ABSTRACT
We describe the clinical history of a nine years old girl with Shone's syndrome. She underwent balloon angioplasty of the aortic coarctation in infancy, and later developed severe sub-aortic stenosis and moderate mitral valvar stenosis. The mitral valve was therefore replaced with a mechanical prosthesis, and the sub-aortic shelf was resected. Immediately after the operation, she developed signs of myocardial ischemia. Coronary angiography showed compression of the middle part of the circumflex artery by the mechanical prosthesis, the obstructed segment being successfully dilated using a coronary arterial stent.
Subject(s)
Coronary Disease/surgery , Coronary Stenosis/surgery , Mitral Valve Stenosis/complications , Postoperative Complications/surgery , Angioplasty, Balloon , Child , Coronary Disease/etiology , Coronary Stenosis/etiology , Female , Humans , Mitral Valve Stenosis/surgery , Postoperative Complications/etiologyABSTRACT
We report a 12-year-old girl who had multiple congenital cardiac lesions, specifically an arterial duct, left pulmonary arterial stenosis, an atrial septal defect in the oval fossa, and mild Ebstein's malformation of the tricuspid valve. Therapeutic transcatheter intervention was performed to stent the left pulmonary artery, occlude the arterial duct with a coil, and place a device to close the atrial septal defect. Subsequent to the catheterization, she complained of hoarseness, which was shown to be due to entrapment of the left recurrent laryngeal nerve between the coil used to close the arterial duct and the stent placed in the left pulmonary artery. Laryngoscopy confirmed paralysis of the recurrent laryngeal nerve.
Subject(s)
Abnormalities, Multiple/surgery , Embolization, Therapeutic/adverse effects , Stents/adverse effects , Vocal Cord Paralysis/etiology , Cardiac Catheterization , Child , Female , Hoarseness , HumansABSTRACT
We report two siblings with isolated ectopic hearts. Neither child had associated congenital diseases. To the best of our knowledge, this is the first reported familial occurrence of ectopic hearts.
Subject(s)
Cardiac Surgical Procedures/methods , Heart Defects, Congenital/diagnosis , Heart Defects, Congenital/surgery , Echocardiography, Doppler , Female , Follow-Up Studies , Humans , Infant, Newborn , Male , Radiography, Thoracic , Risk Assessment , Siblings , Treatment OutcomeABSTRACT
We report a case of Uhl's anomaly in a 5-month-old cyanotic infant who presented with thromboembolic stroke and acute hemiparesis. The patient underwent successfully an initial surgical repair, which included exclusion of the right ventricle by patch closure of the tricuspid valve, atrial septectomy and construction of a bidirectional Glenn shunt. This was followed by successful construction of a total cavopulmonary connection.
