Delayed primary arterial switch for a rare and unusual variant of transposition of great arteries with posterior aorta.

Though initially described in 1971 by Van Praagh, transposition of great arteries with posterior aorta is rarely reported in last two decades. Since the arrangement of great arteries appears like normally related great arteries, a careful echocardiographic evaluation is necessary in patients with clinical features of transposition of great arteries. In majority of cases with this anatomy, arterial switch operation can be performed without the need of Le Compte manoeuvre.

Submitral aneurysm in children: A rare entity with varied presentation!

We present echocardiographic images in two children with a diagnosis of submitral aneurysm. Both had absolutely different presentations. The diagnosis was established on echocardiography and no advanced imaging techniques were used.

Pediatric echocardiograms performed at primary centers: Diagnostic errors and missing links!

Aim: The present study was undertaken to assess the accuracy of pediatric echocardiograms done at non-tertiary centers and to evaluate the relationship of inaccurate interpretations with age, echocardiogram performer and complexity of congenital heart disease (CHD).

Materials And Methods: The echocardiogram reports of 182 consecutive children with CHD (5 days-16 years) who were evaluated at a non-tertiary center and subsequently referred to our center were reviewed. Age of the child at echocardiogram, echocardiogram performer and complexity of CHD were noted.

Awareness of fetal echo in Indian scenario.

Background: Fetal echocardiography is a well established sensitive tool to diagnose congenital heart disease (CHD) in utero. One of the determinants of effective utilization of fetal echocardiography is its awareness in the general population. The present hospital based study was undertaken to assess the awareness of the need for fetal echocardiography amongst Indian parents.

Unusual differential diagnosis of common arterial trunk.

Common arterial trunk is relatively a straightforward diagnosis on echocardiography. We describe a neonate who was referred to our centre as a case of common arterial trunk but on evaluation was found to have pulmonary atresia with ventricular septal defect and aortopulmonary window, for which he underwent repair with Barbero-Marcial technique. These two conditions differ anatomically and embryologically, and careful echocardiographic evaluation will help in diagnosis and appropriate management.