A coronary anomaly

Coronary anomalies occur in up to 1.5% of the population who undergo coronary angiography because of symptoms. 1,2 Numbers concerning coronary anomalies in the general population are less clear.     

Acardiac anomaly spectrum

BACKGROUND: Acardiac anomaly spectrum is a rare congenital malformation found in monozygotic twin pregnancy. Besides the absence of heart, the condition is associated with variable grades of developmental disruption. Thus, no two cases are similar. METHODS: This case report is based on physical examination and autopsy findings. RESULTS: The twin had acardia and partial development of head and face. There was complete absence of upper extremities. CONCLUSIONS: The twin reversed arterial perfusion (TRAP) theory is the most accepted etiology of the disorder. Normally, the cephalic pole is the most severely affected, being most distal to the retrograde perfusion. In acardia, partial development of head, face, and brain is usually associated with the development of the upper extremities. However, in the present case, there was extensive cephalic development in the absence of upper extremity development.     

The acardiac anomaly

Karyotype analysis of a premature human acardiac twin disclosed normal chromosomes. A review of previous cytogenetic, placental and animal studies suggests that chromosomal errors are not the cause of the acardiac anomaly. Rather, they point to the placental vascular anastomoses as the principal pathogenetic event.     

The free-convective anomaly.

Persons exposed to high temperature, or to equivalent environmental factors, have quantifiable reactions, such as reducing the resistance to both heat and moisture flow in skin tissues and clothing needed to maintain thermal equilibrium. The one-to-one relationship between this resistance in the walking person and temperature, with the other factors neutral, is the basis for the apparent temperature scale and the derived heat index. When this approach is taken to assess the thermal environment for a still person exposed to heat in still air, there is a zone of ambient conditions in which there are three solutions to the heat-balance equation. Extraordinary thermal stress occurs, depending slightly on other conditions, at ambient temperatures near 41 degrees C, especially at high humidity, because of the difficulty in carrying sweat vapor from the person when free convection is minimal. This anomaly is examined for a range of ambient vapor pressures and extra radiation. The rapid rise in heat stress when ambient temperature just exceeds body temperature in still conditions may explain the severity of some observed distress.     

Polydactyly in the Pelger-Huet anomaly

The present paper is concerned with a report on a kin affected with Pelger-Huet's anomaly (PHA). 17 living heterozygous carriers of the anomaly are covered by the pedigree. Three further dead carriers of anomaly could be detected by genealogical studies. Polydactylia was found in three members of the kin, viz. in two sisters and a niece of second degree. Polydactylia could be found to have occurred at the same place in all these three persons concerned, with only one of them being a carrier of PHA: in all cases it was the doubling of the fifth toe of the right leg. This localisation of the same kind favours the assumption that this malformation is caused by genetics, however, without its having any genetical connection with PHA. The hypothesis was put forth that an enzyme defect is responsible for this hyposegmentation which simultaneously could have an impact on further elements of the mesenchymal tissue playing an important part in the histogenetic differentiation of organs.     

Anatomical anomaly of human digastric muscles

In the submandibular region an anatomical anomaly of muscle arrangement was found. Between the left and right digastric muscles, asymmetric accessory digastric muscles were detected, which all arose from the mandible and were attached to the hyoid bone. Furthermore, the right anterior digastric muscle had an accessory belly. These anomalies of digastric muscles may be anatomical manifestations of a functional support of the mylohyoid muscle.     

Poland syndrome a rare congenital anomaly

Poland syndrome is a rare congenital anomaly classically consisting of unilateral hypoplasia of the sternocostal head of the pectoralis major muscle and ipsilateral brachysyndactyly. It was first described by Alfred Poland in 1840 and may occur with different gravity. Our patient is an eight-year-old Nigerian girl with left-sided anterior chest wall defect with no detectable structural heart abnormality but presented with repeated episodes of syncopal attacks following minor trauma to the anterior chest wall.