keyword
https://read.qxmd.com/read/38506056/modified-senning-procedure-in-a-patient-with-dextrocardia-with-left-atrial-isomerism-and-anomalous-systemic-venous-drainage-a-rare-case-report
#21
JOURNAL ARTICLE
Sayar Kumar Munshi, Caroline Jones, Ramana Dhannapuneni
The atrial switch procedure by Senning or Mustard technique primarily aims in correcting parallel systemic and pulmonary circulations at atrial level. This procedure may be used in late presenting D-transposition of great arteries with a deconditioned left ventricle, congenitally corrected transposition of great arteries and isolated ventricular inversion. We describe the case of a child with dextrocardia, left atrial isomerism with complex pulmonary and systemic venous drainage resulting in mixing at atrial level...
March 20, 2024: Cardiology in the Young
https://read.qxmd.com/read/38502199/computed-tomography-derived-normative-values-of-right-ventricular-outflow-tract-structures-in-the-pediatric-population
#22
JOURNAL ARTICLE
Natalie Soszyn, Justin Schweigert, Salvador R Franco, Gareth J Morgan, Max Mitchell, Jenny E Zablah
Recent advances in available percutaneous device technology require accurate measurements and quantification of relationships between right ventricular outflow tract (RVOT) structures in children with and without congenital heart disease to determine device suitability. To date, no population study has described normal reference ranges of these measurements by computed tomography (CT). We aimed to establish normative values for four CT-derived measurements between RVOT structures from a heterogeneous population without heart disease and develop z scores useful for clinical practice...
March 19, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38497464/correction-to-timing-of-cardiac-surgical-interventions-and-postoperative-mortality-in-children-with-severe-congenital-heart-defects-across-europe-data-from-the-eurolinkcat-study
#23
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
March 19, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38497454/long-term-survival-after-single-ventricle-palliation-a-swedish-nationwide-cohort-study
#24
JOURNAL ARTICLE
Magnus Dalén, Michal Odermarsky, Petru Liuba, Jens Johansson Ramgren, Mats Synnergren, Jan Sunnegårdh
BACKGROUND: Long-term survival after single-ventricle palliation and the effect of dominant ventricle morphology in large, unselected series of patients are scarcely reported. METHODS AND RESULTS: This nationwide cohort study included all children undergoing operation with single-ventricle palliation during their first year of life in Sweden between January 1994 and December 2019. Data were obtained from institutional records and assessment of underlying cardiac anomaly and dominant ventricular morphology was based on complete review of medical records, surgical reports, and echocardiographic examinations...
March 19, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38497437/predicting-high-risk-fetal-cardiac-disease-anticipated-to-need-immediate-postnatal-stabilization-and-intervention-with-planned-pediatric-cardiac-operating-room-delivery
#25
REVIEW
Amol Moray, Proscovia M Mugaba, Chloe Joynt, Angela McBrien, Luke G Eckersley, Ernest Phillipos, Paula Holinski, Lindsay Ryerson, James Yashu Coe, Sujata Chandra, Billy Wong, Michele Derbyshire, Maria Lefebvre, Mohammed Al Aklabi, Lisa K Hornberger
BACKGROUND: Distances between delivery and cardiac services can make the care of fetuses with cardiac disease at risk of acute cardiorespiratory instability at birth a challenge. In 2013 we implemented a fetal echocardiography-based algorithm targeting fetuses considered high risk for acute cardiorespiratory instability at ≤2 hours of birth for delivery in our pediatric cardiac operating room of our children's hospital, and, herein, examine our experience. METHODS AND RESULTS: We reviewed maternal and postnatal medical records of all fetuses with cardiac disease encountered January 2013 to March 2022 considered high risk for acute cardiorespiratory instability...
March 19, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38489092/computational-fluid-dynamic-assessment-of-patients-with-congenital-heart-disease-from-3d-rotational-angiography
#26
JOURNAL ARTICLE
Jenny E Zablah, Michael J Shorofsky, Kelly Cao, Debanjan Mukherjee
For congenital heart disease patients, multiple imaging modalities are needed to discern anatomy and functional information such as differential blood flow. During cardiac catheterization, 3D rotational angiography (3DRA) can provide CTA-like images, enabling anatomical information and intraprocedural guidance. We seek to establish whether unique aspects of this technique can also generate quantitative functional blood flow information. We propose that systematic integration of 3DRA imaging, catheter hemodynamic information, and computational fluid dynamics (CFD), can provide quantitative information regarding blood flow dynamics and energetics, without additional imaging or procedures...
March 15, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38487046/designing-a-multidisciplinary-cardio-obstetrics-curriculum-for-general-cardiology-and-obstetrics-residents-a-national-survey-of-educational-needs
#27
JOURNAL ARTICLE
Sarah Blissett, Lotus Alphonsus, Genevieve Eastabrook, Harrison Banner, Samuel C Siu
BACKGROUND: The increasing and potentially preventable cardiac events in pregnant patients have led to calls to enhance multidisciplinary cardio-obstetrics education. To design a multidisciplinary cardio-obstetrics curriculum for general cardiology and obstetrics and gynecology (OBGYN) residents, we need to define educational needs from the perspectives of both cardiology and OBGYN residents. Our study characterizes the educational needs of Canadian cardiology and OBGYN residents. METHODS: Canadian cardiology and OBGYN residents were surveyed on clinical exposures, perceived needs for topics, unperceived needs for topics (multiple-choice questions) and preferences for educational formats...
February 2024: CJC open
https://read.qxmd.com/read/38485760/risk-factors-and-outcomes-associated-with-gaps-in-care-in-children-with-congenital-heart-disease
#28
JOURNAL ARTICLE
Michael B Rosamilia, Jason Williams, Courtney A Bair, Hillary Mulder, Karen E Chiswell, Alfred A D'Ottavio, Robert J Hartman, Charlie J Sang, Karl F Welke, Michael J Walsh, Timothy M Hoffman, Andrew P Landstrom, Jennifer S Li, Lauren A Sarno
Adults with congenital heart disease (CHD) benefit from cardiology follow-up at recommended intervals of ≤ 2 years. However, benefit for children is less clear given limited studies and unclear current guidelines. We hypothesize there are identifiable risks for gaps in cardiology follow-up in children with CHD and that gaps in follow-up are associated with differences in healthcare utilization. Our cohort included children < 10 years old with CHD and a healthcare encounter from 2008 to 2013 at one of four North Carolina (NC) hospitals...
March 14, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38485484/heart-failure-clinic-inclusion-and-exclusion-criteria-cross-sectional-study-of-clinic-s-and-referring-provider-s-perspectives
#29
JOURNAL ARTICLE
Taslima Mamataz, Sean A Virani, Michael McDonald, Heather Edgell, Sherry L Grace
OBJECTIVES: There are substantial variations in entry criteria for heart failure (HF) clinics, leading to variations in whom providers refer for these life-saving services. This study investigated actual versus ideal HF clinic inclusion or exclusion criteria and how that related to referring providers' perspectives of ideal criteria. DESIGN, SETTING AND PARTICIPANTS: Two cross-sectional surveys were administered via research electronic data capture to clinic providers and referrers (eg, cardiologists, family physicians and nurse practitioners) across Canada...
March 14, 2024: BMJ Open
https://read.qxmd.com/read/38484174/understanding-the-interface-between-physical-and-mental-health-in-adults-with-congenital-heart-disease
#30
EDITORIAL
Andrew Constantine, Kaushiga Krishnathasan, Konstantinos Dimopoulos
No abstract text is available yet for this article.
March 14, 2024: European Journal of Preventive Cardiology
https://read.qxmd.com/read/38480572/differential-regulation-of-immune-related-genes-in-the-developing-heart
#31
JOURNAL ARTICLE
Mathieu Garand, Susie S Y Huang, Brian Dineen, Ian A Glass, Pirooz Eghtesady
In many congenital heart defects, it can be difficult to ascertain primary pathology from secondary consequences from altered flow through the developing heart. The molecular differences between the growing right and left ventricles (RV and LV, respectively) following the completion of septation and the impact of sex on these mechanisms have not been investigated. We analyzed RNA-seq data derived from twelve RV and LVs, one with Hypoplastic Left Heart Syndrome (HLHS), to compare the transcriptomic landscape between the ventricles during development...
March 13, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38478047/morphology-clinical-associations-and-pathologic-follow-up-of-quadricuspid-aortic-valves-in-children
#32
JOURNAL ARTICLE
Omotola Ajayi, Faraz Alizadeh, Sepehr Sekhavat, Kristin Bonello, Rebecca S Beroukhim, Sunil J Ghelani
While quadricuspid morphology is commonly observed in truncal valves, quadricuspid aortic valves (QAV) are rare and their natural history is not well described. This retrospective study of 37 patients describes the diagnostic associations and morphologic variability of QAVs in children (median age at diagnosis 4.3 y IQR 0-12 y). Associated congenital heart diseases were present in 54% (most commonly tetralogy of Fallot (TOF) and valvar pulmonary stenosis). Among patients with isolated QAV, 11 had genetic syndrome and 5 had skeletal anomalies...
March 13, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38477576/fontan-associated-liver-disease-a-review
#33
JOURNAL ARTICLE
Gabriel Heering, Nachum Lebovics, Raksheeth Agarwal, William H Frishman, Edward Lebovics
Fontan-associated liver disease (FALD) is a chronic complication of the Fontan procedure, a palliative surgery for patients with congenital heart disease that results in a single-ventricle circulation. The success of the Fontan procedure has led to a growing population of post-Fontan patients living well into adulthood. For this population, FALD is a major cause of morbidity and mortality. It encompasses a spectrum of hepatic abnormalities, ranging from mild fibrosis to cirrhosis and hepatocellular carcinoma...
March 13, 2024: Cardiology in Review
https://read.qxmd.com/read/38472658/socioeconomic-influences-on-outcomes-following-congenital-heart-disease-surgery
#34
JOURNAL ARTICLE
Kristin Schneider, Sarah de Loizaga, Andrew F Beck, David L S Morales, JangDong Seo, Allison Divanovic
Associations between social determinants of health (SDOH) and adverse outcomes for children with congenital heart disease (CHD) are starting to be recognized; however, such links remain understudied. We examined the relationship between community-level material deprivation on mortality, readmission, and length of stay (LOS) for children undergoing surgery for CHD. We performed a retrospective cohort study of patients who underwent cardiac surgery at our institution from 2015 to 2018. A community-level deprivation index (DI), a marker of community material deprivation, was generated to contextualize the lived experience of children with CHD...
March 12, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38467893/variations-in-the-evaluation-and-management-of-vascular-rings-a-survey-of-american-clinicians
#35
JOURNAL ARTICLE
Daniel M Pasternack, Achiau Ludomirsky, Reina B Tan, Cynthia Amirtharaj
Vascular rings are arterial malformations that lead to the compression of the trachea and/or esophagus. While "tight" rings often produce symptoms and require surgery, "loose" rings rarely produce symptoms. Given advances in fetal echocardiography, this diagnosis is now more often made prenatally. This poses a new conundrum in the management of asymptomatic patients, leading to practice variation and creating a target for clinical system improvement. Hence, we conducted this survey aiming to demonstrate the practice variation existing in current evaluation and management of these patients...
March 11, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38466533/diagnosis-and-management-of-congenital-coronary-artery-fistulas-in-adults
#36
REVIEW
Jaya Kanduri, Zachary Falk, Harsimran S Singh
PURPOSE OF REVIEW: This review describes the presentation, diagnosis, and management of congenital coronary artery fistulas (CAFs) in adults. RECENT FINDINGS: CAFs are classified as coronary-cameral or coronary arteriovenous fistulas. Fistulous connections at the distal coronary bed are more likely to be aneurysmal with higher risk of thrombosis and myocardial infarction (MI). Medium-to-large or symptomatic CAFs can manifest as ischemia, heart failure, and arrhythmias...
March 11, 2024: Current Cardiology Reports
https://read.qxmd.com/read/38464705/preliminary-experience-with-remimazolam-for-procedural-sedation-and-as-an-adjunct-to-general-anesthesia-during-diagnostic-and-interventional-cardiac-procedures
#37
JOURNAL ARTICLE
Holly Gillis, Christopher McKee, Kristin Chenault, Marco Corridore, Joseph D Tobias
BACKGROUND: Remimazolam is a benzodiazepine which, like midazolam, has sedative, anxiolytic, and amnestic properties. Ester metabolism results in a half-life of 5 - 10 min, a limited context sensitive half-life, and rapid recovery when the infusion is discontinued. METHODS: Following the Institutional Review Board (IRB) approval, we performed a retrospective chart review of patients who received remimazolam in the cardiac catheterization, cardiac magnetic resonance imaging (MRI), and electrophysiology suites...
February 2024: Cardiology Research
https://read.qxmd.com/read/38462078/diabetes-another-lifelong-problem-of-patients-with-congenital-heart-disease
#38
EDITORIAL
Ewa Kowalik
No abstract text is available yet for this article.
March 8, 2024: International Journal of Cardiology
https://read.qxmd.com/read/38458583/the-burden-of-psychological-trauma-and-post-traumatic-stress-disorder-among-adults-with-congenital-heart-disease-ptsd-in-achd
#39
JOURNAL ARTICLE
David J Harrison, Joseph Kay, Roni M Jacobsen, Camila Londono-Obregon, Elizabeth Yeung, Sarah L Kelly, Ann Poteet, Claire Levek, Michael J Landzberg, Molly Wallrich, Amber Khanna
BACKGROUND: Psychological trauma, symptoms of post-traumatic stress disorder (PTSD), and mental health conditions are common in adult congenital heart disease (ACHD). There is a gap in the literature examining PTSD in ACHD using the current DSM-5 criteria, while assessing patient characteristics and experiences with trauma-focused treatment. METHODS: Surveys were offered to outpatients over a six-month enrollment period to be completed via QR code on their personal smart phone...
March 6, 2024: American Journal of Cardiology
https://read.qxmd.com/read/38458041/spontaneous-rupture-of-the-right-aortic-sinus-resulting-in-a-sterile-aorto-atrial-fistula-in-a-pet-rabbit-oryctolagus-cuniculus
#40
L Cheung, B A Scansen, R Baden, C Q Sloan, M Garcia, S Han, M J Sadar
Aortocardiac fistula is a broad term used to describe defects between the aorta and other cardiac chambers that can occur in humans and animals. A 1.5-year-old, 1.7 kg, male castrated Holland lop rabbit (Oryctolagus cuniculus) was presented for a two-week history of a heart murmur with corresponding cardiomegaly on radiographs. Physical examination confirmed a grade-V/VI continuous heart murmur on the right sternal border with a regular rhythm and a gallop sound. Echocardiography revealed an aortic-to-right-atrial fistula causing severe left-sided volume overload...
February 8, 2024: Journal of Veterinary Cardiology: the Official Journal of the European Society of Veterinary Cardiology
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