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Related Experiment Videos

Noncompaction with arcus aorta anomalies.

F Sedef Tunaoğlu1, Serdar Kula, Rana Olguntürk

  • 1Department of Pediatric Cardiology, Gazi University, Faculty of Medicine, Ankara, Turkey.

The Turkish Journal of Pediatrics
|February 11, 2004
PubMed
Summary

This case study highlights an 18-month-old girl with tetralogy of Fallot (TOF) and multiple brain infarcts. Advanced imaging revealed complex cardiac anomalies including ventricular thrombus and noncompaction, impacting systemic blood flow.

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Area of Science:

  • Pediatric Cardiology
  • Cardiovascular Imaging
  • Congenital Heart Disease

Background:

  • Tetralogy of Fallot (TOF) is a complex congenital heart defect.
  • Neurological complications like infarcts can occur in TOF patients.
  • Cardiac imaging plays a crucial role in diagnosing and managing these conditions.

Observation:

  • An 18-month-old girl presented with TOF, mental retardation, and multiple brain infarcts.
  • Sineangiocardiograms revealed a mobile left ventricular thrombus, TOF, right aortic arch, and anomalous left subclavian artery origin.
  • Echocardiography demonstrated depressed left ventricular systolic function and apical thrombus with left and right ventricular noncompaction.

Findings:

  • The patient exhibited a rare combination of TOF, extensive cardiac anomalies, and neurological sequelae.

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  • A significant finding was a mobile thrombus originating from the left ventricle, posing a risk for systemic embolism.
  • Ventricular noncompaction, particularly of the apex and posterior wall, was observed in both ventricles.

    • Implications:

    • This case underscores the importance of comprehensive cardiac evaluation in infants with TOF and neurological deficits.
    • Identifying intracardiac thrombi is critical for preventing embolic events.
    • Understanding the spectrum of cardiac morphology in TOF aids in risk stratification and therapeutic planning.