BACKGROUND Children with Down syndrome (DS) have about a 40 to 50% incidence of congenital heart disease (CHD). The objectives of this study were to evaluate the distribution and frequency of CHD patterns in Libyan children with DS. METHODS All patients with DS who were referred to the cardiology clinic between January 1995 and December 2008 were reviewed. RESULTS Of the 1 193 patients revi...

Conduction time from the region of the sinus node to the region of the atrioventricular (A-V) node was studied during open heart surgery in 13 patients with an endocardial cushion type atrial septal defect, eight patients with a secundum type atrial septal defect, one patient with a sinus venosus type atrial septal defect, and eight patients with an intact atrial septum. Internodal conduction t...

Echocardiographic septal and posterior wall thicknesses and the percent change with systole were measured in 146 patients with the following diagnoses: acute myocardial infarction (40), chronic coronary artery disease (49), congestive cardiomyopathy (8), atrial septal defect (20), and no cardiac disease (29). Mean diastolic thicknesses for the groups of patients with coronary artery disease and...

Two-dimensional echocardiography and pulsed-Doppler studies have not proved to be reliable methods of assessing left-to-right shunt size in atrial septal defect. Doppler color-flow imaging displays the transatrial jet, providing a new dimension with the potential capability of quantifying left-to-right shunt size. Twenty-three patients with atrial septal defect were studied by color-flow imagin...

UNLABELLED An infant, showing peripheral cyanosis, was born after lower abdominal peripheral caesarian section of the pregnant women having TORCH positive test with the infection of Toxoplasma gondiiand Cytomegalovirus. She had three abortions prior to this pregnancy. Doppler echocardiography of the baby showed profound intracardiac defects. After birth, echocardiography was carried out for dia...

Lutembacher syndrome is the combination of congenital atrial septal defect and acquired mitral stenosis. The condition is usually treated surgically. We describe a patient treated percutaneously with a combined Inoue balloon valvuloplasty and septal defect closure using the Amplatzer septal occlusion device.

Four-fifths of the infants with transposition of the great vessels die within the first year of life (Abbott, 1936). Fifty-two per cent. die within the first month and 86% are dead within six months (Keith, Neill, Viad, Rowe, and Chute, 1953). This lesion in some form occurs in 20% of necropsies on patients with congenital heart disease (Keith, Rowe, and Vlad, 1958). In Birmingham, transpositio...

Although closure of an atrial septal defect (ASD II) with an occluding device in the first year of life is not a routine procedure, it is a feasible treatment, even in neonates. Case reports on the off-label use of Amplatzer devices have been repeatedly published, but there are no reports on using the Amplatzer Duct Occluder (ADO) to close an atrial septal defect in a neonate. We report on a su...

Situs inversus with mirror-image of the heart is a rare condition. The present report describes a case of a patient with dextrocardia with situs inversus who had atrial septal defect with multiple holes in the fossa ovalis. The patient underwent total endoscopic atrial septal defect repair using the da Vinci surgical system. This procedure was achieved safely with good clinical and excellent co...

Interrupted aortic arch is a rare congenital malformation of the aortic arch defined as a loss of luminal continuity between the ascending and descending portions of the aorta. In a simple interrupted aortic arch, only a ventricular septal defect and patent ductus arteriosus are observed. We present a rare complex form of type A interrupted aorta with an aortopulmonary window, an atrial septal ...