715 results match your criteria Annals of pediatric cardiology[Journal]


An interesting case of aorto-left ventricular tunnel.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):108-110. Epub 2019 Jul 26.

Department of Pediatric Cardiac Surgery, Apollo Children's Hospital, Chennai, Tamil Nadu, India. E-mail:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_28_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979024PMC

Congenital left atrial appendage pseudoaneurysm, cardiomyopathy, and mitral regurgitation.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):107-108. Epub 2019 Jul 17.

The Division of Cardiovascular and Thoracic Surgery, Duke University Medical Center, Durham, NC, USA E-mail:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_10_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979037PMC

Anatomically corrected malposition of great arteries: A nidus for the left ventricular outflow tract obstruction.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):105-106. Epub 2019 Nov 22.

Department of Pediatric Cardiology, Rainbow Children Heart Institute, Hyderabad, Telangana, India. E-mail:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_160_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979013PMC
November 2019

Left pulmonary artery from descending thoracic aorta: Part of spectrum of anomalous aortic origin of pulmonary arteries?

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):104. Epub 2019 Nov 7.

Department of Cardiothoracic Surgery, Perth Children's Hospital, Nedlands, Australia. E-mail:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_130_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979029PMC
November 2019

Author's reply.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):103. Epub 2020 Jan 9.

Division of Radiology, BJ Wadia, Children's Hospital, Mumbai, Maharashtra, India.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_153_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979017PMC
January 2020

Virtual dissection: An alternative to surface-rendered virtual three-dimensional cardiac model.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):102-103. Epub 2019 Dec 4.

Institute of Genetic Medicine, University of Newcastle, Newcastle-upon-Tyne, UK.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_127_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979021PMC
December 2019

Double drainage of total anomalous pulmonary venous connection: A rare variant of mixed total anomalous pulmonary venous connection.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):100-101. Epub 2019 Jul 19.

Department of Cardiothoracic Surgery, The Children's Hospital at Westmead, Westmead, Australia.

Total Anomalous Pulmonary Venous Connection (TAPVC) is frequently classified based on the system proposed by Craig, Darling and Rothney. Occasionally variants are reported which do not fit into these classic forms. One such variant is the double drainage of TAPVC where the confluence has connections at two different levels. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_45_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979033PMC

Circumflex retroesophageal left aortic arch with right ductus arteriosus: A rare complete vascular ring diagnosed on computed tomography angiography.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):98-99. Epub 2019 Nov 7.

Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.

A circumflex retroesophageal left aortic arch with a right-sided ductus is an extremely rare cause of a complete vascular ring, which may result in severe tracheobronchial compression, leading to respiratory compromise, especially in children. We present a case of a 6-month-old female child with stridor and feeding difficulties since birth with interspersed self-resolving episodes of cyanosis and apnea, secondary to the presence of the above-mentioned vascular ring. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_128_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979015PMC
November 2019

An arcade in the heart: Multimodality imaging.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):95-97. Epub 2019 Oct 9.

Department of Cardiology, Christian Medical College, Vellore, Tamil Nadu, India.

Congenital mitral stenosis (MS) is a spectrum of anomalies that result in functional and anatomic obstruction of inflow into the left ventricle. Mitral arcade is one of the varieties of congenital MS where there is an abnormal development of chordae tendineae, resulting in stenosis, regurgitation, or both. Here, we describe the case of a mitral arcade in a child, which was diagnosed on echocardiography and confirmed with other imaging modalities. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_47_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979019PMC
October 2019

Isolated persistence of the fifth aortic arch in an infant presenting with congestive heart failure.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):91-94. Epub 2019 Nov 22.

Department of Pediatric Cardiology, Giovanni XXIII Pediatric Hospital, Bari, Italy.

The persistence of the fifth aortic arch (PFAA) in postnatal life is an extremely rare and controversial cardiovascular malformation. PFAA is defined as an extra-pericardial vessel arising from the ascending aorta proximal to the origin of the brachiocephalic arteries, terminating either in the dorsal aorta or in the pulmonary arteries through the persistently patent arterial duct. An isolated PFAA with systemic-to-pulmonary connection best fits this definition, while the vast majority of cases reported as PFAA may have alternative embryological explanations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_53_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979032PMC
November 2019

Umbilical artery catheter, aortic dissection, carotid cannulation, and pseudoaneurysm in a neonate: A tale of propagating pathology.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):87-90. Epub 2019 Jul 19.

Department of Pediatric Intensive Care, Royal Brompton Hospital, London, United Kingdom.

Arterial dissections are uncommon in neonates. Complications include thrombosis, bleeding, dissection, aneurysm and pseudoaneurysm. We report an unusual case of multisite pathology (dissection and pseudoaneurysm) following common vascular interventions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_67_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979014PMC

Caught-off guard: Unguarded mitral valve orifice in usual atrial arrangement with discordant atrioventricular connections and pulmonary atresia.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):84-86. Epub 2019 Jun 26.

Institute of Genetic Medicine, Newcastle University, Newcastle Upon Tyne, United Kingdom.

Unguarding of an atrioventricular valvar orifice is a rare form of congenital heart disease that requires staged functionally univentricular palliation. Unguarding of the mitral valvar orifice has previously been reported in the setting of mirror-imaged atrial arrangement. We report a neonate with unguarding of the mitral valvar orifice in the setting of usual atrial arrangement, but with discordant atrioventricular connections and pulmonary atresia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_4_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979028PMC

Complete sternal cleft with tetralogy of Fallot.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):81-83. Epub 2019 Dec 4.

Department of Pediatric Cardiology, Narayana Superspeciality Hospital, Howrah, West Bengal, India.

Complete sternal cleft is a very rare congenital midline defect of the sternum. It is not uncommonly associated with intracardiac defects. We report a case of a 2-year-old child with complete sternal cleft and tetralogy of Fallot who presented with cyanotic spells. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_86_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979026PMC
December 2019

Superior vena caval thrombosis after a neonatal arterial switch procedure.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):78-80. Epub 2019 Dec 4.

Department of Pediatric Critical Care, Albany Medical Center, Albany, NY, USA.

Superior vena cava (SVC) and inferior vena cava obstructions were once well-documented complications from the Mustard repair for D-transposition of the great arteries (TGA), occurring in 10%-40% patients; however, they are rarely documented with the current, more common arterial switch operation (ASO). Similarly, SVC thrombosis is an uncommon, severe complication following neonatal cardiac surgery. We report a case of persistent SVC thrombosis, SVC syndrome, and chylothorax arising after ASO, refractory to thrombolysis and stent placement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_71_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979025PMC
December 2019

Unusual association of transposition of great arteries with infradiaphragmatic pulmonary venous return.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):75-77. Epub 2019 Dec 4.

Department of Pediatric Sciences, Pediatric Cardiac Surgery Unit, Giovanni XXIII Pediatric Hospital, Bari, Italy.

A 21-day-old baby with transposition of the great arteries with intact ventricular septum, infradiaphragmatic totally anomalous pulmonary venous connection, and atrial septum defect underwent combined arterial switch operation, totally anomalous venous connection repair, and atrial septum defect closure, using a right-sided approach and temporary pulmonary veins occlusion, with no postoperative and 6-months follow-up complications. Complete anatomical correction is the most conceivable treatment for this unusual pathology; right-sided approach instead lifting the heart toward the right pleural cavity to perform left atrium-to-pulmonary veins anastomosis limits heart displacement and avoids nonphysiological three-dimensional alterations; moreover, ligation and division of vertical vein allow to obtain more tissue for anastomosis; temporary occlusion of pulmonary veins while performing anastomosis is a simple procedure that allows to avoid deep hypothermic circulatory arrest or low flow systemic perfusion. Combination of these details facilitates intra- and postoperative management, especially in combined demanding cases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_54_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979011PMC
December 2019

Mystery still unresolved: Untouched "Blue heart" presenting at 40yrs of age.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):72-74. Epub 2019 Dec 4.

Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

The modern-day surgical techniques and strategies have changed the outlook of patients with dextro-transposition of great arteries (d-TGA). The survival of an unrepaired d-TGA into late adulthood is difficult to explain. Even when large intracardiac shunts are present, it still remains a lethal cyanotic congenital heart disease if it is not surgically corrected soon after birth. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_149_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979036PMC
December 2019

Balloon angioplasty of aortic coarctation in critically ill newborns using axillary artery access.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):67-71. Epub 2019 Oct 9.

Department of Paediatric Cardiology, Giovanni XXIII Paediatric Hospital, Bari, Italy.

Balloon angioplasty may be performed as the first treatment of aortic coarctation to stabilize newborns too sick for immediate surgery. The issue of vascular access is the key to the successful treatment of critical newborns. In our study, we argue that the lesser-known axillary access route is the safest and most effective route of vascular access for balloon angioplasty in infants with aortic coarctation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_2_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979016PMC
October 2019

The science and art of aortic and/or pulmonary root translocation.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):56-66. Epub 2019 Oct 22.

Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.

This review aims to present and compare different surgical techniques of root translocation of the great arteries except the Ross procedure. The historical aspects, technical considerations, and results are briefly elucidated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_3_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979018PMC
October 2019

Nonopioid analgesics for perioperative and cardiac surgery pain in children: Current evidence and knowledge gaps.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):46-55. Epub 2019 Dec 4.

Heart Transplant and Advanced Cardiac Therapies Program, Children's National Health Institute, Washington, DC, USA.

Objective: The purpose of this review is to present the available literature on the use of nonopioid analgesics such as nonsteroidal anti-inflammatory drugs in postcardiac surgery pediatric patients, mainly to focus on patients <1 year of age, and to provide the foundation for future research.

Materials And Methods: Published studies that address the use on nonopioid medications for postoperative sedation and analgesia in infants and children undergoing cardiac surgery were identified from online sources. Studies were reviewed by two authors independently to assess the quality of the data as well as the evidence. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_190_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979012PMC
December 2019

Genetic abnormalities/syndromes significantly impact perioperative outcomes of conotruncal heart defects.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):38-45. Epub 2019 Oct 9.

Heart Center, Nicklaus Children's Hospital, Miami, Florida, USA.

Objectives: The main objective of the study is to characterize the effects of genetic abnormalities/syndromes (GA/S) on perioperative outcomes of cardiac surgeries involving repair of conotruncal heart defects (CTHD).

Design: The study involves a single-center retrospective analysis of patients who underwent complete repair of CTHDs (tetralogy of Fallot [TOF], truncus arteriosus, interrupted aortic arch, and ventricular septal defect with coarctation) between January 2000 and December 2015. The primary outcome was the post operative length of stay (PLOS). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_51_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979035PMC
October 2019

An evolving anesthetic protocol fosters fast tracking in pediatric cardiac surgery: A comparison of two anesthetic techniques.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):31-37. Epub 2019 Nov 1.

Department of Pediatric Cardiology, Army Hospital Research and Referral, New Delhi, India.

Background: The past two decades have seen rapid development of new surgical techniques for repair as well as palliation of complex congenital heart diseases. For a better patient outcome, minimal postoperative ventilation remains one of the most important endpoints of an effectual perioperative management.

Aims And Objectives: The aim of this randomized open-label trial was to compare postoperative extubation time and intensive care unit (ICU) stay when two different anesthetic regimens, comprising of induction with ketamine and low-dose fentanyl versus high-dose fentanyl, are used, in pediatric patients undergoing corrective/palliative surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_36_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979031PMC
November 2019

Normal reference ranges for the left ventricular mass and left ventricular mass index in preterm infants.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):25-30. Epub 2019 Oct 9.

Department of Pediatric Cardiology, Chest Diseases Hospital, Ministry of Health, Kuwait City, Kuwait.

Objective: The objective of this study is to establish normal reference ranges for the left ventricular mass (LVM) and LVM index (LVMI) in preterm infants according to the body surface area (BSA) and assess their correlation with body weight and gestational age.

Subjects And Methods: In a prospective study, 268 preterm babies who fulfilled the criteria for inclusion were examined. Echocardiograms were performed to measure the LVM and LVMI on 0-6 day (s) of life and at weekly intervals until the babies reached 36 weeks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_171_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979023PMC
October 2019

Use of percutaneous carotid artery access for performing pediatric cardiac interventions: Single-center study.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):16-24. Epub 2019 Nov 1.

Department of Pediatric Cardiology, Altinbas University School of Medicine, Istanbul, Turkey.

Background: Carotid artery (CA) access allows a more straight route for many left heart lesions. This has previously been achieved via a surgical cut-down approach in certain pediatric cardiac interventions. However, there are little data considering CA access in pediatric cases, percutaneously. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_26_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979034PMC
November 2019

Balloon pulmonary valvuloplasty in neonates with critical pulmonary stenosis: Jugular or femoral.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):11-15. Epub 2019 Nov 7.

Pediatric Cardiology and Congenital Heart Disease Division, National Cardiovascular Center Harapan Kita, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

Background: Critical pulmonary stenosis (PS) is one of the life-threatening congenital heart diseases which present during the neonatal period with cyanosis. Surgical valvotomy was once the procedure of choice for critical PS; however, balloon pulmonary valvuloplasty (BPV) has now become the standard treatment. Although the procedure is usually simple, crossing the pulmonary valve from the femoral vein can be difficult, especially when severe tricuspid regurgitation and right atrium dilatation are present. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_14_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979020PMC
November 2019

Transcatheter closure of atrial septal defect in symptomatic children weighing ≤10 kg: Addressing unanswered issues from a decade of experience.

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):4-10. Epub 2019 Dec 4.

Glenmark Cardiac Centre, Mumbai, Maharashtra, India.

Background And Objectives: Device closure of secundum atrial septal defect is shown to be feasible and effective in children weighing ≤10 kg. Issues such as how large is too large, how to choose device size, does the length of the interatrial septum (IAS) matter, and need for technical modifications for successful device delivery have not been systematically addressed.

Materials And Methods: This is a retrospective study, comprising 45 patients weighing ≤10 kg, who were chosen for device closure between January 2010 and June 2018. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_66_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979027PMC
December 2019

Vascular access in pediatric interventions: Science or skill?

Ann Pediatr Cardiol 2020 Jan-Mar;13(1):1-3. Epub 2020 Jan 9.

Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_213_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979030PMC
January 2020

Preoperative adrenal insufficiency in a neonate with congenital heart disease surgery.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):351-353

Department of Pediatric Cardiac Intensive Care, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India. E-mail:

View Article

Download full-text PDF

Source
http://www.annalspc.com/text.asp?2019/12/3/351/262865
Publisher Site
http://dx.doi.org/10.4103/apc.APC_108_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716307PMC
September 2019
2 Reads

Reply: Prevalence of hypertension and prehypertension in schoolchildren from Central India.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):349

Department of Community Medicine, R D Gardi Medical College, Ujjain, Madhya Pradesh, India.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_90_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716317PMC
September 2019
1 Read

Comment: Prevalence of hypertension and prehypertension in schoolchildren from Central India.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):348

Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq. E-mail:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_64_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716329PMC
September 2019

Case of anomalous origin of right coronary artery from pulmonary artery associated with interrupted aortic arch type A, diagnosed by multidetector computed tomography angiography.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):345-347

Department of Radiology, YaleNew Haven Health Bridgeport Hospital, Bridgeport, Connecticut, USA.

Anomalous origin of the right coronary artery from pulmonary artery (ARCAPA) is a rare congenital anomaly of the coronary circulation, which can be easily missed by echocardiography. Interrupted aortic arch (IAA) is another rare congenital cardiac abnormality that typically presents in the first few weeks of life. We present a case of ARCAPA associated with IAA diagnosed with the help of multidetector computed tomography angiography, in a 7-year-old boy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_69_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716321PMC
September 2019
1 Read

Hammock effect and complete cusp prolapse: Rare mechanisms of Melody valve failure demonstrated by intracardiac echocardiography.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):342-344

Department of Pediatric Cardiology, Nicklaus Children's Hospital, Miami, Florida, USA.

Transcatheter pulmonary valve replacement using Melody valve (Medtronic, Minneapolis MN) has significantly increased in the recent decades. Melody valve failures, although rare, can be problematic and require re-intervention. Through intracardiac echocardiography, we present two patients who each had a rare etiology for dysfunction of their Melody valve. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_143_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716308PMC
September 2019
1 Read

Utility of three-dimensional echocardiography and magnetic resonance imaging in the diagnosis of double-orifice tricuspid valve.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):339-341

Department of Pediatric Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, India.

Duplication of atrioventricular valves involves the mitral valve more often than the tricuspid valve and is often associated with other cardiac defects. Double-orifice tricuspid valve (DOTV) is often identified in surgery or autopsy and missed on echocardiography, as the two orifices are orthogonal to the imaging plane. If suspected on echocardiography, it masquerades as mild tricuspid hypoplasia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_179_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716302PMC
September 2019
1 Read

Modified underlying cardiac disease severity in twin-twin transfusion syndrome.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):336-338

Department of Pediatric Cardiology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.

Twin-twin transfusion syndrome or related conditions affect fetal loading. We report monochorionic-diamniotic twins. Twin 1 had Ebstein anomaly with mild tricuspid regurgitation (TR) and slightly thickened tricuspid valve leaflets with plastering. Read More

View Article

Download full-text PDF

Source
http://www.annalspc.com/text.asp?2019/12/3/336/263600
Publisher Site
http://dx.doi.org/10.4103/apc.APC_112_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716300PMC
September 2019
5 Reads

Corkscrew aortic arch in PHACES syndrome: Multimodal imaging of an unusual morphology of tortuous aortic arch in a rare but well-defined syndrome.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):333-335

Department of Pediatric Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, India.

PHACES syndrome, a diffuse aortocraniocerebral vasculopathy, is a neural tube migration disorder, characterized by aortic coarctation and aberrant arch branches. Clinical diagnosis, echocardiography, and surgical management of coarctation in this syndrome are challenging due to peculiar morphological differences. Corkscrew aortic arch, an extreme tortuosity of the aortic arch described in arterial tortuosity syndrome, is not reported in PHACES syndrome so far. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_188_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716328PMC
September 2019
3 Reads

Transcatheter closure of a rare coronary artery fistula using a modified mother-child technique.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):329-332

Department of Pediatric Cardiology, Hospital de Santa Marta, CHLC-EPE, Lisbon, Portugal.

Coronary artery fistulas (CAFs) are rare abnormal communications between a normal coronary artery and a cardiac chamber or great vessel, such as the pulmonary artery, bypassing the myocardial capillary network. We report the case of a 17-year-old male with a medical history of pulmonary valve stenosis, who presented with progressive dyspnea and fatigue. Transthoracic Doppler echocardiography showed multiple continuous flows both on the apical interventricular septum and entering the left atrium. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_175_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716316PMC
September 2019
2 Reads

"Idiopathic" pulmonary arterial hypertension in early infancy: Excluding NFU1 deficiency.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):325-328

Department of Pediatric Neurology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.

NFU1 deficiency is a rare metabolic disorder affecting iron-sulfur cluster synthesis, an essential pathway for lipoic acid-dependent enzymatic activities and mitochondrial respiratory chain complexes. It is a little-known cause of pulmonary arterial hypertension (PAH), while PAH is a prominent feature of the disease. We herein report on a female infant diagnosed as having idiopathic PAH since 1 month of age, who did not respond to bosentan plus sildenafil. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_136_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716310PMC
September 2019

Closure of right pulmonary artery to left atrium fistula by duct occluder device.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):321-324

Department of Cardiology, Lady Reading Hospital, Peshawar, Pakistan.

We report the successful transcatheter closure of the right pulmonary artery fistula to the left atrium in a 4-year-old boy, who had presented with cyanosis and easy fatigability, identified after two-dimensional echocardiogram with bubble contrast study, computed tomography (CT) angiography, and cardiac catheterization. The fistula was successfully closed by a transcatheter approach using an 18/16 duct occluder device. There was marked improvement clinically and no complication on 2-months follow-up. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_155_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716318PMC
September 2019
2 Reads

First report of successfully palliating a hypoplastic left heart syndrome patient with anomalous left coronary artery from the pulmonary artery beyond Fontan.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):318-320

Cincinnati Children's Hospital Medical Center, Heart Institute, Cincinnati, OH, USA.

We report a case of hypoplastic left heart syndrome with an anomalous left coronary artery from the pulmonary artery (ALCAPA) identified intraoperatively during the Stage-II palliation. Due to recurring ventricular fibrillation on sternotomy, a hybrid Stage-I palliation was performed. During comprehensive Stage-II, the ALCAPA was reimplanted in the neoaorta and measures, including a nontraditional Damus connection/arch reconstruction and classic bilateral Glenn procedures, were taken to avoid compression of the coronary artery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_152_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716304PMC
September 2019
1 Read

Thoracic electrical impedance tomography to minimize right heart strain following cardiac arrest.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):315-317

Department of Pediatrics, Division of Pediatric Critical Care, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Titrating ventilator settings to minimize pulmonary arterial pressures and optimize both ventilation and oxygen delivery can be challenging following cardiac arrest. Erroneous ventilator adjustments can lead to unnecessary strain on the right ventricle that may be particularly vulnerable during the acute recovery. We report a child with fulminant myocarditis who was mechanically ventilated using thoracic electrical impedance tomography to optimize regional lung inflation and possibly curtail right ventricular afterload following cardiac arrest. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_189_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716314PMC
September 2019
2 Reads

Retrograde transcatheter closure of anterior mitral valve leaflet perforation.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):312-314

Department of Pediatric Cardiology, Koç University School of Medicine, Istanbul, Turkey.

Transcatheter closure of mitral valve leaflet perforation is a very rarely performed and a difficult procedure for repairing the defect. Herein, we are the first to report on both the safety and feasibility of percutaneous retrograde transcatheter closure of anterior mitral valve leaflet perforation with an AMPLATZER™ Duct Occluder II (6 mm × 6 mm, ADO II; Abbott Vascular, IL, USA) device in a 19-year-old patient with a severe mitral valve regurgitation following cardiac surgery. Read More

View Article

Download full-text PDF

Source
http://www.annalspc.com/text.asp?2019/12/3/312/261494
Publisher Site
http://dx.doi.org/10.4103/apc.APC_162_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716313PMC
September 2019
11 Reads

Temporary bronchial stenting for airway compression in the interstage palliation of functional single ventricle.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):308-311

Mayo Clinic Children's Center, Mayo Clinic, Rochester, MN, USA.

The Norwood procedure is the first of three palliative surgical procedures offered for hypoplastic left heart syndrome (HLHS). Due to the small size of the thorax and proximity of airway and vascular structures, compression of the airway is possible following the Norwood procedure. We describe the management of an infant with HLHS following Stage I surgical palliation who developed refractory respiratory failure secondary to severe left bronchial compression. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_94_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716319PMC
September 2019
4 Reads

Severe thrombocytopenia in tetralogy of Fallot patients: A contraindication for corrective surgery?

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):305-307

Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.

A 3-year-old boy with tetralogy of Fallot and recurrent cyanotic spells was found to have severe thrombocytopenia with platelet counts in the range of 11-30,000/mm. There was a hesitation to operate in view of the high bleeding risk due to profound thrombocytopenia. However, the total correction was done after excluding other causes of thrombocytopenia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_71_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716327PMC
September 2019
1 Read

Complete transposition of great arteries associated with total anomalous pulmonary venous connection: An unusual cause for early left ventricular myocardial mass regression.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):302-304

Department of Pediatric Cardiac Sciences, Sir Ganga Ram Hospital, Delhi, India.

A 24-day-old apparently asymptomatic neonate was found to have complete transposition of great arteries with small patent ductus arteriosus and restrictive patent foramen ovale. The neonate was found to have relatively high saturations (saturations = 88%) despite inadequate mixing communications. Echo findings were suggestive of significant dilatation of right atrium and right ventricle and left ventricular (LV) mass regression. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_102_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716312PMC
September 2019
2 Reads

Noonan syndrome associated with anomalous left coronary artery from the pulmonary artery in a patient with the rare RAF1 mutation: A case report and review of literature.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):298-301

Department of Pathology, Carman and Ann Adams Department of Pediatrics, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Michigan, USA.

We present the case of a 7-week-old male infant diagnosed with anomalous left coronary artery from the pulmonary artery (ALCAPA) who underwent repair by left coronary artery reimplantation, followed by an eventful postoperative period including need for venous arterial extracorporeal membrane oxygenation and mitral valve replacement due to mitral calcification and severe insufficiency. He also required heart transplant due to severe rapidly progressive biventricular hypertrophy. The pathology examination of the explanted heart showed massive cardiomegaly. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_144_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716325PMC
September 2019
2 Reads

Virtual three-dimensional model for preoperative planning in a complex case of a double outlet right ventricle.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):295-297

Division of Pediatric Cardiac Surgery, Fortis Hospital, Mumbai, Maharashtra, India.

A 3-year-old child with a complex variant of double outlet right ventricle achieved a successful biventricular repair after detailed delineation of the intracardiac anatomy on multimodality imaging. A virtual three-dimensional (3D) model based on computed tomography was used successfully in the absence of an actual 3D-printed model. This case report seeks to highlight and hence increase the utilization of the virtual 3D model in resource-limited settings. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_141_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716306PMC
September 2019

Exercise-induced syncope and Brugada syndrome.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):292-294

Department of Pediatric Cardiology, University of California-Irvine and Children's Hospital of Orange County, Orange CA, USA.

Brugada syndrome (BrS) is a hereditary condition that is characterized by ST elevation, ventricular tachycardia or fibrillation, and sudden cardiac death in otherwise healthy patients. Life-threatening arrhythmias generally occur, while at rest, with fever or during vagotonic states. Exercise is generally not considered a trigger for ventricular arrhythmias or syncope in patients with BrS. Read More

View Article

Download full-text PDF

Source
http://www.annalspc.com/text.asp?2019/12/3/292/259815
Publisher Site
http://dx.doi.org/10.4103/apc.APC_131_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716303PMC
September 2019
6 Reads

Surgical repair for common arterial trunk with pulmonary dominance, hypoplasia of ascending aorta, and interrupted aortic arch.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):287-291

Department of Cardiothoracic Surgery, Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India.

The arrangement of aortic and pulmonary pathways is extremely variable in the hearts with a common arterial trunk. Almost always, interruption of the aortic arch is seen in the setting of hypoplasia of the ascending aorta and dominance of the pulmonary circulation. This subset poses substantial challenges in surgical repair and portends poor outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_147_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716323PMC
September 2019

Indian guidelines for indications and timing of intervention for common congenital heart diseases: Revised and updated consensus statement of the Working group on management of congenital heart diseases.

Ann Pediatr Cardiol 2019 Sep-Dec;12(3):254-286

GKNM Hospital, Coimbatore, Tamil Nadu, India.

A number of guidelines are available for the management of congenital heart diseases (CHD) from infancy to adult life. However, these guidelines are for patients living in high-income countries. Separate guidelines, applicable to Indian children, are required when recommending an intervention for CHD, as often these patients present late in the course of the disease and may have coexisting morbidities and malnutrition. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/apc.APC_32_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716301PMC
September 2019
9 Reads