STUDY DESIGN Retrospective study. PURPOSE To identify the incidence of congenital cardiac abnormalities in patients who had scoliosis and underwent surgical treatment for scoliosis. OVERVIEW OF LITERATURE Congenital and idiopathic scoliosis (IS) are associated with cardiac abnormalities. We sought to establish and compare the incidence of congenital cardiac abnormalities in patients with id...

OBJECTIVE To analyze the success rate of somatostatin in children with persistent chylothorax who failed dietary treatment options (fat-free nutrition, total parenteral nutrition) and to work out predictive factors for a successful therapy with somatostatin. METHODS Retrospective cohort study over a 5-year period (2000-2004) in a neonatal and pediatric intensive care unit of a tertiary univer...

Progress in paediatric cardiac surgery over the last decades resulted in a growing number of adult patients with (surgical corrected) congenital heart defects. Most of these patients require lifelong care, as the long-term outcome of the complex surgical procedures is often complicated by heart failure, atrial or ventricular arrhythmias, pulmonary hypertension, or endocarditis. In addition, sur...

soon after successful results of balloon valvuloplasty in treatment of congenital pulmonary stenosis, use of this technique for relief of congenital aortic stenosis (as) was attempted in different parts of the world. with the purpose of assessment the value of valvuloplasty in comparison with surgical valvotomy in relief of congenital as, we retrospectively studied 115 patients with valvar as, ...

The most common causes of chylothorax are neoplasmparticularly lymphoma-and trauma. The usual presenting symptom is dyspnea resulting from the accumulation of pleural fluid. The diagnosis of chylothorax is established by measuring triglyceride levels in the pleural fluid; a triglyceride level of greater than 110 mg/dL supports the diagnosis. The initial approach to management involves chest tub...

Though rare in incidence, chylothorax can lead to significant morbidity and mortality. Its occurrence corresponds to increased mortality following esophagectomy. Leakage of chyle and lymph leads to significant loss of essential proteins, immunoglobulins, fat, vitamins, electrolytes and water. The presence of chylomicrons and a triglyceride level >110 mg/dl in the aspirated pleural fluid confirm...

Introduction Patients with congenital heart disease are at ongoing risk of developing both bradyarrhythmias and tachyarrhythmias decades after surgical repair. Rarely, arrhythmias can be exacerbated during pregnancy and require emergent intervention. Here, we report unique experience with nonfluoroscopic pacemaker implantation during pregnancy. Ionizing radiation, even in low doses, is associat...

Chylothorax is an uncommon clinical entity caused by obstruction or rupture of the thoracic duct. Malignant disease, mostly lymphoma or metastatic carcinoma, accounts for half and surgical trauma for a quarter of all cases.' Occasionally, chylothorax is caused by thrombosis of the great veins, benign cysts, or lymphangiomas of the thoracic duct, tuberculosis, mediastinitis, paravertebral absces...

BACKGROUND Pulmonary arterial hypertension (PAH) can lead to significant cardiac dysfunction and is considered to be associated with an increased risk of perioperative cardiovascular complications. METHODS We reviewed the medical records of children with PAH who underwent anesthesia or sedation for noncardiac surgical procedures or cardiac catheterizations from 1999 to 2004. The incidence, ty...