| Intralimbic hematoma formation within an atrial septal aneurysm in a neonate with hypoplastic left heart syndrome. | |
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MedLine Citation:
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PMID: 20119888 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Atrial septal restriction is estimated to occur in up to 22% of patients with hypoplastic left heart syndrome and is associated with poor prognosis postnatally. Atrial septal aneurysms are known to be more prevalent in patients with congenital heart disease and atrial septal restriction due to elevated atrial pressures in fetal life. We report the case of a newborn with hypoplastic left heart syndrome, restrictive interatrial communication, and atrial septal aneurysm. The latter led to formation of a large intralimbic hematoma within it, which resulted in complete obstruction of the interatrial communication after birth, which led to death. We suggest that in addition to the known associated problems encountered in patients with hypoplastic left heart syndrome and restrictive interatrial communication, aneurysmal formation of the interatrial septum should alert the fetal and postnatal echocardiographer further, and careful assessment and follow-up is recommended. |
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Authors:
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Aphrodite Tzifa; Vita Zidere; Gerald Greil; Conal Austin; Thomas Krasemann |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-01-29 |
Journal Detail:
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Title: American journal of perinatology Volume: 27 ISSN: 1098-8785 ISO Abbreviation: Am J Perinatol Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-25 Completed Date: 2010-09-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 481-3 Citation Subset: IM |
Copyright Information:
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Thieme Medical Publishers. |
Affiliation:
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Department of Congenital Heart Disease, Evelina Children's Hospital, Guy's and St. Thomas' Hospital, London, United Kingdom. aphrodite.tzifa@kcl.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Heart Aneurysm
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etiology*,
ultrasonography Heart Septal Defects, Atrial / ultrasonography Hematoma / etiology*, ultrasonography Humans Hypoplastic Left Heart Syndrome / complications* Infant, Newborn |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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