ONE OF THE EARLIEST AMERICAN CASE REPORTS OF A CHILD WITH CONGENITAL HEART DISEASE (1816)

PEDIATRICS ◽  
1976 ◽  
Vol 57 (1) ◽  
pp. 91-91
Author(s):  
T. E. C.
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Clinical Symptoms ◽  
Case Reports ◽  
Natural State ◽  
Long Time ◽  
Hot Weather ◽  
American Case ◽  
Cold Wind

Clinical descriptions of heart disease in children, congenital or acquired, are extremely rare prior to 1784 when Michael Underwood published his textbook on The Diseases of Children. In a chapter in his book Underwood summed up what had already been discovered about congenital heart disease and for the first time attempted to connect it with clinical symptoms. Dr. Robert Thaxter's case report of a child with a malformed heart is one of the earliest I have found in American medical journals. The subject of this case, a male, was at birth apparently well formed and healthy and remained very well 8 or 10 days. At this time he was attacked with the ordinary symptoms of cold which continued a long time very troublesome. He became very emaciated; which was attributed partly to the above cause, and partly to the mother, whose health was at this time bad. He remained in this emaciated state till he was about a year old at which time he began to grow corpulent and continued so till his death; though his extremities were small compared with his body and head. As soon as he began to move much, he was observed to breathe with difficulty, and his countenance to become livid. Rest generally restored him to a natural state. Cold, especially a cold wind, affected his respiration, sometimes almost producing suffocation, and rendered his surface very livid. Very hot weather had nearly as bad an affect as cold. Eating anything very hot produced the same effect.

Cerebral Abscess in Children Secondary to Esophageal Dilatation

PEDIATRICS ◽  
1977 ◽  
Vol 59 (2) ◽  
pp. 300-301
Author(s):  
W. R. Leahy ◽  
K. V. Toyka ◽  
K. H. FischBeck
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Brain Abscess ◽  
Esophageal Atresia ◽  
Congenital Heart ◽  
Case Reports ◽  
Cyanotic Congenital Heart Disease ◽  
Esophageal Dilatation ◽  
Careful Evaluation ◽  
Normal Individuals

Brain abscess is known to occur (1) as hematogenous or metastatic abscesses in normal individuals, (2) in children with cyanotic congenital heart disease,1,2 (3) secondary to sinus or mastoid infection,3-5 and (4) secondary to trauma. The following report of brain abscess in three children undergoing dilatation of the esophagus should alert the clinician to undertake a careful evaluation in any child developing neurologic dysfunction while undergoing esophageal dilatation. CASE REPORTS Case 1 A 4-month-old infant with congenital esophageal atresia had retrograde bougienage performed monthly. At the age of 2 months, after one of the dilatations, the child had had an episode of "suspected meningitis," but returned to normal within three days without therapy.

THE TREATMENT OF THE PIERRE ROBIN SYNDROME

PEDIATRICS ◽  
1962 ◽  
Vol 30 (3) ◽  
pp. 450-458
Author(s):  
Marvin H. Goldberg ◽  
Roger H. Eckblom
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Clinical Symptoms ◽  
The Other ◽  
Pierre Robin Syndrome ◽  
Traction Device ◽  
Method Of Production ◽  
Traction System ◽  
Pierre Robin

The diagnosis of the Pierre Robin Syndrome, cleft palate, micrognathia, and golssoptosis is re-emphasized. The clinical symptoms are discussed. The treatments advocated in the literature are described. A simple traction device, employing a horizontal suture through the mid-body of the tongue and an elastic traction system, is explained. Five cases of the syndrome are reported. In one the condition was mild; in the other four the tongue traction device was employed. In one sick infant with a congenital heart disease a tracheotomy had to be performed. Much difficulty was experienced following this, and the operation is only recommended when traction alone does not control the handling of the profusion of mucus and bouts of apnea. A removable acrylic palatine obturator was used as an adjunct to nipple feedings in three patients, with excellent results. The method of production of this "false palate" is described.

TWO CASE REPORTS OF ANOPHTHALMIA AND CONGENITAL HEART DISEASE: Adding a New Dimension to this Association

2010 ◽  
Vol 29 (5) ◽  
pp. 291-298 ◽  
Author(s):  
Jenny Wang ◽  
Charlotte K. Steelman ◽  
Robert Vincent ◽  
Delene Richburg ◽  
Tiffany S. Chang ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Case Reports

scholarly journals Gambaran Penyakit Jantung Bawaan di Neonatal Intensive Care Unit RSUP Prof. Dr. R. D. Kandou Manado Periode 2013 - 2017

e-CliniC ◽  
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Berry R. Manopo ◽  
Erling D. Kaunang ◽  
Adrian Umboh
Keyword(s):  
Intensive Care Unit ◽  
Congenital Heart Disease ◽  
Intensive Care ◽  
Heart Disease ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Congenital Heart ◽  
Septal Defect ◽  
Clinical Symptoms ◽  
Shortness Of Breath

Abstract: Congenital heart disease (CHD) is a structural heart defect that results from abnormal embryological heart development, or persistence of some parts of the fetal circulation at birth. Congenital heart disease is divided into two categories, namely non-cyanotic congenital heart disease and cyanotic congenital heart disease. Congenital heart disease is caused by interactions between predisposing exogenous factors and endogenous factors. This study was aimed to obtain the profile of CHD in the Neonatal Intensive Care Unit (NICU) of Prof. Dr. R. D. Kandou Hospital Manado in the period 2013 - 2017. This was a retrospective descriptive study using medical record data of patients suffering from CHD in NICU from 2013 to 2017. The results showed that there were 27 patients suffering from CHD consisting of 24 non-cyanotic CHD patients (88.89%) and 3 cyanotic CHD patients (11.11%), and the highest incidence was Atrial Septal Defect (ASD) as many as 17 babies (62.96%). Congenital heart disease was more common in males as many as 18 babies (66.67%). In this study, the clinical symptoms oftenly found was shortness of breath (48.15%) and the most common diagnosis was pneumonia (48.15%). Conclusion: The most common CHD was non-cyanotic CHD. The most commonly found defect was ASD. Clinical symptoms that often arised was shortness of breath, pneumonia was the most common comorbid diagnosis, and the dominant gender of CHD was male.Keywords: non-cyanotic CHD, cyanotic CHD, atrial septal defect Abstrak: Penyakit jantung bawaan (PJB) merupakan defek jantung struktural yang terjadi akibat perkembangan jantung embriologis yang abnormal, atau persistensi dari beberapa bagian dari sirkulasi fetus saat lahir. Penyakit ini dibagi menjadi dua kategori yaitu penyakit jantung bawaan non sianosis dan yang sianosis. Penyakit jantung bawaan disebabkan oleh interaksi antara predisposisi faktor eksogen dan faktor endogen. Penelitian ini bertujuan untuk mendapatkan gambaran penyakit jantung bawaan di Neonatal Intensive Care Unit (NICU) RSUP Prof. Dr. R. D. Kandou Manado periode 2013-2017. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan data rekam medik pasien yang menyandang penyakit jantung bawaan di NICU periode 2013-2017. Hasil penelitian mendapatkan dari 27 pasien dengan PJB, ditemukan PJB non sianotik berjumlah 24 bayi (88,89%) dan PJB sianotik berjumlah 3 bayi (11,11%) dengan angka kejadian terbanyak pada atrial septal defek (ASD) berjumlah 17 bayi (62,96%). Penyakit jantung bawaan paling banyak terjadi pada bayi yang berjenis kelamin laki-laki yaitu berjumlah 18 bayi (66,67%). Gejala klinis yang sering muncul ialah sesak napas (48,15%) dan diagnosis penyerta terbanyak yaitu pnemonia (48,15%). Simpulan: Penyakit jantung bawaan non sianosis merupakan diagnosis terbanyak, jenis ASD, dengan gejala klinis yang sering muncul yaitu sesak napas. Pneumonia merupakan diagnosis penyerta terbanyak. PJB tersering pada jenis kelamin laki-laki.Kata kunci: PJB sianotik, PJB, non sianotik, atrial septal defek

scholarly journals COVID-19 and congenital heart disease: an insight of pathophysiology and associated risks

2020 ◽  
pp. 1-8
Author(s):  
Ana Alina Haiduc ◽  
Michael Ogunjimi ◽  
Rohma Shammus ◽  
Saira Mahmood ◽  
Ramesh Kutty ◽  
...  
Keyword(s):  
Systematic Review ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Case Reports ◽  
Case Series ◽  
Future Research ◽  
Extensive Literature ◽  
Mesh Terms ◽  
Poor Outcomes

Abstract Objective: We aimed to examine the literature to determine if both paediatric and adult patients diagnosed with congenital heart disease (CHD) are at a higher risk of poor outcomes if they have the coronavirus disease 2019 (COVID-19), compared to those without CHD. Methods: A systematic review was executed using the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. To identify articles related to COVID-19 and CHD, an extensive literature search was performed on EMBASE, Medline, Scopus, and Global Health databases using keywords and MeSH terms. Results: A total of 12 articles met the inclusion criteria and were included for analysis in this systematic review. Two themes were identified for data extraction: evidence supporting higher risks in CHD patients and evidence against higher risks in CHD patients. After combining the data, there were 99 patients with CHDs out of which 12 required admissions to ICU. Conclusion: This systematic review suggests that CHD may increase the risk of poor outcomes for those with COVID-19, but also highlights the necessity for more research with larger sample sizes in order to make a more justified conclusion, as the majority of papers that were analysed were case series and case reports. Future research should aim to quantify the risks if possible whilst accounting for various confounding factors such as age and treatment history.

scholarly journals Patient-specific simulations for planning treatment in congenital heart disease

2017 ◽  
Vol 8 (1) ◽  
pp. 20170021 ◽  
Author(s):  
Claudio Capelli ◽  
Emilie Sauvage ◽  
Giuliano Giusti ◽  
Giorgia M. Bosi ◽  
Hopewell Ntsinjana ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Computational Models ◽  
Single Case ◽  
Fluid Dynamic ◽  
Case Reports ◽  
Clinical Decision ◽  
Patient Specific ◽  
Wide Range

Patient-specific computational models have been extensively developed over the last decades and applied to investigate a wide range of cardiovascular problems. However, translation of these technologies into clinical applications, such as planning of medical procedures, has been limited to a few single case reports. Hence, the use of patient-specific models is still far from becoming a standard of care in clinical practice. The aim of this study is to describe our experience with a modelling framework that allows patient-specific simulations to be used for prediction of clinical outcomes. A cohort of 12 patients with congenital heart disease who were referred for percutaneous pulmonary valve implantation, stenting of aortic coarctation and surgical repair of double-outlet right ventricle was included in this study. Image data routinely acquired for clinical assessment were post-processed to set up patient-specific models and test device implantation and surgery. Finite-element and computational fluid dynamics analyses were run to assess feasibility of each intervention and provide some guidance. Results showed good agreement between simulations and clinical decision including feasibility, device choice and fluid-dynamic parameters. The promising results of this pilot study support translation of computer simulations as tools for personalization of cardiovascular treatments.

scholarly journals Thyroid arterial embolization in a patient with congenital heart disease and refractory amiodarone-induced thyrotoxicosis

2022 ◽  
Vol 11 (1) ◽  
Author(s):  
Bruno Bouça ◽  
Ana Cláudia Martins ◽  
Paula Bogalho ◽  
Lídia Sousa ◽  
Tiago Bilhim ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Hospital Admissions ◽  
Case Reports ◽  
Therapeutic Option ◽  
Arterial Embolization ◽  
List Type ◽  
Cardiac Condition

Introduction Amiodarone-induced thyrotoxicosis (AIT) can sometimes lead to life-threatening complications, especially in patients with congenital heart disease (CHD). We report the case of a patient with refractory AIT that was successfully treated with thyroid arterial embolization (TAE). Case report A 34-year-old man with complex cyanotic CHD complicated with heart failure (HF), pulmonary hypertension, and supraventricular tachyarrhythmias, was treated with amiodarone since 2013. In March 2019, he presented worsening of his cardiac condition and symptoms of thyrotoxicosis that were confirmed by laboratory assessment. Thiamazole 30 mg/day and prednisolone 40 mg/day were prescribed, but the patient experienced worsening of his cardiac condition with several hospital admissions in the next 5 months, albeit increasing dosages of thionamide and glucocorticoid and introduction of cholestyramine and lithium. Thyroidectomy was excluded due to the severity of thyrotoxicosis, and plasmapheresis was contraindicated due to the cardiac condition. TAE of the four thyroid arteries was then performed with no immediate complications. Progressive clinical and analytical improvement ensued with gradual reduction and suspension of medication with the patient returning to euthyroid state and his usual cardiac condition previous to the AIT. Conclusion For patients with medication refractoriness and whose condition precludes thyroidectomy, embolization of thyroid arteries may be an effective and safe option. Established facts Amiodarone-induced thyrotoxicosis (AIT) can be refractory to a combination therapy of thionamides and glucocorticoids. Restoration of euthyroidism is of paramount importance in heart failure (HF) patients. Emergency thyroidectomy for AIT unresponsive to medical therapy is recommended in patients with severe underlying cardiac disease or deteriorating cardiac function. Novel insights Thyroid arterial embolization (TAE) appeared as a salvage therapy in this patient. To the best of our knowledge, few case reports in the literature have described the embolization of the four thyroid arteries in AIT context. Endovascular embolization techniques are a valuable therapeutic option and can be considered in cases where standard forms of treatment are ineffective or involve unacceptable risks.

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