Ruptured Sinus of Valsalva (RSOV) is very rare in paediatric age group, 3rd decade being the usual presentation age. Patient may present with asymptomatic murmur to cardiogenic shock and fatal outcomes. High degree of suspicion and expertise is required to confirm or rule out diagnosis. Here we have reported a case of RSOV in 6-year-old boy who presented with features of hyperdynamic circulation. Transesophageal Echocardiography (TEE) images are shown here which confirm the presence of RSOV and ...

A 70-year-old gentleman with a background of ischaemic heart disease and esophagectomy was admitted to Critical Care Unit with hypoxemic respiratory failure secondary to COVID pneumonitis. Prior to Critical Care admission, he was discovered to have deep venous thrombosis and he was commenced on treatment dose low molecular weight heparin....

We present the case of a 78-year-old female patient. Past medical history was unremarkable. She presented with abdominal pain in the epigastric and right upper quadrant region, associated with dyspepsia since 3 months before admission. Physical examination showed tenderness and distension of the abdomen without peritoneal signs. Blood tests showed elevated inflammatory markers (C-reactive protein = 60 mg/l and white blood cell = 19000/mm3). All other blood tests were normal Radiography of abdome...