BACKGROUND It has been hypothesised that cerebral palsy (CP) and other congenital anomalies are attributable to feto-fetal transfusion problems in a monochorionic multiple gestation. Thus more than one organ could be compromised leading to the coexistence of two or more anomalies in a fetus. Such anomalies in a singleton birth may be attributable to early demise of the co-conceptus as a vanishi...

A newborn boy with congenital contractural arachnodactyly (CCA) was found to have an atrial septal defect, ventricular septal defect, patent ductus arteriosus, and aortic arch anomalies. These resulted in congestive failure but subsequent progressive dilatation of both great arteries and development of aortic regurgitation were associated with eventual cardiorespiratory failure and death at 11....

" Congenital internal bending back of the sternum and ribs as the cause of difficulty in breathing. " My father showed me a boy seven years old at the house of a nobleQaan of Andlau, whose ensiform cartilage and other parts of the chest bone, together with the ribs, was bent back towards the internal parts, 8o that a great hollow appeared there. The diaphragm, he pointed out, deemed to contract...

TOPIC: Critical Care TYPE: Medical Student/Resident Case Reports INTRODUCTION: Embolic phenomenon, while not contributing as much a cause atherosclerotic disease for ischemic stroke, remains an important stroke. While atrial fibrillation represents the majority of patients in this subset, there are other less conspicuous causes. Here, we present case found to be due isolated extra-cardiac shunt...

Twin pregnancies are at increased risk of complications and adverse outcome compared to singletons. A significant contribution to higher morbidity and mortality seen in monochorionic twins is made by cardiac complications. Abnormal cardiac development in monochorionic pregnancies can be divided into primary structural cardiac lesions (structural cardiac anomalies unrelated to the existence of T...