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Journal : Paediatrica Indonesiana

Congenital heart disease in adults and its problems Teddy Ontoseno
Paediatrica Indonesiana Vol 41 No 9-10 (2001): September 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.04 KB) | DOI: 10.14238/pi41.5.2001.237-40

Abstract

There were 40 adult congenital heart disease (CHD) patients seen in the Cardiology Division during 1 year (February 1993 - February 1994). The most frequently seen defect was atrial septal defect; however there were also cases with patent ductus arteriosus, pulmonary stenosis, ventricular septal defect, and tetralogy of Fallot. Hemodynamic disorder, serious hindrance to education achievement, and occupational threat due to limited physical capabilities as well as malnutrition are some of prominent issues to be closely anticipated. In general the older the patients the more serious hemodynamic disorder they suffer due CHD. It is worth thinking how to improve the quality of life of CHD patients who succeed to live their adult lives and minimize any possible fatal complication risks.
Muscular ventricular septal defect closure with Gianturco coil at Soetomo hospital (a case report) Alit Utamayasa; Teddy Ontoseno; Mahrus A Rahman; Vinny Yoanna; Rio Herdyanto
Paediatrica Indonesiana Vol 50 No 2 (2010): March 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.242 KB) | DOI: 10.14238/pi50.2.2010.118-124

Abstract

Ventricular septal defect (VSD) is the mostcommon congenital heart disease (CHD)in children.1'2 It occurs in 1.5 to 3.5 of1,000 live births and constitutes 20% ofcongenital cardiac defects.1 The VSD may be small,medium or large and is classified based on its locationin the interventricular septum. There are four types ofVSD, i.e., perimembranous (80% ofVSDs), musculartype (5% to 20%) inlet or AV canal type (8%), andfinally, subpulmonary (5% to 7%).1-4 When multiplemuscular defects are seen, it is often referred to as"Swiss-cheese" type of VSD. 1•2The management strategies, which consist ofmedical, surgical and intervention techniques, depend toa large degree on the size of the VSD.1-4 Approximately40% of VSDs spontaneously and completely closed,with closure rates approaching 80-90% by age 2 years.2Indication ofVSD closure are symptoms of heart failure,left heart chambers overload and history of endocarditis.The surgical approach is considered gold standard butit is associated with morbidity and mortality, high cost,patient discomfort, sternostomy and skin scar.3 Since1988, percutaneous techniques have been conductedin order to reduce those drawbacks of surgery. Morerecently, percutaneous techniques and devices havebeen developed specifically for closure of muscularVSD (m VSD) and perimembranous VSD (pm VSD)using either the Rashkind double umbrella, the BardClamshell, the Button device, theAmplatzer septal, duct118 • Paediatr lrulones, Vol. 50, No. 2, March 2010or muscular VSD occluder, or the Gianturco coils.3AGianturco coils have been widely used to closeunwanted vascular communications and small- tomoderate- sized patent ductus arteriosus, withexcellent closure rates. In 1999, Latiff et al successfullyused this coil to close multiple muscular VSDs in a10-month old boy. Thus, percutaneuos closure ofVSDs using Gianturco coils is a feasible, reasonablealternative to surgery.5'6 We report a case of fouryear-old girl with muscular VSD who underwentcardiac catheterization and transcatheter closure withGianturo coil in Dr. Soetomo Hospital, Surabaya.
The Use of Young Coconut Water in Pediatric Cholera Harun Nurasid; Teddy Ontoseno; Subijanto Purwodibroto
Paediatrica Indonesiana Vol 19 No 9-10 (1979): September - October 1979
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (309.674 KB) | DOI: 10.14238/pi19.9-10.1979.219-25

Abstract

Eighty-stx children suffering from cholera, aged 2 - 12 years, admitted to the Dr. Sutomo Hospital, Surabaya, were treated intravenously with Ringer Lactate as initial rehydration. Concomitantly young coconut water was given orally ad libitum until complete rehydration was achieved.
Factors Associated with the Occurrence of Cyanotic Spells in Tetralogy of Fallot Patients Teddy Ontoseno
Paediatrica Indonesiana Vol 35 No 9-10 (1995): September - October 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (570.434 KB) | DOI: 10.14238/pi35.9-10.1995.227-30

Abstract

A study was carried out on 114 tetralogy of Fallot patients attending the Department of Child Health, Medical School, University of Airlangga/Dr. Soetomo Hospital between 1 January 1988 to 31 December 1992. Only 81 patients fulfilled our study criteria where 52 (64.2'%) were cases with complications such as cyanotic spells, 4 (4 .93%) among them had brain abscesses. Twenty-nine individuals without complications acted as controls. Age, sex, nutritional status, hematocrit, MCHC and onset of symptoms between the two groups were analyzed using the multiple regression logistic. It has been shown that relative anemia, polycythemia and the age of 2-5 years contributed to the onset of cyanotic spells, respectively, R = 0.3171 and p = 0 .0004; R = 0.2220 and p = 0 .0073; R = 0.1363 and p = 0.00465. Therefore, in conventional treatment of tetralogy of Fallot patients it is essential to observe these risk factors in order to avoid complications and to improve the quality of life in these patients who are on the waiting list for surgery.
Peripheral Artery Embolism as a Complication of Infective Endocarditis in Mitral Insufficiency Gani Wangunhardjo; Teddy Ontoseno; Soebijanto Poerwodibroto; A. M. Prasodo
Paediatrica Indonesiana Vol 33 No 3-4 (1993): March - April 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (962.374 KB) | DOI: 10.14238/pi33.3-4.1993.77-86

Abstract

Injective endocarditis in a 10 years old boy complicated by left brachial artery emboly in a case of rheumatic mitral insufficiency has been reported. The etiologic microorganism was coagulase positive Staphylococci. Though clinical cure was achieved by a 4 weeks long high dose of antibiotic (Ceftriaxone), peripheral artery emboly, had complicated the disease. Since adequate collateral circulation has already occurred, no specific treatment has been given. A further follow-up and injective endocarditis prophylaxis are still needed.