Charge syndrome hallmarked with wpws and pda; 20 years post repairing-yasser ...YasserMohammedHassan1
CHARGE syndrome or Hall-Hittner syndrome is a pleiotropic disorder, in which the name is derived from the abbreviation epitomizing its six clinical criteria: ocular coloboma, cardiac defects, choanal atresia, growth or developmental retardation, genital hypoplasia, and ear anomalies or deafness. Wolff-Parkinson-White syndrome is the most frequent pattern of ventricular pre-excitation. Patent ductus arteriosus is one of the most frequent congenital heart diseases due to failure of closure of the ductus arteriosus within 72 hours of birth. CHARGE syndrome, Wolff-Parkinson-White syndrome, and patent ductus arteriosus are so difficult to be present in a single entity.
Intracranial arteriovenous malformation in an infant—vein of Galen malformationApollo Hospitals
The vein of Galen malformation is a rare cerebrovascular disorder which is characterized by an abnormal direct communication between one or several cerebral arteries and the vein of Galen. In neonates, it usually causes congestive heart failure. Infants, older children, and adults usually present with mass effect, seizures, or intracranial hemorrhage. Here, we report a 6-month-old infant diagnosed with the vein of Galen malformation antenatally and presented to us with acute hydrocephalus. She underwent emergency embolization, developed in right femoral artery thrombosis as a complication requiring emergency thrombectomy and end-to-end repair. After embolization, she stabilized but hydrocephalus and raised intracranial tension persisted for which she required endoscopic third ventriculostomy.
Acyanotic heart defects are a class of congenital malformation of the heart. It provides knowledge in detail regarding acyanotic heart defects(VSD &ASD) for B.Sc(N) students.
Charge syndrome hallmarked with wpws and pda; 20 years post repairing-yasser ...YasserMohammedHassan1
CHARGE syndrome or Hall-Hittner syndrome is a pleiotropic disorder, in which the name is derived from the abbreviation epitomizing its six clinical criteria: ocular coloboma, cardiac defects, choanal atresia, growth or developmental retardation, genital hypoplasia, and ear anomalies or deafness. Wolff-Parkinson-White syndrome is the most frequent pattern of ventricular pre-excitation. Patent ductus arteriosus is one of the most frequent congenital heart diseases due to failure of closure of the ductus arteriosus within 72 hours of birth. CHARGE syndrome, Wolff-Parkinson-White syndrome, and patent ductus arteriosus are so difficult to be present in a single entity.
Intracranial arteriovenous malformation in an infant—vein of Galen malformationApollo Hospitals
The vein of Galen malformation is a rare cerebrovascular disorder which is characterized by an abnormal direct communication between one or several cerebral arteries and the vein of Galen. In neonates, it usually causes congestive heart failure. Infants, older children, and adults usually present with mass effect, seizures, or intracranial hemorrhage. Here, we report a 6-month-old infant diagnosed with the vein of Galen malformation antenatally and presented to us with acute hydrocephalus. She underwent emergency embolization, developed in right femoral artery thrombosis as a complication requiring emergency thrombectomy and end-to-end repair. After embolization, she stabilized but hydrocephalus and raised intracranial tension persisted for which she required endoscopic third ventriculostomy.
Acyanotic heart defects are a class of congenital malformation of the heart. It provides knowledge in detail regarding acyanotic heart defects(VSD &ASD) for B.Sc(N) students.
Anaesthetic Management of A Rare Case of Hemianomalous Pulmonary Venous Conne...Apollo Hospitals
We present a case report on anaesthetic management of a case of hemianomalous pulmonary venous connection with VSD, ASD for total intracardiac repair. A balanced anaesthetic technique was used with oxygen, isoflurane, fentanyl, midazolam, vecuronium. Patient was successfully operated under cardiopulmonary bypass with hypothermia.
CHARGE syndrome hallmarked with Wolff-Parkinson-White syndrome and patent duc...YasserMohammedHassan1
Abstract
Rationale: CHARGE syndrome or Hall-Hittner syndrome is a pleiotropic disorder, in which the name is derived from the abbreviation epitomizing its six clinical criteria: ocular coloboma, cardiac defects, choanal atresia, growth or developmental retardation, genital hypoplasia, and ear anomalies or deafness. Wolff-Parkinson-White syndrome is the most frequent pattern of ventricular pre-excitation. Patent ductus arteriosus is one of the most frequent congenital heart diseases due to failure of closure of the ductus arteriosus within 72 hours of birth. CHARGE syndrome, Wolff-Parkinson-White syndrome, and patent ductus arteriosus are so difficult to be present in a single entity. Patient concerns: A young female girl patient presented to the physician outpatient clinic with acute confusion status with a past repaired patent ductus arteriosus. Diagnosis: CHARGE syndrome hallmarked with Wolff-Parkinson-White syndrome and patent ductus arteriosus; 20 years post-repairing. Interventions: Plain chest x-ray, electrocardiography, oxygenation, and echocardiography. Outcomes: A dramatic clinical improvement post-oxygenation had happened. Lessons: CHARGE syndrome with Wolff-Parkinson-White syndrome and repaired patent ductus arteriosus is an extreme combination. The existence of infantile electrocardiographic Tee-Pee sign of hypocalcemia and adult low ionized calcium with CHARGE syndrome is highly suggestive of associated DiGeorge phenotype syndrome. An absence of tachycardia post- repairing of patent ductus arteriosus from 11 mo until the 20th-year-old is a good prognostic sign. The presence of an infantile T-wave alternance will strengthen both the risk of serious arrhythmia and the efficacy of patent ductus arteriosus repairing.
Fashionista Chic Couture Maze & Coloring Adventures is a coloring and activity book filled with many maze games and coloring activities designed to delight and engage young fashion enthusiasts. Each page offers a unique blend of fashion-themed mazes and stylish illustrations to color, inspiring creativity and problem-solving skills in children.
Anaesthetic Management of A Rare Case of Hemianomalous Pulmonary Venous Conne...Apollo Hospitals
We present a case report on anaesthetic management of a case of hemianomalous pulmonary venous connection with VSD, ASD for total intracardiac repair. A balanced anaesthetic technique was used with oxygen, isoflurane, fentanyl, midazolam, vecuronium. Patient was successfully operated under cardiopulmonary bypass with hypothermia.
CHARGE syndrome hallmarked with Wolff-Parkinson-White syndrome and patent duc...YasserMohammedHassan1
Abstract
Rationale: CHARGE syndrome or Hall-Hittner syndrome is a pleiotropic disorder, in which the name is derived from the abbreviation epitomizing its six clinical criteria: ocular coloboma, cardiac defects, choanal atresia, growth or developmental retardation, genital hypoplasia, and ear anomalies or deafness. Wolff-Parkinson-White syndrome is the most frequent pattern of ventricular pre-excitation. Patent ductus arteriosus is one of the most frequent congenital heart diseases due to failure of closure of the ductus arteriosus within 72 hours of birth. CHARGE syndrome, Wolff-Parkinson-White syndrome, and patent ductus arteriosus are so difficult to be present in a single entity. Patient concerns: A young female girl patient presented to the physician outpatient clinic with acute confusion status with a past repaired patent ductus arteriosus. Diagnosis: CHARGE syndrome hallmarked with Wolff-Parkinson-White syndrome and patent ductus arteriosus; 20 years post-repairing. Interventions: Plain chest x-ray, electrocardiography, oxygenation, and echocardiography. Outcomes: A dramatic clinical improvement post-oxygenation had happened. Lessons: CHARGE syndrome with Wolff-Parkinson-White syndrome and repaired patent ductus arteriosus is an extreme combination. The existence of infantile electrocardiographic Tee-Pee sign of hypocalcemia and adult low ionized calcium with CHARGE syndrome is highly suggestive of associated DiGeorge phenotype syndrome. An absence of tachycardia post- repairing of patent ductus arteriosus from 11 mo until the 20th-year-old is a good prognostic sign. The presence of an infantile T-wave alternance will strengthen both the risk of serious arrhythmia and the efficacy of patent ductus arteriosus repairing.
Fashionista Chic Couture Maze & Coloring Adventures is a coloring and activity book filled with many maze games and coloring activities designed to delight and engage young fashion enthusiasts. Each page offers a unique blend of fashion-themed mazes and stylish illustrations to color, inspiring creativity and problem-solving skills in children.
Hadj Ounis's most notable work is his sculpture titled "Metamorphosis." This piece showcases Ounis's mastery of form and texture, as he seamlessly combines metal and wood to create a dynamic and visually striking composition. The juxtaposition of the two materials creates a sense of tension and harmony, inviting viewers to contemplate the relationship between nature and industry.
This tutorial offers a step-by-step guide on how to effectively use Pinterest. It covers the basics such as account creation and navigation, as well as advanced techniques including creating eye-catching pins and optimizing your profile. The tutorial also explores collaboration and networking on the platform. With visual illustrations and clear instructions, this tutorial will equip you with the skills to navigate Pinterest confidently and achieve your goals.
Brushstrokes of Inspiration: Four Major Influences in Victor Gilbert’s Artist...KendraJohnson54
Throughout his career, Victor Gilbert was influenced heavily by various factors, the most notable being his upbringing and the artistic movements of his time. A rich tapestry of inspirations appears in Gilbert’s work, ranging from their own experiences to the art movements of that period.
This document announces the winners of the 2024 Youth Poster Contest organized by MATFORCE. It lists the grand prize and age category winners for grades K-6, 7-12, and individual age groups from 5 years old to 18 years old.
1. CONGENITAL COMPLETE ATRIOVENTRICULAR BLOCK IN NEONATE: A
RARE CASE REPORT
M. Z. Azzuhdi*, M. Lailani*, Kino*, D. Hariyanto*
*Faculty of Medicine, Andalas University, Padang, Indonesia
Background: All arrhythmia types are rare conditions in neonate and children with the
estimated incidence is between 1 in 15,000-20,000 births. In this report, we presented a rare
case of congenital complete atrioventricular block in a tertiary hospital in Padang, Indonesia.
Case Summary: A neonate had moaning cry and bluish at birth. Prenatally, fetal
echocardiography showed no structural abnormality with bradycardia. On physical
examination, we found heart rate 48 bpm, SpO2 76%, and circumoral cyanosis. Postnatally,
electrocardiography showed total atrioventricular block. A permanent pacemaker was
implanted in the first week of life epicardially with VVIR mode, amplitude 5 V, P wave 0.4
mV, sensitivity 2.8 mV, lower rate 120 bpm, and upper rate 150 bpm. Pacing System Analyzer
(PSA) showed threshold of 2.5 V, R wave 9.8 mV, current 5.4 mA and impedance 816 ohms.
The chest X-ray showed epicardial wires placed over the left ventricular apex, and the
electrocardiography post implantation showed pacing rhythms.
Discussion: A rare condition of bradycardia was detected prenatally with fetal
echocardiography. Postnatally, the patient was diagnosed as congenital complete
atrioventricular block as electrocardiography showed total atrioventricular block. Serologic test
of anti-Ro/SSA and/or anti-La/SSB were not performed. The patient had pacing treatment and
showed a good outcome, yet a regular follow up was urged due to the risk of left ventricular
dysfunction in the future.
Keywords: congenital, arrhythmia, pacemaker
