scholarly journals 4-month-old boy coinfected with COVID-19 and adenovirus

2020 ◽  
Vol 13 (6) ◽  
pp. e236264 ◽  
Author(s):  
Kelsey Danley ◽  
Paul Kent
Keyword(s):  
Atopic Dermatitis ◽  
Ventricular Septal Defect ◽  
Supportive Care ◽  
Septal Defect ◽  
Oral Intake ◽  
Respiratory Pathogen ◽  
Muscular Ventricular Septal Defect ◽  
History Of ◽  
Stuffy Nose

A 4-month-old boy with a history of muscular ventricular septal defect and atopic dermatitis presented with decreased oral intake, loose stools, stuffy nose, mild cough and diaphoresis. The patient had an in-home exposure to COVID-19. The initial respiratory pathogen panel was positive for adenovirus, consistent with his symptoms. The following day, the COVID-19 PCR was also positive. The patient was treated with supportive care, isolation precautions were implemented and the patient was discharged on day 4. This case demonstrates the importance of testing for COVID-19 even if a patient tests positive for another virus due to the possibility of coinfection, especially in children, in order to limit spread of COVID-19 to others.

Device Closure of Ventricular Septal Defect with Amplatzer Muscular Occluder: A Case Report

1970 ◽  
Vol 25 (3) ◽  
pp. 161-163
Author(s):  
Nurun Nahar Fatema ◽  
Mamunur Rahman ◽  
Mujubul Haque
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Failure To Thrive ◽  
Military Hospital ◽  
Device Closure ◽  
Residual Shunt ◽  
Muscular Ventricular Septal Defect ◽  
Cardiac Centre ◽  
History Of ◽  
Observation Period

A four year old girl was diagnosed as a case of mid muscular Ventricular Septal Defect (VSD) since early infancy. She had history of failure to thrive (FTT) and recurrent chest infection or pneumonia. As her pulmonary artery pressure was almost normal she was planned for device closure on elective basis once device and technology would be available in cardiac centre of combined Military Hospital (CMH) Dhaka. Finally it was done on 21st August 2005 and patient was discharged after 72 hours observation period. Echocardiography on next morning showed complete occlusion of defect with no residual shunt. (J Bangladesh Coll Phys Surg 2007; 25 : 161-163)

Spontaneous closure of muscular ventricular septal defect identified by echocardiography in neonates

1998 ◽  
Vol 8 (4) ◽  
pp. 500-505 ◽  
Author(s):  
Zhong-Dong Du ◽  
Nathan Roguin ◽  
Xing-Jian Wu
Keyword(s):  
Natural History ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Spontaneous Closure ◽  
Ventricular Septal Defects ◽  
Muscular Ventricular Septal Defect ◽  
Septal Defects ◽  
Multiple Defects ◽  
Single Defect ◽  
History Of

AbstractMuscular ventricular septal defects were diagnosed by echocardiography in 97 neonates within 7 days of birth. In 82 of the neonates (84.5%), the defect was solitary, while 15 had multiple defects. The solitary defects was located at mid-septal, apical, anterior and inlet locations in 42 (51.2%), 21 (25.6%), 14 (17.1%) and 5 (6.1%) neonates, respectively. Multiple defects occurred in the apical, anterior and mid-septal areas. The diameter of the solitary defects ranged from 1 to 6 mm (2.3 ± 0.8 mm), while the multiple lesions were 1 to 4 mm in diameter (2.1 2.3 ± 0.8 mm 0.8 mm) in 28 instances in which they could measured. It proved possible to follow 79 of the patients for period of 10 to 13 months. The defects closed spontaneously in 56 (84.8%) of 66 patients with a single defect, and in 7 (53.8%) of 13 of those with multiple defects (P<0.05). For the solitary defects, the position and size were factors determining the likelihood and speed of closure. Defects located at the apical septum, or defects larger than 4 mm in diameter, closed slowly and at a later stage. Echocardiography is an useful technique in establishing of natural history of muscular ventricular septal defects encountered in neonates.

scholarly journals Percutaneous Closure of the Aorto-Ostial Origin of a Coronary Artery Saphenous Bypass Graft with a Large Pseudoaneurysm Using the AMPLATZER Muscular Ventricular Septal Defect Occluder

2016 ◽  
Vol 26 (03) ◽  
pp. 196-200 ◽  
Author(s):  
Majid Chammas ◽  
Jon Robken ◽  
Dale Geiss ◽  
Nicolas Shammas
Keyword(s):  
Coronary Artery ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Ascending Aorta ◽  
Artery Bypass Graft ◽  
Muscular Ventricular Septal Defect ◽  
Life Threatening ◽  
History Of

AbstractWe report the case of a 76-year-old male patient with a history of coronary artery bypass graft surgery presented with a large pseudoaneurysm emerging from a previously occluded saphenous bypass graft (SVG). A largely contained hematoma is seen in the mediastinum on computed tomography angiography (CTA) of the chest. Flow was seen from the ascending aorta into the pseudoaneurysm through the aorto-ostial opening of the bypass graft. Closure of the aorto-ostial origin of the graft was performed using the AMPLATZER muscular ventricular septal defect (VSD) occluder (St Jude's Medical, St. Paul, MN) with immediate interruption of flow into the graft and the pseudoaneurysm. A repeat CTA of the ascending aorta at 6 months postprocedure continued to confirm an optimal positioning of the occluder with no flow into the pseudoaneurysm. This case offers an endovascular alternative to close the aorto-ostial opening of a saphenous bypass graft in the setting of a rare but potentially life-threatening SVG pseudoaneurysm.

Cyanosis in a patient after Fontan palliation due to unrecognised hepatic vein to coronary sinus communication

2021 ◽  
pp. 1-2
Author(s):  
Kristin T. Oshiro ◽  
Maria T. Thanjan ◽  
Ralf J. Holzer
Keyword(s):  
Ventricular Septal Defect ◽  
Hepatic Vein ◽  
Coronary Sinus ◽  
Septal Defect ◽  
Venous Drainage ◽  
Cardiac Catheterisation ◽  
Muscular Ventricular Septal Defect ◽  
History Of ◽  
Fontan Palliation

Abstract A 6-year-old male with heterotaxia, abnormal systemic and pulmonary venous drainage, and a history of Fontan completion presented with desaturations and was found by cardiac catheterisation to have a hepatic vein to coronary sinus connection. This was successfully occluded using an Amplatzer Muscular Ventricular Septal Defect Occluder.

scholarly journals Case Report on Management of Pregnancy in a Patient with Small Muscular Ventricular Septal Defect

2021 ◽  
pp. 325-328
Author(s):  
Lina Fating
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Normal Function ◽  
Clinical Findings ◽  
Fluid Replacement ◽  
Nursing Management ◽  
Muscular Ventricular Septal Defect ◽  
Obstetric History ◽  
Foetal Monitoring ◽  
History Of

Introduction: Maternal morbidity and mortality during pregnancy is significantly associated with hypertensive disorders. Patient history: A 33 years old female was admitted in AVBRH with chief complaint of breathing difficulty with G2P1A1L1 having 30 weeks of gestational age with previous LSCS and conception with small muscular ventricular septal defect, normal function and rhythm for the period of gestation. Obstetric history: Patient had bad obstetric history of 1 induced abortion. Clinical findings: The patient had undergone various investigations like blood tests, USG, Physical examination and antenatal per abdominal examination. Medical Management: Patient was treated with calcium supplement and iron supplement. Nursing management: Administered fluid replacement i.e. DNS and RL, Foetal monitoring, hourly vital sign monitoring. Conclusion: Timely treatment of Ventricular Small Muscular Septal Defect and Management in pregnancy improved the outcome of pregnancy.

scholarly journals Impact of coronavirus disease 2019 in a child who underwent ventricular septal defect device closure: a case report

2020 ◽  
Author(s):  
Saud A Bahaidarah ◽  
Ahmed M Dohain ◽  
Gaser Abdelmohsen ◽  
Abeer A Alnajjar ◽  
Jameel Al-Ata
Keyword(s):  
Respiratory Failure ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Systolic Dysfunction ◽  
Oral Intake ◽  
Serum Levels ◽  
Multiple Risk Factors ◽  
Late Closure ◽  
Lung Condition ◽  
Poor Oral Intake

Abstract Background Studies about the incidence and severity of coronavirus disease 2019 (COVID-19) in children are still significantly lower than those in adults. Moreover, data on the effect of COVID-19 in children with congenital heart disease (CHD) are limited. To the best of our knowledge, this study first reported mortality in a child with CHD who acquired COVID-19. Case summary A 16-month-old boy presented to the emergency department due to shortness of breath, fever, cough, and poor oral intake. He tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). He required mechanical ventilation for rapidly progressing respiratory failure. The patient had a large mid-muscular ventricular septal defect (VSD) that was closed percutaneously at the age of 13 months. Moreover, we followed his hospital sequelae from admission to death. Discussion This child had multiple risk factors, including malnutrition and persistent pulmonary hypertension (PH) after late closure of the VSD. The pre-existing PH could have been aggravated by the lung condition associated with COVID-19 and the respiratory failure triggered by SARS-CoV-2 infection. The patient presented with ventricular systolic dysfunction, elevated troponin serum levels and newly developed trifascicular block, which were indicative of myocardial injury. The elevated inflammatory markers and multi-organ dysfunction seem to corroborate multisystem inflammatory syndrome in children, which was described recently among paediatric patients with COVID-19.

Natural history of subarterial infundibular ventricular septal defect

1984 ◽  
Vol 108 (5) ◽  
pp. 1312-1317 ◽  
Author(s):  
Kazuo Momma ◽  
Kan Toyama ◽  
Atsuyoshi Takao ◽  
Masahiko Ando ◽  
Makoto Nakazawa ◽  
...  
Keyword(s):  
Natural History ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
History Of
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