OBJECTIVES To determine the prevalence and time course of pericardial effusion after open heart surgery for congenital heart diseases and to identify predisposing risk factors. DESIGN AND PATIENTS Prospective assessment of development of pericardial effusion in 336 patients (163 males) undergoing open heart surgery for congenital heart disease by serial echocardiography on days 5, 7, 14, 21, ...

We report the case of a 39-year-old male with complex cyanotic congenital heart disease undergoing emergency craniotomy for a cerebral abscess. Maintenance of intraoperative hemodynamic stability and adequate tissue oxygenation during anesthesia may be challenging in patients with cyanotic congenital heart disease. In this case, we decided to perform the surgery as an awake craniotomy after int...

Atrial septal defect (ASD) is one of the most common types congenital heart defects. Percutaneous closure ASD relatively safe and accepted as an alternative to surgery. However, device-related complications can occur rarely. Embolization Amplatzer atrial occluder (ASO) major complication percutaneous device closure. The author presents a case early embolization ASO into left atrium, which remov...

Advances in therapeutical possibilities for patients with complex congenital heart defects are unquestionable. Nonetheless, it is still probable to encounter unique challenges. The study presents a case of symptomatic 25-year-old female patient uncorrected Tetralogy Fallot who has never been qualified surgery due an unusual constellation cardiac comorbidities: anomalous coronary artery origin a...

The aim of this prospective study was to examine the determinants of growth failure and the association with neurodevelopmental outcome in infants undergoing open-heart surgery. In 107 infants undergoing open-heart surgery for congenital heart disease (CHD), we evaluated weight at birth, at surgery, and at one year of age (expressed as z-scores). Neurodevelopmental status was assessed before su...

OBJECTIVE To assess age, gender distribution and relative frequency of congenital heart disease (CHD) in children who underwent palliative or corrective cardiac surgery at Rehman Medical Institute, Peshawar. METHODOLOGY This retrospective study was conducted in Department of Cardiac Surgery at Rehman Medical Institute (RMI), Peshawar from May 2008 till May 2010. One hundred and twenty three p...

OBJECTIVE To verify or refute the value of hospital episode statistics (HES) in determining 30 day mortality after open congenital cardiac surgery in infants nationally in comparison with central cardiac audit database (CCAD) information. DESIGN External review of paediatric cardiac surgical outcomes in England (HES) and all UK units (CCAD), as derived from each database. SETTING Congenital...

BACKGROUND Supraventricular arrhythmia (SVA) is a frequent clinical complication in adult patients with congenital heart disease (CHD). The aim of this study is prognostic evaluation of congenital heart defect complexity, performed cardiac surgery, initial functional impairment of the heart - NYHA > I, cyanosis, age and sex of the adult patients with CHD, presenting for the first time to an out...

lip is an important aspect of facial features affecting ones personality. a deformity of the lip characterized by excessive tissue sagging below the usual giving it thicker wider appearance is referred to as double lip. it is a rare occurrence with a proposed male predilection. this article is a report of a 20 years old male with this deformity who presented with the complaint of difficult spee...