journal
https://read.qxmd.com/read/38817268/transcatheter-closure-of-large-ostium-secundum-atrial-septal-defects-in-symptomatic-small-children-a-single-center-retrospective-study
#1
JOURNAL ARTICLE
Jahangir Ahmed Naseem, Mirza Shohiab Ur Riyaz, Shobhit Priyanshu Joseph, Jesu Krupa, Mayank Agarwal, Pratheesh George Mathen, Oommen K George, Paul V George, John Jose, Viji Samuel Thomson
BACKGROUND: In general, the risks associated with transcatheter atrial septal defect (ASD) device closure are reported to be relatively low, but the evidence stems from trials involving adults and older children. Current guidelines do not recommend ASD device closure in children with defect sizes >20 mm due to limited data available in this group of patients. This retrospective study sought to determine the clinical and procedural characteristics of successful transcatheter ASD device closure in small children with large defects and assess the complication rates and reasons for unsuccessful device closure...
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817267/anomalous-origin-of-branch-pulmonary-artery-from-the-aorta-current-challenges-in-the-management
#2
JOURNAL ARTICLE
Jeeva Vijayan, Manjunath Venkataswamy, Anand Subramanian, Nischal Rajendra Pandya, Honnakere Venkataiya Jayanth Kumar
Anomalous origin of a branch pulmonary artery from the aorta is a rare congenital anomaly that requires early surgery to prevent pulmonary vascular disease. The rate of reintervention after surgery remains high. Many aspects of the management could be improved such as assessment of operability in late presenters, selection of suitable surgical technique in each case, and prevention of anastomotic complications. We report the series of 10 patients who were operated for this anomaly. We aim to focus on the current challenges in the management of this condition...
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817266/effects-of-on-table-extubation-on-resource-utilization-and-maternal-anxiety-in-children-undergoing-congenital-heart-surgery-in-a-low-resource-environment
#3
JOURNAL ARTICLE
Kaushik Jothinath, Vijayakumar Raju, Michael E Nemergut, Grace M Arteaga, Pavithra Ramanath, Thirumalaisamy Vijayalakshmi
OBJECTIVE: To study the applicability of on-table extubation (OTE) protocol following congenital cardiac surgery in a low-resource setting and its impact on the length of intensive care unit (ICU) stay, hospital stay, hospitalization cost, parental anxiety, and nurse anxiety. MATERIALS AND METHODS: In this prospective, nonrandomized, observational single-center study, we included all children above 1 year of age undergoing congenital cardiac surgery. We evaluated them for the feasibility of OTE using a prespecified protocol following separation from cardiopulmonary bypass...
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817265/why-pediatric-cardiology-in-india
#4
JOURNAL ARTICLE
Ankur Handa
No abstract text is available yet for this article.
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817264/anomalous-right-coronary-artery-from-the-pulmonary-artery-in-an-infant-with-tetralogy-of-fallot
#5
Swati Garekar, Ronak Sheth, Sachin Patil, Bharat Soni, Dhananjay P Malankar
An anomalous right coronary artery from the pulmonary artery (ARCAPA) is a rare congenital anomaly that does not have the typical presentation of the more common anomalous left coronary artery. We present an infant with tetralogy of Fallot with atypical findings on the preoperative echocardiogram. A cardiac computerized tomographic (CT) scan showed ARCAPA. This was confirmed intraoperatively and repaired successfully. Close attention to coronaries on echocardiography and a low threshold for additional imaging can successfully diagnose ARCAPA in the presence of additional congenital heart defects...
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817263/pediatric-cardiology-in-india-in-search-of-a-holistic-solution
#6
JOURNAL ARTICLE
Jaganmohan A Tharakan, Rajesh Sharma, Raghavan Subramanyan, Anita Saxena, Snehal M Kulkarni, Jay Relan, Sivasubramanian Ramakrishnan
In response to the survey among early career pediatric cardiologists from India and the accompanying editorial, we invited comments and suggestions from thought leaders and senior functionaries in the field. We have summarized the thoughts and suggestions as a mini-symposium.
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817262/normal-pulmonary-venous-drainage-in-the-setting-of-total-anomalous-pulmonary-venous-connection
#7
Saikiran Kakarla, Deepa Sasikumar, Harikrishnan K N Kurup, Jineesh Valakkada
Total anomalous pulmonary venous connection (TAPVC) and anomalous pulmonary venous drainage are not synonymous. This has been described in the setting of right isomerism (bilateral right sidedness) where the pulmonary veins are connected anomalously but drain normally to the left-sided morphological right atrium. We describe another situation in right isomerism where normal pulmonary venous drainage is present in the setting of TAPVC.
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817261/echocardiographic-assessment-of-cardiac-function-abnormalities-and-related-risk-factors-in-thai-overweight-and-obese-children
#8
JOURNAL ARTICLE
Darunwan Nimpum, Worawan Jittham
BACKGROUND: Childhood obesity has become a global concern, with its prevalence steadily increasing over the past decade. This condition negatively impacts the cardiovascular system, increasing the risk of morbidity and mortality in adulthood. This study aimed to identify cardiac function abnormalities and related risk factors among overweight and obese Thai children. MATERIALS AND METHODS: A cross-sectional observational study of 70 children with body mass index (BMI) >1 standard deviation above the mean for Thai children was conducted at Naresuan University Hospital...
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817260/recurrent-mitral-regurgitation-and-left-atrial-aneurysm-in-a-pediatric-patent-a-complex-case-of-infective-endocarditis
#9
Muhammad Kamran Younis Memon, Prabhat Khakural, Sivakumar Sivalingam
A 6-year-old boy with a history of infective endocarditis (IE) presented with recurrent disease manifesting as left hip arthritis and severe mitral regurgitation. He developed a rare complication - a left atrial pseudoaneurysm. Despite the absence of classic fever and systemic symptoms, imaging revealed the recurrence and guided surgical repair. This case highlights the complexities of recurrent IE in children and underscores the importance of high clinical suspicion and imaging modalities like echocardiography for diagnosis and management...
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817259/being-a-pediatric-cardiologist-in-india-a-clarion-call
#10
EDITORIAL
Sivasubramanian Ramakrishnan, Sunita Maheshwari
No abstract text is available yet for this article.
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817258/precision-medicine-in-catecholaminergic-polymorphic-ventricular-tachycardia-recent-advances-toward-personalized-care
#11
REVIEW
Anthony Siu, Edelyne Tandanu, Brian Ma, Evbayekha Endurance Osas, Haipeng Liu, Tong Liu, Oscar Hou In Chou, Helen Huang, Gary Tse
Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a rare inherited cardiac ion channelopathy where the initial disease presentation is during childhood or adolescent stages, leading to increased risks of sudden cardiac death. Despite advances in medical science and technology, several gaps remain in the understanding of the molecular mechanisms, risk prediction, and therapeutic management of patients with CPVT. Recent studies have identified and validated seven sets of genes responsible for various CPVT phenotypes, including RyR2, CASQ-2, TRDN, CALM1, 2, and 3, and TECRL, providing novel insights into the molecular mechanisms...
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817257/differences-in-outcomes-between-surgical-pericardial-window-and-pericardiocentesis-in-children-with-postpericardiotomy-syndrome
#12
JOURNAL ARTICLE
Joshua T Fields, Conor P O'Halloran, Paul Tannous, Brock A Karolcik, Scott M Bradley, Minoo N Kavarana, John F Rhodes, Eric M Graham, John M Costello
Children with postpericardiotomy syndrome may develop hemodynamically significant pericardial effusions warranting drainage by surgical pericardial window or pericardiocentesis. The optimal approach is unknown. We performed a retrospective observational study at two pediatric cardiac centers. We included 42 children aged <18 years who developed postpericardiotomy syndrome following cardiac surgery between 2014 and 2021. Thirty-two patients underwent pericardial window and 10 underwent pericardiocentesis...
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817256/partial-anomalous-systemic-venous-drainage-right-superior-vena-cava-to-the-left-atrium-in-nonisomeric-patient
#13
Salem Deraz, Olfat Alzaabi, Anshad Ummerkhan, Sidra Abdul Hakeem, Hamza Elnady, Ahmed Al Kamali
The most encountered anomalous systemic venous drainage is a persistent left superior vena cava that drains into the right atrium through the coronary sinus. A much rarer anomalous systemic venous drainage is that of isolated anomalous drainage of a normally positioned right superior vena cava (RSVC) into the left atrium (LA). This has been reported in approximately 20 patients, with the diagnosis usually made by cardiac catheterization. We report the youngest case diagnosed at the age of 3 h after birth with hypoxemia resulting from anomalous drainage of a normal RSVC into the LA...
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817255/relationship-between-alveolar-functional-fraction-and-clinical-outcomes-in-children-during-postoperative-care-after-surgery-for-single-ventricular-heart
#14
JOURNAL ARTICLE
Dana Barry, Ellen A Spurrier, Jigar C Chauhan
BACKGROUND: Optimization of pulmonary to systemic blood flow (Qp: Qs) is the key to postoperative care of children with a single-ventricular heart. The ratio of end-tidal CO2 to partial pressure of CO2 called alveolar functional fraction (AFF) has shown a strong relationship with Qp: Qs in the catheterization lab in this population (with Qp: Qs of 1 correlating with AFF of 0.7). As there are no studies to understand the relationship between AFF and clinical outcomes in the postoperative care of these children, this study was carried out...
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817254/is-it-time-to-consider-a-population-health-approach-and-health-policy-planning-in-pediatric-cardiac-workforce-planning
#15
JOURNAL ARTICLE
Bistra Zheleva, Veeralakshmi Rajasekhar
No abstract text is available yet for this article.
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817253/unveiling-post-mis-n-cardiomyopathy-by-longitudinal-multimodality-global-cardiac-assessment-from-neonatal-insult-to-16-month-follow-up
#16
Maitri Chaudhuri, Munesh Tomar, Balasubramanyam Shankar
A full-term male neonate presented on the 11th day of life with late-onset multisystem inflammatory syndrome-neonate (MIS-N) (cardioneurological compromise). Immediate anti-inflammatory modulation led to a gradual recovery of neurological and coronary lesions. However, temporal evaluation unmasked silent myocardial dysfunction in echocardiography validated further by elevated biomarkers, myocardial fibrosis in cardiac magnetic resonance imaging, and abnormal strain study persisting till 16 months of follow-up...
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817252/pulsating-abdominal-mass-in-a-newborn-pentalogy-of-cantrell-with-left-ventricular-diverticulum
#17
Nabeel Faisal, Praveen Jeyakumar, Niraj Nirmal Pandey, Shiv Kumar Choudhary, Pradeep Ramakrishna Reddy, Sivasubramanian Ramakrishnan
Pentalogy of Cantrell is a rare congenital anomaly involving the anterior diaphragm, pericardium, sternum, peritoneum, and associated intracardiac defects. In this report, we describe a neonate with pentalogy of Cantrell evaluated with multimodality imaging and successfully managed by a multidisciplinary team.
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38817251/open-technique-of-performing-total-cavopulmonary-connection-on-cardiopulmonary-bypass
#18
JOURNAL ARTICLE
Sachin Talwar, Arindam Choudhary, Niwin George, Amitabh Satsangi, Shiv Kumar Choudhary
A simplified technique of performing the extracardiac Fontan operation on cardiopulmonary bypass is described. The advantages of this technique are briefly discussed.
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38766461/-sigirr-gene-variants-in-term-newborns-with-congenital-heart-defects-and-necrotizing-enterocolitis
#19
JOURNAL ARTICLE
Ekaterina Konstantinovna Zaikova, Aleksandra Vladimirovna Kaplina, Natalia Aleksandrovna Petrova, Tatiana Mikhailovna Pervunina, Anna Aleksandrovna Kostareva, Olga Viktorovna Kalinina
BACKGROUND: Necrotizing enterocolitis (NEC) is a common gastrointestinal emergency among neonates which is characterized by acute intestinal inflammation and necrosis. The main risk factors for NEC are prematurity, low birth weight, and some preexisting health conditions such as congenital heart defects (CHDs). Investigation of the potential genetic predisposition to NEC is a promising approach that might provide new insights into its pathogenesis. One of the most important proteins that play a significant role in the pathogenesis of NEC is Toll-like receptor 4 (TLR4) which recognizes lipopolysaccharide found in Gram-negative bacteria...
2023: Annals of Pediatric Cardiology
https://read.qxmd.com/read/38766460/clinical-parameters-to-predict-adverse-outcomes-in-patients-with-shunt-dependent-physiology-with-a-blalock-taussig-thomas-shunt
#20
JOURNAL ARTICLE
Saloni P Shah, Rohit S Loomba
In patients with shunt-dependent physiology, early risk factor identification can facilitate the prevention of adverse outcomes. This study aims to determine a scoring system to estimate the risk for adverse outcomes after Blalock-Taussig-Thomas shunt placement. Of the 39 neonates with Blalock-Taussig-Thomas shunt placement, 10 experienced the composite outcome. The resulting risk score from clinical and hemodynamic variables attributed 1 point for each of the following: central venous pressure >7.8, serum lactate >1...
2023: Annals of Pediatric Cardiology
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