RESUMEN
A case of situs inversus totalis and transposition of the great arteries (TGA) was diagnosed prenatally at 25 weeks' gestation. Postnatal echocardiographic examination confirmed the antenatal findings. This case underscores the importance of recognizing situs abnormalities during obstetric and fetal echocardiographic examination, as they are often associated with cardiac anomalies. Accurate prenatal diagnosis of structural heart defects is extremely important in family counselling and in planning obstetric and postnatal treatment.
Asunto(s)
Situs Inversus/diagnóstico por imagen , Transposición de los Grandes Vasos/diagnóstico por imagen , Ultrasonografía Prenatal , Diabetes Gestacional , Femenino , Edad Gestacional , Humanos , Embarazo , Situs Inversus/cirugía , Transposición de los Grandes Vasos/cirugía , Resultado del TratamientoRESUMEN
Rhabdomyomas are the most common primary cardiac tumors in childhood, and are often associated with tuberous sclerosis. We report a huge rhabdomyoma in an asymptomatic four hour old infant who presented initially with a murmur due to moderate subaortic stenosis. Followup showed regression of the tumour. Although the indications for surgical resection of symptomatic tumors are well established, medical follow-up should be the prefered treatment.
RESUMEN
We report an unusual case of left-ventricular outflow obstruction caused by accessory mitral valve tissue associated with dextrocardia and ventricular septal defect in a seven-day-old, 2200 grams premature infant, who was referred with a heart murmur. The diagnosis was made by two-dimensional and Doppler echocardiography which demonstrated the accessory tissue as well as a 100 mmHg peak systolic gradient between the left ventricle and the aorta. Ten days after the presentation the infant underwent emergency surgery after respiratory arrest and recurrent episodes of syncope. The accessory mitral valve tissue and its fibrous extension were excised and the ventricular septal defect was closed. We believe that surgical treatment of patients with accessory mitral valve tissue should be performed early because of the possibility of acute deterioration. Combined aortotomy and interatrial approach is very helpful in evaluating the anatomy and the mitral valve function as well as delineating the tissue to be excised.