Congenital Heart Disease - Pediatric oncall

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Congenital Heart Disease

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Gurmeet Singh, Reena Sood Department of Pediatrics and Department of Obstetrics and Gynaecology, Sh...

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Question Category : Congenital Heart Disease
My son, is 4 months old. During birth (scissor Ian baby)his weight was 2.2 kg,all other symptoms found normal. At his age of 1 month and 11 days,he had undergone Hernia operation. Latter, it was found that he has murmur (by stethoscope). Now he is 4 months old.His wt.is 5.3 Kg. No abnormal symptom is found from outside. The latest Echocardiography report is enclosed below which shows he has MPA stenosis with proximal RPA stenosis and supravalvar aortic stenosis We are very much worried for the same.Can you suggest the possible rectifying measures to be taken to eliminate the defect so that he can live normal life in future. REPORT OF ECHOCARDIOGRAPHY WITH COLOR DOPPLER STUDY Date :21/01/02 Patient : Sayan Banerjee Age : 4 months Impression: 1.Situs :Solitus 2.Veins,atria,inter-atrial septum :IVC to RV,SVC to RA,Pulmonary veins to LA.Intact IAS. 3.Atrio-ventricular valves,Ventricles,Ventricular septum:No TR,MR.Normal RV: not dilated or hypertrophied.Good RV,LV .Intact IVS. 4.Semilunar valves,Great arteries:Normal aortic valve and pulmonary valve.Distal MPA stenosis with proximal RPA stenosis. Peak gradient = 35 mmHg. Flow related LPA gradient =30 mmHg. Probable supra aortic valvar stenosis gradient = 30mmHg. 5.Arch,Others :normal arch. Conclusion: 1.MPA stenosis with proximal RPA stenosis. 2.Supravalvar aortic stenosis(mild). Check Out the Answer
Question Category : Congenital Heart Disease
What is the prognosis of a neonate who has a shift of his pulmonary artery & aorta? Does the development of the lung get affected b'cos of the shift? what is the treatment Check Out the Answer
Question Category : Congenital Heart Disease
A 1 month old baby presented with cyanosis, hyperepnoea,on enquiring had cyanosis since birth. 1.could it be TOF with a spell 2.does propranpolol have role in management of this baby? Check Out the Answer
Question Category : Congenital Heart Disease
Till what post natal age, in a preterm neonate, is Ibugesic/Indomethacin effective for closure ofPDA? How long should one wait to see the response of the above drugs after the recommended three doses? Check Out the Answer
Question Category : Congenital Heart Disease
As a paramedic, I recently was called for a pedi patient with CHF. What vasodilator and or treatment is appropriate for a 5 year old with CHF? Nitro is contraindicated in pediatrics, correct?Thanks Check Out the Answer
Question Category : Congenital Heart Disease
what is the rationale of giving oxygen in cyanotic spell? what are the actions of propranolol in cyanotic spell? why cyanotic spell appears around 6 months in TOF ? Check Out the Answer
Question Category : Congenital Heart Disease
6y male present with exertional dyspnea,no cyanosis.Ecg&Echo+clinical exam prove pulm. stenosis.How to follow& manage such case? Check Out the Answer
Question Category : Congenital Heart Disease
10 years old female with small vsd (4mm) healthy .your advice to follow her thanks. Check Out the Answer
Question Category : Congenital Heart Disease
How knee chest positioning helps in managing cyanotic spell in TOF? What is the developmental anomaly of heart in TOF? Check Out the Answer

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