Dr Abubakar Sadiq Paediatric cardiologist

Dr Abubakar Sadiq Paediatric cardiologist Paediatric cardiology is all about congenital,structural and Valvular Heart disease

07/06/2024

32 years old with cyanosis and easy fatigability. An unnoticed case of unobstructed supra cardiac TAPVR.. . .

07/06/2024

3 years old Child Who was operated in neontal age for Interrupted aortic arch and VSD,now having residual coarctation .. ..pt is planned for Coarctation Balloning

01/06/2024

Case of the day:
Newborn baby with Down syndrome and central cyanosis referred for assessment. His Echo revealed CAVSD with HLHS and Duct dependent systemic circulation. A very rare entity .

such patient needs immediate palliation in the form of Hybrid Norwood,in which Paediatric cardiologist do Ductal stenting,and surgeon do B/L PA banding....
Then Glenn surgery by 4-6 months and fontan by 4-5 years.

26/05/2024

Interesting pre Fontan Diagnostic cath: Diagnostic cath of 11yrs old Pt who underwent Rt sided BDG at 1 year of life,now preeented with increasing cyanosis wits spo2 of 50%in room air.. she was Planned for Fontan completion.
On Diagnostic cath Her mean PA pressures were 11, and LA pressures were 9. Fine pressures for Fontan completion,but Left subclavian vein angiogram showed two Huge veno-venous collaterals draining into IVC, we selectively engaged the left sided collateral and occluded with Ballon. Post occlusion PA pressures were still 11. But LSCV angiogram revealed occluded left sided collateral,but right sided collateral become more Obvious.

With Such Huge collaterals surgeon are often not easy to go for Fontan completion, so ideally both collaterals should be ballon occluded, and then PA pressures noted. If that remains below 15 then she can go for Fontan completion. .. .

07/05/2024

1.5 years Old Patient case of large Malaligned VSD with Pulmonary atresia. CT scan Showing small Confluent PAs. With RPA 3mm at hilum and LPA 3.5mm.. 2 large MAPCAs supplying Both lungs.... Considering Diagnosis he is Candidate for VSD closure+RV to PA conduit, but considering hypoplastic PAs that can't be offered at the moment, so Approach to this child will be To grow his PAs by palliative means by now by offering either BT shunt/Cavopulmonary shunt..
Then serial monitoring of PA size every 3-6monthly.
Once PA size reach to satisfactory Size, then MAPCAs coiling followed by VSD closure with RV to PA conduit. . . .

In our experience we have noted that following BT shunt or Cavopulmonary shunt,these babies some time struggle in ICU because of high risk of reperfusion injury and risk of Pulmonary edema, so we always keep backup of MAPCAs coiling if Pt develop signs of Pulmonary edema

Case of the day: 3 Months old infant referred for assessment of Cyanosis. . . .baby was centrally cyanosed with SpO2 of ...
05/05/2024

Case of the day:
3 Months old infant referred for assessment of Cyanosis. . . .baby was centrally cyanosed with SpO2 of 60%. His Echo revealed such a complex cyanotic CHD. (Dextrocardia with CAVSD, unbalanced ventricle, pulmonary atresia and Duct dependent pulmonary circulation).
Management options:
1) considering Unbalanced CAVSD,pt will go on univentricular pathway. Will need Glenn surgery by 5-6 months of age and later on Fontan by 4-5yrs of age...

At this moment, considering relatively stable clinical condition apart from cyanosis, 3 approaches can be offered to this baby
1) Ductal stenting to improve Sats and Pulmonary artrey growth so that Baby can be offered Glenn with good sized PAs.
2) BT shunting to achive same goals
3) Just give pulmonary vasodilator like benprost and Keep close eye on the pt. And offer glenn straight away by 5 months...

04/05/2024

Percutaneous transcatheter closure of large mid muscular VSD in a 6 months 4kg old infan,who was failure to thrive with history of recurrent RTIs. Defect was closed ASD occluder size 12mm through Right Internal jugular venous approach. . . .

9 days Old Neonate with Murmur, although he was not having any obvious cyanosis, his echo revealed such a complex cyanot...
04/05/2024

9 days Old Neonate with Murmur, although he was not having any obvious cyanosis, his echo revealed such a complex cyanotic CHD...

Timely diagnosis is a key to success in managing such cases, because if these pts get delayed and developed Pulmonary Hypertension in 1st few months of life,then they become inoperable ....

Plan for this Baby to keep him in close follow-up and to monitor Pulmonary stenosis

27/04/2024

45 days old Infant eith Bicuspid aortic valve with severe Aortic valve stenosis and severe LV dysfunction(EF 25%). His Aortic valve balloon angioplasty done using VACS II BALLOON. serial Balloning done with 7mm*30mm and then 8mm*20mm balloon. Post Angioplasty transcatheter gradient was 10mmHg. And Mild AR.

25/04/2024

Cardiac MRI of A patient with situs inversus dextrocardia, unbalanced ventricle who underwent Bilateral BDG and now awaiting Fontan..... Cardiac MR is an excellent non invasive tool To assess about Ventricular Function before Complex cardiac surgeries

23/04/2024

Percutaneous transcatheter closure of Small PDA with Retrograde approach IN 8 kg old Infant... DEVICE USED WAS MULTI FUNCTION OFCLUDER...

23/04/2024

11 year's old child with Supra cardiac TAPVR. Diagnostic cath with selective Pulmonary artrey angiogram showing anoumolus pulmonary venous drainage into common pulmonary venous confluence behind left atrium and then draining into innominate vein via Ascending channel...

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