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Cardiology in the Young

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https://www.readbyqxmd.com/read/28196557/anomalous-drainage-of-isolated-superior-caval-vein-to-the-left-atrium-the-oldest-reported-unrepaired-case
#1
Maria Boutsikou, Dudley J Pennell, Eva Nyktari
Isolated right superior caval vein drainage into the left atrium is a rare congenital cardiac anomaly usually presenting with hypoxaemia and cyanosis. Surgical repair is the definitive treatment for this condition. In this report, we present the case of a 72-year-old patient with uncorrected anomalous drainage of a right superior caval vein into the left atrium, first diagnosed in the 1960s. To the best of our knowledge, this is the oldest reported unrepaired case.
February 15, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28183375/translating-clinical-trials-into-clinical-practice-a-survey-assessing-the-potential-impact-of-the-pediatric-heart-network-infant-single-ventricle-trial
#2
Victor Zak, Daphne T Hsu, Victoria L Pemberton, Jami C Levine, Andrew M Atz, James F Cnota, Chitra Ravishankar, Piers Barker, Linda M Lambert, Brian W McCrindle, Michele A Frommelt, Karen Altmann, Shan Chen, Richard V Williams
BACKGROUND: A few studies have evaluated the impact of clinical trial results on practice in paediatric cardiology. The Infant Single Ventricle (ISV) Trial results published in 2010 did not support routine use of the angiotensin-converting enzyme inhibitor enalapril in infants with single-ventricle physiology. We sought to assess the influence of these findings on clinical practice. METHODS: A web-based survey was distributed via e-mail to over 2000 paediatric cardiologists, intensivists, cardiothoracic surgeons, and cardiac advance practice nurses during three distribution periods...
February 10, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28162140/the-prevalence-and-effects-of-aspiration-among-neonates-at-the-time-of-discharge
#3
Emily Karsch, Sharon Y Irving, Brandon S Aylward, William T Mahle
BACKGROUND: Neonates undergoing heart surgery for CHD are at risk for postoperative gastrointestinal complications and aspiration events. There are limited data regarding the prevalence of aspiration after neonatal cardiothoracic surgery; thus, the effects of aspiration events on this patient population are not well understood. This retrospective chart review examined the prevalence and effects of aspiration among neonates who had undergone cardiac surgery at the time of their discharge...
February 6, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28162139/clinical-application-of-three-dimensional-printing-to-the-management-of-complex-univentricular-hearts-with-abnormal-systemic-or-pulmonary-venous-drainage
#4
Eimear McGovern, Eoin Kelleher, Aisling Snow, Kevin Walsh, Bassem Gadallah, Shelby Kutty, John M Redmond, Colin J McMahon
In recent years, three-dimensional printing has demonstrated reliable reproducibility of several organs including hearts with complex congenital cardiac anomalies. This represents the next step in advanced image processing and can be used to plan surgical repair. In this study, we describe three children with complex univentricular hearts and abnormal systemic or pulmonary venous drainage, in whom three-dimensional printed models based on CT data assisted with preoperative planning. For two children, after group discussion and examination of the models, a decision was made not to proceed with surgery...
February 6, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28162136/a-rare-case-of-a-systemic-to-pulmonary-veno-venous-connection-a-pause-during-development-of-pulmonary-and-systemic-venous-separation
#5
Jae Gun Kwak, Kyung-Hee Kim, Chang-Ha Lee
A 45-year-old man with dyspnoea and palpitations exhibited a unique systemic-to-pulmonary veno-venous connection on preoperative CT images. A window of 31.5-mm diameter was evident between the superior caval vein and the middle pulmonary vein, which was normally connected to the left atrium via a 30-mm-diameter orifice. The atrial septum was intact.
February 6, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28162116/perioperative-enhancement-for-chd-patients
#6
Elizabeth B Malinzak, Solomon Aronson, Ankeet D Udani
No abstract text is available yet for this article.
February 6, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28162114/surgical-closure-of-multiple-large-apical-ventricular-septal-defects-how-we-do-it
#7
Carolina Perez-Negueruela, Joan Carretero, Javier Mayol, José M Caffarena
The management of apical ventricular septal defects continues to be challenging because of the difficulty in achieving a complete closure without a left apical ventriculotomy. In this study, we present our innovative technique of closing multiple and/or large muscular apical ventricular septal defects through a right atriotomy. We operated three patients with multiple apical muscular trabecular ventricular septal defects ("Swiss cheese") using a technique that involved exclusion of the right ventricular apex...
February 6, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28120739/management-of-complex-chd-at-the-national-cardiothoracic-center-of-excellence-university-of-nigeria-teaching-hospital-enugu-the-role-of-foreign-cardiac-missions-in-3-5-years
#8
Andrew I Nwafor, Josephat M Chinawa, Daberechi K Adiele, Ijeoma O Arodiwe, Ndubueze Ezemba, John C Eze, Ikenna Omeje, Onyiye A Arua, William Novick
BACKGROUND: CHD is defined as structural defect(s) in the heart and proximal blood vessels present at birth. The National Cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital (UNTH), Enugu, through the aid of visiting Cardiac Missions has managed a significant number of patients within the last 3.5 years. Aim/Objective The objective of this study was to review surgical options and outcome of complex CHD among patients attending UNTH, Enugu, Enugu. Materials and Method During the period of 3...
January 25, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28120738/are-patients-bypassing-paediatric-cardiology-outreach-clinics
#9
Alexander Fletcher, Ray Samson, Karen McLeod
Previous studies have identified that receiving specialist care close to home can positively influence patients' experience. Despite this, a review of cardiology outpatient appointments at the Royal Hospital for Children in Glasgow demonstrated that a large number of families are bypassing their local children's cardiology centre to attend cardiac clinics at the specialist children's surgical centre. We used patient questionnaire, audit of local facilities, and examined the relationship between diagnosis and bypass numbers to better understand factors influencing this trend...
January 25, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28115028/post-transitional-adaptation-of-the-left-heart-in-uncomplicated-very-preterm-infants
#10
Koert De Waal, Nilkant Phad, Anil Lakkundi, Peter Tan
BACKGROUND: The postnatal period in preterm infants involves multiple physiological changes occurring immediately after birth and continuing for days or weeks. To recognise and treat compromise, it is important to measure cardiovascular function. The aim of this study was to describe longitudinal left ventricular function using conventional and novel echocardiography techniques in preterm infants who did not experience significant antenatal or postnatal complications and treatments. METHODS: We prospectively obtained cardiac ultrasound images at days 3, 7, 14, 21, and 28 in 25 uncomplicated, preterm infants <30 weeks of gestation...
January 24, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28112059/feeding-difficulties-in-neonates-following-cardiac-surgery-determinants-of-prolonged-feeding-tube-use
#11
Elissa B McKean, Nadine A Kasparian, Shweta Batra, Gary F Sholler, David S Winlaw, Jacqueline Dalby-Payne
: Aim The aims of this study were to examine the prevalence and potential correlates of feeding difficulties in infants who underwent cardiac surgery in the neonatal period and to investigate resource utilisation by infants with feeding difficulties. METHODS: All neonates who underwent their first cardiac surgery at the Heart Centre for Children, The Children's Hospital at Westmead, between January and December, 2009 were included. Demographic, preoperative, intraoperative, and postoperative data were collected via electronic medical records...
January 23, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28093089/atrial-septal-defect-with-right-to-left-shunt-in-the-absence-of-pulmonary-hypertension
#12
Devi A Manuel, Gopal C Ghosh, Anoop G Alex
We describe the case of a 27-year-old gentleman who developed late-onset clubbing and cyanosis. Transoesophageal echocardiography revealed a 27-mm ostium secundum atrial septal defect and a large, floppy Eustachian valve directing right atrial blood to the left side of the heart.
January 17, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28091358/a-survey-of-exercise-advice-and-recommendations-in-united-kingdom-paediatric-cardiac-clinics
#13
Craig A Williams, Lucy Gowing, Richard Horn, Alan Graham Stuart
BACKGROUND: Physical activity and exercise have important health benefits for children and adolescents with CHD. The objective of this study was to survey the provision of advice and recommendations in United Kingdom paediatric CHD clinics. METHODS: A three-page questionnaire was sent out to paediatric cardiac consultants in the United Kingdom, paediatric consultants with expertise in cardiology, and nursing staff (Paediatricians with Expertise in Cardiology Special Interest Group), as well as all members of the British Congenital Cardiovascular Association...
January 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28091357/assessment-of-the-need-for-a-cardiac-morphology-curriculum-for-paediatric-cardiology-fellows
#14
Lindsay S Rogers, Melissa Klein, Jeanne James, Michael FitzGerald
BACKGROUND: Expert knowledge of cardiac malformations is essential for paediatric cardiologists. Current cardiac morphology fellowship teaching format, content, and nomenclature are left up to the discretion of the individual fellowship programmes. We aimed to assess practices and barriers in morphology education, perceived effectiveness of current curricula, and preferences for a standardised fellow morphology curriculum. METHODS: A web-based survey was developed de novo and administered anonymously via e-mail to all paediatric cardiology fellowship programme directors and associate directors in the United States of America; leaders were asked to forward the survey to fellows...
January 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28091354/giant-congenital-left-atrial-appendage-aneurysm
#15
Chengyi Hui, Shuhua Luo, Qi An
We present a rare case of an asymptomatic giant congenital left atrial appendage aneurysm in a 19-year-old girl. We believe this is the largest congenital left atrial appendage aneurysm reported without any symptom.
January 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28088921/red-flags-a-case-series-of-clinician-family-communication-challenges-in-the-context-of-chd
#16
Priya Sekar, Katie L Marcus, Erin P Williams, Renee D Boss
We describe three cases of newborns with complex CHD characterised by communication challenges. These communication challenges were categorised as patient, family, or system-related red flags. Strategies for addressing these red flags were proposed, for the goal of optimising care and improving quality of life in this vulnerable population.
January 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28088920/cardiac-strain-findings-in-children-with-latent-rheumatic-heart-disease-detected-by-echocardiographic-screening
#17
Andrea Beaton, Hedda Richards, Michelle Ploutz, Lasya Gaur, Twalib Aliku, Peter Lwabi, Greg Ensing, Craig Sable
BACKGROUND: Identification of patients with latent rheumatic heart disease by echocardiography presents a unique opportunity to prevent disease progression. Myocardial strain is a more sensitive indicator of cardiac performance than traditional measures of systolic function. OBJECTIVE: The objective of this study was to test the hypothesis that abnormalities in myocardial strain may be present in children with latent rheumatic heart disease. METHODS: Standard echocardiography images with electrocardiogram gating were obtained from Ugandan children found to have latent rheumatic heart disease as well as control subjects...
January 16, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28081726/preoperative-right-ventricle-voltage-mapping-in-ebstein-s-anomaly-can-we-make-the-late-arrhythmogenic-mortality-following-the-cone-procedure-zero
#18
Lauren A Weber, Joseph W May, Matthew Needleman
A young woman with Epstein's anomaly had a large endocardial scar in the atrialised ventricular myocardium. In patients with significant preoperative ventricular scarring, more information is needed to help appropriately manage the risk of ventricular arrhythmias and sudden death.
January 13, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28077189/cardiac-haemangioma-associated-with-a-duct-dependent-congenital-heart-disease-in-a-newborn-infant
#19
Stefan A Djordjevic, Sofija Glumac, Jasna Kalanj
Cardiac haemangiomas are exceedingly rare; however, they can cause significant haemodynamic impairment and disturbances in heart rhythm. Rarely, cardiac tumours may also coexist with congenital heart lesions. We present an extremely unusual case of a cardiac haemangioma in the setting of complex transposition of the great arteries that caused functional tricuspid atresia. To our knowledge, this is the first such case described in the literature.
January 12, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/28077188/point-catheter-ablation-of-macro-re-entrant-ventricular-tachycardia-in-a-patient-after-surgical-repair-for-double-outlet-right-ventricle
#20
Gaku Izumi, Hisashi Yokoshiki, Atsuhito Takeda
Catheter ablation of ventricular tachycardia is often difficult in patients after surgery for CHD. In patients with a ventricular septal defect patch, it is necessary to decide which ventricular side is appropriate for catheter ablation. In this article, we report a case of successful point catheter ablation of re-entrant ventricular tachycardia. Identification of the ventricular septal defect patch using intra-cardiac echocardiography was useful.
January 12, 2017: Cardiology in the Young
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