Browsing by Author "Shrestha, Ashish Lal"
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Publication Diaphragmatic Hernia in a Preterm with Congenital Heart Defects with Successful Outcome: A Case Report(Nepal Medical Association, 2022) Manandhar, Sunil Raja; Shrestha, Ashish Lal; Shrestha, Sabina; Basnet, RydamAbstract Congenital diaphragmatic hernia is an anatomical defect of the diaphragm that is often associated with serious cardiopulmonary complications. It can also be associated with many other problems like multi systemic anomalies, chromosomal aneuploidy and prematurity. Of these, cardiac defects, liver herniation and prematurity seem to have a pivotal role in affecting the outcomes of repair. We hereby present a preterm newborn with such multiple defects repaired on 15th day of life and post operatively managed in a Neonatal Intensive Care Unit with a successful outcome. The key learning objective for our team in this case was to identify the steps taken that led to a successful management of a low birth weight preemie with multiple defects in a resource limited set up.Publication Pentalogy of Fallot with Anorectal Malformation: A Case Report(Nepal Medical Association, 2024) Maharjan, Sunil Raja; Kafle, Pankaj; Shrestha, Ashish Lal; Rai, DipendraAbstract Pentalogy of Fallot is a rare form of congenital cyanotic heart disease with a prevalence of 3/10,000 live births characterized by an association of Tetralogy of Fallot with Atrial Septal Defect. Pentalogy of Fallot with anorectal malformation is also a rare combination. Here we describe one of the rare case reports of a full-term, 38 weeks, female baby diagnosed with pentalogy of Fallot with imperforate anus and rectovaginal fistula at a tertiary care hospital. Pentalogy of Fallot combined with an imperforate anus and rectovaginal fistula is an exceptionally rare and complex congenital condition. The co- existence of these anomalies emphasizes the need for thorough prenatal and postnatal evaluation for early detection and management.