Abstract: Intraoperative transesophageal echocardiography is used to more accurately assess a patient's cardiac condition and is important for the guidance of cardiac surgery. This case reports a pediatric cardiac surgery performed under TEE guidance in a patient with multiple complications. A 5-year-old child presented with diarrhea as the first symptom. At the age of 2 years, she was admitted to the hospital with ptosis of the right upper eyelid, morning lightness and evening heaviness, hand tremor, and the presence of a murmur in the mid to late stages of cardiac systole on auscultation. She was diagnosed with mitral valve prolapse and myasthenia gravis, which resolved with treatment. Subsequently, she was diagnosed with hyperthyroidism due to obvious protrusion of the eyeballs, and was admitted to the hospital for heart valve surgery after her thyroid function was controlled. Intraoperative TEE suggested mitral valve prolapse combined with embolization of the P2 region. In the complex case of this child, the suture points during mitral valvuloplasty and the scar tissue caused by the mitral valvuloplasty annulus may limit the growth of the annulus as well as the leaflet motion. Therefore, it was recommended that the surgeon perform mitral valve extension to maximize the prognosis. TEE herein guided the cardiac surgical decision making to maximize the prognosis of the child.
Abstract: Intraoperative transesophageal echocardiography is used to more accurately assess a patient's cardiac condition and is important for the guidance of cardiac surgery. This case reports a pediatric cardiac surgery performed under TEE guidance in a patient with multiple complications. A 5-year-old child presented with diarrhea as the first symptom. At...Show More
Abstract: It was carried out a study on peripartum cardiomyopathy (PPCM) in the cardiology and internal medicine department of the University Hospital Center of Brazzaville. This work takes place from May 1, 2019 to April 31, 2023. It had aimed at identifying the profile of peripartum cardiomyopathy in women disadvantaged in cardiovascular diseases. Fifty-two files were selected on the basis of predefined inclusion criteria. The frequency of myocardiopathy peripartum was estimated at 1.4% of admissions and 9.7% of women of childbearing age, or 13 cases per year. The average age of the patients was 30.78.02 (range: 16 to 44 years), the most frequently found risk factors were respectively high low level socio-economic (77%), multiparity (36%); pregnancy-induced hypertension (32%) and anemia (31%). clinical picture was stereotypical and included signs of heart failure. This one was global in thirty-nine (39) cases (75%), left in thirteen (13) cases (25%), cardiomegaly was noted in all cases with mean cardiothoracic ratio at 0.614 (range 0.52 to 0.83). Sinus tachycardia was observed in fifty-one 51 cases (98%). Left atrial dilatation was noted in twenty-three 23 cases (44.2%), left atrial dilatation was noted in thirteen (13) cases (25%). Diffuse disorders of the repolarization were noted in forty-three cases (83%). Echocardiography revealed: left cavitary dilatation in 100% of cases; thrombosis left ventricular intravenous was noted in two cases (4%).
Abstract: It was carried out a study on peripartum cardiomyopathy (PPCM) in the cardiology and internal medicine department of the University Hospital Center of Brazzaville. This work takes place from May 1, 2019 to April 31, 2023. It had aimed at identifying the profile of peripartum cardiomyopathy in women disadvantaged in cardiovascular diseases. Fifty-tw...Show More