Nowadays, children with hypoplastic left heart syndrome (HLHS) survive longer. Thus, the management of such patients undergoing non-cardiac surgery is of increasing relevance. A 12-month-old boy with HLHS following stage II Norwood palliation and Apert syndrome required extended craniosynostosis surgery because of elevated intracerebral pressure. Since extensive blood loss as well as hemodynami...

OBJECTIVES Chylothorax is an infrequent but serious complication after thoracic surgery. Optimal management is still controversial. Surgical re-interventions are associated with significant morbidity and mortality. DESIGN During a 2-year period, 3 patients developed chylothorax after oesophagectomy. This was treated conservatively, following our departmental protocol. RESULTS Conservative m...

Tetralogy of Fallot (TOF) is commonly identified cyanotic congenital cardiac anomaly; however, its affiliation with dextrocardia and situs inversus very rare. We describe a case associated TOF in 23-year old girl who arrived central shunt at the age 17 years later for total surgical correction magnificent outcomes.

Double orifice left atrioventricular valve (DOLAVV) or double orifice mitral valve (DOMV) is a rare congenital cardiac anomaly manifesting either as an isolated lesion (mitral stenosis or mitral insufficiency) or in association with other congenital cardiac defects. Signs of mitral valve disease are usually present along with the symptoms of associated coexistent congenital heart diseases. Mitr...

INTRODUCTION Chylothorax and chylous ascites are uncommon and usually associated with trauma or neoplasms. To the best of our knowledge, constrictive pericarditis leading to chylothorax and chylous ascites in a person infected with HIV has never previously been described. CASE PRESENTATION A 39-year-old Thai man was referred to our institute with progressive dyspnea, edema and abdominal diste...

Aim: Chylothorax is a recognized complication after surgery for congenital diaphragmatic hernia (CDH) in a neonate. Management strategies for chylothorax include cessation of enteral feedings, repeated aspiration, chest drainage, and total parenteral nutrition. It is important to determine which is the better plan for treatment of chylothorax after repair of CDH. The authors report successful m...

D EFECTS in the atrial septum are of relatively great clinical importance. They are the most common of all congenital cardiac malformations, constituting as a single lesion 7 to 25 per cent' and as a combined lesion perhaps as high as 85 per cent2 of all congenital cardiac anomalies. Moreover, they are not infrequently accompanied by disturbances in circulation which cause symptoms sufficiently...

D EFECTS in the atrial septum are of relatively great clinical importance. They are the most common of all congenital cardiac malformations, constituting as a single lesion 7 to 25 per cent' and as a combined lesion perhaps as high as 85 per cent2 of all congenital cardiac anomalies. Moreover, they are not infrequently accompanied by disturbances in circulation which cause symptoms sufficiently...

burns account for a significant proportion of injuries, and of these the face, neck, and anterior torso are commonly affected. burn scars remain a lasting reminder of the insult both for the patient and the outside world. there is little doubt that the change in appearance and the limitation imposed by a burn scar contribute to negative body image. treatment of hypertrophic scars in the neck ha...