RESUMO
A single film portable aortogram through a highly placed umbilical artery catheter suggested aortic atresia, but subsequent study revealed a normal aorta and a patent ductus arteriosus. This demonstrates the importance of proper catheter placement in single film portable aortography, which is a reliable diagnostic tool in the evaluation of distressed neonates.
Assuntos
Aorta/anormalidades , Aortografia/instrumentação , Cateterismo/instrumentação , Permeabilidade do Canal Arterial/diagnóstico por imagem , Humanos , Recém-Nascido , Masculino , Artérias UmbilicaisRESUMO
Experience is presented of paediatric cardiology in a well-equipped and staffed centre during a six-year period in a developing country. Despite the success of the programme in offering first class medical investigation and surgical care to a large number of children, it is estimated that only about 2% of the existing cases in the country were operated upon. The main problems were the large numbers of cases, creating long waiting lists, and the lack of adequately trained paramedical personnel. Although paediatric cardiology in other developing countries is by no means a first priority, thousands of children suffering from heart disease should not be ignored. It appears that establishing similar centres for the care of children with heart disease in those countries is necessary; that they would contribute to patient care and medical education, would uncover the magnitude of the problem and would open ways to its future solution. The possibility of utilization of the facilities in the Western countries must also be considered.
Assuntos
Cardiopatias/epidemiologia , Adolescente , Fatores Etários , Criança , Pré-Escolar , Cardiopatias Congênitas/epidemiologia , Cardiopatias Congênitas/cirurgia , Cardiopatias/cirurgia , Humanos , Lactente , Recém-Nascido , Irã (Geográfico) , Cardiopatia Reumática/epidemiologia , Cardiopatia Reumática/cirurgiaAssuntos
Febre Reumática/diagnóstico , Artrite/etiologia , Criança , Coreia/etiologia , Eletrocardiografia , Eritema/etiologia , Feminino , Humanos , Masculino , Penicilina G Benzatina/uso terapêutico , Febre Reumática/etiologia , Febre Reumática/prevenção & controle , Febre Reumática/terapia , Nódulo Reumático/diagnóstico , Streptococcus pyogenesRESUMO
Congenital heart disease and pediatric cardiology problems exist all over the world. The approach, however, including diagnosis and management varies considerably depending on manpower available, the clinical facility and the sociophilosophical climate prevailing in different parts of the world. In this article the priorities existing in the developed and developing countries concerning the approach to pediatric cardiology problems are discussed from the point of view of patient load, facilities available, teaching and research in this large field of highly specialized pediatric practice.
