ABSTRACT
We present 3 patients, aged 7 and 12 months. and 5 years, who meet the diagnostic criteria for Kawasaki's disease. In these, there was coronary artery involvement. which was identified by two dimensional echocardiography. In two of these, a coronary artery involvement which was identified by two dimensional echocardiography. In two of these, a coronary artery aneurysm was demonstrated within the 3rd week. The aneurysm resolved after 4 months in one patient, and still persist after 15 months in the other. The third patient had a left coronary artery aneurysm, confirmed by angiocardiography, which also showed small aneurysms in the right coronary artery. The electrocardiographic study of this patient, performed 3 months after onset, showed a patterns of necrosis (anterolateral infarction), confirmed by mean of a thallium scintigraphy. We have performed a study about the management of this kind of patients, and can conclude: 1. Coronary angiocardiography may permit the detection of right coronary artery aneurysms, not visualized by echocardiography. 2. Patients with coronary artery aneurysms, with no stenotic lesions 1 the coronary angiocardiography, may evolve into myocardia infarction. 3. We expose our doubts about the indication and right time to perform the angiocardiographic study.
Subject(s)
Coronary Aneurysm/etiology , Mucocutaneous Lymph Node Syndrome/complications , Child, Preschool , Coronary Aneurysm/diagnostic imaging , Echocardiography , Female , Humans , Infant , Male , Radiography , Radionuclide ImagingABSTRACT
Two cases are presented with anomalous origin of the left coronary artery from the pulmonary artery. Both cases initiate clinical symptoms in the first three months of life, defined by angina and congestive heart failure. In both cases cardiac catheterization showed the existence of anomalous origin of the left coronary artery and underdeveloped collateral circulation. Reimplantation of the anomalous coronary to ascending aorta on the two patients. Has excellent results on the first patient, but not in the second one who died during surgery.
Subject(s)
Coronary Vessel Anomalies , Pulmonary Artery/abnormalities , Coronary Circulation , Coronary Vessel Anomalies/complications , Coronary Vessel Anomalies/diagnostic imaging , Coronary Vessel Anomalies/physiopathology , Coronary Vessel Anomalies/surgery , Humans , Infant , Male , Pulmonary Artery/physiopathology , RadiographyABSTRACT
Twenty-nine consecutive spontaneous attacks of paroxysmal supraventricular tachycardia (PSVT) in 14 infants (mean age 4.4 months) were treated with verapamil. No infant had associated heart disease. Verapamil 1-2 mg i.v was administered over 30 seconds. The dosage varied according to the weight of the infant. Within 60 seconds sinus rhythm was obtained in 28 instances (96.5%). No significant complications were observed. The high effectiveness, rapid action and lack of undesirable side effects observed in this series suggest that verapamil is the drug of choice in the treatment of PSVT in infants without underlying heart disease.
Subject(s)
Tachycardia, Paroxysmal/drug therapy , Verapamil/therapeutic use , Drug Evaluation , Heart Failure/drug therapy , Humans , Infant , Infant, Newborn , Injections, Intravenous , Time Factors , Verapamil/administration & dosage , Verapamil/adverse effectsABSTRACT
An infant with a congenital brain arteriovenous shunt and secondary aneurism of Galen vein is related. Abnormal electrocardiogram without physical signs of primary cardiopathy is observed. Complete description of the case is done and the problems originated from a cardiological point of view are discussed.
