{"title":"Organized intra-atrial thrombus in growing premature infant.","authors":"J Sharma, A Kazi, D Lei","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report interesting echocardiographic images of the atrial septum in two growing premature infants related to the previous use of umbilical venous lines in the neonatal period. Complications related to central venous lines are well documented but when they are identified in follow up after several months, their relevance is difficult to establish. Atrial septal findings of organized clot in these asymptomatic infants needs to be correlated with details of neonatal care.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"11 3","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30488943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Isolated subpulmonary membrane causing critical neonatal pulmonary stenosis with concordant atrioventricular and ventriculoarterial connections.","authors":"M Tomar, S Radhakrishnan, R Sharma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a rare case of isolated subpulmonary membrane leading to critical pulmonary stenosis in an infant. This anomaly needs to be differentiated from valvar pulmonary stenosis as both anomalies require different modality of treatment (surgical/catheter).</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"11 3","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30488944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Coronary artery grafting in infants.","authors":"Mr Gopal, S Maskari, S Zacharias, J Valliathu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Coronary artery bypass grafting (CABG) with cardiac vale repair is an uncommon surgery in infants. CABG is technically demanding in infants due to the small size not only of the coronary arteries but also the potential graft arteries. The short and long-term outcome of surgery is not known and thus has largely been avoided.</p><p><strong>Results: </strong>We report the case histories of two infants in whom CABG was undertaken successfully as a life-saving measure. Case 1: This infant needed an arterial switch operation after which the right coronary artery (RCA) was stenosed resulting in low cardiac output. After the right internal mammary artery (RIMA) was used to anastamose the RCA, the hemodynamic status improved drastically. Case 2: This infant underwent surgical correction for Anomalous Left Coronary Artery from Pulmonary Artery (ALCAPA). Postoperatively, she was in low cardiac output. She was found to have an occluded left coronary artery and mitral regurgitation (MR). After she underwent left internal mammary artery (LIMA) to Left Anterior Descending (LAD) anastamosis and mitral valve repair, the clinical condition improved dramatically.</p><p><strong>Conclusion: </strong>CABG is an uncommon operation in infants. This surgery is technically difficult. The long term results are not known and there are very few reports for the same. Though such an operation is best avoided, it can be used as a desperate life saving measure.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"11 2","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30488443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Asymptomatic cardiac rhabdomyoma in neonates: is surgery indicated?","authors":"B Etuwewe, Cm John, M Abdelaziz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Neonatal Tuberose sclerosis complex may be associated with symptomatic cardiac rhabdomyomas. Cardiac rhabdomyomas are the most common cardiac tumours. The symptoms include haemodynamic instability and life threatening arrhythmias usually requiring early surgical intervention.</p><p><strong>Results: </strong>We report a case of a 32 week gestation newborn diagnosed with a right ventricular outflow tract mass and subsequently diagnosed with tuberose sclerosis that needed early surgical intervention.</p><p><strong>Conclusion: </strong>While this case needed early intervention, the need for surgical intervention in otherwise asymptomatic cases is debatable as neonatal cardiac rhabdomyomas can spontaneously regress.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"11 2","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30488442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unusual case of ruptured sinus of Valsalva: rupture into left ventricle cavity along with distortion of mitral valve requiring double valve replacement.","authors":"M Tomar, S Radhakrishnan, S Kaushal, Ks Iyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a rare case of sinus of Valsalva aneurysm of left aortic sinus, which was bulging into left atrium (LA) distorting mitral valve and rupture into the left ventricle with severe aortic regurgitation in a 25 years old male patient. Due to the rupture, both aortic and mitral valves were irreparable and required a double valve replacement along with the closure of the neck of the aneurysmal cavity occupying the left atrial roof.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"11 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30488440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The chest x-ray in congenital heart disease 1. Total anomalous pulmonary venous drainage and coarctation of the aorta.","authors":"J Somerville, V Grech","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"11 1","pages":"7-9"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30488441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Balloon assisted technique for closure of large atrial septal defects.","authors":"B Dalvi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Amplatzer device closure of large atrial septal defects is challenging. A large device tends to malalign with the plane of the interatrial septum or prolapses through the defect. We describe a balloon assisted technique which has been successfully used in over 300 cases without a single technical failure.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"10 4","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30488439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
U Trieschmann, M Kruessell, Udink Ten F Cate, N Sreeram
{"title":"Central venous catheters in children and neonates (Part 3) - Access via the femoral vein.","authors":"U Trieschmann, M Kruessell, Udink Ten F Cate, N Sreeram","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Central venous access via the femoral vein (FV) is safe, relatively easy and very usual in infants and children undergoing cardiac surgery for congenital heart disease. It has a low insertion-related complication rate.</p><p><strong>Results: </strong>It is therefore a good choice for short-term central venous lines and a preferred insertion site for less experienced staff. The maintenance-related complications of thrombus formation and infections are higher compared to the internal jugular and the subclavian venous access.</p><p><strong>Conclusions: </strong>Some of these complications are reduced by the use of heparin bonded catheters, routine use of antibiotics, and timely removal of these lines in patients with persistent signs of infection but without another focus being defined.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"10 3","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2008-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30488436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tachyarrhythmia: Presenting symptom of cardiac tumour.","authors":"V Karuppaswamy, A Shauq, G Gladman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Cardiac arrhythmia in an apparently healthy heart needs a detailed anatomical investigation to detect any unsuspected anomalies such as cardiomyopathy and cardiac tumours.</p><p><strong>Results: </strong>We report cardiac tumours as a cause of tachyarrhythmias.</p><p><strong>Conclusion: </strong>Cardiac tumours are rare in childhood and should be considered as part of the differential diagnosis in a child presenting with cardiac signs and symptoms and treatment should be individualised for each patient.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"10 3","pages":"10-6"},"PeriodicalIF":0.0,"publicationDate":"2008-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30488437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}