19 research outputs found
Transient electrocardiographic abnormalities following blunt chest trauma in a child
Blunt cardiac injury may occur in patients after
suffering nonpenetrating trauma of the chest. It encompasses
a wide spectrum of cardiac injury with varied
severity and clinical presentation. Electrocardiographic
abnormalities are frequently encountered. This article
presents a case of a child who presented with complete
right bundle branch block on the initial ECG at the
emergency department. She suffered blunt chest trauma
during a horseback riding accident. She was admitted for
cardiac monitoring. The electrocardiographic abnormalities
resolved within 12 hours. No signs of myocardial injury
were found on repeat serum troponin measurement and
echocardiography. The natural history of ECG abnormalities
in the pediatric age group following blunt chest trauma
is limited. Although a complete right bundle branch block
may be transient in adult patients, this has not been
previously reported in a children. Significant ECG abnormalities
can be encountered in children following blunt
chest trauma. Although a complete RBBB can be associated
with severe injury to the RV, it can also occur with
minor injury.
Keywords Cardiac contusio
Double aortic arch with double aneuploidy—rare anomaly in combined Down and Klinefelter syndrome
A 14-month-old boy with double aneuploidy and a double aortic arch suffered from frequently recurrent severe feeding and respiratory problems. Chromosomal analysis showed a 48,XXY + 21 karyotype: a double aneuploidy of Down syndrome (DS) and Klinefelter syndrome (KS). Only four cases of double aneuploidy (DS + KS) associated with congenital heart defects have been published of which none had a double aortic arch. Our case report should draw attention to the possibility of a double aortic arch in patients with severe feeding and respiratory problems and a double aneuploidy
KardiopulmonálnĂ funkce a kvalita Ĺľivota dÄ›tĂ, jejichĹľ vĂ˝sledek operace srdeÄŤnĂ vady je hodnocen jako vĂ˝bornĂ˝
Severe pulmonary hypertension secondary to a parachute-like mitral valve, with the left superior caval vein draining into the coronary sinus, in a girl with Turner's syndrome
ProspektivnĂ populaÄŤnĂ studie dlouhodobĂ˝ch vĂ˝sledkĹŻ lĂ©ÄŤby nejsloĹľitÄ›jšĂch vrozenĂ˝ch srdeÄŤnĂch malformacĂ
Transient electrocardiographic abnormalities following blunt chest trauma in a child
Blunt cardiac injury may occur in patients after suffering nonpenetrating trauma of the chest. It encompasses a wide spectrum of cardiac injury with varied severity and clinical presentation. Electrocardiographic abnormalities are frequently encountered. This article presents a case of a child who presented with complete right bundle branch block on the initial ECG at the emergency department. She suffered blunt chest trauma during a horseback riding accident. She was admitted for cardiac monitoring. The electrocardiographic abnormalities resolved within 12 hours. No signs of myocardial injury were found on repeat serum troponin measurement and echocardiography. The natural history of ECG abnormalities in the pediatric age group following blunt chest trauma is limited. Although a complete right bundle branch block may be transient in adult patients, this has not been previously reported in a children. Significant ECG abnormalities can be encountered in children following blunt chest trauma. Although a complete RBBB can be associated with severe injury to the RV, it can also occur with minor injury. Keywords Cardiac contusio
Small atrial septal defect associated with heart failure in an infant with a marginal left ventricle
Atrial septal defect (ASD) is usually asymptomatic in infancy, unless pulmonary hypertension or severe co-morbidity is present. We report a case of a 4-week-old infant with moderate- sized ASD, small patent ductus arteriosus (PDA), and a borderline sized left ventricle that developed heart failure. Despite the relatively small diameter of the ASD, this defect influenced the mechanism of heart failure significantly. After surgical closure of both PDA and ASD, the signs of pulmonary hypertension resolved and the patient developed a normal sized left ventricle. This report illustrates that the presence of a small ASD in combination with a marginal left ventricle may result in inadequate left ventricular filling, pulmonary hypertension and heart failure