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Showing 3 results for Voshtani
Cephalometric Measurements in Infants with Congenital Heart Disease Compared to Healthy Infants
Hassan Voshtani, Ebrahim Nasiri, Sina Khajeh-Jahromi, Hamed Esmaeili Gourabi, Hannan Ebrahimi, Maryam Akbari, Sepideh Ranjbar, Hassan Moladoust,
Volume 10, Issue 2 (Spring 2013)
Abstract

Introduction: The lack of adequate blood perfusion through different organs of the body, including the brain and skull, can be caused by any type of circulation abnormality. The purpose of this study is to compare cephalometric indices between infants under the age of 12 months who have congenital heart disease (CHD) and normal infants.

Materials and Methods: This case-control study was carried out on infants aged one to 12 months who were admitted to Heshmat Heart Hospital and 17 Shahrivar Infant Center Hospital, with those who attended Golha-e-Iran Daycare in Rasht. Cases consisted of infants diagnosed with CHD and control group comprised normal healthy infants. Cephalometric indices, along with anatomical measurements of the head and face as measured by a Martin spreading caliper and graded tape measure were obtained. The volume and weight of the brain, and head and face indices were calculated using related formulas, then analyzed by the SPSS statistical software package.

Results: There was a significant difference between weight, height, head length and head circumference in cases and controls (P<0.01), however no significant difference in indices such as volume and weight of the brain, head and face width, and head height was observed. Head indices significantly differed between the two groups (P=0.011). Cases had evidence of a hyperbrachycephalic head shape whereas normal infants had a brachycephalic head formation.

Conclusion: The results of this study confirmed the presence of growth retardation caused by CHD. This retardation did not lead to any major anthropometric differences. Possibly, proper diagnosis and effective treatment of these abnormalities could improve the quality of life for infants and children with CHD.


A Rare Case of Dextrocardia with Situs Inversus Totalis in a Patient of Diabetic Mother
Seyed Hassan Voshtani, Seyedeh Niloufar Seyed Saadat, Seyed Mohammad Seyed Saadat, Mojtaba Mehrdad, Hassan Moladoust, Ebrahim Nasiri,
Volume 10, Issue 4 (Autumn 2013)
Abstract

Infants of diabetic mothers are significantly at higher risk for major congenital malformations, with cardiovascular anomalies that is the most frequent. In this study, we presented a rare case of dextrocardia and situs inversus totalis (mirror-image dextrocardia) with multiple congenital heart anomalies who was born from a diabetic mother.


Integrated Percutaneous Atrial Septal Defect Occlusion and Pulmonary Balloon Valvuloplasty
Seyed Hassan Voshtani, Arsalan Salari, Ebrahim Nasiri, Zohre Heidarnejad, Seyed Mahsa Voshtani,
Volume 15, Issue 1 (Winter & Spring 2018)
Abstract
Introduction: Atrial Septal Defect (ASD) is one of the most common congenital heart diseases during childhood. Today, ASD closure is done by occlutech device via cardiac catheterization. ASD repair with transcatheter technique has shown high closure rate. However, coexistence of severe pulmonary stenosis and large defect in atrial septum is rare. When these two problems coexist, the result is inhibition of remarkable left-to-right shunt by obstruction of the RV output flow, which will preserve the pulmonary bed up to adulthood.
Methods: A 5-year-old girl with a history of exertional dyspnea and palpitation was referred for the treatment of severe valvar pulmonary stenosis and large ASD. Echocardiography showed a large secundum ASD (16 mm) with appropriate rims and also severe pulmonary valvular stenosis. The patient was candidate for closure of ASD by transcatheter procedure and balloon pulmonary valvuloplasty. 
Cardiac catheterization showed that the right ventricular pressure was 78 mm Hg and pressure gradient across the pulmonary valve was 62 mm Hg, also the ratio of pulmonary blood flow to systemic blood flow was 2.7/1. Anteroposterior and lateral views in the angiography of right ventricle showed severe valvular pulmonary stenosis and poststenotic dilation. Diameter of the ASD size by balloon was 16 mm. Pulmonary valve annulus diameter was 15-16 mm.
Results: The patient was picked up for closure of ASD by transcatheter procedure and balloon pulmonary valvuloplasty. There was no remaining shunt and complication on transthoracic echocardiography performed immediately and in later follow-ups.
Conclusion: Coexistence of severe pulmonary stenosis with a large defect in atrial septum is an uncommon event. Combined transcatheter closure of ASD and pulmonary balloon valvuloplasty is a practicable and effective therapeutic intervention for this problem which will bring satisfying outcomes.

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