ABSTRACT
The clinical aspects of neonatal cerebral venous thrombosis are polymorphic in their mode of onset, making diagnosis difficult. Transfontanellar ultrasound allows for the morphological and vascular exploration of intracranial contents. We report three cases of neonatal cerebral venous thrombosis diagnosed early by transfontanellar ultrasound. The patients were treated with low-molecular-weight heparin, and the outcome was favorable in all three newborns. Transfontanellar ultrasound has a variable sensitivity for the detection of thrombus, but it remains the first-line examination before any additional secondary exploration. The early diagnosis of neonatal cerebral venous thrombosis with transfontanellar ultrasound requires the implementation of emergency treatment.
Subject(s)
Early Diagnosis , Echoencephalography/methods , Sinus Thrombosis, Intracranial/diagnostic imaging , Superior Sagittal Sinus/diagnostic imaging , Ultrasonography, Doppler, Transcranial/methods , Cranial Fontanelles/diagnostic imaging , Early Medical Intervention , Female , Heparin, Low-Molecular-Weight/therapeutic use , Humans , Infant, Newborn , Male , Prognosis , Sinus Thrombosis, Intracranial/drug therapyABSTRACT
The finding of a double-chambered right ventricle (DCRV) is exceptionally rare as an isolated anomaly. It is a congenital cardiac anomaly in which the right ventricle is separated into two chambers, a proximal high-pressure chamber and a distal low-pressure chamber, by anomalous muscles or fibrous tissues in the right ventricular cavity. We report the case of a 6-year-old infant who was admitted for growth retardation. The patient was diagnosed with an isolated DCRV without any other associated congenital anomalies. The patient underwent a successful cardiac surgical procedure of enlargement repair; he was discharged in good clinical condition with a normal cardiac function.
Subject(s)
Cardiac Surgical Procedures/methods , Heart Defects, Congenital/surgery , Heart Ventricles/abnormalities , Child , Echocardiography, Transesophageal , Electrocardiography , Follow-Up Studies , Heart Defects, Congenital/diagnosis , Heart Ventricles/surgery , Humans , Male , Tomography, X-Ray ComputedABSTRACT
CANTRELL SYNDROME IS A VERY RARE CONGENITAL DISEASE ASSOCIATING FIVE FEATURES: a midline, upper abdominal wall disorder, lower sternal abnormality, anterior diaphragmatic defect, diaphragmatic pericardial abnormality, and congenital abnormalities of the heart. In this paper, we report a case of partial Cantrell's syndrome with left ventricular diverticulum, triatrial situs solitus, ventricular septal defect, dextrorotation of the heart, an anterior pericardial diaphragmatic defect, and a midline supraumbilical abdominal wall defect with umbilical hernia. The 5-month-old patient underwent a successful cardiac surgical procedure. A PTFE membrane was placed on the apex of the heart to facilitate reopening of the patient's chest. Postoperative course was uneventful. The patient was discharged with good clinical condition and with a normal cardiac function.
