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Absent pulmonary valve syndrome--a case report
1Department of Paediatrics, Hospital Universiti Sains Malaysia, Kelantan.
The Medical Journal of Malaysia
|March 1, 1994
Summary
A child with recurrent bronchopulmonary issues was diagnosed with a large perimembranous ventricular septal defect and absent pulmonary valve. Further evaluation revealed complex cardiac anomalies requiring corrective surgery.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Recurrent bronchopulmonary symptoms in infants can indicate underlying congenital heart defects.
- Early diagnosis and management are crucial for complex cardiac anomalies.
Observation:
- A 7-year-old female presented with a history of recurrent bronchopulmonary issues since one week of life.
- Initial diagnosis of ventricular septal defect was managed conservatively.
Findings:
- Repeat echocardiogram revealed a large perimembranous ventricular septal defect.
- Associated anomalies included absent pulmonary valve, aortic overriding, narrow pulmonary artery annulus, and dilated pulmonary arteries.
Implications:
- Complex congenital heart disease requires specialized surgical intervention.
- This case highlights the importance of comprehensive cardiac evaluation for persistent respiratory symptoms in children.