OBJECTIVE To report recent experience of patients with complete atrioventricular septal defect and tetralogy of Fallot, with emphasis on anatomical features, diagnosis, and management. DESIGN Case notes were reviewed and patients were assessed at follow up by clinical examination and cross sectional and Doppler echocardiography. SETTING Tertiary cardiothoracic referral centre. PATIENTS Be...

many problems remain unanswered concerning its natural course. What is the long-term outlook for the patient with the small or moderate-sized defect? What is the lifetime risk of infective endocarditis? What is the origin of the pulmonary hypertension in ventricular septal defect and its relation to pulmonary vascular changes over the years? What is the importance, incidence, or even existence ...

A VENTRICULAR septal defect either as an isolated malformation or as part of nmany developmental complexes is the most common single developmental lesion of the heart. In an overwhelming percentage of cases, hearts bearing a ventricular septal defect whether or not other conditions are associated have no additional intracardiae lesion that causes obstruction to the normal egress of blood from t...

FALLOT'S tetralogy is a condition of cyanotic congenital heart disease associated with pulmonary stenosis and a ventricular septal defect. The right ventricular hypertrophy and overriding aorta are probably a result of the altered hemodynamics. The essential features of the condition are cyanosis, pulmonary stenosis and a ventricular septal defect. Consequently, the so-called Trilogy of Fallot ...

An atrial septal defect was successfully repaired in a young woman despite the presence of pulmonary hypertension and right to left shunting. Before repair both isoprenaline infusion and 100% inspired oxygen produced significant falls in pulmonary artery pressure and pulmonary vascular resistance. A lung biopsy specimen at operation indicated a considerable decrease in the concentration of pare...

A premature neonate with gestational age of 32 weeks and birth body weight of 1650 grams was diagnosed to have type A interrupted aortic arch, perimembranous type ventricular septal defect, atrial septal defect, and patent ductus arteriosus. One-stage complete reconstruction of aortic arch and concomitant repair of intracardiac defects was performed at age of 13 days with body weight of 1600 gr...

BACKGROUND Transcatheter balloon valvuloplasty has been the accepted first line treatment for congenital pulmonic stenosis (PS) in children. Transcatheter closure of perimembranous ventricular septal defect (VSD) with Amplatzer VSD occluder is an alternative to surgical repair. CASE PRESENTATION A 12 year old boy presented with history of exertional dyspnea and atypical chest pain. Physical f...

The unusual occurrence of situs inversus totalis, ventricular septal defect, hypertrophic subaortic and subpulmonic stenosis, and single coronary artery in a 38-year-old man is presented. The clinical course was remarkably mild, as documented by data from 23 years of study including four cardiac catheterizations. At age 35 years, however, syncope, chest pain, and marked elevation of right ventr...

A 26-year-old man had been diagnosed with a cardiac murmur from birth. In 1998, he was admitted to hospital because of slight fatigue. A grade 5/6 continuous murmur was audible near the right sternal border at the second intercostal space. Doppler echocardiography detected an abnormal flow that suggested that an aneurysm of the right coronary sinus of Valsalva had ruptured into the right ventri...

Tricuspid valve (TV) injury following transcatheter closure of perimembranous ventricular septal defect (PMVSD) with Amplatzer ductal occluder I (ADO I), requiring surgical repair, is rare. We report two cases of TV tear involving the anterior and septal leaflets following PMVSD closure using ADO I. In both the patients, the subvalvular apparatus remained unaffected. The patients presented with...