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Cardiology in the Young

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https://www.readbyqxmd.com/read/29779503/percutaneous-pulmonary-valve-implantation-with-anomalous-left-anterior-descending-coronary-artery
#1
Dennis VanLoozen, Zahid Amin
Percutaneous pulmonary valve placement in patients with an anomalous coronary artery is rare and can be complicated by coronary artery compression. We report successful implantation of a percutaneous pulmonary valve in a patient with an anomalous left anterior descending artery.
May 21, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29779498/retrieval-of-large-occlutech-figula-flex-septal-defect-occluders-using-a-commercially-available-bioptome-proof-of-concept
#2
Stanimir Georgiev, Daniel Tanase, Thomas Genz, Peter Ewert, Susanne Naumann, Robert Dalla Pozza, Andreas Eicken
OBJECTIVES: This study aimed to develop a method for retrieval of the new meshed nitinol atrial septal defect occluders - Ceraflex and Occlutech. BACKGROUND: The newly developed atrial septal defect occluders have potential benefits considering implantation, but concerns regarding their removal in case of embolisation have been raised. METHODS: Over 21 years, 1449 patients underwent interventional atrial septal defect occlusion in our institution...
May 21, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29766838/dmd-mutation-and-ltbp4-haplotype-do-not-predict-onset-of-left-ventricular-dysfunction-in-duchenne-muscular-dystrophy
#3
Charlotte S Van Dorn, Michael D Puchalski, Hsin-Yi Weng, Steven B Bleyl, Russell J Butterfield, Richard V Williams
Cardiomyopathy develops in >90% of Duchenne muscular dystrophy (DMD) patients by the second decade of life. We assessed the associations between DMD gene mutations, as well as Latent transforming growth factor-beta-binding protein 4 (LTBP4) haplotypes, and age at onset of myocardial dysfunction in DMD. DMD patients with baseline normal left ventricular systolic function and genotyping between 2004 and 2013 were included. Patients were grouped in multiple ways: specific DMD mutation domains, true loss-of-function mutations (group A) versus possible residual gene expression (group B), and LTBP4 haplotype...
May 16, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29764528/symptomatic-myocardial-bridging-a-frequently-occurring-coronary-variation-can-cause-severe-myocardial-ischaemia-in-affected-children-with-underlying-cardiac-conditions
#4
Alexandra Kiess, Marcel Vollroth, Farhad Bakhtiary, Hiroshi Seki, Martin Kostelka, Milan Djukic, Ingo Daehnert, Robert Wagner
Myocardial bridging is a congenital coronary artery anomaly in which the coronary artery has a partly "tunnelled" intramyocardial course. This tunnelling leads to compression of the affected vessel segment during ventricular systole. It is considered to be a benign variation of the norm in about 25% of the population caused by an aberrancy of embryologic coronary development. The bridging is also thought to cause severe cardiac conditions in a few of those affected. The series of six young patients presented here is the largest series so far to report on symptomatic myocardial bridging in children with different underlying heart diseases...
May 16, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29759095/giant-left-ventricular-rhabdomyoma-treated-successfully-with-everolimus-case-report-and-review-of-literature
#5
Alfonso Martínez-García, Carolina Michel-Macías, Guadalupe Cordero-González, Karla I Escamilla-Sánchez, Mónica Aguinaga-Ríos, Alejandra Coronado-Zarco, Jorge A Cardona-Pérez
IntroductionIntracardiac rhabdomyomas can cause severe ventricular dysfunction and outflow tract obstruction.Case reportA term newborn infant with antenatal diagnosis of giant left ventricle rhabdomyoma presented with cardiac failure and duct-dependent systemic circulation after birth. She was treated successfully with everolimus, showing decrease in tumour size and improvement in left ventricular ejection fraction.DiscussionTumour regression rate was 0.32 cm2/day and improved to 0.80 cm2/day with the use of everolimus...
May 15, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29759092/cardiac-function-in-children-with-premature-ventricular-contractions-the-effect-of-omega-3-polyunsaturated-fatty-acid-supplementation
#6
Taliha Oner, Rahmi Ozdemir, Onder Doksöz, Dildar B Genc, Baris Guven, Savas Demirpence, Murat M Yilmazer, Yilmaz Yozgat, Timur Mese, Vedide Tavli
BACKGROUND: Premature ventricular contractions are accepted as benign in structurally normal hearts. However, reversible cardiomyopathy can sometimes develop. Omega-3 polyunsaturated fatty acids have anti-arrhythmic properties in animals and humans.AimWe evaluated left ventricular function in children with premature ventricular contractions with normal cardiac anatomy and assessed the impact of omega-3 fatty acid supplementation on left ventricular function in a prospective trial. METHODS: A total of 25 patients with premature ventricular contraction, with more than 2% premature ventricular contractions on 24-hour Holter electrocardiography, and 30 healthy patients were included into study...
May 15, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29757126/reply-to-robert-vincent
#7
Thomas Krasemann, Felix Berger, Petru Liuba, John Thomson
No abstract text is available yet for this article.
May 14, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29747711/successful-transcarotid-transcatheter-aortic-valve-replacement-in-a-34-kg-patient-with-schimke-immuno-osseous-dysplasia-and-severe-biscuspid-aortic-stenosis
#8
Katie E O' Sullivan, Alan P Griffin, Ivan P Casserly
We present the case of transcatheter aortic valve replacement in a 20-year-old woman with severe bicuspid aortic stenosis and Schmike immuno-osseous dysplasia who was unfit for surgical aortic valve replacement. Meticulous pre-procedural planning and a multidisciplinary team approach can enable successful transcatheter aortic valve replacement in complex patients with genetic syndromes.
May 11, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29747708/efficacy-of-treatment-with-belladonna-in-children-with-severe-pallid-breath-holding-spells
#9
M Cecilia Gonzalez Corcia, Adrien Bottosso, Isabelle Loeckx, Françoise Mascart, Guy Dembour, Geneviève François
IntroductionPallid breath-holding spells are common and dramatic forms of recurrent syncope in infancy. They are very stressful despite their harmless nature and sometimes require treatment. OBJECTIVE: The objective of this study was to evaluate the efficacy of belladonna in severe breath-holding spells. METHODS: This is a multicentric, retrospective series involving 84 children with severe pallid breath-holding spells. Inclusion criteria were >1 pallid breath-holding spell with loss of consciousness, paediatric cardiology evaluation, and follow-up >6 months...
May 11, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29704905/the-development-of-a-consensus-based-nutritional-pathway-for-infants-with-chd-before-surgery-using-a-modified-delphi-process
#10
Luise V Marino, Mark J Johnson, Nigel J Hall, Natalie J Davies, Catherine S Kidd, M Lowri Daniels, Julia E Robinson, Trevor Richens, Tara Bharucha, Anne-Sophie E Darlington
IntroductionDespite improvements in the medical and surgical management of infants with CHD, growth failure before surgery in many infants continues to be a significant concern. A nutritional pathway was developed, the aim of which was to provide a structured approach to nutritional care for infants with CHD awaiting surgery.Materials and methodsThe modified Delphi process was development of a nutritional pathway; initial stakeholder meeting to finalise draft guidelines and develop questions; round 1 anonymous online survey; round 2 online survey; regional cardiac conference and pathway revision; and final expert meeting and pathway finalisation...
April 29, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29704902/administrative-health-databases-for-addressing-emerging-issues-in-adults-with-chd-a-systematic-review
#11
Sarah Cohen, Harel Gilutz, Ariane J Marelli, Laurence Iserin, Arriel Benis, Damien Bonnet, Anita Burgun
The need for population-based studies of adults with CHD has motivated the growing use of secondary analyses of administrative health data in a variety of jurisdictions worldwide. We aimed at systematically reviewing all studies using administrative health data sources for adult CHD research from 2006 to 2016. Using PubMed and Embase (1 January, 2006 to 1 January, 2016), we identified 2217 abstracts, from which 59 studies were included in this review. These comprised 12 different data sources from six countries...
April 29, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29697045/an-unexpected-case-of-post-operative-superior-caval-vein-syndrome
#12
Lynn Peng, Lisa Wise-Faberowski
Superior caval vein obstruction in children after congenital heart surgery has been more associated with thrombosis formation as result of single-ventricle palliation, infection, indwelling devices/catheters, or external compression. Many of these patients will present to the cardiac catheterisation laboratory for evaluation and possible intervention. We present an unusual case of superior caval vein obstruction in a patient after Tetralogy of Fallot repair.
April 26, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29690950/safety-of-tracheal-intubation-in-the-presence-of-cardiac-disease-in-paediatric-icus
#13
Eleanor A Gradidge, Adnan Bakar, David Tellez, Michael Ruppe, Sarah Tallent, Geoffrey Bird, Natasha Lavin, Anthony Lee, Vinay Nadkarni, Michelle Adu-Darko, Jesse Bain, Katherine Biagas, Aline Branca, Ryan K Breuer, Calvin Brown, Kris Bysani, Guillaume Emeriaud, Sandeep Gangadharan, John S Giuliano, Joy D Howell, Conrad Krawiec, Jan Hau Lee, Simon Li, Keith Meyer, Michael Miksa, Natalie Napolitano, Sholeen Nett, Gabrielle Nuthall, Alberto Orioles, Erin B Owen, Margaret M Parker, Simon Parsons, Lee A Polikoff, Kyle Rehder, Osamu Saito, Ron C Sanders, Asha Shenoi, Dennis W Simon, Peter W Skippen, Keiko Tarquinio, Anne Thompson, Iris Toedt-Pingel, Karen Walson, Akira Nishisaki
IntroductionChildren with CHD and acquired heart disease have unique, high-risk physiology. They may have a higher risk of adverse tracheal-intubation-associated events, as compared with children with non-cardiac disease.Materials and methodsWe sought to evaluate the occurrence of adverse tracheal-intubation-associated events in children with cardiac disease compared to children with non-cardiac disease. A retrospective analysis of tracheal intubations from 38 international paediatric ICUs was performed using the National Emergency Airway Registry for Children (NEAR4KIDS) quality improvement registry...
April 25, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29690948/successful-treatment-of-disseminated-adenovirus-infection-with-cidofovir-and-intravenous-immunoglobulin-in-an-infant-following-heart-transplant
#14
Ryan M Serrano, Robert K Darragh, John J Parent
For most patients, adenoviruses cause few acute health concerns and are often self-limiting. Patients who are immunocompromised or immunosuppressed, however, are at risk for disseminated adenovirus and suffer high morbidity and mortality, without well-defined treatment options. We report the case of a 9-month-old boy who was successfully treated for disseminated adenovirus infection with intravenous immunoglobulin and cidofovir 3 months post heart transplant, tailored to serum adenoviral load and clinical response...
April 25, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29690945/a-protocol-to-decrease-postoperative-chylous-effusion-duration-in-children
#15
Melissa M Winder, Aaron W Eckhauser, Claudia Delgado-Corcoran, Randall J Smout, Jennifer Marietta, David K Bailly
OBJECTIVE: Our primary goal was to decrease time to resolution of postoperative chylothorax as demonstrated by total days of chest tube utilisation through development and implementation of a management protocol. METHODS: A chylothorax management protocol was implemented as a quality improvement project at a tertiary-care paediatric hospital in July, 2015. Retrospective analysis was completed on patients aged 0-17 years diagnosed with chylothorax within 30 days of cardiac surgery in a pre-protocol cohort (February, 2014 to June, 2015, n=20) and a post-protocol cohort (July, 2015 to March, 2016, n=22)...
April 25, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29690944/appropriate-use-criteria-for-paediatric-echocardiography-in-an-outpatient-practice-a-validation-study
#16
Mark J Cartoski, Meghan Kiley, Philip J Spevak
BACKGROUND: Although transthoracic echocardiography is the dominant imaging modality in CHD, optimal utilisation is unclear. We assessed whether adherence to the paediatric Appropriate Use Criteria for outpatient transthoracic echocardiography could reduce inappropriate use without missing significant cardiac disease. METHODS: Using the Appropriate Use Criteria, we determined the indication and appropriateness rating for each initial echocardiogram performed at our institution during calendar year 2014 (N=1383)...
April 25, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29690942/deterioration-of-functional-abilities-in-children-surviving-the-fontan-operation
#17
M Florencia Ricci, Billie-Jean Martin, Ari R Joffe, Irina A Dinu, Gwen Y Alton, Gonzalo G Guerra, Charlene M T Robertson
Functional abilities are needed for activities of daily living. In general, these skills expand with age. We hypothesised that, in contrast to what is normally expected, children surviving the Fontan may have deterioration of functional abilities, and that peri-Fontan stroke is associated with this deterioration. All children registered in the Western Canadian Complex Pediatric Therapies Follow-up Program who survived a Fontan operation in the period 1999-2016 were eligible for inclusion. At the age of 2 years (pre-Fontan) and 4...
April 25, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29679992/pulmonary-atresia-with-intact-ventricular-septum-and-congenital-left-ventricular-aneurysm
#18
Benton Ng, Rhiannon Hickok, Gary Stapleton, Tom Karl
Pulmonary atresia with intact ventricular septum and congenital left ventricular aneurysms are both rare, representing <1 and <0.1% of CHD, respectively. The association of left ventricular aneurysms and pulmonary atresia with intact ventricular septum has been documented in the literature, but all the previous case reports have involved children with acquired left ventricular aneurysms. We report an interesting case of a child with both pulmonary atresia with intact ventricular septum and a congenital left ventricular aneurysm...
April 22, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29679990/three-dimensional-echocardiographic-evaluation-of-ebstein-s-anomaly-of-the-tricuspid-valve-in-a-patient-with-hypoplastic-left-heart-syndrome
#19
Courtney Cassidy, Max B Mitchell, Pei-Ni Jone
We report three-dimensional imaging of a rare finding of Ebstein's anomaly of the tricuspid valve in a patient with hypoplastic left heart syndrome, which has been previously reported only by two-dimensional echocardiography. A fetal echocardiogram was performed at 19 weeks that showed a moderately hypoplastic left ventricle, severely hypoplastic mitral valve, a severely hypoplastic aortic valve, and a dysplastic tricuspid valve. Post Caesarean delivery at 40 weeks of gestation, a transthoracic echocardiogram confirmed the findings seen on the fetal echocardiogram...
April 22, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29679988/left-ventricular-mass-of-persistent-masked-hypertension-in-hong-kong-chinese-adolescents-a-4-year-follow-up-study
#20
Man-Ching Yam, Hung-Kwan So, Sit-Yee Kwok, Fung-Cheung Lo, Chi-Fung Mok, Chuk-Kwan Leung, Wai-Kwok Yip, Yn-Tz Sung
OBJECTIVE: In our previous study, the prevalence of childhood masked hypertension was 11%. This study aims to assess the left ventricular mass index of persistent masked hypertension and determine the factors of elevated left ventricular mass index in Hong Kong Chinese adolescents from a community cohort. DESIGN: Community prospective cohort study, follow-up of a case-control study in community. SUBJECTS: Patients with masked hypertension at baseline were invited to recheck ambulatory blood pressure for the persistence of masked hypertension...
April 22, 2018: Cardiology in the Young
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