5,341 results match your criteria Pediatric Cardiology[Journal]


Does Coronary Reimplantation After Neoaortic Reconstruction Increase Aortic Regurgitation?

Pediatr Cardiol 2019 Feb 19. Epub 2019 Feb 19.

Department of Pediatrics, Dong-A University Hospital, Busan, South Korea.

Coronary reimplantation after neoaortic reconstruction (CRANR) in the arterial switch operation (ASO) allows easy selection of accurate coronary transfer sites in the distended neoaorta. However, neoaortic valve injury may occur during coronary reimplantation. We determined whether the CRANR procedure increased the incidence of aortic valve regurgitation (AR) after ASO. Read More

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http://dx.doi.org/10.1007/s00246-019-02075-6DOI Listing
February 2019

Arterial Stiffness and Its Relationship to Cardiorespiratory Fitness in Children and Young Adults with a Fontan Circulation.

Pediatr Cardiol 2019 Feb 15. Epub 2019 Feb 15.

Child Development and Exercise Center, Wilhelmina Children's Hospital, P.O. Box 85090, 3508 AB, Utrecht, The Netherlands.

There are no previous studies on arterial stiffness and its associations with cardiorespiratory fitness in young Fontan patients. Therefore, we examined the arterial stiffness and its relationship to cardiorespiratory fitness in children and young adults with a Fontan circulation. Altogether, 17 Fontan patients and 26 healthy controls (16 females and 27 males aged 8-40 years) participated in this cross-sectional study. Read More

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http://dx.doi.org/10.1007/s00246-019-02065-8DOI Listing
February 2019

Modifiable Clinical Correlates of Vascular Health in Children and Adolescents with Dyslipidemia.

Pediatr Cardiol 2019 Feb 13. Epub 2019 Feb 13.

The Ward Family Heart Center, Children's Mercy Hospital, 2401 Gillham Rd, Kansas City, MO, 64108, USA.

Atherosclerosis promoting cardiovascular disease risk factors (CVDrf) are highly prevalent among youth in the U.S. Determining which standard modifiable clinical measures (SMCMs) has the greatest impact on vascular structure and function is valuable for the health care provider to help identify children at highest risk. Read More

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http://dx.doi.org/10.1007/s00246-019-02071-wDOI Listing
February 2019
1 Read

Variable Treatment Approaches for Extracorporeal Membrane Oxygenation Complications in Neonates: A Case Series.

Pediatr Cardiol 2019 Feb 13. Epub 2019 Feb 13.

Division of Pediatric Cardiology, Children's Hospital of Georgia, Augusta University, 1120 15th Street BA 8300, Augusta, GA, 30912, USA.

Extracorporeal membrane oxygenation complications involving vascular injury or intracardiac thrombosis in neonates are rare. We present a series of unique complications and describe their variable treatments. Read More

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http://dx.doi.org/10.1007/s00246-019-02070-xDOI Listing
February 2019

In Utero Aortic Arch Thrombosis Masquerading as Interrupted Aortic Arch: A Case Report and Review of the Literature.

Pediatr Cardiol 2019 Feb 8. Epub 2019 Feb 8.

Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin St, Legacy Tower, E1920, Houston, TX, 77030, USA.

Aortic arch thrombosis is an extremely rare but life-threatening diagnosis that is often misdiagnosed in the neonatal period. Strategies including surgical intervention, systemic anticoagulation, and thrombolysis have been previously described in the treatment of these neonates. We describe the case of a neonate who presented with concern for interrupted aortic arch and was diagnosed with an in utero aortic arch thrombosis. Read More

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http://dx.doi.org/10.1007/s00246-019-02068-5DOI Listing
February 2019

Size and Stiffness of the Pulmonary Autograft after the Ross Procedure in Children.

Pediatr Cardiol 2019 Feb 7. Epub 2019 Feb 7.

Department of Cardiovascular Surgery, Japan Community Health Care Organization Kyushu Hospital, 1-8-1 Kishinoura, Yahatanishi-ku, Kitakyushu, 806-8501, Japan.

Progressive dilatation of the pulmonary autograft is one of the greatest concerns after the Ross procedure. Increased stress in the arterial wall may cause changes in the elastic properties of the pulmonary autograft, and thus lead to pathological dilatation. The present study aimed to investigate the changes in the autograft diameter and stiffness during follow-up after the Ross procedure. Read More

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http://dx.doi.org/10.1007/s00246-019-02064-9DOI Listing
February 2019

Transseptal Puncture for Catheter Ablation in Children.

Pediatr Cardiol 2019 Feb 7. Epub 2019 Feb 7.

Department of Pediatric Cardiology/Electrophysiology, Istanbul Medipol University Hospital, Istanbul, Turkey.

Transseptal puncture (TP) is used in pediatric patients to access the left atrium in left-sided arrhythmia catheter ablation. Performing this procedure can be difficult and risky, especially in small children. In this study, we aimed to evaluate the safety and feasibility of TPs in children ≤ 30 kg. Read More

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http://link.springer.com/10.1007/s00246-019-02069-4
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http://dx.doi.org/10.1007/s00246-019-02069-4DOI Listing
February 2019
4 Reads

Characteristics and Outcomes of Heart Transplantation in DiGeorge Syndrome.

Pediatr Cardiol 2019 Feb 7. Epub 2019 Feb 7.

Pediatric Cardiology, Monroe Carell Jr. Children's Hospital, Nashville, TN, USA.

DiGeorge syndrome (DGS) is commonly associated with both congenital heart disease (CHD) and immunologic abnormalities. While CHD may prompt consideration for heart transplantation (HTx), little is known about HTx management or outcomes in this group. The aim of this study was to describe the spectrum of patients with DGS who undergo HTx and report post-HTx outcomes. Read More

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http://dx.doi.org/10.1007/s00246-019-02063-wDOI Listing
February 2019
2 Reads

Non-invasive Hemodynamic CMR Parameters Predicting Maximal Exercise Capacity in 54 Patients with Ebstein's Anomaly.

Pediatr Cardiol 2019 Feb 6. Epub 2019 Feb 6.

Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Technical University of Munich, Lazarettstrasse 36, 80636, Munich, Germany.

Background: Exercise capacity is a well-defined marker of outcome in congenital heart disease. We analyzed seventeen cardiovascular magnetic resonance (CMR) derived parameters and their correlation to exercise capacity in patients with Ebstein's anomaly (EA).

Methods: Fifty-four surgery free patients, age 5 to 69 years (median 30 years) prospectively underwent CMR examination and cardiopulmonary exercise testing (CPET). Read More

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http://dx.doi.org/10.1007/s00246-019-02066-7DOI Listing
February 2019
1 Read

Analysis of Inflammatory Cytokines in Postoperative Fontan Pleural Drainage.

Pediatr Cardiol 2019 Feb 1. Epub 2019 Feb 1.

University of Michigan Congenital Heart Center, 1540 E. Hospital Dr, Ann Arbor, MI, 48109, USA.

Prolonged pleural drainage is a common complication in patients after Fontan palliation and is associated with short- and long- term morbidities. Among many potential etiologies, prolonged drainage has an inflammatory component, but there are no descriptions of cytokines in Fontan pleural drainage to date. This study aimed to examine the inflammatory make-up of Fontan pleural drainage. Read More

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http://dx.doi.org/10.1007/s00246-019-02059-6DOI Listing
February 2019

Diagnostic Effect of the Single BP Cut-Offs for Identifying Elevated BP and Hypertension in Adolescents Aged 13-17 Years.

Pediatr Cardiol 2019 Feb 1. Epub 2019 Feb 1.

Department of Epidemiology, School of Public Health, Shandong University, Jinan, 250012, China.

In contrast to the percentile-based definitions of elevated blood pressure (BP) and hypertension for children and adolescents of all ages in the 2004 fourth report, the 2017 American Academy of Pediatrics (AAP) BP guideline recommends a change to single BP cut-offs for clinical diagnosis (120/< 80-129/< 80 mmHg for elevated BP and ≥ 130/80 mmHg for hypertension) in adolescents aged 13 years and older, and it also recommends researchers using the percentile-based definitions for more precise BP classification. The aim of our study was to assess the diagnostic effect of the single BP cut-offs for identifying adolescent abnormal BP as compared to the 2017 AAP percentile table by sex, age, and height. Data were from 8287 adolescents aged 13-17 years in NHANES 1999-2016 and 1659 adolescents aged 13-17 years in NHANES III (1988-1994). Read More

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http://dx.doi.org/10.1007/s00246-019-02058-7DOI Listing
February 2019
2 Reads

Exercise Capacity After Repair of Ebstein Anomaly in Adults.

Pediatr Cardiol 2019 Jan 30. Epub 2019 Jan 30.

Department of Pediatric Cardiology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.

Repair of Ebstein anomaly has evolved over the last decade, and timing of repair remains variable. There have been no studies of exercise or functional capacity in patients who have had tricuspid valve surgery for Ebstein anomaly in adulthood. We aimed to compare exercise capacity before and after tricuspid valve repair or replacement for Ebstein anomaly in adults at Mayo Clinic. Read More

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http://dx.doi.org/10.1007/s00246-019-02056-9DOI Listing
January 2019
1 Read

Complications of Transthoracic Intracardiac and Central Venous Lines in Neonates Undergoing Cardiac Surgery.

Pediatr Cardiol 2019 Jan 30. Epub 2019 Jan 30.

Department of Anesthesiology, Critical Care and Pain Medicine, Division of Cardiac Anesthesia, Boston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, USA.

Neonates undergoing congenital heart surgery require central venous access for diagnostic information and medication administration. There are multiple options for central access including peripherally inserted central catheters, umbilical, central venous, and transthoracic intracardiac lines. We retrospectively identified all patients younger than 30 days who underwent cardiac surgery in a 1-year period. Read More

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http://dx.doi.org/10.1007/s00246-019-02057-8DOI Listing
January 2019
1 Read

Three-Dimensional Rotational Angiography in Pediatric Patients with Congenital Heart Disease: A Literature Review.

Pediatr Cardiol 2019 Jan 24. Epub 2019 Jan 24.

Department of Pediatric Cardiology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan 6, P.O. Box 85090, 3508 AB, Utrecht, the Netherlands.

Cardiac catheterization is a commonly used form of imaging and treatment in pediatric patients with congenital heart disease. Traditionally, two-dimensional conventional angiography was the method used, but since 2000 three-dimensional rotational angiography (3DRA) is increasingly used in the field of cardiology in both adult and pediatric patients. To investigate the use and applications of 3DRA in pediatric congenital cardiology, literature was systematically reviewed and 29 eligible articles were found. Read More

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http://dx.doi.org/10.1007/s00246-019-02052-zDOI Listing
January 2019

Worldwide Variability of Antithrombotic Therapy During Cardiac Catheter Ablation in Children: A Survey from 50 Centers Around the World.

Pediatr Cardiol 2019 Jan 23. Epub 2019 Jan 23.

Arrhythmia Unit, Cardiology Department, Hospital Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain.

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http://dx.doi.org/10.1007/s00246-019-02053-yDOI Listing
January 2019

Pulmonary Artery Banding in Post-tricuspid Congenital Cardiac Shunting Defects with High Pulmonary Vascular Resistance.

Pediatr Cardiol 2019 Jan 23. Epub 2019 Jan 23.

Division of Cardiac Critical Care, and the Pulmonary Hypertension Program, Department of Cardiology, Boston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, USA.

Reports of "treat and repair" of cardiac shunting lesions with inoperably high pulmonary vascular resistance (PVR) mostly concern pre-tricuspid defects; post-tricuspid lesions are different. We report our experience with pulmonary artery (PA) banding ± targeted pulmonary hypertension medications in five patients with a large VSD and inoperably high PVR, and review previous reports of PA banding with post-tricuspid defects. Three of our 5 patients had mean PAP > 50 mmHg after banding and no or only a transient fall in PVR. Read More

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http://dx.doi.org/10.1007/s00246-019-02054-xDOI Listing
January 2019
1 Read

Anomalous Origin of Right Coronary Artery from the Non-coronary Cusp Demonstrated by Echocardiography and CT Angiography.

Pediatr Cardiol 2019 Jan 23. Epub 2019 Jan 23.

Department of Pediatric Cardiology, Cleveland Clinic, Cleveland, OH, USA.

Certain coronary anomalies have been associated with sudden cardiac death. Anomalous origin of the right coronary artery (RCA) from the posterior non-coronary aortic cusp is exceedingly rare. Through multimodality imaging, we present a young female with an anomalous RCA arising from the non-coronary cusp. Read More

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http://dx.doi.org/10.1007/s00246-019-02055-wDOI Listing
January 2019
1 Read

Timing of Fontan Completion in Children with Functionally Univentricular Hearts and Isomerism: The Impact of Age, Weight, and Pre-Fontan Arterial Oxygen Saturation.

Pediatr Cardiol 2019 Jan 22. Epub 2019 Jan 22.

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

Isomerism, or heterotaxy, impacts morbidity and mortality after various stages of univentricular palliation. Timing of Fontan completing in these patients based on preoperative factors has not been investigated previously. The aim of this study was to determine the impact of preoperative factors on various outcomes including length of hospital stay and duration of chest tubes. Read More

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http://dx.doi.org/10.1007/s00246-019-02060-zDOI Listing
January 2019

Usefulness of Electroanatomical Mapping with Contact Force Monitoring for Accessory Pathways Ablation in Pediatric Population.

Pediatr Cardiol 2019 Jan 21. Epub 2019 Jan 21.

Arrhythmia Unit and Electrophysiology Laboratories, San Raffaele Scientific Institute, Milan, Italy.

The current approach for catheter ablation (CA) of accessory pathways (AP) includes the use of standard catheters under fluoroscopic visualization. We hypothesize that use of contact force (CF) irrigated tip catheters might increase procedural safety in pediatric patients compared to standard irrigated tip catheters, by decreasing the number of radiofrequency (RF) pulses required to obtain AP elimination. Seventy-one pediatric patients (13. Read More

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http://dx.doi.org/10.1007/s00246-019-02051-0DOI Listing
January 2019
1 Read

Impact of Time Interval Between Glenn and Fontan Procedures on Fontan Operative and Long-Term Follow-up Results.

Pediatr Cardiol 2019 Jan 16. Epub 2019 Jan 16.

Department of Congenital Heart Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 167 North Lishi Road, Xicheng District, Beijing, China.

Objective: The bidirectional cavopulmonary shunt (BCPS) is an effective palliative procedure which has been widely used to boost outcome of the Fontan procedure. However, there is no standard duration time between these two procedures. Therefore, we investigated whether different time intervals between BCPS and Fontan procedure affects morbidity and mortality of Fontan patients. Read More

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http://link.springer.com/10.1007/s00246-018-2049-7
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http://dx.doi.org/10.1007/s00246-018-2049-7DOI Listing
January 2019
9 Reads

Transcatheter Closure of Atrial Septal Defects: Comparable Experience and Outcomes Between Developing and Developed Countries.

Pediatr Cardiol 2019 Jan 3. Epub 2019 Jan 3.

Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center (AUBMC), Beirut, Lebanon.

Atrial septal defect (ASD) is one of the most common congenital heart defects. Transcatheter device closure of ASDs is safe and effective with most of the reported data being described from developed countries. To evaluate the short and mid-term results and experience of device closure of ASDs at a tertiary center in a developing country and compare it to that from developed countries. Read More

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http://link.springer.com/10.1007/s00246-018-2034-1
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http://dx.doi.org/10.1007/s00246-018-2034-1DOI Listing
January 2019
3 Reads

Urgent Surgical Treatment of Aortic Endocarditis in Infants and Children.

Pediatr Cardiol 2019 Jan 2. Epub 2019 Jan 2.

Department of Pediatric Cardiology, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Infective endocarditis (IE) in the pediatric population can present as a life-threatening condition. Optimal timing for surgical intervention should consider surgical risks versus the risk of neurologic complications. We herein report our experience with this group of critically ill children. Read More

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http://dx.doi.org/10.1007/s00246-018-2030-5DOI Listing
January 2019
3 Reads

Utilization of Neurally Adjusted Ventilatory Assist (NAVA) Mode in Infants and Children Undergoing Congenital Heart Surgery: A Retrospective Review.

Pediatr Cardiol 2019 Jan 2. Epub 2019 Jan 2.

Advocate Children's Hospital, Advocate Children's Heart Institute, 4440 West 95th Street, Oak Lawn, IL, 60453, USA.

We assessed the feasibility and the impact of NAVA compared to conventional modes of mechanical ventilation in ventilatory and gas exchange parameters in post-operative children with congenital heart disease. Infants and children (age < 18 years) that underwent congenital heart surgery were enrolled. Patients were ventilated with conventional synchronized intermittent mechanical ventilation (SIMV) and subsequently transitioned to NAVA during their cardiovascular intensive care unit (CVICU) stay. Read More

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http://link.springer.com/10.1007/s00246-018-2027-0
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http://dx.doi.org/10.1007/s00246-018-2027-0DOI Listing
January 2019
5 Reads

The Role of Computed Tomography Coronary Angiography in Kawasaki Disease: Comparison with Transthoracic Echocardiography in a 25-Case Retrospective Study.

Pediatr Cardiol 2019 Jan 2. Epub 2019 Jan 2.

Department of Radiology, La Rabta Hospital University - Faculty of Medicine of Tunis, University Tunis El Manar, 1007, Tunis, Tunisia.

Although transthoracic echocardiography (TTE) is the first-line examination for the study of coronary lesions in Kawasaki disease, CT coronary angiography (CTCA) is increasingly used and showed good results. Our aim is to evaluate the contribution of CTCA in the detection of coronary lesions and to compare its results with those of TTE. Retrospective study that included 25 patients with Kawasaki disease enrolled in La Rabta University Hospital. Read More

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http://link.springer.com/10.1007/s00246-018-2044-z
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http://dx.doi.org/10.1007/s00246-018-2044-zDOI Listing
January 2019
2 Reads

Blood Lactate as a Reliable Marker for Mortality of Pediatric Refractory Cardiogenic Shock Requiring Extracorporeal Membrane Oxygenation.

Pediatr Cardiol 2019 Jan 2. Epub 2019 Jan 2.

Department of Extracorporeal Circulation and Extracorporeal Life Support, Heart Institute, Zhejiang University School of Medicine Children's Hospital, 3333 Binsheng Road, Binjiang District, Hangzhou, Zhejiang, People's Republic of China.

The objective of this study is to establish reliable markers for mortality in children with refractory cardiogenic shock who underwent extracorporeal membrane oxygenation. A retrospective observational cohort study was performed at academic children's hospital for forty-three consecutive pediatric patients who required veno-arterial extracorporeal membrane oxygenation (ECMO) support with refractory cardiogenic shock from January 2011 to October 2017. 30-day mortality in this cohort was 39. Read More

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http://dx.doi.org/10.1007/s00246-018-2033-2DOI Listing
January 2019
2 Reads

Utility of Doppler Echocardiography to Estimate the Severity of Pulmonary Valve Regurgitation Fraction in Patients with Repaired Tetralogy of Fallot.

Pediatr Cardiol 2019 Jan 2. Epub 2019 Jan 2.

Division of Cardiology, Carman and Ann Adams Department of Pediatrics, Children's Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI, 48201-2119, USA.

Background: In patients with repaired Tetralogy of Fallot (rTOF), pulmonary regurgitation (PR) leads to significant morbidity. Cardiac magnetic resonance imaging (CMR) is the gold standard to assess severity of PR in rTOF patients. We compared Doppler echocardiography derived indices of PR with CMR to find the best predictive parameter for hemodynamically significant (hs) PR. Read More

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http://dx.doi.org/10.1007/s00246-018-2045-yDOI Listing
January 2019
1 Read
1.550 Impact Factor

Outcomes of Newborns with Prenatal Ventricular Asymmetry not Requiring Neonatal Surgical Intervention: a 22-Year Retrospective Single-Center Study.

Pediatr Cardiol 2019 Jan 2. Epub 2019 Jan 2.

Pediatric and Congenital Cardiology, Louis Pradel Hospital, Hospices Civils de Lyon, University Medical Center, 69677, Bron Cedex, France.

To assess the outcomes of neonates prenatally diagnosed with ventricular asymmetry and not operated on within the neonatal period and to determine the risk factors for left heart obstruction occurrence at follow-up. All neonates with prenatal asymmetry of the ventricles, diagnosed from August 1993 to July 2015, not operated on within the neonatal period, were retrospectively included in the study. Left heart echocardiographic measurements at birth and at last follow-up were collected and compared. Read More

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http://link.springer.com/10.1007/s00246-018-2047-9
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http://dx.doi.org/10.1007/s00246-018-2047-9DOI Listing
January 2019
7 Reads

Prenatally Diagnosed Ventricular Inversion, Restrictive Ventricular Septal Defect, Pulmonary Stenosis, Hypertensive Left Ventricle and Double Outlet Right Ventricle: Case Report and Literature Review.

Pediatr Cardiol 2019 Jan 19;40(1):234-236. Epub 2018 Dec 19.

Division of Pediatric Cardiology, Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

We herein describe, for the first time, the fetal presentation of a case of ventricular inversion, restrictive ventricular septal defect, pulmonary stenosis, hypertensive left ventricle and double outlet right ventricle at 34 weeks of gestational age. Postnatal echocardiography confirmed the prenatal diagnosis. The patient was subsequently successfully palliated with a left ventricle to pulmonary artery conduit. Read More

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http://dx.doi.org/10.1007/s00246-018-2048-8DOI Listing
January 2019
1 Read

Progressive left ventricular dysfunction and myocardial fibrosis in Duchenne and Becker muscular dystrophy: a longitudinal cardiovascular magnetic resonance study.

Pediatr Cardiol 2018 Dec 18. Epub 2018 Dec 18.

Department of Cardiovascular Medicine, Hokkaido University Hospital, Kita-14, Nishi-5, Kita-ku, Sapporo, 060-8648, Japan.

This study examined the progression of left ventricular dysfunction and myocardial fibrosis in patients with Duchenne muscular dystrophy (DMD) or Becker muscular dystrophy (BMD) to evaluate the effects of angiotensin-converting enzyme inhibitor (ACEI). Ninety-eight cardiovascular magnetic resonance (CMR) studies in 34 consecutive patients with DMD (n = 21) or BMD (n = 13) were retrospectively reviewed. Left ventricular ejection fraction (LVEF) and the extent of myocardial late gadolinium enhancement (LGE) were semiautomatically quantified. Read More

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http://link.springer.com/10.1007/s00246-018-2046-x
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http://dx.doi.org/10.1007/s00246-018-2046-xDOI Listing
December 2018
9 Reads

Selective Use of Temporary Epicardial Pacing Leads in Early Infancy Following Cardiac Surgery: Feasibility and Determinants of Clinical Application.

Pediatr Cardiol 2018 Dec 18. Epub 2018 Dec 18.

Department of Surgery, Medical College of Georgia, Augusta, GA, USA.

Use of temporary epicardial pacing (TEP) leads remains a routine perioperative strategy in congenital heart surgery. Selective use of TEP in neonates and infants undergoing cardiac intervention within the first 6 months of life has, yet, to be assessed. Outcome analysis was undertaken. Read More

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http://dx.doi.org/10.1007/s00246-018-2037-yDOI Listing
December 2018

Congenital Heart Surgical Admissions in Patients with Trisomy 13 and 18: Frequency, Morbidity, and Mortality.

Pediatr Cardiol 2018 Dec 17. Epub 2018 Dec 17.

Department of Pediatric, MassGeneral Hospital for Children, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Congenital heart defects are common among patients with trisomy 13 and 18; surgical repair has been controversial and rarely studied. We aimed to assess the frequency of cardiac surgery among admissions with trisomy 13 and 18, and evaluate their associations with resource use, complications, and mortality compared to admissions without these diagnoses. We evaluated congenital heart surgery admissions of ages < 18 years in the 1997, 2000, 2003, 2006, and 2009 Kids' Inpatient Database. Read More

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http://link.springer.com/10.1007/s00246-018-2032-3
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http://dx.doi.org/10.1007/s00246-018-2032-3DOI Listing
December 2018
1 Read

Correction to: Clinical Effects of Syncope on Disease Severity and Adverse Outcomes in Children with Idiopathic and Heritable Pulmonary Arterial Hypertension.

Pediatr Cardiol 2019 01;40(1):215

Department of Pediatrics, Toho University Omori Medical Center, 6-11-1 Omori-nishi, Ota-ku, Tokyo, 1438541, Japan.

The original version of this article unfortunately contained a mistake in the author name. The co-author name should be Hiroyuki Matsuura instead of Horoyuki Matsuura. The original article has been corrected. Read More

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http://dx.doi.org/10.1007/s00246-018-2028-zDOI Listing
January 2019

Fetal Echocardiographic Measures to Improve the Prenatal Diagnosis of Coarctation of the Aorta.

Pediatr Cardiol 2018 Dec 13. Epub 2018 Dec 13.

Department of Pediatrics, Pediatric Cardiology, Yale School of Medicine, 333 Cedar St, LLCI 302, New Haven, CT, 06510, USA.

The objective of this study is to identify fetal echocardiographic measures that predict postnatal coarctation of the aorta (CoA). A retrospective review of patients from 2013 to 2017 identified 13 cases of prenatal diagnosis of CoA confirmed postnatally and 14 cases of prenatal diagnosis of CoA with normal arches postnatally. There were 30 controls. Read More

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http://link.springer.com/10.1007/s00246-018-2040-3
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http://dx.doi.org/10.1007/s00246-018-2040-3DOI Listing
December 2018
11 Reads

Practice Variation, Costs and Outcomes Associated with the Use of Inhaled Nitric Oxide in Pediatric Heart Transplant Recipients.

Pediatr Cardiol 2018 Dec 13. Epub 2018 Dec 13.

Department of Pediatric Cardiology, Monroe Carell Jr. Children's Hospital, Vanderbilt University, 2200 Children's Way, Suite 5230 DOT, Nashville, TN, 37232-9119, USA.

Right ventricular (RV) failure is a potentially fatal complication following heart transplantation (HTx). Inhaled nitric oxide (iNO) is a selective pulmonary vasodilator that is used to decrease pulmonary vascular resistance immediately post-HTx to reduce the risk of RV failure. The aim of this study was to describe utilization patterns, costs, and outcomes associated with post-transplant iNO use in children. Read More

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http://link.springer.com/10.1007/s00246-018-2042-1
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http://dx.doi.org/10.1007/s00246-018-2042-1DOI Listing
December 2018
11 Reads

Contemporary Outcomes of Pediatric Restrictive Cardiomyopathy: A Single-Center Experience.

Pediatr Cardiol 2018 Dec 12. Epub 2018 Dec 12.

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

Background: Pediatric restrictive cardiomyopathy (RCM) has high mortality in historical cohorts, and traditional management often involves early referral for heart transplantation (HTx). This study sought to determine outcomes of pediatric RCM at a center that has favored medical management over early listing for HTx.

Methods: All patients (N = 43) with pure RCM phenotype (RCM, N = 26) and hypertrophic cardiomyopathy with restrictive physiology (RCM/HCM, N = 17) managed at our center over a 15-year period were investigated. Read More

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http://dx.doi.org/10.1007/s00246-018-2043-0DOI Listing
December 2018

Reducing Radiation Exposure in Cardiac Catheterizations for Congenital Heart Disease.

Pediatr Cardiol 2018 Dec 12. Epub 2018 Dec 12.

Pediatric Cardiology, Yale School of Medicine, 333 Cedar St, LLCI 302, New Haven, CT, 06510, USA.

Ionizing radiation exposure is a necessary risk entailed during congenital cardiac catheterizations. The congenital catheterization lab at Yale New Haven Children's Hospital employed quality improvement strategies to minimize radiation exposure in this vulnerable population. In two phases, we implemented six interventions, which included adding and utilizing lower fluoroscopy and digital angiography (DA) doses, increasing staff and physician radiation awareness, focusing on tighter collimation, and changing the default fluoroscopy and DA doses to lower settings. Read More

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http://dx.doi.org/10.1007/s00246-018-2039-9DOI Listing
December 2018
1 Read

Artificial Intelligence-Assisted Auscultation of Heart Murmurs: Validation by Virtual Clinical Trial.

Pediatr Cardiol 2018 Dec 12. Epub 2018 Dec 12.

CSD Labs GmbH, Nikolaiplatz 4, 8020, Graz, Austria.

Artificial intelligence (AI) has potential to improve the accuracy of screening for valvular and congenital heart disease by auscultation. However, despite recent advances in signal processing and classification algorithms focused on heart sounds, clinical acceptance of this technology has been limited, in part due to lack of objective performance data. We hypothesized that a heart murmur detection algorithm could be quantitatively and objectively evaluated by virtual clinical trial. Read More

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http://dx.doi.org/10.1007/s00246-018-2036-zDOI Listing
December 2018

Fifty-Five Years Follow-Up of 111 Adult Survivors After Biventricular Repair of PAIVS and PS.

Pediatr Cardiol 2018 Dec 11. Epub 2018 Dec 11.

Division of Paediatric Cardiology, Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, 102, Pokfulam Road, Hong Kong, China.

There is paucity of long-term data on adult survivors after biventricular repair of pulmonary atresia with intact ventricular septum (PAIVS) and pulmonary stenosis (PS). This study aimed to determine the cardiac and non-cardiac outcomes of adult survivors after biventricular repair of PAIVS and PS. The cardiac, neurodevelopmental and liver problems of 111 adults, 40 with PAIVS and 71 with PS, were reviewed. Read More

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http://link.springer.com/10.1007/s00246-018-2041-2
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http://dx.doi.org/10.1007/s00246-018-2041-2DOI Listing
December 2018
13 Reads
1.550 Impact Factor

Can Abbreviated Cardiac Magnetic Resonance Imaging Adequately Support Clinical Decision Making After Repair of Tetralogy of Fallot?

Pediatr Cardiol 2018 Dec 11. Epub 2018 Dec 11.

Division of Pediatric Cardiology, University of Nebraska College of Medicine and Children's Hospital and Medical Center, 8200 Dodge St, Omaha, NE, 68114, USA.

Quantification of pulmonary regurgitation (PR), pulmonary flow distribution, and ventricular function is important for clinical surveillance in repaired Tetralogy of Fallot (TOF). Cardiovascular magnetic resonance (CMR) is the established reference, but cost, test duration, and patient discomfort are potential limitations to its serial use. We investigated whether an Abbreviated CMR protocol would alter clinical decisions in TOF from those that would have been made using a full protocol. Read More

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http://link.springer.com/10.1007/s00246-018-2035-0
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http://dx.doi.org/10.1007/s00246-018-2035-0DOI Listing
December 2018
1 Read

Risk of Clinically Relevant Pericardial Effusion After Pediatric Cardiac Surgery.

Pediatr Cardiol 2018 Dec 11. Epub 2018 Dec 11.

Division of Pediatric Cardiology, Department of Pediatrics, Leiden University Medical Center, PO Box 9600, 2300RC, Leiden, The Netherlands.

Pericardial effusion (PE) after pediatric cardiac surgery is common. Because of the lack of a uniform classification of the presence and severity of PE, we evaluated PE altering clinical management: clinically relevant PE. Risk factors for clinically relevant PE were studied. Read More

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http://link.springer.com/10.1007/s00246-018-2031-4
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http://dx.doi.org/10.1007/s00246-018-2031-4DOI Listing
December 2018
8 Reads

Health-Related Quality of Life and Psychological Adjustment of Children and Adolescents with Pacemakers and Implantable Cardioverter Defibrillators: A Systematic Review.

Pediatr Cardiol 2019 Jan 11;40(1):1-16. Epub 2018 Dec 11.

Department of Cardiology, Pediatric Heart Centre, University Children's Hospital Zurich, Steinwiesstr. 75, 8032, Zurich, Switzerland.

The absence of cardiac symptoms, the improved exercise tolerance and the increased life expectancy are the advantages of a successful cardiac device therapy. Nevertheless, the fact of a lifelong device dependency, the inherent possibility of device malfunction and the progression of the underlying heart disease may impact the health-related quality of life (HRQoL) and the psychological adjustment of these individuals. To date, an overview of findings on these topics is lacking. Read More

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http://dx.doi.org/10.1007/s00246-018-2038-xDOI Listing
January 2019

School-Age Developmental and Educational Outcomes Following Cardiac Procedures in the First Year of Life: A Population-Based Record Linkage Study.

Pediatr Cardiol 2018 Dec 10. Epub 2018 Dec 10.

Child Population Health Research, Westmead Clinical School, The Children's Hospital, The University of Sydney, Sydney, NSW, Australia.

The purpose of the study was to evaluate school-age developmental and educational outcomes for children with and without a cardiac procedure in the first year of life to improve understanding of longer-term neurodevelopmental outcomes in children who have had a cardiac procedure for congenital heart disease, the most common serious congenital anomaly. A population-based cohort study using record linkage of state-wide data was undertaken, evaluating children born in New South Wales, Australia, 2001-2007. Those with and without a cardiac procedure in the first year of life with a linked developmental (Australian version Early Development Instrument testing result, age 4-6 years) and/or educational outcome (Australian National Assessment Program result, age 7-9 years) were included. Read More

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http://dx.doi.org/10.1007/s00246-018-2029-yDOI Listing
December 2018
1 Read

Radiation Risk Categories in Cardiac Catheterization for Congenital Heart Disease: A Tool to Aid in the Evaluation of Radiation Outcomes.

Pediatr Cardiol 2018 Nov 30. Epub 2018 Nov 30.

Department of Cardiology, Boston Children's Hospital, Bader 2, 300 Longwood Avenue, Boston, MA, 02115, USA.

To stratify diverse procedure types into categories with similar radiation exposure in cardiac catheterization for congenital heart disease. Radiation exposures for a comprehensive list of specific procedure types and stratification of outcomes based on radiation risk are not currently available. Data between January 2014 and December 2015 were collected on all cases performed at sites participating in C3PO-QI (Congenital Cardiac Catheterization Outcomes Project-Quality Improvement Initiative) and 9 centers were included. Read More

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http://link.springer.com/10.1007/s00246-018-2024-3
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http://dx.doi.org/10.1007/s00246-018-2024-3DOI Listing
November 2018
9 Reads

Did Malnutrition Affect Post-Operative Somatic Growth in Pediatric Patients Undergoing Surgical Procedures for Congenital Heart Disease?

Pediatr Cardiol 2018 Nov 29. Epub 2018 Nov 29.

Pediatric Cardiac Intensive Care Division, Harapan Kita National Cardiovascular Center, Jl. Let Jend S Parman Kav. 87, Slipi, Jakarta, 11420, Indonesia.

Objectives: This study aims to investigate the impact of pre-operative malnutrition on nutritional outcome following congenital heart defects surgery.

Design: This is a prospective cohort study.

Setting: Pediatric Cardiac Intensive Care, Harapan Kita National Cardiovascular Center, Jakarta, Indonesia. Read More

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http://dx.doi.org/10.1007/s00246-018-2022-5DOI Listing
November 2018
1 Read

Fetal Arrhythmias: Genetic Background and Clinical Implications.

Authors:
Shi-Min Yuan

Pediatr Cardiol 2018 Nov 26. Epub 2018 Nov 26.

Department of Cardiothoracic Surgery, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, 389 Longdejing Street, Chengxiang District, Putian, 351100, Fujian Province, People's Republic of China.

Fetal arrhythmias are a common phenomenon of pregnancies. However, debates remain with regard to the etiologies and early treatment of choices for severe fetal arrhythmias. The gene regulatory networks govern cardiac conduction system development to produce distinct nodal and fast conduction phenotypes. Read More

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http://link.springer.com/10.1007/s00246-018-2008-3
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http://dx.doi.org/10.1007/s00246-018-2008-3DOI Listing
November 2018
11 Reads

A Novel Brain Injury Biomarker Correlates with Cyanosis in Infants with Congenital Heart Disease.

Pediatr Cardiol 2018 Nov 14. Epub 2018 Nov 14.

Division of Pediatric Cardiology, Department of Pediatrics, Cohen Children's Medical Center of New York at Northwell Health, New Hyde Park, NY, 11040, USA.

Cyanotic heart lesions are a complex subset of congenital heart disease (CHD) in which patients are desaturated until surgical repair or palliation. We hypothesized that a direct relationship would exist between degree of desaturation and presence of systemic inflammation and brain injury in unrepaired patients less than 1 year of age. The pre-operative desaturation with augmented systemic inflammation would predict a more complex post-operative course. Read More

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http://link.springer.com/10.1007/s00246-018-2023-4
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http://dx.doi.org/10.1007/s00246-018-2023-4DOI Listing
November 2018
7 Reads

A Proposed Etiology for Atrial Tachyarrhythmia in Neonates with Atrial Septal Aneurysms.

Pediatr Cardiol 2019 Jan 13;40(1):230-233. Epub 2018 Nov 13.

Pediatric Cardiology, Department of Pediatrics, Rush University Medical Center, Chicago, IL, USA.

An atrial septal aneurysm (ASA) is an increasingly recognized entity that involves septal tissue significantly bulging into either atria instead of remaining in a relatively neutral position. ASAs may be described based on the length of the segment of atrial septal tissue involved as well as the distance and direction of excursion into the atria throughout the cardiac cycle. Complications associated with ASA include arrhythmias and thromboembolic events with the latter usually in the context of atrial shunting. Read More

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http://link.springer.com/10.1007/s00246-018-2017-2
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http://dx.doi.org/10.1007/s00246-018-2017-2DOI Listing
January 2019
15 Reads

Differences in Cardiovascular Manifestation of Marfan Syndrome Between Children and Adults.

Pediatr Cardiol 2018 Nov 11. Epub 2018 Nov 11.

Department of Nursery, Medical University of Gdansk, Gdansk, Poland.

Marfan syndrome (MFS) is a connective tissue disorder characterized by a broad range of clinical manifestations. Cardiovascular involvement is the most life-threatening aspect of the syndrome. Although abnormalities within the cardiovascular system in adults are well documented, there is still a paucity of data regarding manifestation of MFS in childhood. Read More

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http://link.springer.com/10.1007/s00246-018-2025-2
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http://dx.doi.org/10.1007/s00246-018-2025-2DOI Listing
November 2018
11 Reads

Z-Score Reference Ranges for Fetal Heart Functional Measurements in a Large Brazilian Pregnant Women Sample.

Pediatr Cardiol 2018 Nov 10. Epub 2018 Nov 10.

Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), Rua Belchior de Azevedo, 156 apto. 111 Torre Vitoria, São Paulo, SP, CEP 05089-030, Brazil.

The objective of this study was to determine the reference values for fetal heart functional measurements at 24 and 34 weeks of gestation and to develop Z-score equations for all measurements. A single-center, prospective, cross-sectional study with normal fetuses between 24 and 34 weeks of gestation was performed. All pregnant women underwent a comprehensive fetal Doppler echocardiogram with anatomical and functional analysis. Read More

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http://link.springer.com/10.1007/s00246-018-2026-1
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http://dx.doi.org/10.1007/s00246-018-2026-1DOI Listing
November 2018
7 Reads

Birth Location of Infants with Critical Congenital Heart Disease in California.

Pediatr Cardiol 2018 Nov 10. Epub 2018 Nov 10.

Division of Neonatal and Developmental Medicine, Department of Pediatrics, Lucile Packard Children's Hospital at Stanford, Palo Alto, CA, USA.

The American Academy of Pediatrics classifies neonatal intensive care units (NICUs) from level I to IV based on the acuity of care each unit can provide. Birth in a higher level center is associated with lower morbidity and mortality in high-risk populations. Congenital heart disease accounts for 25-50% of infant mortality related to birth defects in the U. Read More

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http://link.springer.com/10.1007/s00246-018-2019-0
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http://dx.doi.org/10.1007/s00246-018-2019-0DOI Listing
November 2018
10 Reads