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Annals of Pediatric Cardiology

Ayse U Kalyoncu, Hatice A Habibi, Mine Aslan, Deniz Alis, Deniz F Aygun, Yildiz Camcioglu, Ibrahim Adaletli
No abstract text is available yet for this article.
September 2016: Annals of Pediatric Cardiology
Nageswara Rao Koneti, Rajan Saileela, Jagadeesh R Singh
No abstract text is available yet for this article.
September 2016: Annals of Pediatric Cardiology
Cerniauskiene Vilija, Kalibatas Paulius, Azukaitis Karolis, Jankauskiene Augustina
No abstract text is available yet for this article.
September 2016: Annals of Pediatric Cardiology
Rajiv Ananthakrishna, Dattatreya Pv Rao, Nagaraja Moorthy, Manjunath C Nanjappa
No abstract text is available yet for this article.
September 2016: Annals of Pediatric Cardiology
Vivek Kumar, Sejal Shah
We present a diagnosis of isolated anatomically corrected malposed great arteries on fetal echocardiography at 31 weeks of gestation period. The patient was referred to our institute with a diagnosis of suspected transposition of great arteries.
September 2016: Annals of Pediatric Cardiology
Anil K Singhi, Sivakumar Kothandum
Failing Fontan physiology in univentricular hearts manifest with protein-losing enteropathy, plastic bronchitis, low cardiac output, and recurrent effusions. Transcatheter creation of fenestration in a failing Fontan may be useful in alleviating the symptoms by improving the cardiac output. It is traditionally achieved by puncturing through the conduit from femoral or jugular venous access. In the absence of good venous path, transhepatic access provides a direct route for needle puncture of the conduit. If marked intimal ingrowth into the conduit results in increasing rigidity and makes the conduit nonyielding, alternative approaches may be needed...
September 2016: Annals of Pediatric Cardiology
Sudip Dutta Baruah, Smita Mishra, Ashutosh Marwah, Rajesh Sharma
Fontan completion after prior Kawashima repair for single ventricle with interruption of the inferior vena cava can be accomplished by various methods. We describe a patient who underwent the connection of hepatic to hemiazygos vein that we believe would be superior to the conventional cavopulmonary connection in our patient.
September 2016: Annals of Pediatric Cardiology
Mahim Saran, Sivasankaran Sivasubramonian, Sreevilasam P Abhilash, Jaganmohan A Tharakan
A 44-year-old woman presented with features of congestive heart failure. Echocardiography revealed severe right ventricular dysfunction along with passive minimally pulsatile pulmonary blood flow suggesting very high systemic venous pressures. This was confirmed with cardiac catheterization in which the pressures of superior vena cava and inferior vena cava (19 mmHg) were higher than the pulmonary artery pressures (17 mmHg). Elevation of systemic venous pressures above the pulmonary venous pressures, Fontan paradox, to drive the forward flow, is a specific feature of artificially created cavopulmonary shunts...
September 2016: Annals of Pediatric Cardiology
Abhay A Divekar
In this report, we describe a 15-year-old patient who underwent a Ross procedure for a regurgitant bicuspid aortic valve and ascending aortic dilation. After the operation was over, he could not be separated from cardiopulmonary bypass and was noted to have isolated right ventricular failure. This report takes the reader through the diagnostic evaluation, highlights the importance of invasive assessment in the immediate postoperative period, and discusses successful transcatheter intervention in the acute postoperative setting...
September 2016: Annals of Pediatric Cardiology
Gananjay G Salve, Satish R Javali, Bharat V Dalvi, Shivaprakash Krishnanaik
Aneurysms of ascending aorta are rarely seen in pediatric age group. Only few cases with Marfans syndrome have been reported in the literature. Preferred treatment for these children has been the standard Bentall procedure (aortic root replacement with composite graft prosthesis). We report a 4-year-old male child with huge aneurysm of ascending aorta and aortic root dilation with severe aortic regurgitation, having phenotypic features of Loeys-Dietz syndrome type I. He underwent Bentall procedure with a novel modification (medial trap-door technique for coronary reimplantation)...
September 2016: Annals of Pediatric Cardiology
Molly B Kraus, Rachel A Spitznagel, Jane A Kugler
Cardiac tamponade is a rare but serious emergency condition in the pediatric population. As treatment, a pericardial drain is often placed to evacuate the fluid. We present a case of a 4-year-old girl with cardiac tamponade secondary to renal failure. After the tamponade resolved, she suffered cardiovascular collapse upon attempted drain withdrawal. This case highlights an unusual cause for cardiovascular collapse, which occurred on blind removal of a pericardial drain.
September 2016: Annals of Pediatric Cardiology
Sangeetha Viswanathan
This review attempts to answer the common questions faced by a clinician regarding thromboembolism and thromboprophylaxis in patients following Fontan surgery. The review is in an easy to understand question and answer format and discusses the currently available literature on the subject in an attempt to arrive at practical clinically relevant solutions. Patients who have undergone the Fontan operation are at a high risk for thromboembolism. Based on available evidence, there is a strong rationale for thromboprophylaxis...
September 2016: Annals of Pediatric Cardiology
Roy Varghese, Sanni Saheed, Amrutha K Ravi, Ejaz Ahmed Sherrif, Ravi Agarwal, Sivakumar Kothandam
BACKGROUND: Conventional methods of closure of ventricular septal defects involve placement of sutures 4-5 mm from the posterior inferior margin. This study compares the conventional method with an alternative technique wherein sutures are placed along the edge of the defect thereby "excluding" the conduction system and the tensor apparatus of the tricuspid valve from the suture line. MATERIALS AND METHODS: Between January 2013 and January 2016, 409 consecutive patients were retrospectively reviewed and divided into two matched groups...
September 2016: Annals of Pediatric Cardiology
Sachin Talwar, Manikala V Kumar, Vishnubhatla Sreenivas, Shiv K Choudhary, Manoj Sahu, Balram Airan
BACKGROUND: The number of grown ups with congenital heart diseases (GUCHs) is steadily increasing. AIMS: To analyze factors predicting early cardiac morbidity following cardiac surgery in GUCH at a tertiary care center. SETTING AND DESIGN: Retrospective study at a multispeciality tertiary referral center. METHODS: Between January 2004 and December 2014, 1432 patients ≥13 years of age (acyanotic defects: 843, cyanotic defects: 589) underwent surgery for congenital heart defects...
September 2016: Annals of Pediatric Cardiology
Shaad Abqari, Akash Gupta, Tabassum Shahab, M U Rabbani, S Manazir Ali, Uzma Firdaus
INTRODUCTION: Congenital heart defects (CHDs) are an important cause of mortality and morbidity in children representing a major global health burden. It is thus important to determine their prevalence and spectrum and identify risk factors associated with the development of heart defects. MATERIALS AND METHODS: A case-control study was carried out in the Department of Pediatrics and Center of Cardiology, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India, from February 2014 to August 2015...
September 2016: Annals of Pediatric Cardiology
Usman Rashid, Ahmad U Qureshi, Syed N Hyder, Masood Sadiq
OBJECTIVE: To determine the delay in diagnosis of various types of congenital heart defects in children and factors associated with such delay. PATIENTS AND METHODS: For this observational study, 354 patients having congenital heart disease (CHD) presenting for the first time to the Department of Cardiology, Children's Hospital, Lahore, Pakistan, between January 1, 2015 and June 30, 2015, were enrolled after obtaining informed verbal consent from the guardian of each child...
September 2016: Annals of Pediatric Cardiology
Anita Saxena, Anurag Mehta, Mamta Sharma, Sudha Salhan, Mani Kalaivani, Sivasubramanian Ramakrishnan, Rajnish Juneja
OBJECTIVE: To assess the birth prevalence and pattern of congenital heart disease (CHD) using echocardiography in babies born in a community hospital of North India. METHODS: A cross-sectional observational study conducted over a period of 3 years. Newborns born over a specific 8-h period of the day were recruited in the study. They underwent routine clinical examination and pulse oximetry, followed by screening echocardiography for diagnosing a CHD. RESULTS: A total of 20,307 newborns were screened, among which 874 had abnormal echocardiograms; 687 had insignificant CHDs, 164 had significant CHDs, and 24 had other abnormal cardiac findings...
September 2016: Annals of Pediatric Cardiology
Raman Krishna Kumar
No abstract text is available yet for this article.
September 2016: Annals of Pediatric Cardiology
Parvin Akbariasbagh, Mahdi Sheikh, Nassereddin Akbariasbagh, Mamak Shariat
No abstract text is available yet for this article.
May 2016: Annals of Pediatric Cardiology
Joseph Xavier, Maruti Yamanappa Haranal, Shashidhar Ranga Reddy, Sridhar Melagiriyappa
No abstract text is available yet for this article.
May 2016: Annals of Pediatric Cardiology
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