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Interatrial defect, ventricular septal defect and patent ductus arteriosus in a 2-day-old newborn infant
International Journal of Cardiology 134 (2009) e82 – e83 www.elsevier.com/locate/ijcard
Letter to the Editor
Interatrial defect, ventricular septal defect and patent ductus arteriosus in a 2-day-old newborn infant Giuseppe Dattilo a , Viviana Tulino b , Domenico Tulino c , Annalisa Lamari d , Filippo Marte a , Salvatore Patanè a,⁎ a
d
Cardiologia Nuovo Presidio Ospedaliero Cutroni Zodda-Barcellona P.d.G (Me), AUSL5 Messina, Italy b Department of Pediatrics, Neonatal ICU, University Hospital of Messina, Italy c Operative Unit of Cardiology, Hospital “G. Jazzolino” Vibo Valentia, Italy Clinical and Experimental Department of Medicine and Pharmacology, University of Messina, Messina, Italy Received 26 January 2009; accepted 29 January 2009 Available online 23 February 2009
Abstract Interatrial defects, ventricular septal defects, and patent ductus arteriosus can occur as part of more congenital cardiac malformations or as an isolate finding. We present a case of interatrial defect associated with ventricular septal defect and patent ductus arteriosus in a 2-day-old newborn infant. © 2009 Elsevier Ireland Ltd. All rights reserved. Keywords: Interatrial defects; Patent ductus arteriosus; Ventricular septal defects
1. Case report
Acknowledgement
Interatrial defects [1–3], ventricular septal defects [4–7], and patent ductus arteriosus [8] can occur as part of more congenital cardiac malformations or as an isolate finding. We present a case of interatrial defect associated with ventricular septal defect and patent ductus arteriosus in a 3-day-old newborn infant. A male Italian newborn infant was referred at the age of 2 days to the Cardiology Unit for a cardiovascular check-up. The oxygen saturation was 98% on room air. A murmur (grade 2/6) was present. Bidimensional transthoracic echocardiography revealed an interatrial defect (Fig. 1A, Fig. 2A), a ventricular septal defect (Fig. 1B, Fig. 2A), and a patent ductus arteriosus (Fig. 2B).
The authors of this manuscript have certified that they comply with the Principles of Ethical Publishing in the International Journal of Cardiology [9].
⁎ Corresponding author. Cardiologia Nuovo Presidio Ospedaliero Cutroni Zodda-Barcellona P.d.G(Me) AUSL5 Messina, Via Cattafi, 98051 Barcellona Pozzo di Gotto, Messina, Italy. Tel.: +39 3402783962. E-mail address: [email protected] (S. Patanè). 0167-5273/$ - see front matter © 2009 Elsevier Ireland Ltd. All rights reserved. doi:10.1016/j.ijcard.2009.01.063
References [1] Patanè S, Marte F, Anfuso C, Minutoli F, Coglitore S, Di Bella G. An unusual diagnosis of atrial shunt defect by magnetic resonance imaging. Int J Cardiol 2009;134:e4–6. [2] Ferreira Martins JD, Anderson RH. The anatomy of interatrial communications—what does the interventionist need to know? Cardiol Young Sep 2000;10(5):464–73 [Review]. [3] Patanè F, Patanè S, Zingarelli E, Sansone F, Campanella A. Patent foramen ovale and ascending aortic aneurysm with platypnea– orthodeoxia syndrome. Int J Cardiol Jan 24 2009;131(3):e90–1 [Electronic publication 2007 Oct 24]. [4] Patanè S, Marte F, Di Bella G, Fazio G, Villari SA. Revelation of an asymptomatic ventricular septal defect in elderly patient before a surgical intervention. Int J Cardiol Jan 7 2009 [Electronic publication ahead of print]. [5] Patanè S, Marte F, Di Bella G. Transposition of the great arteries. Int J Cardiol Nov 28 2008;130(3):e98–9 [Electronic publication 2007 Sep 19].
G. Dattilo et al. / International Journal of Cardiology 134 (2009) e82–e83
e83
Fig. 1. A, Transthoracic echocardiography, subcostal view, interatrial defect. B, Transthoracic echocardiography, apical view, ventricular septal defect.
Fig. 2. A, Transthoracic echocardiography, parasternal view, interatrial defect and ventricular septal defect. B, Transthoracic echocardiography, parasternal view, patent ductus arteriosus.
[6] Patanè S, Marte F, Di Bella G. Echocardiographic diagnosis of syndrome of left ventricular-right atrial shunt (Gerbode defect). Int J Cardiol Aug 29 2008;128(3):e85–6 [Electronic publication 2007 Aug 8]. [7] Rahko PS. Doppler echocardiographic evaluation of ventricular septal defects in adults. Echocardiography Sep 1993;10(5):517–31 [Review].
[8] Bose CL, Laughon MM. Patent ductus arteriosus: lack of evidence for common treatments. Arch Dis Child Fetal Neonatal Ed Nov 2007;92(6): F498–502 [Review]. [9] Coats AJ. Ethical authorship and publishing. Int J Cardiol 2009;131: 149–50.
Letter to the Editor
Interatrial defect, ventricular septal defect and patent ductus arteriosus in a 2-day-old newborn infant Giuseppe Dattilo a , Viviana Tulino b , Domenico Tulino c , Annalisa Lamari d , Filippo Marte a , Salvatore Patanè a,⁎ a
d
Cardiologia Nuovo Presidio Ospedaliero Cutroni Zodda-Barcellona P.d.G (Me), AUSL5 Messina, Italy b Department of Pediatrics, Neonatal ICU, University Hospital of Messina, Italy c Operative Unit of Cardiology, Hospital “G. Jazzolino” Vibo Valentia, Italy Clinical and Experimental Department of Medicine and Pharmacology, University of Messina, Messina, Italy Received 26 January 2009; accepted 29 January 2009 Available online 23 February 2009
Abstract Interatrial defects, ventricular septal defects, and patent ductus arteriosus can occur as part of more congenital cardiac malformations or as an isolate finding. We present a case of interatrial defect associated with ventricular septal defect and patent ductus arteriosus in a 2-day-old newborn infant. © 2009 Elsevier Ireland Ltd. All rights reserved. Keywords: Interatrial defects; Patent ductus arteriosus; Ventricular septal defects
1. Case report
Acknowledgement
Interatrial defects [1–3], ventricular septal defects [4–7], and patent ductus arteriosus [8] can occur as part of more congenital cardiac malformations or as an isolate finding. We present a case of interatrial defect associated with ventricular septal defect and patent ductus arteriosus in a 3-day-old newborn infant. A male Italian newborn infant was referred at the age of 2 days to the Cardiology Unit for a cardiovascular check-up. The oxygen saturation was 98% on room air. A murmur (grade 2/6) was present. Bidimensional transthoracic echocardiography revealed an interatrial defect (Fig. 1A, Fig. 2A), a ventricular septal defect (Fig. 1B, Fig. 2A), and a patent ductus arteriosus (Fig. 2B).
The authors of this manuscript have certified that they comply with the Principles of Ethical Publishing in the International Journal of Cardiology [9].
⁎ Corresponding author. Cardiologia Nuovo Presidio Ospedaliero Cutroni Zodda-Barcellona P.d.G(Me) AUSL5 Messina, Via Cattafi, 98051 Barcellona Pozzo di Gotto, Messina, Italy. Tel.: +39 3402783962. E-mail address: [email protected] (S. Patanè). 0167-5273/$ - see front matter © 2009 Elsevier Ireland Ltd. All rights reserved. doi:10.1016/j.ijcard.2009.01.063
References [1] Patanè S, Marte F, Anfuso C, Minutoli F, Coglitore S, Di Bella G. An unusual diagnosis of atrial shunt defect by magnetic resonance imaging. Int J Cardiol 2009;134:e4–6. [2] Ferreira Martins JD, Anderson RH. The anatomy of interatrial communications—what does the interventionist need to know? Cardiol Young Sep 2000;10(5):464–73 [Review]. [3] Patanè F, Patanè S, Zingarelli E, Sansone F, Campanella A. Patent foramen ovale and ascending aortic aneurysm with platypnea– orthodeoxia syndrome. Int J Cardiol Jan 24 2009;131(3):e90–1 [Electronic publication 2007 Oct 24]. [4] Patanè S, Marte F, Di Bella G, Fazio G, Villari SA. Revelation of an asymptomatic ventricular septal defect in elderly patient before a surgical intervention. Int J Cardiol Jan 7 2009 [Electronic publication ahead of print]. [5] Patanè S, Marte F, Di Bella G. Transposition of the great arteries. Int J Cardiol Nov 28 2008;130(3):e98–9 [Electronic publication 2007 Sep 19].
G. Dattilo et al. / International Journal of Cardiology 134 (2009) e82–e83
e83
Fig. 1. A, Transthoracic echocardiography, subcostal view, interatrial defect. B, Transthoracic echocardiography, apical view, ventricular septal defect.
Fig. 2. A, Transthoracic echocardiography, parasternal view, interatrial defect and ventricular septal defect. B, Transthoracic echocardiography, parasternal view, patent ductus arteriosus.
[6] Patanè S, Marte F, Di Bella G. Echocardiographic diagnosis of syndrome of left ventricular-right atrial shunt (Gerbode defect). Int J Cardiol Aug 29 2008;128(3):e85–6 [Electronic publication 2007 Aug 8]. [7] Rahko PS. Doppler echocardiographic evaluation of ventricular septal defects in adults. Echocardiography Sep 1993;10(5):517–31 [Review].
[8] Bose CL, Laughon MM. Patent ductus arteriosus: lack of evidence for common treatments. Arch Dis Child Fetal Neonatal Ed Nov 2007;92(6): F498–502 [Review]. [9] Coats AJ. Ethical authorship and publishing. Int J Cardiol 2009;131: 149–50.