journal
https://read.qxmd.com/read/38785339/multiple-recurrent-supraventricular-tachycardia-in-infantile-tuberous-sclerosis-complex-management-requiring-triple-drug-therapy
#1
JOURNAL ARTICLE
Xander Jacquemyn, Shelby Kutty, Mitchell I Cohen, Keyur K Mehta
We report the case of a female neonate admitted to the neonatal ICU with a rapid, narrow-complex tachyarrhythmia determined to be supraventricular tachycardia. Multimodality imaging and genetic testing confirmed a diagnosis of tuberous sclerosis complex with multiple cardiac rhabdomyomas. At 13 days of age, the patient was readmitted, exhibiting recurrent supraventricular tachycardia non-responsive to first-line treatment. Management required triple-drug therapy, whereafter the patient remained stable without recurrences...
May 24, 2024: Cardiology in the Young
https://read.qxmd.com/read/38783789/factors-associated-with-renal-oxygen-extraction-in-mechanically-ventilated-children-after-the-norwood-operation-insights-from-high-fidelity-haemodynamic-data
#2
JOURNAL ARTICLE
Rohit S Loomba, Enrique G Villarreal, Juan S Farias, Saul Flores, Joshua Wong
BACKGROUND: Maintaining the adequacy of systemic oxygen delivery is of utmost importance, particularly in critically ill children. Renal oxygen extraction can be utilised as metric of the balance between systemic oxygen delivery and oxygen consumption. The primary aim of this study was to determine what clinical factors are associated with renal oxygen extraction in children after Norwood procedure. METHODS: Mechanically ventilated children who underwent Norwood procedure from 1 September, 2022 to 1 March, 2023 were identified as these patients had data collected and stored with high fidelity by the T3 software...
May 24, 2024: Cardiology in the Young
https://read.qxmd.com/read/38783397/the-effect-of-antipsychotic-medications-on-qtc-and-delirium-in-paediatric-cardiac-patients-with-icu-delirium
#3
JOURNAL ARTICLE
Carol J John, Meghan Engler, Hania Zaki, Anna Crooker, Maria Cabrera, Cassidy Golden, Robert Whitehill, Yijin Xiang, Katie Liu, Michael P Fundora
OBJECTIVE: Children with prolonged hospital admissions for CHD often develop delirium. Antipsychotic medications (APMs) have been used to treat delirium but are known to prolong the QTc duration. There is concern for prolongation of the QTc interval in cardiac patients who may be more vulnerable to electrocardiogram (ECG) changes and may have postoperative QTc prolongation already. The goal of this study was to determine the effect of APM on QTc duration in postoperative paediatric cardiac patients and determine the effect of quetiapine and risperidone in treating delirium and QTc prolongation...
May 24, 2024: Cardiology in the Young
https://read.qxmd.com/read/38783395/anaesthesia-management-of-interventional-cardiac-catheterisation-for-pulmonary-atresia-with-intact-ventricular-septum-and-critical-pulmonary-stenosis-a-retrospective-analysis
#4
JOURNAL ARTICLE
Xu Zhang, Ning Zhang, Kui-Liang Wang, Yue-Yi Ren
OBJECTIVE: Pulmonary atresia with intact ventricular septum and critical pulmonary stenosis usually have to undergo treatment in the neonatal period. Compared to traditional surgical intervention, catheter-based cardiac interventions may achieve similar or superior outcomes for neonates with pulmonary atresia with intact ventricular septum and critical pulmonary stenosis. However, there is limited literature on anaesthesia techniques, challenges, and risks associated with cardiac catheterisation in this population...
May 24, 2024: Cardiology in the Young
https://read.qxmd.com/read/38774986/in-memoriam-dr-juan-le%C3%A3-n-wyss-10-january-1963-18-january-2024
#5
JOURNAL ARTICLE
Tom R Karl, Rodrigo Soto, Rebeca Pérez González, Joseph Turek, Giles Peek
No abstract text is available yet for this article.
May 22, 2024: Cardiology in the Young
https://read.qxmd.com/read/38773806/device-closure-of-residual-aortopulmonary-window-using-konar-mf-occluder-device-an-attractive-new-option
#6
JOURNAL ARTICLE
Ahmad Usaid Qureshi, Tehmina Kazmi, Masood Sadiq
We report a case of a residual aortopulmonary window where a new Konar-MF occluder device was used to close the defect. This device has a low profile and conforms to the anatomy of aortopulmonary window very nicely without unnecessary protrusion on either side. This report highlights the advantage of Konar-MF occluder device for closure of such defects.
May 22, 2024: Cardiology in the Young
https://read.qxmd.com/read/38752303/periods-of-low-renal-perfusion-pressure-are-associated-with-acute-kidney-injury-following-paediatric-cardiac-surgery
#7
JOURNAL ARTICLE
Jamie S Penk, Katja M Gist, Matthew Barhight, Karl Migally, Santiago Borasino, Wendy F Torres, Siyuan Dong, Bradley S Marino, Catherine D Krawczeski
INTRODUCTION: Acute kidney injury is associated with worse outcomes after cardiac surgery. The haemodynamic goals to ameliorate kidney injury are not clear. Low post-operative renal perfusion pressure has been associated with acute kidney injury in adults. Inadequate oxygen delivery may also cause kidney injury. This study evaluates pressure and oximetric haemodynamics after paediatric cardiac surgery and their association with acute kidney injury. MATERIALS AND METHODS: Retrospective case-control study at a children's hospital...
May 16, 2024: Cardiology in the Young
https://read.qxmd.com/read/38752301/mitochondrial-cardiomyopathy-a-puzzle-for-the-final-diagnosis
#8
JOURNAL ARTICLE
Andreia Duarte Constante, Susana Martins Abreu, Conceição Trigo
Hypertrophic cardiomyopathy in children has diverse causes. Mitochondrial diseases, a rare aetiology leading to cardiomyopathy in 20-40% of affected children, predominantly present as hypertrophic cardiomyopathy. Diagnosis is challenging due to inconsistent genotype-phenotype correlation, resulting in various clinical presentations. We present a case of a one-month-old infant with severe hypertrophic cardiomyopathy and cardiac tamponade. Genetic diagnosis revealed a Valyl-tRNA synthetase 2 (VARS2) gene mutation, linking it to mitochondrial encephalopathy-cardiomyopathy...
May 16, 2024: Cardiology in the Young
https://read.qxmd.com/read/38752298/native-aortic-root-thrombus-leading-to-myocardial-infarction-in-a-single-ventricle-patient
#9
JOURNAL ARTICLE
Rod M Shinozaki, Mark C Johnson, Avihu Z Gazit
We report a 14-month-old male with hypoplastic left heart syndrome, mitral stenosis, and aortic stenosis with native aortic root thrombus. He developed a wide complex ventricular tachycardia and ST-segment elevation myocardial infarction with troponin I levels peaking at 388 ng/mL. He was treated safely with systemic alteplase with a resolution of his regional wall motion abnormality 18 hours later.
May 16, 2024: Cardiology in the Young
https://read.qxmd.com/read/38738395/against-all-odds-successful-pregnancy-in-an-adult-patient-with-unrepaired-coarctation-of-the-aorta
#10
JOURNAL ARTICLE
Davide Sorice, Rosaria Barracano, Berardo Sarubbi
According to the modified World Health Organization classification, pregnant women with unrepaired aortic coarctation are at very high risk for both maternal and fetal complications and should, therefore, be counselled against pregnancy. The most frequent maternal complications include systemic hypertension, renal failure, preeclampsia, and aortic dissection. Herein, we describe a successful pregnancy in an adult patient with unrepaired aortic coarctation.
May 13, 2024: Cardiology in the Young
https://read.qxmd.com/read/38738387/truncus-arteriosus-from-prenatal-diagnosis-to-clinical-outcome-a-single-centre-experience
#11
JOURNAL ARTICLE
Nina A Korsuize, Wouter Bakhuis, Bram van Wijk, Heynric B Grotenhuis, Henriëtte Ter Heide, Michelle Cohen de Lara, Zina Fejzic, Paul H Schoof, Felix Haas, Trinette J Steenhuis
BACKGROUND: The aim of this study was to review our institution's experience with truncus arteriosus from prenatal diagnosis to clinical outcome. METHODS: and results: We conducted a single-centre retrospective cohort study for the years 2005-2020. Truncus arteriosus antenatal echocardiographic diagnostic accuracy within our institution was 92.3%. After antenatal diagnosis, five parents (31%) decided to terminate the pregnancy. After inclusion from referring hospitals, 16 patients were offered surgery and were available for follow-up...
May 13, 2024: Cardiology in the Young
https://read.qxmd.com/read/38738385/human-milk-breastfeeding-and-early-neurodevelopmental-outcomes-for-infants-with-critical-chd
#12
JOURNAL ARTICLE
Kristin M Elgersma, Melissa L Engel, Sara E Ramel, Jessica A Davis, Anne C McKechnie, Katie M Pfister
Human milk improves neurodevelopment for preterm infants, but relationships between human milk and neurodevelopment for infants with critical CHD are unknown. We aimed to (1) explore associations between human milk/direct breastfeeding and neurodevelopment at 1-year and 2-year follow-up and (2) describe patterns of human milk (maternal, donor) and commercial formula during hospitalisation in the first year of life.This retrospective cohort study included infants who underwent surgery for CHD < 6 months old...
May 13, 2024: Cardiology in the Young
https://read.qxmd.com/read/38725102/virtual-reality-modelling-in-a-child-after-multiple-interventions-for-hypoplastic-aortic-arch-and-coarctation
#13
JOURNAL ARTICLE
Judyta Szeliga, Maksym Lazu, Sebastian Góreczny
We present the benefits of advanced multimodality imaging and virtual reality modelling in the diagnosis and treatment planning of a child with aneurysms after numerous interventions for treatment of a hypoplastic aortic arch and coarctation.
May 10, 2024: Cardiology in the Young
https://read.qxmd.com/read/38724472/the-efficacy-of-the-use-of-atropine-in-children-with-reflex-anoxic-syncope-during-pallid-breath-holding-spells-can-cardiac-pacemaker-implantation-be-avoided
#14
JOURNAL ARTICLE
Marieke Donné, Kristof Vandekerckhove, Hans De Wilde
OBJECTIVES: Reflex anoxic syncope is the result of an overreaction of the vagal system, resulting in hypotension and bradycardia or brief cardiac arrest. Because of the benign character and the absence of complications in short or long term, treatment is only necessary in case of frequent or severe clinical presentation. Treatment options are anticholinergic drugs or cardiac pacemaker placement. We investigated atropine treatment and aimed to examine if pacemaker placement can be avoided...
May 10, 2024: Cardiology in the Young
https://read.qxmd.com/read/38724470/angiographic-tool-to-detect-pulmonary-arteriovenous-malformations-in-single-ventricle-physiology
#15
JOURNAL ARTICLE
Stephen B Spurgin, Yousef M Arar, Thomas M Zellers, Jijia Wang, Nicolas L Madsen, Surendranath R Veeram Reddy, Ondine Cleaver, Abhay A Divekar
OBJECTIVE: Individuals with single ventricle physiology who are palliated with superior cavopulmonary anastomosis (Glenn surgery) may develop pulmonary arteriovenous malformations. The traditional tools for pulmonary arteriovenous malformation diagnosis are often of limited diagnostic utility in this patient population. We sought to measure the pulmonary capillary transit time to determine its value as a tool to identify pulmonary arteriovenous malformations in patients with single ventricle physiology...
May 10, 2024: Cardiology in the Young
https://read.qxmd.com/read/38721647/double-orifice-tricuspid-valve-case-series-and-literature-review
#16
JOURNAL ARTICLE
Brendan T Haughian, Nee S Khoo, Lily Q Lin
The double-orifice tricuspid valve (DOTV) is a rare lesion. We present a series of three patients encountered at the Stollery Children's Hospital with a diagnosis of DOTV on 2D and/or 3D echocardiography. The patient's medical records are reviewed for presentation history, investigative findings, and clinical course. We discuss the cases in the context of a complete review of all literature documenting cases of DOTV. In the majority of cases, the lesion is relatively benign, with little change in valve function over the short to medium term, and outcomes are determined largely by significant concomitant heart defects...
May 9, 2024: Cardiology in the Young
https://read.qxmd.com/read/38712631/ventricular-insertion-site-ablation-of-a-mahaim-atriofascicular-fibre-in-ebstein-anomaly
#17
JOURNAL ARTICLE
Stefan Kurath-Koller, Hannes Sallmon, Daniel Scherr
Ebstein anomaly is frequently associated with accessory pathways, including Mahaim atriofascicular fibres. We herein illustrate successful Mahaim fibre ablation in Ebstein anomaly by targeting the ventricular insertion site below the tricuspid ridge.
May 7, 2024: Cardiology in the Young
https://read.qxmd.com/read/38711375/implementation-of-the-international-consortium-of-health-outcomes-measurement-chd-standard-set-in-patients-undergoing-pulmonary-valve-replacement
#18
JOURNAL ARTICLE
Kevin Hummel, Ariane Michelson, Rachel Zmora, Sarah de Ferranti, Kathy Jenkins, Susan F Saleeb
BACKGROUND: Despite the burden of CHD, a high cost and utilization condition, an implementation of long-term outcome measures is lacking. The objective of this study is to pilot the implementation of the International Consortium of Health Outcomes Measurement CHD standard set in patients undergoing pulmonary valve replacement, a procedure performed in mostly well patients with diverse CHD. METHODS: Patients ≥ 8 years old undergoing catheterization-based pulmonary valve replacement were approached via various approaches for patient-reported outcomes, with a follow-up assessment at 3 months post-procedure...
May 7, 2024: Cardiology in the Young
https://read.qxmd.com/read/38706324/echocardiography-to-predict-left-ventricular-filling-pressure-for-long-term-paediatric-heart-transplant-patients
#19
JOURNAL ARTICLE
Fahad A Alfares, Chetan Nanjegowda, Sethuraman Swaminathan, Juanita Hunter, Jaime Alkon, Satinder Sandhu, Paolo Rusconi
OBJECTIVES: Left ventricular diastolic dysfunction is a recognised sequela following transplantation in paediatric heart transplant patients. Traditional echocardiographic indices do not correlate well with left ventricular filling pressure immediately after transplantation. This study aimed to assess whether these indices have any long-term correlation after transplantation in paediatric patients. METHODS: A retrospective chart review of 41 patients who had a heart transplant before the age of 24 years was performed...
May 6, 2024: Cardiology in the Young
https://read.qxmd.com/read/38699826/closing-the-gap-between-acceptable-and-ideal-in-catheterisation-for-paediatric-and-congenital-heart-disease-a-global-view
#20
JOURNAL ARTICLE
Ina Michel-Behnke, Raman Krishna Kumar, Robert Justo, Carlos Zabal, Audrey C Marshall, Jeffrey Phillip Jacobs
In recent issues of the Journal of the Society for Cardiovascular Angiography and Interventions and the Journal of the American College of Cardiology: Cardiovascular Interventions , Holzer and colleagues presented an Expert Consensus Document titled: " PICS / AEPC / APPCS / CSANZ / SCAI / SOLACI: Expert consensus statement on cardiac catheterization for pediatric patients and adults with congenital heart disease. " This Expert Consensus Document is a massively important contribution to the community of paediatric and congenital cardiac care...
May 3, 2024: Cardiology in the Young
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