Qiuqing Ke, Guoxing Weng, Qi Xie, Jiayin Bao, Fuzhen Zheng, Jie Huang, Licheng Yan, Haiyu Chen
This study aimed to compare the long-term clinical outcomes and costs between using either transesophageal echocardiography (TEE) or X-ray fluoroscopy for Percutaneous atrial septal defect (ASD) closure in children. An analysis was conducted on clinical data from children undergoing TEE-guided (n = 168) and X-ray-guided (n = 139) percutaneous ASD closure. Demographic characteristics, technical indices, acute complications, follow-up outcomes, and costs were compared between the groups...
June 17, 2024: Pediatric Cardiology
Xander Jacquemyn, Rita Long, Sruti Rao, David Danford, Benjamin T Barnes, Shelby Kutty
Echocardiography is pivotal for diagnosis and monitoring of hypertrophic cardiomyopathy (HCM) and can evaluate myocardial function using myocardial work (MW) calculations. Echocardiography is often supplemented by cardiovascular magnetic resonance (CMR) imaging, which can detect myocardial fibrosis using late gadolinium enhancement (LGE). We sought to study the relationship between baseline LGE and MW at baseline and during follow-up in pediatric HCM patients. During the study period (2008-2023), 75 patients were followed up for HCM...
June 17, 2024: Pediatric Cardiology
Stephanie N Nguyen, Jan M Quaegebeur, Rozelle Corda, Amee Shah, Matan I Setton, Emile A Bacha, Andrew B Goldstone
There is renewed interest in septation of the double-inlet ventricle as an alternative to Fontan palliation. We examined our septation experience with over 30 years of follow-up. We retrospectively reviewed patients with double-inlet ventricle from 1990 to 2011. Patients with two adequate atrioventricular valves, a volume-overloaded ventricle, and no significant subaortic obstruction were septation candidates. Of 98 double-inlet ventricle patients, 9 (9.2%) underwent attempted septation via a one-stage (n = 2, 22...
June 15, 2024: Pediatric Cardiology
Brennan V Higgins, Philip T Levy, Molly K Ball, Minso Kim, Shabnam Peyvandi, Martina A Steurer
Contemporary United States (US) data on the survival of preterm infants with congenital heart disease (CHD) are unavailable despite the over-representation of CHD and improving surgical outcomes in the preterm population. The aim of this study is to use population-based data to compare 1-year survival and early mortality (< 3 days) by gestational age (GA) between preterm infants with and without cyanotic CHD (CCHD) in the US. This national retrospective cohort included all liveborn, preterm infants between 21 and 36 weeks GA with a birth certificate indicating the presence or absence of CCHD (n = 2,654,253) born between 2014 and 2019 in the US...
June 12, 2024: Pediatric Cardiology
Pia Sjöberg, Henning Clausen, Håkan Arheden, Katarina Steding-Ehrenborg, Petru Liuba, Erik Hedström
Hydraulic force aids diastolic filling of the left ventricle (LV) by facilitating basal movement of the atrioventricular plane. The short-axis atrioventricular area difference (AVAD) determines direction and magnitude of this force. Patients with atrial septal defect (ASD) have reduced LV filling due to the left-to-right shunt across the atrial septum and thus potentially altered hydraulic force. The aims were therefore to use cardiac magnetic resonance images to assess whether AVAD and thus the hydraulic force differ in children with ASD compared to healthy children, and if it improves after ASD closure...
June 11, 2024: Pediatric Cardiology
Alanna Ash, Lindsay Ryerson, Vijay Anand, Jennifer Conway, Rae Foshaug, George Slim, Iman Naimi, Luke Eckersley
Pleural effusions and chylothorax are challenging morbidities post-Fontan palliation. We sought to evaluate the efficacy of our Fontan Care Pathway (FCP) in reducing the incidence of post-operative chylothorax and Time to Chest Tube Removal (TTCTR), and to determine risk factors associated with longer TTCTR. Between 2016 and 2022 our institutional approach to post-Fontan care fell into three categories: Group 1 (n = 36): no standardized approach; Group 2 (n = 30): a prophylactic chylothorax diet (fat content < 5%); Group 3 (n = 57): the FCP (a chylothorax diet, fluid restriction, supplemental O2 and aggressive diuresis)...
June 11, 2024: Pediatric Cardiology
Benjamin R Ittleman, Justin T Tretter, Anna S Bader, Sarah Mcollum, Veronika Shabanova, Jeremy M Steele
Atrial function provides insight into ventricular diastolic function. Invasive assessment of left ventricular (LV) diastolic function correlates with development of sustained ventricular tachyarrhythmias in patients with repaired tetralogy of Fallot (rTOF). Non-invasive assessment of atrial function may prove key towards assessment of diastolic function. We longitudinally evaluated the progression of biatrial function in patients with rTOF, regardless of pulmonary valve replacement (PVR). Patients with rTOF who had multiple CMR were identified...
June 7, 2024: Pediatric Cardiology
Ahmed Deniwar, Mohammad Alnoor, Ahmadreza Ghasemiesfe, Frank F Ing, Timothy J Pirolli, Ralf J Holzer
This is a case of an infant with duct-dependent pulmonary circulation, who required 6 stents delivered over three procedures to fully stent the arterial duct, which originated in a very unusual fashion. The attainable angiographic projections were unable to profile its origin, and only a CT scan was ultimately able to delineate the (stenotic) ductal origin from the aorta.
June 6, 2024: Pediatric Cardiology
Bao Nguyen Puente, Christopher W Mastropietro, Saul Flores, Eva W Cheung, Venugopal Amula, Monique Radman, David Kwiatkowski, Jason R Buckley, Kiona Allen, Rohit Loomba, Karan Karki, Saurabh Chiwane, Katherine Cashen, Kurt Piggott, Yamini Kapileshwarkar, Keshava Murthy Narayana Gowda, Aditya Badheka, Rahul Raman, John M Costello, Huaiyu Zang, Ilias Iliopoulos
Data comparing surgical systemic-to-pulmonary artery shunt and patent ductus arteriosus (PDA) stent as the initial palliation procedure for patients with pulmonary atresia with intact ventricular septum (PA-IVS) are limited. We sought to compare characteristics and outcomes in a multicenter cohort of patients with PA-IVS undergoing surgical shunts versus PDA stents. We retrospectively reviewed neonates with PA-IVS from 2009 to 2019 in 19 United States centers. Bivariate comparisons and multivariable logistic regression analysis were performed to determine the relationship between initial palliation strategy and outcomes including major adverse cardiovascular events (MACE): stroke, mechanical circulatory support, cardiac arrest, or death...
June 6, 2024: Pediatric Cardiology
Victor Kieu, Stephanie S Handler, Michael Mitchell, Amy Y Pan, Liyun Zhang, Edward Kirkpatrick
Pulmonary vein stenosis (PVS) is a rare, serious, and progressive disease in the pediatric population. Evaluation is complex and involves multimodality imaging. Diagnosis is important as early treatment to prevent progressive pulmonary hypertension and right ventricular dysfunction is essential. Adult studies have shown good correlation between various imaging modalities; however, there are limited data in children. This is a single-center retrospective pilot study to determine the reliability of measurement of pulmonary vein stenosis and pulmonary hypertension across different imaging modalities-computed tomography angiography (CTA), echocardiography (echo), lung perfusion scan (LPS), and cardiac catheterization (cath)...
June 6, 2024: Pediatric Cardiology
Mia Shiue, Annique Nyman, Robert Karvell, Sara L Partington, Tamar J Preminger, Christian Reda, Emily Ruckdeschel, Kathleen Sullivan, Lynda Tobin, Sumeet S Vaikunth, Joshua Saef, Bruke A Tedla, Yuli Y Kim
The coronavirus disease 2019 (COVID-19) pandemic has driven a broader adoption of telemedicine (TM). We aim to describe adult congenital heart disease (ACHD) patient experiences with TM and explore factors associated with positive attitude toward future TM visits. This is a cross-sectional, single-center study in an outpatient ACHD clinic from February to June, 2022. Between-group comparisons were made using Wilcoxon-Rank Sum, Chi-Square, or Fisher-Exact tests. Univariate logistic regression was performed for variables that could correlate with a "positive" attitude toward future TM visits...
June 5, 2024: Pediatric Cardiology
Cunera M C de Beaufort, Tara M Mackay, Markus F Stevens, Jorinde A W Polderman, Justin R de Jong, Annelies E van der Hulst, Bart Straver, Ramon R Gorter
In patients born with anorectal malformations (ARM), additional congenital heart defects (CHD) can occur. We aimed to provide an overview on disease and treatment details of CHD identified in patients born with ARM, from a unique large cohort of a very rare disease. We performed a retrospective single-center cohort study between January 2000 and July 2023. All consecutive patients with ARM were included. Outcomes were the number of patients with CHD, and screening percentage and percentage of patients diagnosed with CHD over 3 time periods (2000-2006, 2007-2014, 2015-2023)...
June 5, 2024: Pediatric Cardiology
Amanda D McCormick, Sonal T Owens, Heang M Lim, Carolyn Vitale, Catherine Dusing, Kelly E Rea, Jessica Pierce, Nasuh Malas, Melissa K Cousino
Mental health (MH) is an important, yet understudied area of care for patients with congenital heart disease (CHD). Pediatric subspecialty fellows believe MH should be within their scope of practice, but few feel confident in their ability to appropriately screen, evaluate, manage, and make treatment referrals for youth with CHD and concurrent MH concerns. A 6-session, didactic-based curriculum was designed by an interprofessional team of experts. It was administered to pediatric cardiology fellows over 9 months during two academic years...
June 5, 2024: Pediatric Cardiology
Hailey N Chambers, Elizabeth Caris, Jeffrey Conwell, Lindsay A Edwards, J Eddie Hulse, Mark Lewin, Nelangi M Pinto, Elana Wolfe, Bhawna Arya
Recent studies suggest that suboptimal cardiac imaging on routine obstetric anatomy ultrasound (OB-scan) is not associated with a higher risk for congenital heart disease (CHD) and, therefore, should not be an indication for fetal echocardiography (F-echo). We aim to determine the incidence of CHD in patients referred for suboptimal imaging in a large catchment area, including regions that are geographically distant from a tertiary care center. We conducted a retrospective chart review of patients referred to Seattle Children's Hospital (SCH) and SCH Regional Cardiology sites (SCH-RC) from 2011 to 2021 for F-echo with the indication of suboptimal cardiac imaging by OB-scan...
June 4, 2024: Pediatric Cardiology
Nathalie Jeanne Bravo-Valenzuela, Giuseppe Rizzo, Ilenia Mappa, Maria Respondek-Liberska, Maciej Słodki, Luciane Alves Rocha Amorim, Edward Araujo Júnior
This study aimed to analyze prenatal cardiac ultrasound markers of outcome in fetuses with Ebstein's anomaly (EA). From a retrospective database, 35 fetuses diagnosed with EA at fetal medicine centers in Brazil, Italy, and Poland were retrieved. The primary outcome was perinatal mortality. We analyzed prenatal cardiac ultrasound markers of outcomes and perinatal follow-up. Gestational age at diagnosis, extracardiac fetal anomalies, spontaneous fetal demise, and gestational age at each event were recorded...
June 2, 2024: Pediatric Cardiology
Andrew A Lawson, Wayne H Franklin, Nicolas F M Porta, Alan Nugent, Amanda Hauck
We present the clinical course of an 8-month-old infant with a giant cutaneous hemangioma resulting in high-output heart failure and pulmonary hypertension. The lesion was successfully embolized and excised, with rapid resolution of heart failure and improvement in pulmonary hypertension.
June 1, 2024: Pediatric Cardiology
Tingting Zhang, Chao Gao, Wei Chen, Hui Ma, Ling Tao
The support has been provided by clinical trials and guidelines for managing patent foramen ovale (PFO) in adults; however, the optimal approach is still unclear for treating PFO in pediatric patients. PFO and its associated clinical syndromes, imaging diagnosis, and management in pediatric patients were analyzed by a comprehensive analysis. Extensive research was performed using electronic databases, including PubMed, Cochrane, Web of Science, and EMBASE. This review includes the studies published until February 1st, 2024...
June 1, 2024: Pediatric Cardiology
Yanming Wang, Longfei Wang, Haifeng Zang, Jie Wang, Hao Wu, Wei Zhao
Current study aims to compare the application of two-dimensional (2D) color doppler ultrasound (CDU) and four-dimensional (4D) ultrasound spatiotemporal image correlation (STIC) in fetal congenital heart disease in the second trimester of pregnancy and to analyze the high risk factors of the disease. From August 2019 to July 2021, 135 second-trimester patients with highly suspected congenital heart malformations were selected who underwent prenatal screening at South Taihu Hospital Affiliated to Huzhou University...
May 29, 2024: Pediatric Cardiology
Martin Johansson, Erik Hedström, Katarina Steding-Ehrenborg, Misha Bhat, Petru Liuba, Håkan Arheden, Pia Sjöberg
A hydraulic force aids diastolic filling of the left ventricle (LV) and is proportional to the difference in short-axis area between the left ventricle and atrium; the atrioventricular area difference (AVAD). Patients with repaired Tetralogy of Fallot (rToF) and pulmonary regurgitation (PR) have reduced LV filling which could lead to a negative AVAD and a hydraulic force impeding diastolic filling. The aim was to assess AVAD and to determine whether the hydraulic force aids or impedes diastolic filling in patients with rToF and PR, compared to controls...
May 28, 2024: Pediatric Cardiology
Alessandro Giamberti, Paolo Ferrero, Federica Caldaroni, Alessandro Varrica, Giulia Pasqualin, Fabio D'Aiello, Emma Bergonzoni, Marco Ranucci, Massimo Chessa
The population of adults with congenital heart disease (ACHD) is constantly growing. There seems to be a consensus that these patients are difficult to manage especially if compared to patients with acquired heart disease. The aim of this study is to compare outcomes and results of cardiac surgery in ACHD patients with a reference population of adults with acquired cardiac disease. Retrospective study of 5053 consecutive patients older than 18 years hospitalized for cardiac surgery during a 5-years period in our Institution...
May 27, 2024: Pediatric Cardiology
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