Complex cardiac defect with hypoplastic right ventricle in a fetus with valproate exposure

We describe a fetus with a hypoplastic right ventricle detected by prenatal ultrasound examination. A possible causal relationship with prenatal valproate exposure is discussed. Copyright © 2005 John Wiley & Sons, Ltd.     

Cardiovascular Load During Summer Work of Two Age Groups of Van-Rickshaw Pullers in West Bengal,India

Van-rickshaw is a popular mode of transport of people and merchandise in developing countries. The purpose of this study was to assess the effect of age on cardiovascular load of van-rickshaw pullers in the summer season (March-June) in real situations. In 142 participants, divided into 2 age groups (25-40 and 41-55 years), cardiovascular load was assessed on the basis of working and partial recovery heart rate (HR), predicted maximal HR, working maximal HR, average working HR, percentage of reserved HR, sum of recovery heart beats, percentage of recovery, relative and net cardiac cost, etc. Except for percentage of recovery, all parameters differed significantly between the groups and were significantly correlated with age. As this activity is very stressful, it places a heavy demand on the cardiovascular system. Therefore, age is an important factor for sustainability of the work, especially in a hot environment. Some ergonomic interventions are necessary to reduce cardiovascular load.     

Does nuchal translucency have a role in fetal cardiac screening?

Increased nuchal translucency is the strongest single marker for chromosomal abnormality. Consequently, it is currently becoming established as the foundation of most early screening programmes for Down syndrome. In the absence of chromosomal abnormality, increased nuchal translucency has been shown to be associated with other congenital anomalies including cardiac defects. Several datasets have now reported this association and here these are reviewed to assess the effectiveness of nuchal translucency measurement as a screening tool for the prenatal detection of congenital heart disease. Copyright © 2004 John Wiley & Sons, Ltd.     

Prenatal diagnosis of an isochromosome 5p in a fetus with increased nuchal translucency thickness and pulmonary atresia with hypoplastic right heart at 14 weeks

We report on a fetus presenting with increased nuchal translucency at 11 weeks' gestation, suggesting cystic hygroma. Chorion villous sampling was performed, and cytogenetic analysis revealed a supernumerary isochromosome 5p leading to tetrasomy 5p: 47,XX,+ i(5p)[7]/46,XX[5] after short-term culture and 47,XX,+ i(5p)[20] after long-term culture. Subsequent targeted sonographic follow-up at 12 and 14 weeks revealed further increase of the NT to 6.4 mm and the additional presence of a congenital heart defect (pulmonary atresia with intact ventricular septum). Termination of pregnancy was performed, and the heart defect was confirmed. Isochromosome 5p was found in varying proportions in all examined organs. Only a few cases of mosaic tetrasomy 5p have been reported in the literature, and recent reports on prenatally detected isochromosome 5p showed a possible relationship to increased nuchal translucency in some cases and also a possible role of confined mosaicism in others. Whereas cases with confined mosaicism did not show suspicious signs on ultrasound, true mosaicism conversely showed increased nuchal thickness as well as structural abnormalities. This is the first report on the association of a cardiac defect with this chromosome aberration. Copyright © 2004 John Wiley & Sons, Ltd.     

粗壮女贞中的新单萜配糖体

从粗壮女贞（Ｌｉｇｕｓｔｒｕｍ ｒｏｂｕｓｔｕｍ）叶子中分离鉴定了４个新的单萜配糖体,命名为粗壮女贞甙Ｄ、Ｇ、Ｈ和Ｌ．通过滤谱及化学方法,它们分别鉴定为香叶醇３‘－Ｏ－μ－Ｌ－南鼠李糖基－４’－顺式香豆酰基－β－Ｄ－吡喃葡萄糖甙（１）,６－羟基－３,７－二甲基－２Ｅ,７葵二烯醇３‘－Ｏ－α－Ｌ－吡喃鼠李糖基－４’反式香豆酰基－β－Ｄ－吡喃葡萄糖甙（２）,６－羟基－３,７－二甲基－２Ｅ,７－葵二烯醇     

Early prenatal diagnosis of ventricular diverticulum complicated by serous pericardial effusion

An unusual case of apical diverticulum complicated by serous pericardial effusion and diagnosed ultrasonographically at 13 weeks of gestation is described. A therapeutic abortion was induced at 14 weeks and the complete post-mortem examination did not show additional malformation. Cardiac diverticulum is a rare malformation that occurs as an isolated defect or as part of a complex midline thoraco-abdominal defect. Only two prenatally diagnosed cases have been previously reported in the literature and none with associated hydropericardium.