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Sharma P, Samal S, Saha D, Naqvi SEH, Aggarwal S, Geelani MA. A rare case of Tetralogy of Fallot with right atrial thrombus presenting with hemiplegia complicating the clinical course. J Card Surg 2021; 36:3901-3904. [PMID: 34241915 DOI: 10.1111/jocs.15792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 05/16/2021] [Accepted: 06/05/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Cerebrovascular accidents represent a dangerous complication of cyanotic children with tetralogy of Fallot with the incidence of 8.6%. Tetralogy of Fallot has been associated with raised hematocrit with low arterial saturation. AIM Here we describe an 18 months old female child of Tetralogy of Fallot with cyanotic spells acute onset right-sided hemiplegia with right atrial thrombus who underwent emergency surgery with the intraoperative predicament. MATERIALS AND METHODS A female child with Tetralogy of Fallot presented to emergency department with acute onset right sided hemiplegia. After hemodynamic stabilization the patient underwent series of investigations and was diagnosed to have thrombus of size in right atrium. DISCUSSION Among the few causes causing neurological complications in Tetralogy and Fallot, right atrial thrombus appears to be a rare but possible cause. CONCLUSION ntracardiac thrombus can be considered as a cause for embolic neurological events in patients with Tetralogy of Fallot.
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Affiliation(s)
- Parag Sharma
- Department of Cardiothoracic Surgery, GB Pant Hospital, New Delhi, Delhi, India
| | - Satyajit Samal
- Department of Cardiothoracic Surgery, GB Pant Hospital, New Delhi, Delhi, India
| | - Debmalya Saha
- Department of Cardiothoracic Surgery, GB Pant Hospital, New Delhi, Delhi, India
| | - Sayyed E H Naqvi
- Department of Cardiothoracic Surgery, GB Pant Hospital, New Delhi, Delhi, India
| | - Saket Aggarwal
- Department of Cardiothoracic Surgery, GB Pant Hospital, New Delhi, Delhi, India
| | - Muhammad A Geelani
- Department of Cardiothoracic Surgery, GB Pant Hospital, New Delhi, Delhi, India
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Arora GK, Ahmed AS. A rare combination of pulmonary atresia with ventricular septal defect and congenital aortic stenosis with rheumatic mitral disease in an adolescent. J Echocardiogr 2021; 20:240-242. [PMID: 33840041 DOI: 10.1007/s12574-021-00526-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 02/28/2021] [Accepted: 03/31/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Gaurav Kumar Arora
- Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, 7th floor, Super Speciality Block, New Delhi, 110029, India
| | - A Shaheer Ahmed
- Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, 7th floor, Super Speciality Block, New Delhi, 110029, India.
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Changela V, John C, Maheshwari S. Unusual cardiac associations with Tetralogy of Fallot-a descriptive study. Pediatr Cardiol 2010; 31:785-91. [PMID: 20405116 DOI: 10.1007/s00246-010-9701-1] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2010] [Accepted: 03/28/2010] [Indexed: 11/26/2022]
Abstract
We present a large single-center series (>2200 cases) operated for Tetralogy of Fallot (TOF). We analyzed the incidence of associated unusual and uncommonly described cardiac lesions and their diagnostic and therapeutic implications in TOF patients. This retrospective study was conducted by reviewing records of patients operated for TOF at a large tertiary care pediatric cardiac centre. From 2002 to 2008, a total of 2235 cases of TOF were evaluated with echocardiography, cardiac catheterization, and/or cardiac computed tomography followed by cardiac surgery. Known and well-described associations were excluded from the study. Unusual associations were tabulated. Several unusual associations having an incidence >0.1% were detected. These included subaortic membrane (1%), pulmonary venous abnormalities (0.5%), small left ventricle (0.5%), interrupted inferior vena cava (0.5%), mitral valve abnormalities (0.4%), hemitruncus (0.4%), tricuspid valve abnormalities (0.4%), biventricular dysfunction (0.3%), retroaortic innominate vein (0.3%), bicuspid aortic valve (0.2%), and pericardial effusion (0.2%). This series describes unusual, not previously routinely reported cardiac lesions associated with TOF that may affect management and should be sought on preoperative evaluation. We demonstrate that more unusual associations do exist in not infrequent numbers, i.e., a TET is not just a TET.
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Affiliation(s)
- Vishal Changela
- Department of Pediatric Cardiology, Narayana Hrudayalaya Institute of Medical Sciences, Room no-7, 258/A-Bommasandra Industrial Area, Anekal Taluk, Hosur Road, Bangalore 560099, India.
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Raeis V, Philip-Couderc P, Roatti A, Habre W, Sierra J, Kalangos A, Beghetti M, Baertschi AJ. Central Venous Hypoxemia Is a Determinant of Human Atrial ATP-Sensitive Potassium Channel Expression. Hypertension 2010; 55:1186-92. [DOI: 10.1161/hypertensionaha.109.148767] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Véronique Raeis
- From the Departments of Neuroscience (V.R., P.P.-C., A.R., A.J.B.), Anaesthesia (W.H.), Surgery (J.S., A.K.), and Child and Adolescent (M.B.), University of Geneva, Geneva, Switzerland
| | - Pierre Philip-Couderc
- From the Departments of Neuroscience (V.R., P.P.-C., A.R., A.J.B.), Anaesthesia (W.H.), Surgery (J.S., A.K.), and Child and Adolescent (M.B.), University of Geneva, Geneva, Switzerland
| | - Angela Roatti
- From the Departments of Neuroscience (V.R., P.P.-C., A.R., A.J.B.), Anaesthesia (W.H.), Surgery (J.S., A.K.), and Child and Adolescent (M.B.), University of Geneva, Geneva, Switzerland
| | - Walid Habre
- From the Departments of Neuroscience (V.R., P.P.-C., A.R., A.J.B.), Anaesthesia (W.H.), Surgery (J.S., A.K.), and Child and Adolescent (M.B.), University of Geneva, Geneva, Switzerland
| | - Jorge Sierra
- From the Departments of Neuroscience (V.R., P.P.-C., A.R., A.J.B.), Anaesthesia (W.H.), Surgery (J.S., A.K.), and Child and Adolescent (M.B.), University of Geneva, Geneva, Switzerland
| | - Afksendyios Kalangos
- From the Departments of Neuroscience (V.R., P.P.-C., A.R., A.J.B.), Anaesthesia (W.H.), Surgery (J.S., A.K.), and Child and Adolescent (M.B.), University of Geneva, Geneva, Switzerland
| | - Maurice Beghetti
- From the Departments of Neuroscience (V.R., P.P.-C., A.R., A.J.B.), Anaesthesia (W.H.), Surgery (J.S., A.K.), and Child and Adolescent (M.B.), University of Geneva, Geneva, Switzerland
| | - Alex J. Baertschi
- From the Departments of Neuroscience (V.R., P.P.-C., A.R., A.J.B.), Anaesthesia (W.H.), Surgery (J.S., A.K.), and Child and Adolescent (M.B.), University of Geneva, Geneva, Switzerland
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