No Abstract available.
Diagnosis* ; Heart Defects, Congenital*

No abstract available.
Diagnosis* ; Heart Defects, Congenital*

No Abstract available.
Diagnosis* ; Echocardiography* ; Heart Defects, Congenital*

No Abstract available.
Diagnosis* ; Heart Defects, Congenital* ; Physical Examination*

No abstract available.
Diagnosis* ; Heart Defects, Congenital* ; Humans ; Infant, Newborn*

No abstract available.
Echocardiography* ; Heart Defects, Congenital* ; Prenatal Diagnosis*

Intravenous anesthesia is commonly used in pediatric cardiac catheterization. Objectives: (1) Define the efficiency of this method administered for pediatric cardiac cathterization; (2) Evaluate, analysis some anesthetic complications occurred during and after the producedure. Methods: Either Ketamin or Propofol was used for the induction. Anesthesia was maintained by Propofol infusion. 41 patients who underwent cardiac catheterization were included into the study. Heart rate, SpO2, respiratory rate of patient and the quality as well as the complications of anesthesia were evaluated. Results: The rate of good induction, good maintenance and good recovery were 95.2%, 97.6% and 100%, respectively. 82.3% of patients had a recovery time around 15 minutes. The complications of anesthesia were documented: apnea and transient drop of SpO2 occurred in the induction (4.8%), severe respiratory distress (2.4%), increasing secretor sputum (4.8%). Conclusions: Intravenous anesthesia has maitained the efficiency of sedation for pediatric cardiac catheterization.
Heart Defects, Congenital ; Anesthesia ; Heart Diseases ; Child ; Diagnosis ; Heart Catheterization

Unilateral adsence of a pulmonary artery is frequently undiagnosed. Unless this entity is recognized, a patient with a potentially curable lesion may become inoperable. The importance of considering unilateral absence of a pulmonary artery in the diffirential diagnosis of cyanotic congenital heart disease and pulmonary hypertension has become clear. We exeperienced a case of congenital isolated unilateral absence of it. pulmonary artery confirmed by clinical features, lung scan, echocardiogram and angiogram.
Diagnosis ; Heart Defects, Congenital ; Humans ; Hypertension, Pulmonary ; Lung ; Pulmonary Artery*

Background: Open heart surgery with cardiopulmonary bypass (CPB) causes haemostatic abnormalities which result in postoperative excessive bleeding. Objectives: To investigate haemostatic disorders before - after CPB and postoperative bleeding. Subjects and methods: Sixty congenital cardiac patients with and without cyanosis were recruited consecutively. Hematology and coagulation tests were done 1 day before operation, 15 minutes after protamine administration, 2 and 6 hours after the operation in the intensive care unit (lCU). Mediastinal chest tube drainage (MCTO) was measured for the first 6h in the ICU. Results: Significant differences between 2 groups could be found for red blood cells, hemoglobin, hematocrit, fibrinogen, D-dimer, fibrinogen degradation products (FOP), von Kaulla and platelet aggregation to epinephrine before operation (p < 0.05). There were not significant differences in platelets, PT, APTT, platelet aggregation to adenosine diphosphate (AOP) in the acyanotic and cyanotic patients (p > 0.05). Most hematology parameters were decreased significantly and hemostasis measurements were prolonged after operation in both groups (p < 0.05). There was also the significant difference in MCTO between 2 groups (p < 0.05). Conclusion: Coagulation, hemostasis and fibrinolysis disorders; thrombocytopenia and acquired transient platelet dysfunction may be responsible for bleeding complications after CBP \r\n', u'\r\n', u'
Heart Defects ; Congenital/ pathology ; epidemiology ; Hemostatic Disorders/ pathology ; diagnosis

Heart Defects, Congenital ; diagnosis ; therapy ; Humans ; Infant, Newborn