the following values: fT4: 4 00 ng dl N: 0 8 1 9 fT3: 7 7 pg ml N: 1 57 4 71 TSH: 0 004 uIU ml N: 0 4 5 anti thyroglobulin: lt;20 IU mL N: 0 50 anti thyroid peroxidase: 45 7 IU mL N: 0 50 To distinguish Graves rsquo; disease and Mc Cune Albright syndrome TSH receptor antibody TRAb level and bone survey X ray were evaluated The TRAb level was 57 IU L N: 0 9 and there was no finding consistent with fibrous dysplasia on bone X rays Propylthiouracil was started with the diagnosis of Graves rsquo; disease In her clinical follow up propylthiouracil was switched to methimazole because of a potential risk of hepatotoxicity TRAb titers remained high and propitosis persisted There was no evidence of ophthalmopathy on orbital magnetic resonance imaging MRI In this report we described a case with Graves rsquo; disease who presented with propitosis because the disease and its ocular manifestations occur rarer in children compared to adults Mc Cune Albright syndrome was also discussed as a differential diagnosis Turk Arch Ped 2013; 48: 332 5","PeriodicalId":23392,"journal":{"name":"Turk Pediatri Arsivi-turkish Archives of Pediatrics","volume":"31 1","pages":"332-335"},"PeriodicalIF":1.5,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78807505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nedeni bilinmeyen ateşle başvuran opere doğuştan kalp hastalığı olan hastada Coxiella Burnetii endokarditi","authors":"Özben Ceylan, Senem Özgür, U. Örün, Mahmut Keski̇n, Selmin Karademir, Filiz Şenocak","doi":"10.4274/TPA.942","DOIUrl":"https://doi.org/10.4274/TPA.942","url":null,"abstract":"Q fever is a zoonotic infection caused by Coxiella Burnetii Although it is usually asymptomatic acute form of disease may change from flu like illness to severe pneumonia Chronic form may present with vascular disease or endocarditis A 6 year old female patient from Sudan followed with the diagnosis of pulmonary atresia and ventricular septal defect was referred to our department because of stenosis in the conduit placed to right ventricular outflow during Rastelli operation performed in Sudan Six months ago in Jordan stenting was performed for conduit stenosis but was unsuccessful Because of long lasting fever she was treated for culture negative endocarditis in Sudan In physical examination fever and hepatosplenomegaly were present Laboratory findings revealed anemia leukopenia Coombs rsquo; positivity hypergamaglobulinemia and positive anticardiolipin antibodies but blood cultures were negative Different antibiotic protocols were administered for culture negative endocarditis for 2 months but fever persisted On 67 day of hospitalization positive antibody titers for Coxiella Burnetii were detected and doxycycline and hydroxychloroquine were started Here a case of chronic Q fever due to Coxiella burnetii which is a rare cause of culture negative endocarditis is presented Turk Arch Ped 2013; 48: 339 41","PeriodicalId":23392,"journal":{"name":"Turk Pediatri Arsivi-turkish Archives of Pediatrics","volume":"229 1","pages":"339-341"},"PeriodicalIF":1.5,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90174168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jel yakıtına bağlı derin yüz yanığı gelişen bir çocuk olgu","authors":"Aybars Ozkan, Ali O Katranci, Mesut Okur, Murat Kaya, Adem Kucuk","doi":"10.4274/TPA.1177","DOIUrl":"https://doi.org/10.4274/TPA.1177","url":null,"abstract":"Sayin Editor Metil alkol iceren jel yakitlarin kullanildigi kamp ve piknik ocaklari cok kullanisli urunler olmasina ragmen dikkatli kullanilmadigi zaman cok buyuk sorunlara neden olabilir Bu yazida jel yakit kullanimi sonucu yuzunde ikinci derece derin yanik meydana gelen cocuk olgu piknik ocaklarinda kullanilan bu tur yakitlarin dikkatli kullanilmasi gerektigini vurgulamak amaciyla sunuldu Oncesinde herhangi bir saglik sorunu olmayan bes yasindaki erkek cocuk yuz yanigi nedeniyle acil servise getirildi Ailesiyle birlikte piknik sirasinda jel yakit ile piknik ocagi yakilirken patlama meydana geldigi ogrenildi Getirilmeden once yuzu su ile yikanmis ve sogutulma uygulanmisti Oz ve soy gecmisinde ozellik yoktu Yasam bulgulari normaldi Fizik muayenesinde yuzun tamaminda ve boynun bir kisminda patlamis bullere ait doku artiklari iceren kizarti ve odem vardi Resim 1 Diger sistemlerin muayeneleri dogal idi Tam kan sayimi ve biyokimyasal tetkiklerinde bir anormallik saptanmadi Yaniga bagli yuzeysel ve ikinci derece derin yanik tanisi konulan hasta yatirildi Agrisi icin damardan meperidin alti saat arayla 0 5 mg kg uygulandi Yuzu serum fizyolojik ile yikandiktan sonra yapismayi onleyen bol yagli bolgesel etkili nitrofurazon iceren antibiyotikli krem emdirilmis gazli bezlerle pansuman yapildi Goz hastaliklari konsultasyonu sonrasi gozune yerel etkili steroidli damla tobramisin deksametazon baslandi Yatisinin besinci gunu genel durumu iyi olan hasta onerilerle taburcu edildi Sonraki izlemlerinde hastanin yuzunde bu yaniga bagli olarak hipertrofik skarlasma gelistigi gozlendi Alev yaniklari olum oraninin yuksek oldugu ve cerrahi mudahale gereksiniminin fazla oldugu yaniklaridir 1 Jel yakiti denen metil alkol iceren jel yakitlar ucuz ve kolay elde edilebilen urunlerdir Bu yakitlarin sonup sonmedigi tam olarak anlasilamadigi icin yanlislikla agzi kapatildiginda patlama olusabilir Yapistigi yuzeylerde yanmaya devam ettigi icin normal yaniklara gore daha derin ve ciddi yaniklar olusturabilir Yanik olumlere ve sakatliklara yol acabilen hem cocuk hem de ailesi acisindan maddi ve manevi sorunlar yaratan bir durumdur Hastalik ve olume etki eden onemli etmenler hastanin yasi yanik yuzey alani ve yanigin derinligidir 2 Yanikli hastalarin tedavisi yogun bakim kosullarinin ve egitimli calisan gerektirdiginden zahmetli ve pahalidir Ayrica fiziksel ve psikolojik sorunlarin tedavisi icin uzun rehabilitasyon ve tekrarlayan mudahaleler gerekebilmektedir Yaniklarin buyuk bir cogunlugu kaza sonucu meydana gelmektedir Bu nedenle risk etmenlerini belirleyerek kazalarin olusumunu engellemek cok daha etkili olacaktir 3 En sik sicak su ve sivilara bagli olarak yanik meydana gelir Bunu alev ve elektrik yaniklari izler Ulkemizde yapilan bir calismada yanik etkenleri 70 2 olguda sicak su ve sivi 19 9 olguda alev ve 8 8 olguda elektrik olarak bildirilmistir 4 Cocuk yanik olgularinin buyuk cogunlugu alti yasin altindadir ve erkek cocuklarda daha siktir 1 Bu yas grubundaki cocuklar cevre","PeriodicalId":23392,"journal":{"name":"Turk Pediatri Arsivi-turkish Archives of Pediatrics","volume":"81 24","pages":"350-351"},"PeriodicalIF":1.5,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4274/TPA.1177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72543299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alt solunum yolu enfeksiyonu olan çocuklarda solunum yolu viral etkenlerinin sıklığı","authors":"Sinem Akçalı, Nisel Yılmaz, Ozlem Guler, Tamer Şanlıdağ, M. Anıl","doi":"10.4274/TPA.493","DOIUrl":"https://doi.org/10.4274/TPA.493","url":null,"abstract":"Amac: Alt solunum yolu enfeksiyonlari cocuklarda sik gorulur ve ozellikle erken cocukluk caginda olum orani yuksektir Bu arastirmada bolgemizde alt solunum yolu enfeksiyonlari belirtileri bulunan cocuklarda solunum yolu viral etkenlerinin sikliginin belirlenmesi amaclanmistir Gerec ve Yontem: Calisma grubu Ekim 2009 Mart 2010 tarihleri arasinda alt solunum yolu enfeksiyonlari belirtileri ile hastaneye basvuran 160 cocuktan ort 14 6 ay olusturulmustur Bu cocuklardan alinan bogaz suruntu orneklerinde respiratuar sinsityal virus A B influenza virus A B parainfluenza virus 1 2 3 4 insan metapnomovirus rinovirus ve koronavirus OC43 229E varligi real time PCR yontemiyle [The RealAccurateTM Respiratory RT PCR Kit PathoFinder BV Hollanda ] arastirilmistir Bulgular: Orneklerin 67 rsquo;sinde 41 8 alt solunum yolu enfeksiyonlari belirtilerine neden olabilecek bir viral etken saptanmistir Respiratuar sinsityal virus 61 2 rsquo;lik oranla 41 67 en sik saptanan virus olmustur Bunu 35 8 24 67 ile rinovirusler izlemektedir Dort ornekte 5 koronavirus iki ornekte 2 9 ldquo;insan metapnomovirus rdquo; bir ornekte de 1 4 parainfluenza virus diger viral etkenler olarak belirlenmistir Birlikte enfeksiyon sikliklari degerlendirildiginde dort ornekte respiratuar sinsityal virus rinovirus birlikteligi bir ornekte respiratuar sinsityal virus koronavirus birlikteligi bir ornekte rinovirus koronavirus birlikteligi bir ornekte de respiratuar sinsityal virus rinovirus koronavirus birlikteligi saptanmistir Cikarimlar: Calisma grubunun 41 8 rsquo;inde klinik belirtilerden sorumlu olabilecek bir viral etken saptanmistir Bu nedenle viral solunum yolu enfeksiyonlarina neden olan viruslerin hizli ve duyarli tanisi gereksiz antibiyotik kullaniminin engellenebilmesi ve bu viruslerin neden olabilecekleri hastane enfeksiyonlarinin onlenebilmesi acisindan klinisyene yol gosterici olacaktir Turk Ped Arfl 2013; 48: 215 20","PeriodicalId":23392,"journal":{"name":"Turk Pediatri Arsivi-turkish Archives of Pediatrics","volume":"15 1","pages":"215-220"},"PeriodicalIF":1.5,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80958754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Doğuştan hidrosefalinin nadir bir nedeni olarak tip 1 plazminojen eksikliği","authors":"Ali Annagür, Hüseyin Altunhan, Orhan Ozbek, B. Ozturk, Rahmi Örs","doi":"10.4274/TPA.618","DOIUrl":"https://doi.org/10.4274/TPA.618","url":null,"abstract":"Severe type I plasminogen PLG deficiency is a rarely seen autosomal recessive disease that causes chronic inflammation in mucous membranes primarily eye membranes The most commonly encountered clinical manifestation is ligneous conjunctivitis In these patients congenital occlusive hydrocephaly may rarely be observed In this report we presented a newborn who had hydrocephaly in the prenatal period and presence of severe PLG deficiency was detected after birth We found that the same disease was present in two children of the family and in the aunt of the newborn and discussed this situation It should be kept in mind that PLG deficiency may also be present in cases with occlusive hydrocephaly and especially in newborns with the diagnosis of ligneous conjunctivitis and with familial history of ligneous conjunctivitis Turk Arch Ped 2013; 48: 248 250","PeriodicalId":23392,"journal":{"name":"Turk Pediatri Arsivi-turkish Archives of Pediatrics","volume":"18 1","pages":"248-250"},"PeriodicalIF":1.5,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89590056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hiperkalsiüri ve selektif argininüri birlikteliğinde ailesel böbrek glükozüri olgusu","authors":"Aysel Vehapoglu Turkmen, Mustafa Nursoy, Serdar Türkmen, Mehmet Yazici","doi":"10.4274/TPA.486","DOIUrl":"https://doi.org/10.4274/TPA.486","url":null,"abstract":"Hidrosefali degisik hastalik durumlarinda ortaya cikan ventrikullerde genisleme ve beyin omurilik sivisi basincinin artmasi ile belirgin bir bulgudur Beyin omurilik sivisi akimini duzeltmek icin en sik uygulanan yontem ventrikulo peritoneal sant vasitasiyla beyin omurilik sivisinin periton icine bosaltilmasidir Şant kullaniminda en sik karsilasilan komplikasyon enfeksiyon veya tikanmaya bagli olarak santin islev bozuklugudur Kendiliginden kolon perforasyonu nadir gorulen bir komplikasyondur Bu yazida yenidogan doneminde hidrosefali saptandiktan sonra ventrikulo peritoneal sant uygulamasi yapilan ve sant kateterinin anusten ciktigi gorulen iki olguyu sunduk ve iki olgu nedeni ile hidrosefalik cocuklarda ventrikulo peritoneal sant komplikasyonlarini ve bunlarin icerisinde kolon delinmesinin onemini tartismayi amacladik Turk Ped Arfl 2013; 48: 255 8","PeriodicalId":23392,"journal":{"name":"Turk Pediatri Arsivi-turkish Archives of Pediatrics","volume":"108 1","pages":"263-264"},"PeriodicalIF":1.5,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81369119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atriyal flattere neden olan hamak mitral kapak: Üç aylık bebek olgu","authors":"F. Tunaoglu, Ayşe Yıldırım, A. Akça","doi":"10.4274/TPA.570","DOIUrl":"https://doi.org/10.4274/TPA.570","url":null,"abstract":"Hammock mitral valve is a very rare congenital valve disorder It may lead to mitral stenosis or insufficiency in the pediatric age group These patients generally present with the symptoms of congestive heart failure or sometimes sudden death may occur Our case was a 3 month old female infant who presented to our clinic with the symptoms of heart failure Her cardiac evaluation revealed hammock mitral valve left atrial dilatation severe mitral valve insufficiency and atrial flutter In contrast to adult patients atrial flutter is a very rare type of cardiac aryhtmia in the pediatric age group We present this case because no such case with atrial flutter resulting from hammock mitral valve has been reported in the literature Turk Arch Ped 2013; 48: 244 247","PeriodicalId":23392,"journal":{"name":"Turk Pediatri Arsivi-turkish Archives of Pediatrics","volume":"1 1","pages":"244-247"},"PeriodicalIF":1.5,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78482084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}