Height, weight, total body fat, adipocyte size (cellular lipid content), total adipocyte number, and lean body mass were studied in two groups of similar aged children with congenital heart disease. One group was comprised of 19 children cyanotic from infancy. The second group was made up of 16 asymptomatic, acyanotic patients and served as the basis for age and sex adjusted comparisons. Cyanot...

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...

An investigation of defects of the haemostatic mechanism in 41 children with cyanotic congenital heart disease concluded that such abnormalities were common and normally involved factors synthesised in the liver, that is the vitamin K dependent factors (rothrombin, factors VII and IX) and factor V. No evidence was found of activation of the coagulation or fibrinolytic systems. The defects can b...

Twenty-five patients with congenital cyanotic heart disease were studied. Skiagrams of the skull (posteroanterior and lateral views), pelvis and lumbar spine (posteroanterior and lateral views), upper limb (posteroanterior view only), and x-ray of ankle joint including lower ends of tibia and fibula (posteroanterior and lateral views) were taken. Haemoglobin, packed cell volume, total leucocyte...

Tetralogy of Fallot is the most common cyanotic congenital heart disease. Corrective surgery indicated during infancy for best outcome, however, due to poor availability and affordability surgery, many children resource-poor settings live with uncorrected tetralogy Fallot. They suffer from dreaded complications like brain abscess, in later years life. We report 3 cases who developed abscess the...

during a period of four years between june, is, 1988 to june, is, 1992 one hundred and fourteen patients with congestive heart failure (chf) were admitted to the pediatric department of taleghani general hospital. during the above period, 192 patients with heart disease were hospitalized at this department and chf was the cause of admission in 59.4% of them. congenital heart disease (cho) was t...

important risk is infective etdocarditis, whereas beginning in the 3rd decade, heart failure is the major complication in patients with a sizable left to right shunt . Adult survival with a nonrestrictive patent ductus artenosus is more likely to occur with suprasystemic pulmonary vascular resistance and reversed shunt . Anomalous course of coronary arteries . Widespread use of coronary arterio...

Right atrial myxoma is a rare cause of heart failure in infancy and childhood. 1-4 Since its clinical diagnosis is elusive in this age group,4 it is usually not suspected in the differential diagnosis of cyanotic neonates with congestive cardiac failure. The implications, however, of making the diagnosis of this potentially curable tumour during life are obvious. We report a newborn baby with a...

The modified Blalock-Taussig (BT) shunt is a common palliative procedure for congenital cyanotic heart disease (CHD) with diminished pulmonary blood flow(1). In developing countries, definitive surgery usually gets delayed due to limited resources and expertise(2). Children with cyanotic CHD and BT shunt often present to the pediatrician resulting in some of the complications of BT shunt being ...

BACKGROUND Progress in management of congenital heart disease has shifted mortality largely to adulthood. However, adult survivors with complex congenital heart disease are not cured and remain at risk of premature death as young adults. Thus, our aim was to describe the evolution and mortality risk of adult patient cohorts with complex congenital heart disease. METHODS Among 12,644 adults wi...