Rare cause of neonatal pulmonary hypertension: Congenital intrahepatic portosystemic shunt through an aneurysm
We present and discuss clinical, radiological findings of an intrahepatic shunt showing the early occurrence of pulmonary arterial hypertension in the neonatal period which required therapeutic intervention. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Satish Kumar Avula Sudeep Verma Anantha Ram Reena Lankala Source Type: research

Pulmonary artery thromboembolism in a critically ill neonate successfully treated using thrombolytic therapy
We report a case of a cyanotic neonate found to have bilateral pulmonary arterial thrombi who successfully underwent thrombolysis using tissue plasminogen activator with prompt resolution of right ventricular hypertension. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Gerson Valencia Villeda Robert Spencer Matthew A Crysta Jeffrey D Dayton Usha Krishnan Source Type: research

Catheter-directed thrombolysis for in situ pulmonary artery thrombosis in children
We present here a baby with hypoplastic left heart syndrome who developed ISPAT after Glenn surgery. The patient underwent catheter-directed thrombolysis, followed by systemic anticoagulation with excellent results. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Evyatar Hubara Sharon Borik Gili Kenet David Mishaly Amir Vardi Source Type: research

Rapid progression of aortic stenosis in a 3-month-old infant with bicuspid aortic valve and DeSanto-Shinawi syndrome
Daiji Takajo, Ghadir Katato, Sanjeev AggarwalAnnals of Pediatric Cardiology 2021 14(2):208-210 A 3-month-old female was diagnosed at 1 month of age with DeSanto-Shinawi syndrome (DSS) and bicuspid aortic valve with trivial stenosis. The aortic valve stenosis progressed to severe within 2 months and required balloon aortic valvuloplasty. This is the first case of aortic stenosis (AS) associated with DSS, and the syndrome may be the reason for the rapid worsening of AS in this case. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Daiji Takajo Ghadir Katato Sanjeev Aggarwal Source Type: research

Coarctation of aorta intervention: When covered stents should have been first choice ?
We describe our experience of three cases of coarctation stenting, in which covered stenting should have been the preferred choice. A 32-year-old female with Turner's syndrome and severe CoA developed dissection after balloon angioplasty which was successfully managed with a covered stent. A 27-year-old female with near atresia of aorta was managed with balloon expandable stent which remained underexpanded despite post dilatation. A 17-year-old girl with severe CoA and patent ductus arteriosus (PDA) was managed with balloon angioplasty for the CoA and Amplatzer Duct Occluder I for the PDA. However, she developed re-coa...
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Palanivel Rajan Navjyot Kaur Parag Barwad Pruthvi C Revaiah Manojkumar Rohit Source Type: research

Technical considerations of coarctation stenting in double-barreled aorta & #8211; A persistent fifth arch mimic
Shrusthi Walad, KN Harikrishnan, Arun Gopalakrishnan, Sivasankaran Sivasubramonian, Bijulal SasidharanAnnals of Pediatric Cardiology 2021 14(2):201-203 The double-barreled aorta connecting the ascending aorta and descending aorta caudal to the normal fourth aortic arch has fascinated the interests of cardiac morphologists for over a century. This condition is commonly associated with coarctation. While the controversies surrounding the embryology of the double-barreled aorta have settled down, we present a case-based illustration of the technical aspects of coarctation stenting peculiar to this condition. (Source: Annals ...
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Shrusthi Walad KN Harikrishnan Arun Gopalakrishnan Sivasankaran Sivasubramonian Bijulal Sasidharan Source Type: research

A systematic approach to epicardial echocardiography in pediatric cardiac surgery: An important but underutilized intraoperative tool
Neeraj Awasthy, Sumir Girotra, Nilanjan Dutta, Sushil Azad, Sitaraman Radhakrishnan, Krishna Subramony IyerAnnals of Pediatric Cardiology 2021 14(2):192-200 Intraoperative echocardiography is an integral component of the peri-operative management of pediatric heart disease. It confirms the adequacy of surgery, identifies residual lesions, and can provide useful hemodynamic data. It, therefore, helps to decide on the need for revision of repair and guides the postoperative management strategy. Intraoperative echocardiography is done with the use of either an epicardial probe or a transesophageal probe. Epicardial echocardi...
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Neeraj Awasthy Sumir Girotra Nilanjan Dutta Sushil Azad Sitaraman Radhakrishnan Krishna Subramony Iyer Source Type: research

Profile of Kawasaki disease at a tertiary care center in India
Conclusions : A significant proportion of infants with KD had cardiac involvement. Infants were more likely to have IVIg-resistant disease. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Sagar Bhattad Sandip Gupta Neha Israni Sweta Mohanty Source Type: research

Early diagnosis of diaphragm palsy after pediatric cardiac surgery and outcome after diaphragm plication - A single-center experience
Divyakant Parmar, Jigar Panchal, Neha Parmar, Pankaj Garg, Amit Mishra, Jigar Surti, Kartik PatelAnnals of Pediatric Cardiology 2021 14(2):178-186 Objective : The aims of our prospective observational study were to evaluate the (1) reliability of clinical signs in the early detection of diaphragm palsy (DP); (2) reliability of ultrasonography using echo machine as a bedside tool for the diagnosis of DP; and (3) does early diaphragm plication result in the improved outcome? We also sought to determine the incidence and predominant risk factors for DP and diaphragm plication at our center. Materials and Methods : This pros...
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Divyakant Parmar Jigar Panchal Neha Parmar Pankaj Garg Amit Mishra Jigar Surti Kartik Patel Source Type: research

A prospective randomized clinical study of perioperative oral thyroid hormone treatment for children undergoing surgery for congenital heart diseases
Conclusions : In infants and small children undergoing corrective cardiac surgery, perioperative oral thyroid hormone therapy reduces the severity of postoperative NTI. It increases the serum level of thyroid hormones but the therapy does not translate to better hemodynamics, reduced inotropic requirement, reduced ventilatory requirement, improved myocardial function or reduced ICU stay when compared to placebo. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Alok Kumar Nikhil Tiwari H Ravi Ramamurthy Vivek Kumar Gaurav Kumar Source Type: research

Aortic size in children: Systolic measurements are different from diastolic measurements
Conclusions : Systolic measurements for the AOR, STJ, and AAO were larger than diastolic measurements. Normal reference values are utilized to design treatment for patients with abnormal aortic sizes, and the timing in the cardiovascular cycle used to decide the reference values should be equivalent to the timing used to make measurements in clinical practice. This is particularly imperative as patients transition their care from a pediatric to an adult cardiologist. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Mohammad F Al-mousily Leo Lopez Juan Carlos Muniz Nao Sasaki Irwin Seltzer Joshua Gruber Elizabeth Welch Source Type: research

Use of cribriform amplatzer septal occluder in the pediatric population: Feasibility, safety, and technical considerations
Conclusions : Cribriform ASO can be used safely and effectively in closing F-ASDs in children. Deployment of the device through a small central hole allows covering maximum fenestrations and gives more stability to the device. Residual shunts, although not infrequent, are insignificant. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Priya Pradhan Sneha Jain Supratim Sen Bharat Dalvi Source Type: research

Carvedilol improves left ventricular diastolic dysfunction in patients with transfusion-dependent thalassemia
Conclusions: Among patients with transfusion-dependent thalassemia who had left ventricular diastolic dysfunction without systolic dysfunction, treatment with carvedilol for 3 months was associated with improvement in Doppler parameters of left ventricular diastolic function. However, this finding and its clinical significance need to be confirmed in further double-blind controlled studies. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Suchaya Silvilairat Pimlak Charoenkwan Suwit Saekho Adisak Tantiworawit Nipon Chattipakorn Source Type: research

Evaluation of high-dose aspirin elimination in the treatment of Kawasaki disease in the incidence of coronary artery aneurysm
Conclusions: We concluded that high dose Aspirin does not have a significant role in preventing coronary arteries abnormalities in Kawasaki disease and giving standard 2 gr/kg/day Intravenous immunoglobulin without high-dose Aspirin in acute-phases therapy does not increase the risk of coronary arteries abnormality. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Farima Sanati Mohammadmehdi Bagheri Shahryar Eslami Ali Khalooei Source Type: research

A comprehensive study of congenital unilateral absence of branch pulmonary artery associated with other congenital heart defects and ipsilateral non-unifocalizable major aorto-pulmonary collateral arteries: A single-center retrospective study
Conclusions: Congenital UAPA is a rare anomaly and associated with a variety of CHDs, TOF being the most common. Single lung corrective surgery in patients with ipsilateral non-unifocalizable MAPCAs has good immediate and long term survival. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: H Ravi Ramamurthy Varsha Walavalkar Satheesh Siddaiah Sunita Maheshwari Source Type: research

Annals of pediatric cardiology: A glorious journey and a vision for the future
Sivasubramanian RamakrishnanAnnals of Pediatric Cardiology 2021 14(2):135-138 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - May 3, 2021 Category: Cardiology Authors: Sivasubramanian Ramakrishnan Source Type: research

A shining star of congenital heart surgery & #8211; A tribute to Dr. William I Norwood Jr (1941 & #8211;2020)
Smruti Ranjan MohantyAnnals of Pediatric Cardiology 2021 14(1):132-133 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Smruti Ranjan Mohanty Source Type: research

Very late trans-catheter recruitment of congenitally & #8220;absent & #8221; pulmonary artery
Alessandra Pizzuto, Giovanbattista Calabri, Magdalena Cuman, Giuseppe SantoroAnnals of Pediatric Cardiology 2021 14(1):130-131 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Alessandra Pizzuto Giovanbattista Calabri Magdalena Cuman Giuseppe Santoro Source Type: research

The slow-flat-slow sequence in malignant vasovagal syncope
We present the electroencephalographic and electrocardiographic tracing obtained in an 8-year old boy who experienced malignant vasovagal syncope during the recording. This tracing illustrates the highly specific “slow-flat-slow” sequence described in cases of syncope induced by severe cerebral hypoperfusion. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Guy Vaksmann Ivan Bouzguenda Marie-Dominique Lamblin Source Type: research

DiGeorge syndrome and anomalous right aortic arch with arch-on-arch and figure-of-eight configurations: Aortic sac maldevelopment and left brachiocephalic artery abnormal remodeling
We report a 6-month-old female infant with deletion of chromosome 22q11.2 (DiGeorge/VFS TUPLE 1), normal atrial arrangement with concordant atrioventricular connection, pulmonary atresia, large subaortic ventricular septal defect, diminutive native pulmonary arteries, a characteristic weird-shape right aortic arch with arch-on-arch appearance and figure of 8 configuration. We presented the cardiac computed tomographic angiographic and cardiac angiographic features. Using Autodesk 3ds Max 2018 software, we explained and illustrated the speculative embryologic etiology of this bizarre aortic archanomaly with the extensive ab...
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Elaheh Malakan Rad Sara Momtazmanesh Source Type: research

Virtual modeling and interactive virtual reality display of unusual high-riding cervical aortic arch
We describe a rare form of a cervical arch and briefly discuss the latest methods of improved visualization using 3D virtual reality displays and smartphones. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Sarv Priya Prashant Nagpal Source Type: research

Pericardial agenesis
We present an incidental finding of total agenesis of the left pericardium in an asymptomatic 16-year-old male diagnosed in a preoperative assessment of a bone fracture. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Paula Concejo Iglesias Elisa Aguirre Pascual Leticia Albert de la Torre David Coca Robinot Bel é n Toral V á zquez Miguel A Granados Ruiz Source Type: research

Balloon pulmonary valvotomy in severe dysplastic pulmonary valve restenosis: A novel maneuver for stabilizing balloon positioning
Palanivel Rajan, Pruthvi C Revaiah, Parag BarwadAnnals of Pediatric Cardiology 2021 14(1):116-118 Balloon pulmonary valvuloplasty (BPV) is an interventional procedure that has practically replaced the need of open-heart surgery in patients with severe valvular pulmonary stenosis. However, BPV in dysplastic pulmonary valve (PV) still remains a challenge in the current milieu of advanced technologies. We encountered a unique situation of severe restenosis of PV wherein the attempt to balloon dilate the valve was futile because no balloon remained stable at the level of the valve. This situation was overcome using a PDA devi...
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Palanivel Rajan Pruthvi C Revaiah Parag Barwad Source Type: research

Massive ductal aneurysm in an asymptomatic child with Loeys-Dietz syndrome
Saira Siddiqui, Antonio Polanco, Michael P DiLorenzo, Amee Shah, Michael Snyder, Harry Dietz, Emile Bacha, Kanwal Majeed FarooqiAnnals of Pediatric Cardiology 2021 14(1):113-115 An asymptomatic 3-year-old with Loeys-Dietz Syndrome (LDS) followed for a small patent ductus arteriosus and dilated aorta was found to have a massive ductal aneurysm on routine surveillance cardiac magnetic resonance. The aneurysm was successfully resected. Serial advanced imaging tools are useful in surveillance, diagnosis, and management in patients with LDS. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Saira Siddiqui Antonio Polanco Michael P DiLorenzo Amee Shah Michael Snyder Harry Dietz Emile Bacha Kanwal Majeed Farooqi Source Type: research

Re-entrant ventricular tachycardia in a postoperative case of tetralogy of Fallot & #8211; Ablated successfully under the three-dimensional mapping system
Suresh Kumar Paidi, Krishna Kumar Mohanan Nair, Narayanan Namboodiri, Sridhar Balaguru, Ajitkumar ValaparambilAnnals of Pediatric Cardiology 2021 14(1):107-112 A 47-year-old female underwent cardiac repair for tetralogy of Fallot at the age of 12 years. Subsequently, she was asymptomatic on follow-up. Recently, she presented elsewhere with palpitations and presyncope with documented ventricular tachycardia (VT) having left bundle branch block morphology with inferior QRS axis and late precordial transition. She was reported to have cardioverted and referred to our center for electrophysiology study (EP). She underwent EP ...
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Suresh Kumar Paidi Krishna Kumar Mohanan Nair Narayanan Namboodiri Sridhar Balaguru Ajitkumar Valaparambil Source Type: research

Iatrogenic pericardial defect
We present the case of an iatrogenic pericardial defect in an asymptomatic 20-year-old female. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Brett J Murray Jacob B Diamond Robert F English Source Type: research

Radiofrequency ablation for fascicular ventricular tachycardia causing tachycardiomyopathy and brief literature review
Sanjeev S Mukharjee, Soumya Kanti Mohapatra, Aritra Mukherji, Arnab De, Anil Kumar SinghiAnnals of Pediatric Cardiology 2021 14(1):99-104 A 10-years-old boy presented with a history of effort intolerance and palpitations for 4 months. His electrocardiogram showed wide complex tachycardia suggestive of fascicular ventricular tachycardia (VT). The echocardiogram showed moderate-to-severe left ventricular systolic dysfunction without any structural lesion. The tachycardia was unresponsive to adenosine and direct current cardioversion. It responded to oral verapamil. The electrophysiology study confirmed the tachycardia as le...
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Sanjeev S Mukharjee Soumya Kanti Mohapatra Aritra Mukherji Arnab De Anil Kumar Singhi Source Type: research

Staged interventional solution for a diagnostic dilemma caused by hypoplastic left ventricle with severe aortic arch hypoplasia
Santosh Wadile, Kothandam SivakumarAnnals of Pediatric Cardiology 2021 14(1):95-98 Duct dependent aortic arch obstruction with borderline left ventricular hypoplasia presents a diagnostic dilemma. If the left ventricle (LV) is adequate to sustain systemic cardiac output without a patent duct, arch obstruction is relieved surgically and duct is divided. Inadequate LVs do not tolerate duct division, and these patients need more complex Norwood type surgeries. However, catheter-based interventions for arch obstruction can retain ductal patency. The progressive changes in anatomy and physiology of a neonate who presented with...
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Santosh Wadile Kothandam Sivakumar Source Type: research

Transcatheter treatment of an unusual coronary arteriovenous malformation with a fistulous sac in the interventricular septum
We report a case of CAF with an unusually large fistulous sac within the interventricular septum. The fistula had connections with all the three major coronary arteries, namely, left anterior descending (LAD), left circumflex , and right coronary arteries but did not have any exit resulting in to and fro movement of blood within the sac and the feeding vessels. The patient was managed successfully by transcatheter coil embolization. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Anupama Nair Kshitij Sheth Rahul Sheth Bharat Dalvi Source Type: research

Overdrive suppression of postoperative sustained ventricular tachycardia by atrial pacing and its hemodynamic effect
We present a case of 1-year 5-month-old child who developed VT with low cardiac output syndrome with deranged hepatic function, who was managed efficiently using suppressive atrial pacing to ameliorate the effects of sustained VT. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Mohammed Sameer Sudip Dutta Baruah Sabarinath Menon Baiju Sasi Dharan Sowmya V Ramanan Javid S Raja Narayanan Namboodiri Source Type: research

Congenital long QT syndrome and patent ductus arteriosus: A rare surgical scenario
We present a rare case of LQTS associated with patent ductus arteriosus in a child, and a unique approach was used in managing both conditions. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Javid Raja Sabarinath Menon Devarakonda Bhargava Venkata KP Unnikrishnan Narayanan Namboodiri Source Type: research

Catheter closure of a patent vertical vein after repair of an unusual total anomalous variant of pulmonary venous drainage
Paolo Ferrero, Isabelle Piazza, Nageswara Rao Koneti, Matteo CiuffredaAnnals of Pediatric Cardiology 2021 14(1):82-84 Total anomalous pulmonary venous drainage (TAPVD) encompasses a wide spectrum of anatomical variants. The infradiaphragmatic type is almost always obstructive owing to the interposition of intrahepatic resistances; since almost invariable, the vertical vein inserts on the portal venous system. On correction of this variant, the vertical vein might not be ligated to avoid postoperative pulmonary hypertension. We hereby describe an unusual case of infradiaphragmatic TAPVD, with a vertical vein connected to d...
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Paolo Ferrero Isabelle Piazza Nageswara Rao Koneti Matteo Ciuffreda Source Type: research

Persistent atypical atrial flutter after device closure of the atrial septal defect in a young man
We describe a case of persistent atypical atrial flutter following device closure of ASD in a young man and discuss the management strategy given the various underlying dilemmas. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Keerthika Ravella Shrikant Bhoskar Neeta Bachani Yash Lokhandwala Bharat Dalvi Source Type: research

Use of selexipag in a teenage patient with pulmonary arterial hypertension
We report the case of a teenage patient with idiopathic PAH who presented in World Health Organization functional Class IV and showed no clinical improvement with dual therapy. We added oral selexipag to the treatment regimen and observed substantial improvement in her quality of life at the short-time follow-up. Despite the lack of childhood data regarding the use of selexipag in pediatric patients with PAH, the use of this drug in the current teenage patient improved her quality of life and exercise capacity. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Nathalie Jeanne Magioli Bravo-Valenzuela Flavia Navarro Socrates Pereira Silva Source Type: research

Myocardial infarction due to thrombosis of native aorta late after Fontan procedure for hypoplastic left heart syndrome
We present three cases of NAR thrombus with embolization to the CA, resulting in myocardial infarction. Thromboembolic events are well-documented complications of Fontan physiology, and optimal prevention and treatment strategies are poorly defined. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Bhavi Patel Tacy Downing Lourdes Prieto Darline Santana-Acosta Source Type: research

Video-assisted thoracoscopic pacemaker lead placement in children with atrioventricular block
Conclusion: Thoracoscopic pacemaker lead placement may provide a potential alternative to the transthoracic approach of epicardial lead placement in children with AVB. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Sergey Termosesov Ekaterina Kulbachinskaya Ekaterina Polyakova Dmitriy Khaspekov Ivan Grishin Vera Bereznitskaya Maria Shkolnikova Source Type: research

Defining transposition: What have we learnt ?
We describe an unusual variant of transposition, in which despite the arterial roots being supported by morphologically inappropriate ventricles, the roots themselves were normally related, with the intrapericardial arterial trunks spiraling as they extended into the mediastinum. The specimen was identified following the re-categorization of our archive, and we subsequently conducted a detailed analysis of the underlying morphology. Using the principles of sequential segmental analysis, we compared the morphology with standard examples previously described. We show how it was the recognition of such hearts that promoted th...
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Max E Roderick Nikita Maria Adrian Crucean John Stickley David J Barron Robert H Anderson Source Type: research

Tetralogy of fallot with coronary crossing the right ventricular outflow tract: A tale of a bridge and the artery
Sachin Talwar, Sanjoy Sengupta, Supreet Marathe, Pradeep Vaideeswar, Balram Airan, Shiv Kumar ChoudharyAnnals of Pediatric Cardiology 2021 14(1):53-62 A coronary artery crossing the right ventricular outflow tract is a subset of a larger pathomorphological cohort known as an anomalous coronary artery (ACA) in the tetralogy of Fallot (TOF). The best possible outcome in a patient with TOF and ACA is decided by judicious selection of optimum preoperative investigative information, the timing of surgery, astute assessment of preoperative surgical findings, and appropriate surgical technique from a wide array of choices. In mo...
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Sachin Talwar Sanjoy Sengupta Supreet Marathe Pradeep Vaideeswar Balram Airan Shiv Kumar Choudhary Source Type: research

Clinical profiles and risk factors for early and medium-term mortality following heart transplantation in a pediatric population: A single-center experience
Conclusions: Excellent outcomes are possible after heart transplantation in a pediatric population even in a resource constrained environment of a developing economy. More efforts are needed to promote pediatric organ donation and patients need to be referred in better INTERMACS category for optimal outcomes. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Komarakshi R Balakrishnan Kemundel Genny Suresh Rao Ganapathy Krishnan Subramaniam Murali Krishna Tanguturu Ajay Arvind Veena Ramanan Jagdish Dhushyanthan K Ramasubramanian K Suresh Kumaran Gunalan Sellamuthu Mohan Rajam Senthil Mettur Pradeep Gnansekhara Source Type: research

Melody valve to replace the mitral valve in small children: Lessons learned
Conclusions: Mitral valve replacement with a Melody valve is feasible in infants, is reproducible, shows good immediate results, and offers the possibility of later dilatation. This technique offers a better solution compared to the existing alternatives for infants requiring a prosthetic mitral valve. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Vilius Dranseika Rene Pretre Oliver Kretschmar Hitendu Dave Source Type: research

Utility of late pulmonary artery banding in single-ventricle physiology: A mid-term follow-up
Conclusions: Late PA band in selected patients with SV physiology can have definite benefit in terms of correction of heart failure symptoms and subsequent conversion to BDG and can potentially change the natural history of disease both in terms of survival and quality of life. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Aritra Mukherji Sanjiban Ghosh Nihar Pathak Jayita Nandi Das Nilanjan Dutta Debasis Das Amitabha Chattopadhyay Source Type: research

Comparison of right ventricular outflow tract gradient under anesthesia with post-operative gradient in patients undergoing tetralogy of Fallot repair
Conclusions : Postoperative RVOT gradient was not altered by changing depth of anesthesia provided systemic blood pressure was maintained. One month postrepair RVOT gradients were significantly reduced as compared to the intraoperative values. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Dheemta Toshkhani Virendra Kumar Arya Kamal Kajal Shyam K S Thingnam Sandeep Singh Rana Source Type: research

Pulmonary arteriovenous malformations in children after the Kawashima procedure: Risk factors and midterm outcome
Conclusions : PAVMs represent a serious complication in patients who undergo Kawashima procedure. Small size of pulmonary arteries is an important risk factor for the development of PAVMs. Resolution of hypoxemia after TCPC completion supports the hepatic factor hypothesis. Early TCPC completion in these patients may help to avoid the development of PAVMs by restoring the hepatic factor. Resolution of hypoxemia after AAVF creation may support the lack of pulsatile flow hypothesis. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Ibrahim J Alibrahim Mohammed H A Mohammed Mohamad S Kabbani Abdulraouf M Z. Jijeh Omar R Tamimi Abdullah A Alghamdi Fahad Alhabshan Source Type: research

Use of strain, strain rate, tissue velocity imaging, and endothelial function for early detection of cardiovascular involvement in young diabetics
Conclusions: LV strain indices and flow--mediated dilatation are impaired in asymptomatic children and adolescents with type 1 diabetes mellitus despite absence of overt heart failure and normal ejection fraction. Early detection of subclinical regional myocardial dysfunction by deformation analysis including strain and strain rate may be useful in the asymptomatic diabetic population. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - January 16, 2021 Category: Cardiology Authors: Atul Kaushik Aditya Kapoor Preeti Dabadghao Roopali Khanna Sudeep Kumar Naveen Garg Satyendra Tewari Pravin K Goel Archana Sinha Source Type: research

Vertical vein stenting as a therapeutic strategy for obstructed supracardiac total anomalous pulmonary venous connection
Gaurav Kumar, Romila Chimoriya, Neeraj Awasthy, KS DagarAnnals of Pediatric Cardiology 2020 13(4):379-381 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - October 4, 2020 Category: Cardiology Authors: Gaurav Kumar Romila Chimoriya Neeraj Awasthy KS Dagar Source Type: research

Pulmonary hypertension secondary to pulmonary veno occlusive disease: Catastrophe in the catheterization laboratory
Anuj Sharma, Prashant Raviprakash Bobhate, Tanuja Karande, Ravindra Pawar, Snehal KulkarniAnnals of Pediatric Cardiology 2020 13(4):377-379 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - October 4, 2020 Category: Cardiology Authors: Anuj Sharma Prashant Raviprakash Bobhate Tanuja Karande Ravindra Pawar Snehal Kulkarni Source Type: research

Authors & #39; reply
Anita Saxena, Jay RelanAnnals of Pediatric Cardiology 2020 13(4):376-377 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - October 4, 2020 Category: Cardiology Authors: Anita Saxena Jay Relan Source Type: research

Anticoagulation for atrial fibrillation in children; one size doesn & #39;t fit all!
Sanjeev Hanumantacharya Naganur, Jyothi Vijay, Parag BarwadAnnals of Pediatric Cardiology 2020 13(4):375-376 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - October 4, 2020 Category: Cardiology Authors: Sanjeev Hanumantacharya Naganur Jyothi Vijay Parag Barwad Source Type: research

Congenital absence of pericardium
Rahul Nikam, Jordan Rapp, Ashrith Kandula, Snigdha Puram, David SaulAnnals of Pediatric Cardiology 2020 13(4):373-374 A 16-year-old girl presented to the emergency department with orthopnea and exercise intolerance for 1 week. Electrocardiogram at that time showed rightward deviation of the cardiac axis, with nonspecific T-wave inversion in the lateral precordial leads and flattening in the inferior leads. She was discharged from the emergency department with cardiology follow-up. Subsequent echocardiogram demonstrated that “the heart is in a funny position in the chest,” and computed tomography of the chest w...
Source: Annals of Pediatric Cardiology - October 4, 2020 Category: Cardiology Authors: Rahul Nikam Jordan Rapp Ashrith Kandula Snigdha Puram David Saul Source Type: research

Thrombus in transit after balloon atrial septostomy
We report an unusual cause for the same. A thrombus in transit has not been previously reported following BAS. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - October 4, 2020 Category: Cardiology Authors: Sakshi Sachdeva Samir Shakya Shyam Sunder Kothari Source Type: research