/library/oar/handle/123456789/27545 2026-01-08T23:46:55Z /library/oar/handle/123456789/4321 Title: The chest x-ray in congenital heart disease 6 Authors: Somerville, Jane; Grech, Victor E. Abstract: This patient (born in 1983) had presented in childhood with coarctation. He had had subclavian flap repair at 1½ years of age. He was reviewed at the Grown Up Congenital Heart Disease Clinic last year and had normal right arm pulse and blood pressure and normal femoral pulses. The left arm pulses were very difficult to palpate. 2014-01-01T00:00:00Z /library/oar/handle/123456789/4318 Title: Brief images : massive pericardial effusion Authors: Chang, Simone; Maharaj, Satish Abstract: Significant pericardial effusions are an uncommon but very important disorder in childhood. Referring to one of the patients, cross-sectional imaging demonstrated a massive pericardial effusion. The underlying etiology here was connective tissue disease causing recurrent pericardial effusion. An associated left-sided pleural effusion was noted. Clinicians must be aware of this disorder in the pediatric age group, performing a thorough evaluation in all children with large pericardial effusions, and managing appropriately. 2014-01-01T00:00:00Z