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Single Stage Extra Cardiac Conduit Total Cavopulmonary Connection in Atrial Situs Inversus and Levocardia

World Journal of Cardiovascular Surgery 2016年第8期6卷 99-103页

作者： Shamsher Singh Lohchab Ishani Lohchab Ashok Chahal Naveen Malhotra Kuldeep Laller Department of Cardiac Surgery Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak India Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak India Department of Anaesthesiology Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak India Department of Cardiology Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak India

10-year female child was presented with complex congenital heart defect—atrial situs inversus, levocardia, discordant atrioventricular connections, double outlet right ventricle, ventricular septal defect, pulmonic stenosis and straddling of atrio-ventricular valves along with bilateral superior vena cava and large patent ductus arteriosus. We describe here the strategy adopted to perform single stage fenestrated extra cardiac conduit total cavo-pulmonary connections in this patient especially concerning cardiac malposition of atrial situs inversus and levocardia.

关键词： Single Ventricle fontan operation Situs Inversus and Levocardia

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Acute ischemic stroke in a child with cyanotic congenital heart disease due to non-compliance of anticoagulation

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World Journal of Emergency Medicine 2012年第2期3卷 154-156页

作者： Misbahuddin Mohammad Anish F.James Raheel S.Qureshi Sapan Saraf Tina Ahluwalia Joy Dev Mukherji Tamorish Kole Department of Emergency Medicine Max Super Speciality Hospital Department of Radiology Max Super Speciality Hospital Department of Neurology Max Super Speciality Hospital

BACKGROUND:Stroke is a common presentation in geriatric patients in emergency department but rarely seen in pediatric *** case of acute ischemic stroke in pediatric age group,management is different from that of adult ischemic stroke where thrombolysis is a good ***:We report a case of a 17-year-old male child presenting in emergency with an episode of acute ischemic stroke causing left hemiparesis with left facial weakness and *** patient suffered from cyanotic congenital heart disease for which he had undergone fontan operation *** had a history of missing his daily dose of warfarin for last 3 days prior to the ***:The patient recovered from acute ischemic stroke without being ***:In pediatric patients,acute ischemic stroke usually is evolving and may not require thrombolysis.

关键词： Acute ischemic stroke Congenital heart disease Single ventricle fontan operation Warfarin Thrombolytic

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