[Chronic constrictive pericarditis in a child]

The chronic constrictive pericarditis is a very rare disease in child. We report a case of chronic constrictive pericarditis with indeterminate etiology in an 8-year old girl. The child undergone pericardiectomy with well improvement. Through our case and review of the literature, we study the frequency of chronic constrictive pericarditis in child, its etiology and prognosis

[Closure of patent ductus arteriosus by indometacin in the preterm infant a case report]

We report the case of a preterm neonate presenting with a respiratory distress syndrome and hemodynamic failure. Cardiac examination reveals a continuous murmur. Echocardiography showed a patent ductus arteriosus. This newborn received indometacin during three days. A spectacular improvement was noticed. Echocardiographic control revealed the closure of the ductus

[Cayler cardiofacial syndrome]

Asymmetric crying facies is due to hypoplasia or absence of the depressor anguli oris muscle . It is called Cayler cardiofacial syndrome when associated with congenital heart disease. We report the case of an infant girl with asymmetric crying facies and complex congenital heart disease that associate transposition of the great arteries, intracardiac total anomalous pulmonary venous return, coarctation of the aorta, atrial septal defect, patent ductus arteriosus, hypoplasia of the right and left pulmonary arteries and left juxtaposition of the appendenges. The infant has also other systemic anomalies: microcephaly, right auricular hypoplasia, bilateral renal hypoplasia and serious central nervous system anomalies. Asymmetric crying facies is a minor congenital anomaly that can be associated to other severe malformations

[Positive response to inhaled milrinone of a severe neonatal pulmonary hypertension after a failure of inhaled nitric oxide]

We report a case of a new-born with a simple transposition of great arteries complicated by severe pulmonary hypertension which has responded to inhaled milrinone after a failure of inhaled nitric oxide. Mohamed born by cesarean section at 35 weeks, wheing 2650g, has presented a severe respiratory distress due to a simple transposition of great arteries complicated by pulmonary hypertension and a severe hemodynamic distress. He required artificial ventilation with an inspiratory oxygen fraction equal to 1 and vasoactive drugs. There was no response of pulmonary hypertension to inhaled nitric oxide. Inhaled milrinone at the dosage of 50 microg/kg/4h was attempted in the aim to research a selective pulmonary vasodilation. Response was immediately positive with a progressive decrease in inspiratory oxygen fraction without decrease in arterial systemic pressure. Despite, we can not be certain that this amelioration was imputed to inhaled milrinone, this case pushes to conduct animal and eventually human essays in the objective to test the relation between inhaled milrinone and selective pulmonary vasodilation