Pancycle Aortic Incompetence and Double Alternans in Pediatric Heart Failure

A 12?year?old boy presented with bicuspid aortic valve, severe aortic regurgitation, and dilated dysfunctional left ventricle in heart failure. He underwent aortic valve replacement with a 23 mm TTK Chitra heart valve prosthesis (tilting disk). He was gradually weaned off milrinone and noradrenaline in the intensive care. Echocardiography showed severe left ventricular dysfunction with an ejection fraction of 24%. The radial pulse was regular and of normal volume but exactly half that of the heart rate. Evaluation of the rhythm and echocardiography revealed an interesting hemodynamic phenomenon with double alternans.

Cardiac Rhabdomyoma Causing Progressive Dynamic Severe Right Ventricular Outflow Tract Obstruction in an Infant

Multiple cardiac masses were incidentally detected in a neonateon twelve day of life. Failure to thrive, feeding difficulty andsevere dynamic right ventricular outflow tract obstructiondeveloped at 7 months of age. Surgical resection of intracardiacmasses relieved symptoms and histological studies confirmedrhabdomyoma. Progressive increase in the size ofrhabdomyoma during infancy is an uncommon presentation andsurgery can be life-saving.

Seminal vesicle schwannoma presenting with left hydroureteronephrosis

We report a very rare case of seminal vesicle schwannoma in a 50-year-old male, with left hydroureteronephrosis. Only five cases of seminal vesicle schwannomas have been reported in medical literature until date