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All Journal Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya
Abdur Rahman, Mahrus
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Health Professions Medicine & Pharmacology

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Deteksi Dini dan Manajemen Awal Penyakit Jantung Bawaan Kritis Abdur Rahman, Mahrus; Sekar Putri Ramadhani; Nastiti, Prima Hari; Hidayat, Taufiq; Utamayasa, Alit
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 02 (2025): Qanun Medika Vol 09 No 02 July 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i02.25556

Abstract

Critical congenital heart disease (CCHD) represents a severe subset of congenital heart defects (CHD) with high neonatal mortality rates if undiagnosed or untreated. This review highlights the prevalence, diagnosis, and management strategies for CCHD. In Asia, CHD prevalence is among the highest globally, contributing significantly to neonatal mortality. Early detection, such as prenatal ultrasound and pulse oximetry screening, plays a crucial role in improving patient outcomes. While fetal echocardiography provides diagnostic insights, it has limitations, emphasizing the value of postnatal pulse oximetry as a cost-effective, non-invasive screening tool. Management involves early interventions, including hemodynamic stabilization, pharmacological therapies like prostaglandin infusion, and surgical or catheter-based procedures. Definitive corrective surgeries, although complex, are increasingly performed in neonates to minimize long-term complications. Early diagnosis and timely referral to advanced facilities remain vital to reducing mortality and enhancing the quality of life for affected neonates.
Sebuah Laporan Kasus Seorang gadis berusia 13 tahun dengan Defek Septum Atrio-Ventrikular Lengkap (subtipe Intermediate) dan Blok AV Total Alit Utamayasa, I Ketut; Nastiti, Prima Hari; Hidayat, Taufiq; Abdur Rahman, Mahrus
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 01 (2025): Qanun Medika Vol 09 No 01 January 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i01.22680

Abstract

Atrioventricular septal defects (AVSD) constitute a spectrum of anomalies caused by abnormal endocardial cushion defects. Many classifications have been used to describe AVSD. There is generally subclassified into complete and partial forms. Complete AVSD is characterized by a primum atrial septal defect (ASD) contiguous with an inlet ventricular septal defect (VSD) and a common AV valve. Intermediate AVSD is a subtype of complete AVSD that has distinct right and left atrioventricular valve orifices by a bridging tongue despite having only one common annulus. In some children or adults, we may see unoperated partial or intermediate AVSD, which may be asymptomatic or may present with congestive heart failure, exertional limitation, pulmonary hypertension, infective endocarditis, or heart rhythm disorder. In some cases of AVSD has atrioventricular (AV) conduction disorder, mostly on first-degree AV block. We report a case of a 13-year-old girl with complete AVSD (intermediate subtype) and pulmonary hypertension who is concomitant with total AV block. The patient has undergone implantation of a permanent pacemaker for total AV block and conservative therapy for complete AVSD. Anatomical assessment by trans-thoracal echocardiography (TTE) was essential for diagnostic and detailed morphological characterization of AVSD.
Co-Authors Alit Utamayasa, I Ketut Nastiti, Prima Hari Sekar Putri Ramadhani Taufiq Hidayat Utamayasa, Alit