RESUMEN

BACKGROUND: Aortic root abscess is a rare complication of infective endocarditis in children. CASE REPORT: A 5-year-old boy with infective endocarditis of aortic valve and an anterior aortic root abscess was found to have anomalous aortic origin of right coronary artery from the left coronary sinus on computed tomography scan with contrast. RESULT: He was managed surgically by "patch and prosthesis" approach and required aortic root enlargement. Since anomalous aortic origin of right coronary artery is a relative contraindication for a Konno-Rastan aortic root enlargement, a Manouguian procedure was performed. CONCLUSION: Anterior aortic root abscesses are rare, the co-existence of anomalous aortic origin of right coronary artery is rarer still and such cases requiring aortic root enlargement are possibly best served by a Manouguian procedure.

Asunto(s)

Anomalías de los Vasos Coronarios , Endocarditis Bacteriana , Endocarditis , Absceso/complicaciones , Absceso/diagnóstico por imagen , Válvula Aórtica/diagnóstico por imagen , Válvula Aórtica/cirugía , Preescolar , Anomalías de los Vasos Coronarios/complicaciones , Anomalías de los Vasos Coronarios/diagnóstico por imagen , Anomalías de los Vasos Coronarios/cirugía , Vasos Coronarios , Endocarditis/complicaciones , Endocarditis Bacteriana/complicaciones , Humanos , Masculino

Asunto(s)

Accidentes por Caídas , Atelectasia Pulmonar/diagnóstico , Atelectasia Pulmonar/cirugía , Rotura/diagnóstico , Rotura/cirugía , Bronquios/lesiones , Bronquios/cirugía , Niño , Humanos , Masculino , Atelectasia Pulmonar/etiología , Rotura/etiología , Factores de Tiempo

RESUMEN

INTRODUCTION: Epicardial permanent pacemaker generators are implanted some times in the abdominal wall in pediatric age groups. CASE PRESENTATION: Three permanent epicardial pacemakers that migrated in an unusual manner producing intraabdominal complications are reported. CONCLUSION: The different clinical presentations of pacemaker migration in the pediatric age groups are highlighted and a few suggestions are made for avoiding such a complication.

RESUMEN

Pulmonary arterial hypertension is known to occur postoperatively after closure of VSD. It results in a low cardiac output state with need for ventilation and frequent bagging. Methemoglobinemia, a condition associated with toxic ingestions, has been described in this setting. Methemoglobinemia is known to cause cyanosis and hypotension. We report a critically ill infant with significant methemoglobinemia after VSD closure.