Syncope a l'effort revelatrice d'un obstacle supramitral chez un nourrisson. [Exertion syncope disclosing supravalvular mitral stenosis in an infant]

Details

Serval ID
serval:BIB_792250BCFD33
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Syncope a l'effort revelatrice d'un obstacle supramitral chez un nourrisson. [Exertion syncope disclosing supravalvular mitral stenosis in an infant]
Journal
Archives des Maladies du Coeur et des Vaisseaux
Author(s)
Buyse  G., Kuchler  H., Crittin  J., Sekarski  N., Hurni  M., Cotting  J., Payot  M.
ISSN
0003-9683 (Print)
Publication state
Published
Issued date
05/1993
Volume
86
Number
5
Pages
643-5
Notes
Case Reports
English Abstract
Journal Article --- Old month value: May
Abstract
An infant with frequent upper airways infections presented syncopes during meals and weeping since the age of eleven months. Cardiac examination was always normal. At 14 months of age, an echocardiogram with colour Doppler demonstrated a severely stenotic isolated supramitral membrane with severe pulmonary hypertension. The membrane was immediately excised curing the malformation and suppressing definitively the syncopes, probably due to decreased cerebral blood flow during exertion. An echocardiogram should always be performed when syncopes remain unexplained in small children. It allows early diagnosis and treatment of congenital heart defects which do not have auscultatory findings especially those resulting in severe pulmonary venous obstruction.
Keywords
Echocardiography Exertion Humans Hypertension, Pulmonary/etiology Hypertrophy, Right Ventricular/etiology Infant Male Mitral Valve Stenosis/*complications/congenital/diagnosis/surgery Syncope/*etiology
Pubmed
Web of science
Create date
28/01/2008 9:25
Last modification date
20/08/2019 14:35
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