Atrial Septal Stenting - A Lifesaving Procedure: First Case Report from Bangladesh

Certain congenital heart defects require the creation of an unrestrictive atrial septal defect (ASD) secundum to achieve adequate atrial mixing to improve systemic oxygen saturation by placing septal stent. We reported a case of 7-month-old child who was presented with shock like state with marked desaturation. He was diagnosed as a case of mixed total anomalous pulmonary venous return with restricted closing ASD secundum. We performed atrial septal stenting as a palliative procedure for saving the life. Creation or enlargement of ASD in infants using nonconventional transcatheter techniques is feasible, safe, and effective when usual technique fails or not suitable. After the procedure systemic saturation improved and patient became hemodynamically stable and there after rerouting of pulmonary veins to left atrium with ASD closure and removal of stent done by open heart surgery and send him home safely. Cardiovasc. j. 2020; 13(1): 86-91

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Turkish Sword can Track the Way of Pulmonary Vein: A Concealed Finding

Bangladesh Journal of Child Health ◽

10.3329/bjch.v44i1.49711 ◽

2020 ◽

Vol 44 (1) ◽

pp. 64-67

Author(s):

Sharmin Sultana ◽

Naharuma Aive Hyder Chowdhury ◽

Abdul Momen ◽

Mohammad Sharifuzzaman

Keyword(s):

Heart Surgery ◽

Pulmonary Veins ◽

Open Heart Surgery ◽

Vena Cava ◽

Stable Condition ◽

Scimitar Syndrome ◽

Incorrect Diagnosis ◽

Anomalous Pulmonary Venous Return ◽

Chest X Ray ◽

Proper Diagnosis

Scimitar syndrome is an unusual developmental anomaly causing partial anomalous pulmonary venous return (right sided pulmonary veins) with left-to-right shunt at inter atrial septal level. It occurs more commonly in females, with occasional familial occurrence. The clinical presentation is variable. Patient may remain asymptomatic or may present with heart failure. The objective of this clinical case report is to highlight this unusual anomaly to avoid incorrect diagnosis. A girl of 13 years presented with unusual symptom of nausea following taking meal and a systolic murmur. At first she was diagnosed as “ASD Secundum”. But her typical “Turkish sword” feature of chest x-ray helped to identify anomalous drainage of right pulmonary veins into inferior vena cava and make the diagnosis as “Scimitar syndrome”. It is a total corrective anomaly. She was operated through open heart surgery, recovered early and discharged with a stable condition without any complication. This case illustrates the importance of thorough medical history, careful evaluation of investigation for proper diagnosis, treatment procedure and complications of a rare anomaly. Bangladesh J Child Health 2020; VOL 44 (1) :64-67

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A patient with atrial septal defect with cyanosis with diagnostic dilemma turned out to be a case of Total Anomalous Pulmonary Venous Connection (TAPVC)

KYAMC Journal ◽

10.3329/kyamcj.v12i2.55445 ◽

2021 ◽

Vol 12 (2) ◽

pp. 107-110

Author(s):

Mahbub Ahsan ◽

Md Lutfar Rahman ◽

ASM shariful Islam ◽

Prokash Chandra Munshi ◽

Md Muzibur Rahman ◽

...

Keyword(s):

Atrial Septal Defect ◽

Heart Surgery ◽

Septal Defect ◽

Pulmonary Veins ◽

Open Heart Surgery ◽

Hepatic Veins ◽

Diagnostic Dilemma ◽

Ct Angiogram ◽

Congenital Cyanotic Heart Disease ◽

Anomalous Pulmonary Venous Connection

Total anomalous pulmonary venous connection (TAPVC) is a congenital cyanotic heart disease where all 4 pulmonary veins do not open directly to left atrium. There are 4 types of TAPVC. Supra cardiac type forms a confluence and may open to Innominate vein or SVC. Cardiac type usually opens to coronary sinus. Infracardiac type opens to hepatic veins or other veins. Mixed type is the combination of others. Of these 4 types infracardiac type is most vulnerable and presents with early features of cyanosis, pulmonary hypertension, pulmonary vein obstruction. We present the case of an 18 year old lady with atrial septal defect (ASD) with cyanosis. Pre operative echo showed ASD with 3rd chamber behind LA, CT angiogram revealed large ASD, with tongue like extended chamber in posteromedial aspect of RA. Preoperative angiogram report was inconclusive. Despite the diagnostic dilemma, we took the challenge and the patient went for open heart surgery. The patient recovered well and discharged on 10 th post operative day. Post operative echocardiogram is encouraging and she is doing fine. KYAMC Journal.2021;12(02): 107-110

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Single-Patch Fold-Back Technique for Augmentation of the Superior Vena Cava in Sinus Venosus Atrial Septal Defect Associated with Partial Anomalous Pulmonary Venous Return

The Heart Surgery Forum ◽

10.1532/hsf98.2014433 ◽

2015 ◽

Vol 17 (6) ◽

pp. 282

Author(s):

Suguru Ohira ◽

Kiyoshi Doi ◽

Takeshi Nakamura ◽

Hitoshi Yaku

Keyword(s):

Atrial Septal Defect ◽

Superior Vena Cava ◽

Septal Defect ◽

Venous Return ◽

Superior Vena ◽

Pulmonary Veins ◽

Vena Cava ◽

Sinus Venosus ◽

Right Atrial ◽

Anomalous Pulmonary Venous Return

Sinus venosus atrial septal defect (ASD) is usually associated with partial anomalous pulmonary venous return (PAPVR) of the right pulmonary veins to the superior vena cava (SVC), or to the SVC-right atrial junction. Standard procedure for repair of this defect is a patch roofing of the sinus venosus ASD and rerouting of pulmonary veins. However, the presence of SVC stenosis is a complication of this technique, and SVC augmentation is necessary in some cases. We present a simple technique for concomitant closure of sinus venosus ASD associated with PAPVR and augmentation of the SVC with a single autologous pericardial patch.

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Treatment of right ventricular failure in the near postoperative period in older children with congenital heart defects who underwent open heart surgery

Clinical Physiology of Circulation ◽

10.24022/1814-6910-2019-16-1-36-44 ◽

2019 ◽

Vol 16 (1) ◽

pp. 36-44

Author(s):

E.S. Nikitin ◽

P.V. Yudin ◽

I.M. Makrushin ◽

M.M. Titov

Keyword(s):

Congenital Heart Defects ◽

Postoperative Period ◽

Congenital Heart ◽

Heart Surgery ◽

Heart Defects ◽

Open Heart Surgery ◽

Right Ventricular Failure ◽

Open Heart ◽

Older Children ◽

Ventricular Failure

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Axillary artery: An unanticipated choice of access in the cath lab!

Asian Cardiovascular and Thoracic Annals ◽

10.1177/02184923211026445 ◽

2021 ◽

pp. 021849232110264

Author(s):

Puneet Varma ◽

Bharath A Paraswanath ◽

Anand Subramanian ◽

Jayaranganath Mahimarangaiah

Keyword(s):

Hospital Stay ◽

Heart Surgery ◽

Septal Defect ◽

Axillary Artery ◽

Open Heart Surgery ◽

Open Heart ◽

Ventricular Septal Defects ◽

Septal Defects ◽

Rare Site

Ventricular septal defects are increasingly being closed by transcatheter technique, with lesser morbidity and shorter hospital stay compared to open heart surgery. We report a case of embolization of a duct occluder deployed in a posterior muscular septal defect. The rare site of embolization necessitated an unusual approach for retrieval prior to subsequent closure using a double-disc device.

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An Infant with Central Nervous System Complications of Disseminated Tuberculosis

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/s031716710001698x ◽

2005 ◽

Vol 32 (1) ◽

pp. 112-114

Author(s):

Jean K. Mah ◽

James D. Kellner ◽

Dennis Kunimoto ◽

Deepak Kaura ◽

Manuel W. Mah

Keyword(s):

Heart Surgery ◽

Septal Defect ◽

Ductus Arteriosus ◽

Open Heart Surgery ◽

Farm Animals ◽

Past Medical History ◽

Operative Complications ◽

Ventricular Septal Defect Closure ◽

History Of ◽

Poor Weight Gain

A previously well, nine-month-old, Canadian-born, Caucasian infant presented with one month history of cough, irritability, and poor weight gain. Her past medical history was significant for open-heart surgery at age four months, with repair of a ventricular septal defect, closure of an atrial septal defect, and ligation of patent ductus arteriosus. There were no operative complications. Her development was normal for age. She had received her routine immunizations.There was no known infectious diseases contact or exposure to farm animals.

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Complete Heart Block after open Heart Surgery in Children with Congenital Cardiac Diseases Feasibility of more waiting time before PPM administration

Clinical Cardiology and Cardiovascular Interventions ◽

10.31579/2641-0419/173 ◽

2021 ◽

Vol 4 (11) ◽

pp. 01-06

Author(s):

Akbar Molaei

Keyword(s):

Heart Block ◽

Congenital Heart ◽

Heart Surgery ◽

Complete Heart Block ◽

Heart Defects ◽

Open Heart Surgery ◽

Cardiac Conduction ◽

Cardiac Diseases ◽

Open Heart ◽

Cardiac Disorders

Introduction: Congenital cardiac disorders are the most prevalent congenital disorders which require interventional or surgical treatments. The most common causes of complete heart block (CHB) are degeneration of cardiac conduction system, acute myocardial infarction and congenital cardiac disorders. CHB after congenital heart surgery is of paramount importance which causes post-operation death and heart failure. Application of a pacemaker is a standard treatment for CHB. The purpose of this paper is to study the frequency of early postoperative CHB in patients with congenital cardiac diseases and also the need for temporary (TPM) and permanent (PPM) pacemakers. Materials and methods: This descriptive-analytical and cross-sectional study was conducted on children with congenital heart defects who had undergone open-heart surgery in Tabriz’s Shahid Madani Hospital from 2011 to 2016. Patients with early postoperative CHB were included in the study. Those who had improved on their own and those who needed TPM and PPM were identified and at the end, the frequency of CHB and the need for TPM and PPM were assessed. Results: Of the 2100 operated patients, 109 patients developed early postoperative heart block. The frequency of early CHB after open heart surgery was 5.19%. Of the 109 patients, 69 patients (63.3%) with early postoperative CHB needed TPM, 9 patients needed PPM and 22 patients improved without pacemaker. Conclusion: The prevalence of early CHB in patients operated for congenital cardiac diseases was 5.19%. The need for TPM was high and most of the patients had improved cardiac rhythm with no need for PPM or TPM.

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Open heart surgery in Nigerian children the need for international and regional collaboration: the Balyesa and Enugu experience

Journal of Cardiology and Cardiovascular Medicine ◽

10.29328/journal.jccm.1001117 ◽

2021 ◽

Vol 6 (2) ◽

pp. 044-047

Author(s):

FA Ujunwa ◽

AS Ujuanbi ◽

JM Chinawa ◽

D Alagoa ◽

B Onwubere

Keyword(s):

Success Rate ◽

Congenital Heart ◽

Heart Surgery ◽

Heart Diseases ◽

Heart Defects ◽

Open Heart Surgery ◽

Case Fatality ◽

Open Heart ◽

Cardiac Intervention ◽

Regional Collaboration

Background: Children with congenital heart diseases (CHD) often require palliative or definitive surgical heart interventions to restore cardiopulmonary function. Lack of early cardiac intervention contributes to large numbers of potentially preventable deaths and sufferings among children with such conditions. Objectives: The aim of this study is to highlight our experience and the importance of international and regional collaboration in open heart surgery among children with CHD and capacity building of home cardiac teams in Bayelsa and Enugu States. Materials and Methods: In November 2016, a memorandum of understanding (MOU) was signed between the managements of FMC, Yenagoa, Bayelsa State, UNTH, Enugu and an Italian-based NGO- Pobic Open Heart International for collaboration in the area of free open-heart surgery for children with CHDs and training of home cardiac teams from both institutions either in Nigeria or in Italy. Patients for the program were recruited from Bayelsa and Enugu States with referrals from all over the country with combined screening and selection done in UNTH. Selected patients were operated on and funded free of charge by the Italian NGO. Hands-on training of the home cardiac teams and cardiac intervention was done twice yearly in Nigeria. Result: From inception of the program in November, 2016 to May, 2019 a total of 47 children (21 Males, 26 Females; Age range 6 months to 14 yrs) with various types of congenital heart defects have benefitted from the program with 41 surgeries done in UNTH & 6 in Italy (complex pathologies) at no cost to the recipients. Also, home cardiac teams from UNTH and FMC, Yenagoa have gained from on-site capacity training & retraining from the Italian cardiac team both in Nigeria & in Italy. The Success rate was 95.7% (44) and Case Fatality rate was 4.3% (2). Conclusion: There is a great efficacy in early cardiac intervention. This is with respect to a high success rate and minimal Case Fatality seen in this study. This was achieved through Regional and international collaboration.

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