Pediatric cardiology
-
Pediatric cardiology · Jul 1992
Case ReportsBalloon atrial septostomy under transesophageal echocardiographic guidance.
Balloon atrial septostomy is an established method of palliation for several forms of congenital heart disease. Previously performed under fluoroscopic x-ray control, recent reports have demonstrated the utility of transthoracic echocardiographic monitoring. We report the first application of uniplane transesophageal echocardiography (TEE) (6.7-mm probe) as an alternative imaging modality for control of balloon atrial septostomy on neonates in the intensive care unit.
-
Pediatric cardiology · Apr 1992
Case ReportsCor triatriatum associated with total anomalous pulmonary venous drainage in the setting of mitral atresia and a restrictive interatrial communication.
A rare variant of cor triatriatum is described in which the proximal "accessory" chamber received all four pulmonary veins and drained into the levoatriocardinal vein and then into the innominate vein. The distal "true" chamber contained the left atrial appendage. The left atrioventricular valve was atretic and the interatrial septum was restrictive.
-
Pediatric cardiology · Jul 1991
Open heart surgery in children of Jehovah's Witnesses: extreme hemodilution on cardiopulmonary bypass.
Between January 1979 and July 1989, 15 children of Jehovah's Witnesses underwent corrective open surgery for congenital heart disease (CHD) on cardiopulmonary bypass (CPB). Ages ranged from 1.5-17 years and body weight from 9.1-63 kg, with five patients weighing less than 15 kg. Eight children were cyanotic, and two of them had had previous thoracic operations. ⋯ There was one postoperative death, not related to the technique. Our results demonstrate that bloodless cardiac surgery on bypass is feasible in children as shown in this special group of children of Jehovah's Witnesses. Knowing the risks of homologous blood transfusion this technique should be used more extensively in the future.
-
Pediatric cardiology · Jan 1991
Case ReportsAberrant left pulmonary artery with tracheal stenosis without vascular sling.
We report a case of abnormal origin of the left pulmonary artery from the right pulmonary artery, associated with tracheal stenosis but with no vascular sling. This is the first such case, to our knowledge, without vascular sling.
-
Pediatric cardiology · Jan 1987
Case ReportsA rare case of double aortic arch: right thoracotomy and residual retroesophageal aortic arch.
The case of a 2-year-old boy with tetralogy of Fallot and a complete double aortic arch (both arches patent) is reported. The left dominant aortic arch ran retroesophageally to the right and joined with the right smaller arch to form the descending thoracic aorta on the right side. We employed a right thoracotomy and performed a division of the right nondominant arch at the connection with the descending aorta. The surgical implications of an unusual type of double aortic arch are discussed.