Follow-up study on children with infective endocarditis.

A follow-up study on 36 children having had infective endocarditis during the time period 1971-80 was performed. All answered a questionnaire and 33 underwent a complete non-invasive cardiac examination including exercise test. The study comprised 406 patient years.

Probable homozygotic form of the Marfan syndrome in a newborn child.

A case of Marfan's syndrome diagnosed in a newborn boy is described. Both parents were affected by the disease but none of them was aware of it. The boy had cardiac, skeletal and ocular manifestations from birth.

Myocarditis in children with inflammatory bowel disease.

Inflammatory bowel disease (IBD) in children and adults is often associated with extracolonic manifestations in other organs, such as the joints, skin, and liver. Cardiac manifestations are considered to be very rare; in a recent survey of the literature we found only 23 cases, most of them in adults. Several extensive reviews and standard textbooks of IBD do not even mention perimyocarditis as a complication.

Infective endocarditis in Swedish children. II. Location, major complications, laboratory findings, delay of treatment, treatment and outcome.

66 cases of infective endocarditis (IE) during 1971-1980 were studied. The infection was in most cases located to the mitral or aortic valve. Major complications were found in 43 children.

Infective endocarditis in Swedish children. I. Incidence, etiology, underlying factors and port of entry of infection.

A retrospective study of Swedish children with infective endocarditis (IE) during the period 1971-80 was made. Sixty-six instances were identified in 64 children (0.39 cases per 100,000 children per year).

Surgical repair of aortico-left ventricular tunnel in a 7-day-old child.

A 7-day-old girl was successfully operated on for aortico--left ventricular tunnel. She seems to have been the youngest patient with successful repair of the malformation. The case was the second of its type operated on at the Karolinska Hospital.

Detachment of the septal tricuspid leaflet during transatrial closure of isolated ventricular septal defect.

In 27 (18%) of the 151 patients who underwent transatrial closure of isolated ventricular septal defect (VSD) between 1966 and 1979, the tricuspid valve was partially detached in order to achieve better exposure. All 27 patients had defects of the membranous or paramembranous type situated behind the tricuspid septal cases, tight chordae tendineae crossed over the defect and inserted in the edge of the VSD. A 15 to 20 mm incision in the septal leaflet was usually needed to expose the defect sufficiently.

Repair of double-outlet right ventricle. Experience of 13 cases.

Surgery for double-outlet right ventricle (DORV) was performed in 13 patients between November 1974 and January 1979. Subaortic ventricular septal defect (VSD) was present in 11 patients, complicated forms of DORV in 2 patients and 5 patients had important concomitant cardiac defects. Six infants (mean age 0.

Right atrial-right ventricular anastomosis for correction of tricuspid atresia.

Previously reported methods for the correction of tricuspid atresia involve the use of conduits and/or valves. Since many of the younger patients will outgrow their conduits and the long-term durability of the valve prostheses is open to question, we have devised an operation in which the right atrial (RA) appendage is anastomosed to the right ventricle (RV) with the aid of a pericardial patch. The RV, if not too hypoplastic, is used as a pumping chamber and the pulmonary valve is in its normal position.

Function and dimensions of the circulatory system in anorexia nervosa.

The functional and dimensional components of the oxygen transporting system was studied in 17 female and 11 male patients suffering from anorexia nervosa. Both groups were 14.9 years old, on average, and had lost about 25% of their weight.

Congenitally corrected transposition of the great arteries. A clinical study of 101 cases.

The anatomy, natural history, clinical features and symptomatology of 101 cases of congenitally corrected transposition of the great arteries (C-TGA) diagnosed over a 20-year period at Hospital for Sick Children, Toronto, Ontario, is reported. Only 1 patient had no association lesion and only 14 an intact ventricular septum. Pulmonary stenosis was present in a little more than half of the patients.

Oxygen uptake arterial blood gases and blood lactate concentration during submaximal and maximal exercise in adult subjects with shunt-operated tetralogy of fallot.

Ten female and six male adult subjects with shunt-operated tetralogy of Fallot have been studied at rest and during submaximal and maximal exercise on an average 20 years after the palliative operation. There was a considerable reduction in the aerobic work capacity, maximal oxygen uptake (VO2) being 1.00 1/min STPD.

Oxygen uptake and cardiac output during submaximal and maximal exercise in adult subjects with totally corrected tetralogy of fallot.

Ten female and eight male adults with tetralogy of Fallot, the majority totally corrected at adult age, have been studied at rest and during submaximal and maximal exercise on a bicycle ergometer. Oxygen uptake was determined by the Douglas bag technique and cardiac output by the dye-dilution method. Maximal oxygen uptake was reduced about 30-40% from normal.