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

Septal Defect ◽

Normal Function ◽

Clinical Findings ◽

Fluid Replacement ◽

Nursing Management ◽

Obstetric History ◽

Foetal Monitoring ◽

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.

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

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v25i3.414 ◽

1970 ◽

Vol 25 (3) ◽

pp. 161-163

Author(s):

Nurun Nahar Fatema ◽

Mamunur Rahman ◽

Mujubul Haque

Keyword(s):

Septal Defect ◽

Failure To Thrive ◽

Military Hospital ◽

Device Closure ◽

Residual Shunt ◽

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)

Color Doppler Echocardiographic Study on the Incidence and Natural History of Early-Infancy Muscular Ventricular Septal Defect

Pediatrics & Neonatology ◽

10.1016/j.pedneo.2011.06.003 ◽

2011 ◽

Vol 52 (5) ◽

pp. 256-260 ◽

Cited By ~ 13

Author(s):

Jia-Kan Chang ◽

Wen-Yen Jien ◽

Hui-Lan Chen ◽

Kai-Sheng Hsieh

Keyword(s):

Natural History ◽

Septal Defect ◽

Color Doppler ◽

Early Infancy ◽

Echocardiographic Study ◽

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

BMJ Case Reports ◽

10.1136/bcr-2020-236264 ◽

2020 ◽

Vol 13 (6) ◽

pp. e236264 ◽

Cited By ~ 1

Author(s):

Kelsey Danley ◽

Paul Kent

Keyword(s):

Atopic Dermatitis ◽

Supportive Care ◽

Septal Defect ◽

Oral Intake ◽

Respiratory Pathogen ◽

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.

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

Cardiology in the Young ◽

10.1017/s1047951100007174 ◽

1998 ◽

Vol 8 (4) ◽

pp. 500-505 ◽

Cited By ~ 31

Author(s):

Zhong-Dong Du ◽

Nathan Roguin ◽

Xing-Jian Wu

Keyword(s):

Natural History ◽

Septal Defect ◽

Spontaneous Closure ◽

Ventricular Septal Defects ◽

Septal Defects ◽

Multiple Defects ◽

Single Defect ◽

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.

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

International Journal of Angiology ◽

10.1055/s-0036-1593446 ◽

2016 ◽

Vol 26 (03) ◽

pp. 196-200 ◽

Cited By ~ 2

Author(s):

Majid Chammas ◽

Jon Robken ◽

Dale Geiss ◽

Nicolas Shammas

Keyword(s):

Coronary Artery ◽

Septal Defect ◽

Artery Bypass ◽

Bypass Graft ◽

Ascending Aorta ◽

Artery Bypass Graft ◽

Life Threatening ◽

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

Cardiology in the Young ◽

10.1017/s1047951121001682 ◽

2021 ◽

pp. 1-2

Author(s):

Kristin T. Oshiro ◽

Maria T. Thanjan ◽

Ralf J. Holzer

Keyword(s):

Hepatic Vein ◽

Coronary Sinus ◽

Septal Defect ◽

Venous Drainage ◽

Cardiac Catheterisation ◽

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.