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Arch Plast Surg 2019 Apr 11. Epub 2019 Apr 11.

Seattle Children's and Mary Bridge Children's Regional Cardiac Surgery Program, Tacoma, WA, USA.

Congenital absent sternum is a rare birth defect that requires early intervention for optimal long-term outcomes. Descriptions of the repair of absent sternum are limited to case reports, and no preferred method for management has been described. Herein, we describe the use of porcine acellular dermal matrix to reconstruct the sternum of an infant with sternal infection following attempted repair using synthetic mesh. Read More

J Invasive Cardiol 2019 Apr;31(4):E64-E65

Department of Medicine and Therapeutics, Lui Che Woo Clinical Sciences Building, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, N.T., Hong Kong SAR.

This image illustrates the feasibility of percutaneous closure of perimembranous ventricular septal defect occluder in a patient with mechanical aortic valve replacement utilizing a novel venous-arteriovenous loop, and emphasizes the importance of concomitant fluoroscopic and echocardiographic guidance in structural heart interventions. Read More

Eur Heart J Cardiovasc Imaging 2019 Mar 27. Epub 2019 Mar 27.

Cardiology Department, Université Libre de Bruxelles (ULB), CHU Saint-Pierre, 322, Rue Haute, B-1000 Brussels, Belgium.

Diabetes Ther 2019 Apr 6;10(2):765-771. Epub 2019 Mar 6.

Division of Critical Care, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.

Introduction: We present a case wherein diabetic ketoacidosis (DKA) was treated with a large amount of sodium bicarbonate and potassium chloride, resulting in the development of osmotic demyelination syndrome (ODS).

Case Presentation: Our patient was a 29-year-old male with a history of post-surgical repair for ventricular septal defect. Upon arrival, the patient's Glasgow Coma Scale (GCS) score was E2M4V3. Read More

Tex Heart Inst J 2019 02 1;46(1):44-47. Epub 2019 Feb 1.

Ventricular septal defect (VSD) is a rare, potentially fatal complication of acute myocardial infarction. When surgical closure is contraindicated, transcatheter closure may be an alternative. Residual shunting after transcatheter closure of postinfarction VSDs has been reported; however, we found few cases of this in patients who also had severe heart failure or hemolysis. Read More

Euroasian J Hepatogastroenterol 2018 Jul-Dec;8(2):163-166. Epub 2019 Feb 1.

Department of Neonatology, Dr. BehCet Uz Pediatric Diseases and Surgery Education Research Hospital, Izmir, Turkey.

Introduction: Abernethy malformation is a very rare condition in which mesenteric venous blood is drained into systemic circulation by an extra hepatic portosystemic shunt. Here we present a case of a female in infantile period who is a liver transplant candidate with biliary atresia and ventricular septal defect (VSD) accompanying Abernethy malformation type 2.

Case Report: The patient who underwent Kasai operation at postnatal day 35 was identified as a liver transplant candidate in the postnatal month 6 due to growth retardation in the infantile period, insufficient weight gain and liver failure (portal hypertension and massive gastrointestinal bleeding). Read More

J Thorac Imaging 2019 Feb 15. Epub 2019 Feb 15.

Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.

Double-outlet right ventricle is a complex congenital heart disease that encompasses various common and rare subtypes. Surgical management of these patients needs to be individualized owing to extremely variable morphology and hemodynamics. Imaging plays a crucial role in determination and characterization of outflow tract morphology. Read More

Int Heart J 2019 Mar 22;60(2):489-491. Epub 2019 Feb 22.

Department of Cardiology, Juntendo University.

The patient was a 101-year-old woman whose chief complaints were difficulty of breathing and high fever. The history of the present illness included paroxysmal atrial flutter which was untreated, but she had not developed heart failure.At admission, auscultation of the chest revealed moist rales and systolic murmur but did not clearly show the presence of fixed splitting of S2. Read More

Clin Physiol Funct Imaging 2019 Feb 20. Epub 2019 Feb 20.

Department of Clinical Sciences Lund, Clinical Physiology, Skåne University Hospital, and Lund University, Lund, Sweden.

Limited visualization of the fetal heart and vessels by fetal ultrasound due to suboptimal fetal position, patient habitus and skeletal calcification may lead to missed diagnosis, overdiagnosis and parental uncertainty. Counselling and delivery planning may in those cases also be tentative. The recent fetal cardiac magnetic resonance (CMR) reconstruction method utilizing tiny golden-angle iGRASP (iterative Golden-angle RAdial Sparse Parallel MRI) allows for cine imaging of the fetal heart for use in clinical practice. Read More

J Cardiovasc Comput Tomogr 2019 Feb 1. Epub 2019 Feb 1.

University Hospital Erlangen, Department of Radiology, Maximiliansplatz 1, 91054, Erlangen, Germany; Imaging Science Institute Erlangen, Ulmenweg 18, 91054, Erlangen, Germany. Electronic address:

Background: Aim of this study was to assess the accuracy of ventricular septal defects (VSD) using high pitch computed tomography angiography (CTA) of the chest in children below 1 year of age, compared to the intraoperative findings and echocardiography.

Methods: Out of 154 patients that underwent Dual-Source CTA of the chest using a high-pitch protocol at low tube voltages (70-80 kV), 55 underwent surgical repair of a VSD (median age 8 days, range 1-348 days). The margins of the VSDs and their relation to the surrounding structures were reproduced by en-face views using multiplanar reformations (MPR). Read More

BMC Infect Dis 2019 Jan 31;19(1):102. Epub 2019 Jan 31.

Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Department of General Pediatrics, Okinawa, Japan.

Background: Infective endocarditis (IE) is defined as endocarditis caused by microorganisms (bacteria or fungi) involving either the heart or great vessels. The clinical course of IE can be complicated by cardiac dysfunction and bacterial embolization to virtually any organ. Staphylococcus aureus and viridans group streptococci are the most common causative organisms, whereas group A Streptococcus (GAS) is less common. Read More

Congenit Heart Dis 2019 Jan 25. Epub 2019 Jan 25.

Department of Pediatric Cardiology, Ghent University Hospital, Ghent, Belgium.

Objective: To investigate the status of body mass index (BMI) in adult people with congenital heart disease (ACHD).

Methods: Five hundred thirty-nine adults with CHD (53.8% men) were seen in the outpatient clinic from 2013 to 2015 and compared to a reference population (n = 1737). Read More

Indian J Radiol Imaging 2018 Oct-Dec;28(4):433-435

Department of Radiodiagnosis, Sir Ganga Ram Hospital, New Delhi, India.

In patients with pulmonary atresia and ventricular septal defect (PA/VSD), a coronary artery being the primary source of pulmonary blood flow is a rare entity. We describe two cases of PA/VSD with coronary-to-pulmonary artery fistula with emphasis on the role of Computed Tomographic Angiography (CTA) in depicting all the sources of pulmonary blood supply, to predict surgical management and need for unifocalization of Major Aortopulmonary Collateral Arteries (MAPCA's). Read More

Heart 2019 Jan 19. Epub 2019 Jan 19.

Division of Pediatric Cardiology, Duke University, Durham, North Carolina, USA.

Question: The aetiology of his cMRI findings is most likely:Pulmonary hypertension from chronic left-to-right shunting.Infundibular obstruction from anterior deviation of the conal septum.Subinfundibular obstruction from hypertrophied muscle bundles. Read More

Ann Card Anaesth 2019 Jan-Mar;22(1):41-46

Department of Cardiac Anaesthesia, Institute of Post Graduation Medical Education and Research, Kolkata, India.

Background: Atrial septal defect (ASD) is a common congenital heart disease associated with volume overload of Right ventricle (RV) with variable effect on Left ventricle (LV). Two-dimensional (2D) Strain analysis is a new tool for objective analysis of myocardial function. This prospective study evaluated the systolic function of right and left ventricle by conventional 2D echo and strain echo and measured changes in cardiac hemodynamics that occurred in patients of ASD before and after correction. Read More

Clin Anat 2019 Apr 31;32(3):408-420. Epub 2019 Jan 31.

Department of Cardiac Ultrasound, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

The limitations of traditional two-dimensional (2D) echocardiography in accurate diagnosis of ventricular septal defect (VSD) prompt the necessity of spatio-temporal image correlation (STIC) technology. Our study attemped to reconstruct the volume data of VSD using STIC rendering mode, and dynamically display the specific location and surrounding structure of VSD, in order to assist conventional 2D echocardiography. A total of 20 fetuses diagnosed as VSD using 2D echocardiography were enrolled in our study. Read More

J Cardiovasc Imaging 2018 Dec 20;26(4):256-257. Epub 2018 Nov 20.

Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

[This corrects the article on p. 165 in vol. 26, PMID: 30310884. Read More

Semin Cardiothorac Vasc Anesth 2018 Dec 29:1089253218821382. Epub 2018 Dec 29.

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

Common arterial trunk (CAT), or truncus arteriosus, is a rare form of cyanotic congenital heart disease and is highly associated with DiGeorge syndrome (microdeletion 22q11.2). Prenatal diagnosis is highly feasible, allowing proper delivery planning and postnatal management. Read More

Echocardiography 2019 02 25;36(2):411-414. Epub 2018 Dec 25.

Division of Pediatric Cardiology, Stanford University and University of California San Francisco, San Francisco, California.

Background: Aortopulmonary window is a rare conotruncal defect that is often associated with other congenital heart defects. We present a patient with a previously unreported combination of aortopulmonary window with tetralogy of Fallot with an absent conal septum.

Case Presentation: A term, 2. Read More

Circ Cardiovasc Imaging 2018 Nov;11(11):e008326

Coronary and Structural Heart Diseases Department, Institute of Cardiology, Warsaw, Poland (R.P., C.K., M.D.).

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

Multimed Man Cardiothorac Surg 2018 Dec 6;2018. Epub 2018 Dec 6.

Institute of Genetic Medicine, Newcastle University, United Kingdom.

The phenotypic features of the heart with ventricular septal defects will be shown in this video tutorial. There is still no agreement as to whether it's best to categorize lesions on the basis of their geography or their borders. Both geography and borders are features that are of importance. Read More

J Card Surg 2018 Dec 10;33(12):867-869. Epub 2018 Dec 10.

Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.

Taiwan J Obstet Gynecol 2018 Dec;57(6):885-889

Taiji Clinic, Taipei, Taiwan. Electronic address:

Objective: To present an accurate prenatal diagnosis of coarctation of the aorta with ventricular septal defect and to illustrate how early diagnosis in prenatal period with proper referral and counseling can optimize management.

Case Report: A case with coarctation of the aorta with ventricle septal defect was found to have an abnormal three vessel view at 12 weeks, and with close follow-ups, coarctation of the aorta with ventricle septal defect was diagnosed at 24 weeks. Following the support from a multidisciplinary team that provided counseling, diagnosis, and follow-ups, the pregnant woman decided to continue with the pregnancy and had a vaginal delivery at a medical center. Read More

Diagn Interv Imaging 2019 Feb 7;100(2):109-116. Epub 2018 Dec 7.

Congenital and Pediatric Cardiology Unit, Centre de Référence Maladies Cardiaques Congénitales Complexes-M3C, hôpital Necker-Enfants Malades, AP-HP, 75006 Paris, France; Université Paris-Descartes, Sorbonne Paris Cité, 75005 Paris, France.

Purpose: The purpose of this study was to compare non-invasive high-spatial-resolution postmortem cardiac magnetic resonance imaging (MRI) and autopsy findings for evaluating the septal insertion of atrioventricular valves in fetuses.

Materials And Methods: Five fetal heart specimens including two normal hearts, one heart with complete atrioventricular septal defect (AVSD) and two hearts with linear insertion of atrioventricular valves (LIAVV; gestational age 17 to 34 weeks) were studied with cardiac MRI using a 4.7 T MRI scanner without sample preparation. Read More

Medicine (Baltimore) 2018 Nov;97(48):e13307

Department of Cardiovascular Ultrasound, Henan Provincial People's Hospital, China.

The prognosis of right heart enlargement varies according to different etiologies. The purpose of this study was to investigate the characteristics of echocardiogram, surgical treatment, chromosome and prognosis for fetal right heart enlargement.The foetal echocardiogram was performed on 3987 pregnant women, and then 88 fetuses with right heart enlargement were identified. Read More

Pediatr Hematol Oncol 2018 Aug - Sep;35(5-6):322-330. Epub 2018 Nov 23.

c Oncology Research Center , Tabriz University of Medical Sciences , Tabriz , Iran.

Introduction: Pulmonary hypertension is a common complication associated with thalassemia syndromes and it may play an important role in the pathogenesis of right ventricle failure. The true prevalence of pulmonary hypertension in patients with thalassemia major remains unclear and has been reported to be between 2 and 79%.

Materials And Methods: In total, 70 patients with thalassemia major were initially examined. Read More

Asian Cardiovasc Thorac Ann 2019 Jan 11;27(1):11-17. Epub 2018 Nov 11.

1 Division of Pediatric Cardiac Surgery, Lucile Packard Children's Hospital Stanford, Stanford, California, USA.

Objective: Pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries is a complex form of congenital heart disease. Midline unifocalization has been developed for the surgical treatment of this condition. There are 3 outcome measures that determine long-term success: patients are alive, patients have achieved complete repair (i. Read More

Ann Thorac Surg 2018 Nov 8. Epub 2018 Nov 8.

Department of Cardiothoracic Surgery, Pediatric Group, University of Texas Southwestern Medical Center, Children's Medical Center Dallas, 1935 Medical District Drive, Dallas, TX 75235.

Perventricular ventricular septal defect closure has become an accepted method for treatment of some muscular and perimembranous ventricular septal defects. We report the case of a child who developed left ventricular pseudoaneurysms after perventricular closure of a ventricular septal defect performed at 3 months of age. At 18 months, the ventricular pseudoaneurysms were closed surgically. Read More

Echocardiography 2018 12 9;35(12):2113-2116. Epub 2018 Nov 9.

Cleveland Clinic Children's Hospital, Cleveland, Ohio.

Cor Triatriatum Dexter (CTD) is a rare congenital anomaly involving the systemic venous valves. Failure of regression of the right-sided sinus venosus valve leads to abnormal septation of the right atrium and a variety of right atrial and tricuspid valve obstructive lesions. The presentation can be varied ranging from asymptomatic to persistent neonatal cyanosis. Read More

Fukushima J Med Sci 2018 Dec 6;64(3):151-156. Epub 2018 Nov 6.

Department of Cardiovascular Medicine, Fukushima Medical University.

Background: Atrial septal defect is the third most common type of congenital heart disease. Surgical closure was the standard treatment for atrial septal defects before transcatheter closure was approved as minimally invasive treatment in Japan in 2006. In our hospital, this procedure has been performed since 2015. Read More

J Clin Ultrasound 2019 Feb 30;47(2):88-94. Epub 2018 Oct 30.

Department of Pediatrics, School of Medicine, Kyungpook National University, Division of Pediatric Cardiology, Kyungpook National University Children's Hospital, Daegu, Republic of Korea.

Purpose: We evaluated ventricular rotation, torsion, and strain changes in infants using preoperative and postoperative M-mode echocardiography after early surgery for symptomatic ventricular septal defects (VSD).

Methods: Thirty-five patients with VSD underwent vector velocity imaging echocardiography before and after open heart surgery. Their rotational variables were compared with 18 controls. Read More

J Pediatr Orthop 2019 Mar;39(3):e190-e194

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.

Design: Retrospective analyses of congenital scoliosis patients at 2 tertiary care pediatric hospitals.

Objective: This study objectives were (1) to report the rates of anomalies of 10 organ systems in congenital scoliosis patients and (2) to determine whether the presence of a single organ system anomaly increases the rate of nonspinal organ system defects.

Summary Of Background Data: Intraspinal, cardiac, renal, and gastrointestinal anomalies have been reported to occur at higher rates in congenital scoliosis than the normal population. Read More

Int Heart J 2018 Nov 25;59(6):1480-1484. Epub 2018 Oct 25.

Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center.

In patients with an atrial septal defect (ASD) and left ventricular (LV) dysfunction associated with coronary artery disease (CAD), to avoid the development of acute left heart failure (HF) and an increase in myocardial oxygen consumption following ASD closure, it is conceivable that coronary artery revascularization should be performed prior to ASD closure. We report the case of a 67-year-old man with a large secundum ASD and LV ejection fraction of 15.6% resulting from severe ischemic cardiomyopathy and triple-vessel CAD, both of which contributed to biventricular HF characterized by high left-to-right shunt (Qp:Qs of 7. Read More

Zhonghua Xin Xue Guan Bing Za Zhi 2018 Oct;46(10):804-809

Department of Cardiothoracic Surgery, Dalian Children's Hospital, Dalian 116012, China.

To investigate the safety and efficacy of percutaneous intervention of children with combined congenital heart abnormality solely guided by transthoracic echocardiography (TTE) . From September 2015 to June 2017, 21 children with combined congenital heart abnormality undergoing percutaneous interventional guided by TTE in Fuwai hospital were enrolled in our study, and the clinical data were retrospective analyzed. The atrial septal defect(ASD) closure, ventricular septal defect(VSD) closure, patent ductus arteriosus(PDA) closure or balloon pulmonary valvuloplasty were performed under the guidance of TTE. Read More

Ann Thorac Surg 2019 Mar 23;107(3):844-851. Epub 2018 Oct 23.

Division of Cardiovascular Surgery, The Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Surgery, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Background: We hypothesized that reconstructed pulmonary artery (PA) size and postrepair PA pressure are associated with airway compression (AC) after complete unifocalization for pulmonary atresia, ventricular septal defects, and major aortopulmonary collateral arteries.

Methods: Complete unifocalization was performed in 48 consecutive patients between 2000 and 2016. Clinical course and outcome were reviewed, predictors for AC were identified by logistic regression, and the freedom from death was analyzed using Kaplan-Meier method. Read More

Am J Cardiol 2019 Jan 26;123(1):169-174. Epub 2018 Sep 26.

Division of Cardiovascular Medicine, Department of Medicine, University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin. Electronic address:

Sudden cardiac death in a young healthy athlete is a rare but catastrophic event. The American Heart Association preparticipation screening guidelines recommend a focused history and physical without routine imaging or electrocardiogram screening. We hypothesized that a focused echocardiogram can identify structural abnormalities that may lead to sudden cardiac death in athletes, which might otherwise go undetected by history and physical. Read More

Taiwan J Obstet Gynecol 2018 Oct;57(5):734-738

Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan; Department of Bioengineering, Tatung University, Taipei, Taiwan.

Objective: We present prenatal diagnosis of a familial 5p14.3-p14.1 deletion in a fetus with congenital heart disease on prenatal ultrasound. Read More

Kardiol Pol 2018;76(10):1494

Department of Congenital Heart Defects and Paediatric Cardiology, SMDZ in Zabrze, Medical University of Silesia, Silesian Center for Heart Diseases, Marii Curie-Sklodowskiej 9, 41-800 Zabrze, Poland.

Echocardiography 2018 12 18;35(12):2109-2112. Epub 2018 Oct 18.

Cardiology B Department of CHU Ibn Sina, Rabat, Morocco.

The interventricular septal dissection is an uncommon, and is occasionally associated with sinus of Valsalva aneurysm. A spontaneous dissection with a normal sinus of Valsalva is extremely rare and is mostly a result of a congenital defect. We report the case of a 23-year-old male admitted for complete heart block and presenting as an incidental finding during the TTE multiple and huge cystic-like mass in the interventricular septum (IVS) which is the TTE characteristic of IVS dissection. Read More

Eur Heart J 2019 Apr;40(13):1092

Pediatric Cardiology and Cardiovascular Surgery Unit, Hospital Virgen del Rocio, Seville, Spain.

J Cardiovasc Imaging 2018 Sep 18;26(3):165-174. Epub 2018 Sep 18.

Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: Transcatheter device closure of ventricular septal defect (VSD) has become an attractive alternative to surgery. We report here on our early experiences of transcatheter closure of VSD using Cocoon devices, which are now available in Korea.

Methods: We reviewed the medical records and angiographic images of 13 patients who underwent transcatheter closure of VSD with a Cocoon occluder at Samsung Medical Center. Read More

J Thorac Dis 2018 Sep;10(Suppl 24):S2966-S2974

Department of Paediatric and Adult Congenital Cardiology, Bordeaux University Hospital (CHU), F-33600 Pessac, France.

As for any preclinical development of new implantable device, bench testing has been followed by experimental studies on large animal models for the development of atrial septal defect closure devices. Various models have been used according to studied species (porcine, ovine or canine model) and whether the septal defect was percutaneously or surgically created. Animal models of percutaneous atrial septal defect closure aim to assess the healing process and device endothelialisation, as well as the development of magnetic resonance imaging guided procedures, the short-term effects of volume overload on right ventricular contractility through haemodynamic studies and the understanding of other complications such as nickel hypersensitivity. Read More

Pediatr Cardiol 2019 Jan 8;40(1):198-203. Epub 2018 Oct 8.

Department of Pediatric Cardiac Surgery, Henan Provincial People's Hospital, Fuwai Central Cardiovascular Hospital, People's Hospital of Zhengzhou University, No. 7 Weiwu Road Jinshui District, Zhengzhou, 450003, Henan, People's Republic of China.

This retrospective, single-center study evaluated short-term and mid-term results of minimally invasive surgery to occlude ventricular septal defects (VSDs) using a subaxillary approach. The procedure was performed on 429 children (224 boys, 205 girls; age 2.4 ± 2. Read More

Semin Thorac Cardiovasc Surg 2019 28;31(1):113-115. Epub 2018 Sep 28.

Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia; Heart Research Group, Murdoch Children's Research Institute, Melbourne, Australia. Electronic address:

Long-term outcomes in children with atrioventricular septal defect (AVSD) and univentricular palliation are of concern, with <60% survival at 25 years. Common atrioventricular valves (AVV) often become insufficient in patients with univentricular physiology, leading to heart failure. We have recently observed that outcomes of children with AVSD who reach Fontan circulation are not as bad as previously thought, provided that the AVV remains competent. Read More

Ann Pediatr Cardiol 2018 Sep-Dec;11(3):328-329

Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.

A 2-month-old baby with ventricular septal defect and pulmonary atresia was found to have coronary-to-pulmonary artery collaterals. Cardiac computed tomography confirmed the coronary collaterals and showed the absence of other systemic to pulmonary artery collaterals. Although these collaterals do not cause coronary ischemia, it is important to delineate them by accurate imaging to plan the appropriate surgical strategy. Read More

Ann Pediatr Cardiol 2018 Sep-Dec;11(3):308-311

Division of Pediatric Cardiology, Children's Hospital Los Angeles, California, USA.

An intramural ventricular septal defect (IVSD) is a type of interventricular communication that can occur following biventricular repair of a conotruncal malformation. There have been no previous reports depicting the actual pathologic anatomy of this defect. We describe two cases of IVSDs with their clinical imaging and postmortem pathology. Read More

J Clin Ultrasound 2019 Jan 27;47(1):55-58. Epub 2018 Sep 27.

Department of Ultrasonography, The Second Affiliated Hospital and Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, China.

Rationale: Ventricular septal dissecting aneurysms are rarely caused by congenital coronary artery fistulas.

Patient Concerns: We present a rare case of ventricular septal dissecting aneurysm that resulted from a congenital coronary artery fistula in a 41-year-old female patient with the complaint of chest pain.

Diagnosis: Ventricular septal dissecting aneurysm resulting from a right coronary artery fistula. Read More

Pediatr Cardiol 2019 Jan 25;40(1):237-239. Epub 2018 Sep 25.

Department of Neonatal Cardiology, Perinatal Center, Fukuoka Children's Hospital, Fukuoka, Japan.

Criss-cross heart is a rare congenital cardiac anomaly characterized by the crossing of two ventricular inflow streams. We have demonstrated the utility of 4-dimensional color Doppler rendering in diagnosing the criss-cross heart in a fetus. Four-dimensional color Doppler rendering can demonstrate the relative direction of intracardiac blood flows and facilitate recognition of the crossover of inflow streams in the same plane, confirming the criss-cross heart diagnosis in the fetus. Read More

J Mech Behav Biomed Mater 2019 Jan 31;89:9-12. Epub 2018 Aug 31.

Tissue Mechanics Laboratory, The Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, United States. Electronic address:

Objective: Congenital Heart Disease (CHD) is the leading cause of pediatric mortality, with many cases affecting the right ventricular outflow tract (RVOT) or pulmonary valve (PV). Understanding the mechanics of the disease condition can provide insight into development of durable repair techniques and bioengineered replacement devices. This work presents a mechanical and structural analysis of the pulmonary valve of two pediatric cases. Read More