Cardiology in the young
-
Cardiology in the young · Feb 2013
Review Case ReportsAortic arch thrombectomy in a 2.8 kilogram neonate--a case report and review of the literature.
Aortic arch thrombus is a rare occurrence in neonates. In the few described cases, this has mainly been associated with sepsis or early postnatal interventions, such as insertion of umbilical arterial line. We describe a case of occlusive aortic arch thrombus in a neonate who presented with signs of critical coarctation and successfully underwent surgical thrombectomy on deep hypothermic circulatory arrest. We also present a review of the most recently published cases of aortic arch thrombus in neonates and the treatment options employed.
-
Cardiology in the young · Feb 2013
Observational StudyManagement and outcome of Ebstein's anomaly in children.
To assess clinical presentation, treatment, and outcome of children with Ebstein's anomaly. ⋯ In children, Ebstein's anomaly is usually diagnosed in the first year of age. Even though children with Ebstein's anomaly often require an intervention, their peri-operative mortality is low and long-term survival is good. Symptomatic newborns requiring an intervention may have a worse outcome.
-
Cardiology in the young · Feb 2013
Value of history taking in children and adolescents with cardiac syncope.
This study was designed to investigate the value of history taking in identifying children with cardiac syncope, and to improve diagnostic efficiency and accuracy in children with cardiac syncope. ⋯ Children and adolescents with a history of abnormal electrocardiogram findings and exercise-related syncope spells were at high risk for cardiac syncope.
-
Cardiology in the young · Feb 2013
Case ReportsInfective endocarditis, thoracic aortitis, and mycotic aneurysm formation complicating balloon angioplasty of aortic coarctation.
Coarctation of the aorta is a rare congenital anomaly usually accompanying bicuspid aortic valve. Adult patients with aortic coarctation can be managed either with surgery or percutaneously. Here we present a case of percutaneously treated aortic coarctation complicated with infective endocarditis of the aortic valve, thoracic aortitis, and thoracic mycotic aneurysm.
-
Cardiology in the young · Feb 2013
Observational StudyBalloon atrial septostomy performed "out-of-hours": effects on the outcome.
Balloon atrial septostomy is a common palliative procedure in neonates with cyanotic congenital heart disease with restricted interatrial blood flow. Despite its advantages, balloon atrial septostomy is not a risk-free procedure and can be associated with numerous complications. The objective of this study is to determine whether the performance of this procedure out-of-hours has a significant impact on the incidence of adverse outcome measures. ⋯ Balloon atrial septostomy performed out-of-hours produced higher complication rates as opposed to balloon atrial septostomy performed during routine hours. Only essential cases should be undertaken at night, and all other cases should be deferred to the daytime to limit unnecessary adverse complication.