A Triple Challenge: Thrombocytopenia in a 7-Year-Old Girl With Unrepaired d-Transposition of the Great Arteries, Ventricular Septal Defect, and Pulmonary Hypertension

Al-Biltagi, Mohammed; Ismail, Mohamed F.; Al-Radi, Osman O; Baho, Haysam
December 2013
Pediatric Cardiology;Dec2013, Vol. 34 Issue 8, p2021
Academic Journal
Case Study
Thrombocytopenia can be a real challenge during cardiac surgery in children with cyanotic congenital heart disease. This report describes a 7-year-old girl with d-transposition of the great arteries, ventricular septal defect, pulmonary hypertension, chronic thrombocytopenia, polycythemia, and chronic renal impairment. The thrombocytopenia improved several days after splenectomy. The child then underwent a successful arterial switch operation with ventricular septal defect closure.


Related Articles

  • A case report of truncus arteriosus communis and genetic counseling. Nourzad, Gholamreza; Baghershiroodi, Mahnaz // ARYA Atherosclerosis;2013, Vol. 9 Issue 4, p254 

    BACKGROUND: Truncus arteriosus communis (TAC) is a rare heart disorder with the prevalence of approximately 1%, mostly in male newborns. In this disease, aorta and pulmonary artery have not been separated during fetus development and both originate jointly from left ventricle. In addition,...

  • Prompt Recognition and Percutaneous Coronary Intervention Leads to Favorable Myocardial Recovery After ST-Segment Elevation Myocardial Infarction Secondary to Acute Promyelocytic Leukemia: Pediatric Case Report. Thomas, Tamara O.; Ramachandran, Preeti; Jefferies, John L.; Beekman, Robert H.; Hor, Kan; Lorts, Angela // Pediatric Cardiology;Dec2013, Vol. 34 Issue 8, p2047 

    Acute myocardial infarction (AMI) is extremely rare in children, and unlike the adult disease, the etiology of the infarction is rarely due to atherosclerotic coronary disease. This unique reported case involved a 15-year-old boy with severe chest pain who presented with an ST-segment-elevation...

  • Isolation of the Left Subclavian Artery with Right Aortic Arch in Association with Bilateral Ductus Arteriosus and Ventricular Septal Defect. Ji Seong Lee; Ji Young Park; Seong Min Ko; Dong-Man Seo // Korean Journal of Thoracic & Cardiovascular Surgery;Dec2015, Vol. 48 Issue 6, p415 

    Right aortic arch with isolation of the left subclavian artery is a rare anomaly. The incidence of bilateral ductus arteriosus is sporadic, and a right aortic arch with isolation of the left subclavian artery in association with bilateral ductus arteriosus is therefore extremely rare. Since the...

  • Chromosomal imbalance letter: Phenotypic consequences of combined deletion 8pter and duplication 15qter. Sheth, Frenny; Andrieux, Joris; Tewari, Stuti; Sheth, Harsh; Desai, Manisha; Kumari, Pritti; Nanavaty, Nidhish; Sheth, Jayesh // Molecular Cytogenetics (17558166);2013, Vol. 6 Issue 1, p1 

    Exact breakpoint determination by oligonucleotide array-CGH has improved the analysis of genotype-phenotype correlations in cases with chromosome aberrations allowing a more accurate definition of relevant genes, particularly their isolated or combined impact on the phenotype in an unbalanced...

  • Role of perioperative transesophageal echocardiography in the management of adolescent truncus arteriosus: Rare case report. Nagaraja, P. S.; Singh, Naveen G.; Simha, Parimala Prasanna; Davan, K. R.; Manjunath, V.; Jagadeesh, A. M. // Annals of Cardiac Anaesthesia;Apr-Jun2015, Vol. 18 Issue 2, p234 

    Truncus arteriosus (TA) is a rare congenital heart disease defined as a single arterial vessel arising from the heart that gives origin to the systemic, pulmonary and coronary circulations. The truncal valve in majority of the cases is tricuspid though quadricuspid and bicuspid valves have been...

  • Pulmonary Artery Filling Defects: Are They All the Same? Levine, Deborah J.; Al-Naamani, Nadine; Channick, Richard N.; Preston, Ioana R. // Advances in Pulmonary Hypertension;2014, Vol. 13 Issue 3, p122 

    The article discusses a case study of a 62-year-old man diagnosed with decompensated right heart failure due to untreated pulmonary arterial hypertension (PAH). Images of the computed tomography angiogram of the chest (CTPA) are presented. A review of literature regarding the association between...

  • The Changing Face of Infective Endocarditis. Shiu, Kelvin K.; Steingart, Richard M. // Cortlandt Forum;11/25/2001, Vol. 14 Issue 11, p79 

    Presents a case study of a 38-year-old woman diagnosed with ventricular septal defect (VSD) in the United States. Occurrence of herpes simplex virus type 2 infection in the patient; Accounts on the cardinal manifestations of infective endocarditis (IS); Differences between VSD-induced IE and...

  • Ventricular Septal Defect in a Battered Child. Rees, Alan; Symons, John; Joseph, Michael; Lincoln, Christopher // British Medical Journal;1/4/1975, Vol. 1 Issue 5948, p20 

    Presents a case on the evidence of traumatic ventricular septal defect in battered children. Damage on organs of battered children; Diagnosis on the septal defect; Reference of a child admitted due to cardiac failure with a loud systolic murmur.

  • Postinfarction ventricular septal defect secondary to infective endocarditis. Yi-Sik Kim; Jong Bum Choi // European Journal of Cardio-Thoracic Surgery;Mar2016, Vol. 49 Issue 3, p1016 

    Photographs of postinfarction ventricular septal defects secondary to infective endocarditis in a 72-year-old man with acute Stapylococcus aeureus endocarditis are presented.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics