11 research outputs found

    Invited commentary

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    Invited Commentaries

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    Successful management of aberrant subclavian artery-esophageal fistula in an infant

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    This report describes a 4-month-old female infant with complex congenital heart disease and prolonged nasogastric intubation who developed an aberrant subclavian artery-esophageal fistula that was successfully managed in a two-staged procedure. To our knowledge, this is the first patient to survive correction of this problem after massive hemorrhage. © 1989

    Rare Etiology of Acute Embolic Stroke in a 17-Year-Old Girl: Cardiac Papillary Fibroelastoma

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    AbstractA cardiac papillary fibroelastoma is a benign, pedunculated tumor with strand-like projections arising from the endocardium. While often discovered incidentally, these tumors can embolize resulting in major neurologic events. There is a dearth of pediatric literature describing the necessity and optimal timing of surgical intervention for this rare primary cardiac tumor after a cerebrovascular event. We report an interesting case and the subsequent management dilemma in a teenage patient presenting with acute embolic strokes secondary to an aortic valve papillary fibroelastoma. Despite its rarity, a high index of suspicion should be maintained for such tumors in previously healthy children presenting with acute stroke.</jats:p
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