A rare Cause of Vascular Respiratory Distress in Newborn: Double Aortic Arch

[Abstract Not Available

A rare Cause of Vascular Respiratory Distress in Newborn: Double Aortic Arch

Double aortic arch is the most common symptomatic type of the aortic arch variant. The double aortic arches form a complete symptomatic vascular ring that encircles the esophagus and trachea giving the symptoms of dyspnea and stridor (usually in the infancy and childhood) and dysphagia (more common in the adulthood). In this article we report a case of an one month old patients imaging findings presenting with progressive respiratory distress

Evaluation of Cardiac Function in Pediatric Patients with Upper Airway Obstruction

Aim:Upper respiratory tract obstruction can cause cardiac and pulmonary dysfunction in children, which are largely reversible. We assessed the impact of upper respiratory tract obstruction on cardiac function in children scheduled for surgery for adenoidal and/or tonsillar hypertrophy.Methods:In total, 30 patients who were admitted to the ear nose and throat outpatient clinic and were scheduled for surgery for adenoidal and/or tonsillar hypertrophy and 30 control subjects were included into study. Peak nasal inspiratory flow (PNIF) was measured in all subjects, and echocardiographic and electrocardiographic examinations were performed.Results:The mean age of the patients was 9.43±2.51 years. The mean PNIF was significantly lower in patients (110.0 ± 43.9 L/min) than in the control group (140.7±39.4 L/min; p=0.006), and the mean P wave amplitude was significantly higher in patients than in controls (p<0.001). The mean pulmonary ejection time (ET) was significantly shorter in patients than in controls.Conclusion:Lower mean PNIF values in the patient group indicated increased airway resistance, suggesting that PNIF values below 110 L/min may affect right heart function. PNIF can be used by the pediatrician for screening to guide surgeons in children with adenoidal and/or tonsillar hypertrophy

A Rare Cardiac Anomaly in Absent Pulmonary Valve Syndrome with Tetralogy of Fallot

Heart failure and cardiomegaly are observed in patients with absent pulmonary valve syndrome with tetralogy of Fallot (TOF), unlike in those with TOF alone. Additional cardiac anomalies can also be seen in these patients, although not frequently. In our case, we found that the right and left pulmonary arteries were disconnected (the main pulmonary artery continued only with the right pulmonary artery and the left pulmonary artery originating from patent ductus arteriosus). In this paper, we wanted to remember other cardiac anomalies associated with absent pulmonary valve syndrome with tetralogy of Fallot

Multifocal atrial tachycardia caused by risperidone

WOS: 000367007200225PubMed ID: 26599751Risperidone, an atypical antipsychotic drug, is one of the most frequently used atypical neuroleptic drugs for the treatment of symptoms of behavioral disorders seen in autism. Although various cardiovascular side effects have been reported with risperidone, to our knowledge, it has not yet been reported that it can also result in multifocal atrial tachycardia. Based on the case reported herein, our aim is to bring awareness that risperidone may cause multifocal atrial tachycardia

Fallot tetralojili olgularda tam düzeltme ameliyatı öncesi pulmoner arter gelişim indekslerini etkileyen faktörler: 100 olguda retrospektif gözlemsel bir değerlendirme

Objective: the present study aimed to evaluate the association between the equations indicating the pulmonary artery development prior to total correction surgery in patients diagnosed with Tetralogy of Fallot, such as McGoon ratio, Nakata index and pulmonary artery Z score and the course of aortic arch, presence/absence of accompanying patent foramen ovale (PFO) and the patient's gender.Methods: the study included 100 cases who had diagnostic angiography before the total correction surgery with the diagnosis of Tetralogy of Fallot between January 2003 and January 2011. the study retrospectively evaluated using estimated angiographic parametres as left ventricular end-diastolic diameter (LVEDd), the presence of PFO and the course of aortic arch as obtained by echocardiography, and the McGoon ratio, Nakata index and pulmonary artery Z scores.Results: of the patients, 72% were male and 28% were female. the median age was 21 months (min: 4,max: 228 mos) and the birth weight was 2960±550 gram. Left aortic arch dominancy (77%) was observed. LVEDd was below normal in 18% of the patients. PFO, coronary abnormalities, MAPCA, left superior vena were seen in 23, 4, 3, and 6% of the patients respectively. Pulmonary artery Z scores were found lower in patients with PFO compared to those without PFO (p;lt;0.05). the course of aortic arch and gender were not different among the patients.Conclusion: the presence of PFO may affect pulmonary artery Z scores in cases with Tetralogy of Fallot. on the other hand, we believe that the course of the aortic arch and gender of the patients are not among factors affecting pulmonary artery development before total correction surgery.Amaç: Fallot tetralojisi tanısı konulan hastaların tam düzeltme ameliyatı öncesi pulmoner arter gelişimini gösteren McGoon oranı, Nakata indeksi, pulmoner arter Z skoru ile arkus aortanın seyri, patent foramen ovalenin (PFO) varlığı veya yokluğu ve hastanın cinsiyeti arasındaki ilişkinin değerlendirilmesi amaçlandı. Yöntemler: Ocak 2003 ile Ocak 2011 tarihleri arasında Fallot tetralojisi tanısı ile tam düzeltme ameliyatı öncesi diyagnostik anjiografi yapılan, öncesinde şant cerrahisi geçirmeyen 100 olgu çalışmaya alındı. Retrospektif olarak ekokardiyografi ile elde edilen sol ventrikül diyastol sonu çapı (LVEDd), PFO ve arkus aortanın seyri, anjiografik olarak ölçülen McGoon oranı, Nakata indeksi, pulmoner arter Z skoru değerlendirildi. Bulgular: Olguların %72'si erkek, %28'i kızdı. Median yaş 21 ay (min: 4 ay max: 228 ay) olan hastaların doğum ağırlıkları ise 2960±550 gramdı. Hastalarda sol arkus aorta hâkimiyeti (%77) izlendi. LVEDd %18 hastada normalin altındaydı. PFO %23, koroner anomali %4, majör aorto pulmoner kollateral arterler (MAPCA) %3, sol superior vena kava %6 oranındaydı. PFO'su olan hastalarda pulmoner arter Z skoru olmayanlara göre daha düşük bulundu (p0.05). Arkus aorta seyrinin ve cinsiyetin ise hastalar arasında fark oluşturmadığı izlendi.Sonuç: Fallot tetralojili hastalarda PFO'nun varlığı pulmoner arter Z skorunu etkileyebilir. Bunun yanı sıra arkus aorta seyrinin ve cinsiyetin tam düzeltme ameliyatı öncesi pulmoner arter gelişimini etkileyen faktörler olmadığını düşünmekteyiz