Initial experience and results of a cardiogenetic clinic in a tertiary cardiac care center in India
Saileela Rajan, Priya Chockalingam, Nageswara Rao Koneti, Thenral S Geetha, Sanghamitra Mishra, Calambur NarasimhanAnnals of Pediatric Cardiology 2021 14(3):443-448 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Saileela Rajan Priya Chockalingam Nageswara Rao Koneti Thenral S Geetha Sanghamitra Mishra Calambur Narasimhan Source Type: research

Allergic myocardial infarction (Kounis syndrome) in a child with scorpion sting
Sudeep Verma, Reena Mathew, Khalil Mohammed Khan, Vejendla GouthamiAnnals of Pediatric Cardiology 2021 14(3):441-442 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Sudeep Verma Reena Mathew Khalil Mohammed Khan Vejendla Gouthami Source Type: research

Dr Aldo R. Castaneda - Apollonian surgeon exemplar (1930-2021): An inspiring legacy
Rajesh SharmaAnnals of Pediatric Cardiology 2021 14(3):437-440 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Rajesh Sharma Source Type: research

Prenatal diagnosis of obstructed supracardiac total anomalous pulmonary venous connection at 23 weeks with successful immediate postnatal surgical correction
We report a case of a fetus diagnosed with the supracardiac type of TAPVC at 23 weeks gestation, with evidence of obstruction to connection of the common vertical vein to the superior vena cava. The neonate had a critical presentation at birth and underwent an emergency surgical repair immediately after birth with excellent outcome on short term follow-up with the resolution of pulmonary artery hypertension. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Danish Memon Balu Vaidyanathan Source Type: research

Unexpected late-onset aortic valvulitis and moderate regurgitation during longitudinal evaluation of atypical infantile Kawasaki disease: The heart beyond coronaries!
Maitri Chaudhuri, Justin Jose, Arvind Shenoi, Munesh TomarAnnals of Pediatric Cardiology 2021 14(3):428-431 Kawasaki disease (KD) is the most common pediatric vasculitis with coronary involvement feared as the most serious complication. The reported case describes a child presenting initially with atypical KD and coronary artery aneurysms. He was treated with intravenous immunoglobulin and aspirin. In spite of adequate compliance and no clinical recurrence, serial echocardiography revealed nonregression of aneurysm and new-onset moderate aortic regurgitation (AR) in the subacute phase produced by prolapse of noncoronary c...
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Maitri Chaudhuri Justin Jose Arvind Shenoi Munesh Tomar Source Type: research

Tachycardia-induced cardiomyopathy secondary to incessant ectopic atrial tachycardia in two infants: Potential new indication for early initiation of enteral ivabradine
This report describes two cases of tachycardia-induced cardiomyopathy secondary to incessant ectopic atrial tachycardia (EAT) in an infant presenting with severe left ventricular dysfunction and hemodynamic instability. The two cases were managed differently. The first required mechanical ventilation and was resistant to conventional antiarrhythmic drugs. After the initiation of enteral ivabradine (0.15mg/kg) the heart rate slowed with significant improvement in hemodynamics, peripheral perfusion and sinus rhythm was restored after 12 hours. Ivabradine was continued and the patient was discharged home after 10 days of hosp...
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Balaganesh Karmegaraj Seshadri Balaji Prasanna Narayanan Raju Pradheep Subramanian Raju Subramanian Syed Ibrahim Mohamed Razeen Raman Krishnakumar Source Type: research

Novel transcatheter treatment for staged closure of Abernethy malformation with portal hypoplasia
We describe a novel transcatheter technique that we improvised for staged occlusion of Abernethy malformation in a 2-year-old girl. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Deepa Sasikumar Jineesh Valakkada Harshith Kramadhari Anoop Ayyappan Kavasseri M Krishnamoorthy Source Type: research

Successful surgical repair of pulmonary dominant common arterial trunk without aortic arch obstruction in a neonate
We report a 23-day-old baby with a pulmonary dominant trunk with mild aortic hypoplasia but with an arch free of coarctation or interruption, who underwent successful surgical repair. In the preoperative evaluation of a common arterial trunk, pulmonary dominance may not necessarily denote an adverse risk factor when the aorta is only mildly hypoplastic. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Harikrishnan Nair John Valliattu Raghavannair Suresh Kumar Robert H Anderson Sajith Sulaiman Ashwin Varghese Alexander Source Type: research

Multisystem inflammatory syndrome in children and complete atrioventricular block: What have we learned so far and where do we go from here ?
Bradley C Clark, Seshadri BalajiAnnals of Pediatric Cardiology 2021 14(3):412-415 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Bradley C Clark Seshadri Balaji Source Type: research

Atypical presentation of complete heart block in children with pediatric inflammatory multisystem syndrome: A case series of two patients
Rishika Mehta, Sanjiban Ghosh, Jayita Das Nandy, Shubhadeep Das, Amitabha ChattopadhyayAnnals of Pediatric Cardiology 2021 14(3):408-411 In the midst of the COVID-19 pandemic, we report two cases of children presenting with typical diagnosis of pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) who suffered from complete heart block requiring pacemaker placement which is an unusual presentation of PIMS-TS. We also compared it with the already existing data with similar manifestations. PIMS-TS is reported to occur in children with predominantly gastrointestinal symptoms, hemodynamic...
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Rishika Mehta Sanjiban Ghosh Jayita Das Nandy Shubhadeep Das Amitabha Chattopadhyay Source Type: research

Avalanches in cardiology
This article highlights the currently available knowledge on the pathophysiology of SCD in RV overload states, with special reference to RV adaptive and decompensatory mechanisms, and therapeutic measures that can potentially interrupt the vicious downward course (cardiac avalanches). (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Raghavan Subramanyan Source Type: research

Transcatheter device closure of perimembranous ventricular septal defect associated with indirect Gerbode defect: A retrospective study
Md Afaque Parvez, Dhritabrata DasAnnals of Pediatric Cardiology 2021 14(3):397-400 Perimembranous ventricular septal defect (pmVSD) is a common congenital heart disease that is sometimes associated with indirect left ventricle (LV) to right atrium (RA) shunt (indirect Gerbode defect). This defect has a rare chance of spontaneous closure and therefore was usually closed surgically in the past, but more recently transcatheter closure has been reported by a few authors. In our study, we have described a series of 14 children (age ranging from 1.2 to 12 years and weight ranging from 7.2 to 25.5 kg) with the above-mentioned de...
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Md Afaque Parvez Dhritabrata Das Source Type: research

Peak left atrial longitudinal strain: A potential diagnostic entity in children with multi-inflammatory syndrome in children
Mani Ram Krishna, Usha Nandhini SennaiyanAnnals of Pediatric Cardiology 2021 14(3):393-396 The multi-inflammatory syndrome in children is a poorly understood febrile illness potentially linked to an immune response to COVID-19 infection. The disease is characterized by fever and elevated acute-phase reactants. A number of children with clinical and laboratory evidence of cardiovascular involvement have normal echocardiograms by conventional assessment. The peak left atrial longitudinal strain obtained by atrial deformation analysis could potentially be diagnostic of this condition in children who do not have abnormalities...
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Mani Ram Krishna Usha Nandhini Sennaiyan Source Type: research

Virtual reality-guided left ventricular assist device implantation in pediatric patient: Valuable presurgical tool
Rajesh Kumar Ramaswamy, Sathish Kumar Marimuthu, Krishna Kumar Ramarathnam, Srinath Vijayasekharan, Kemundel Genny Suresh Rao, Komarakshi R BalakrishnanAnnals of Pediatric Cardiology 2021 14(3):388-392 Virtual reality (VR) is increasingly used for presurgical planning and teaching during surgery. However, VR aided presurgical planning toolbox for left ventricular assist device (LVAD) implantation is not widely available. We investigated the use of a VR environment with wearable headsets and touch controllers in simulating an implant in an 11-year-old boy. The technology played a significant role in the optimal positioning...
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Rajesh Kumar Ramaswamy Sathish Kumar Marimuthu Krishna Kumar Ramarathnam Srinath Vijayasekharan Kemundel Genny Suresh Rao Komarakshi R Balakrishnan Source Type: research

The modified Senning operation & #8211; surgical aspects
Krishna Subramony IyerAnnals of Pediatric Cardiology 2021 14(3):382-387 The advent of the arterial switch operation for the treatment of transposition of great arteries (TGA) made the atrial switch operation largely redundant and its use in the developed world is now confined to the atrial component of the double-switch operation for congenitally corrected TGA. In resource-limited countries, however, it remains relevant as a treatment option for patients presenting late with transposition and a regressed left ventricle. The operation is intricate with many potential pitfalls, and this “how I do it” article des...
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Krishna Subramony Iyer Source Type: research

Diagnosis and management of junctional ectopic tachycardia in children
Navaneetha Sasikumar, Raman Krishna Kumar, Seshadri BalajiAnnals of Pediatric Cardiology 2021 14(3):372-381 Junctional ectopic tachycardia (JET) is more common in its postoperative form. A thorough understanding of its etiology, pathophysiology, and management strategies is essential. Classically, postoperative JET is considered to arise from surgical trauma. Genetic susceptibility and an intrinsic morphologic/functional defect in the conduction system inherent in congenital heart diseases likely play a significant role. The devastating effects on postoperative hemodynamics warrant prompt attention. A multipronged managem...
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Navaneetha Sasikumar Raman Krishna Kumar Seshadri Balaji Source Type: research

Arrhythmia spectrum and outcome in children with myocarditis
Conclusions : A variety of arrhythmias and other ECG changes were commonly seen in children with myocarditis. Sustained arrhythmias were seen in one-fifth of the patients, being associated with ST-T changes and a longer hospital stay. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Govind Rasal Mrunmayee Deshpande Zeeshan Mumtaz Milind Phadke Ajay Mahajan Pratap Nathani Yash Lokhandwala Source Type: research

Prenatal diagnosis of vascular rings and outcome
Conclusions : Fetal echocardiography enables prenatal diagnosis and planning of postnatal repair of VRs. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Shweta Bakhru Nageswara Rao Koneti Sujata Patil Bhargavi Dhulipudi Tapan Dash Geeta Kolar Suseela Vavilala Source Type: research

Research in pediatric cardiac anesthesia and intensive care in low- and middle- income countries and low resource settings: Challenges and opportunities
Parvathi U Iyer, Krishna S IyerAnnals of Pediatric Cardiology 2021 14(3):356-358 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Parvathi U Iyer Krishna S Iyer Source Type: research

Effect of change in tidal volume on left to right shunt across ventricular septal defect in children & #8211; A pilot study
Conclusion : Lower VT reduces the gradient across VSD, the pulmonary blood flow, and the peak airway pressure. Hence, ventilation with lower VT and higher respiratory rate maintaining adequate minute ventilation might be preferable in children with VSD. Further studies are required to confirm the findings of this pilot study. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Pravin Pathak Sambhunath Das Saurabh Kumar Gupta Suruchi Hasija Arindam Choudhury Parag Gharde Neeti Makhija Sandeep Chauhan Source Type: research

Anesthesia protocols for & #8220;bedside & #8221; preterm patent ductus arteriosus ligation: A single-institutional experience
Conclusions : Although anesthesia for preterm neonates undergoing bedside PDA ligation poses unique challenges, it can be safely conducted by following a predetermined standardized anesthesia protocol. Its successful conduct requires utmost vigilance and pristine understanding of the principles of neonatal and cardiac care. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Reena Khantwal Joshi Neeraj Aggarwal Mridul Agarwal Raja Joshi Source Type: research

Beta-blocker therapy in pediatric heart failure: 50 years lost to improve pharmacotherapy of a deadly disease
Reiner BuchhornAnnals of Pediatric Cardiology 2021 14(3):341-342 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Reiner Buchhorn Source Type: research

Efficacy and safety of propranolol in infants with heart failure due to moderate-to-large ventricular septal defect (VSD-PHF study) & #8211; A prospective randomized trial
Conclusions : Propranolol therapy in infants with significant left-to-right shunt may prevent worsening in HF symptoms and hospitalization and is well tolerated. However, it does not reduce mortality or need for surgery. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Sivasubramanian Ramakrishnan Nirmal Ghati Ramandeep Singh Ahuja Kinjal Niranjan Bhatt Hem Chandra Sati Anita Saxena Shyam Sunder Kothari Source Type: research

Concomitant pulmonary valve replacement with intracardiac repair for adult tetralogy of fallot
Conclusion : Concomitant PVR with TOF repair in adult provides excellent mid-term outcome, with a minimal rate of pulmonary valve degeneration. It not only eases the early postoperative course but also preserves the RV function as well as functional status at mid-term. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Anil Jain Suresh Kumar Rajan Kartik Patel Pankaj Garg Vishal Agrawal Deepti Kakkar Trushar Gajjar Amit Mishra Sanjay Patel Chirag Doshi Source Type: research

Early experience with surgical strategies aimed at preserving the pulmonary valve and annulus during repair of tetralogy of Fallot
Conclusions : During repair of TOF, adequate valve/annulus sparing is possible if the repair is done from both the main pulmonary artery and infundibular incisions using the delamination technique. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Anil Kumar Dharmapuram Nagarajan Ramadoss Vejendla Goutami Sudeep Verma Shantanu Pande Sindhura Devalaraja Source Type: research

Percutaneous pulmonary valve implantation in India: Quo Vadis ?
Shyam Sunder KothariAnnals of Pediatric Cardiology 2021 14(3):310-314 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Shyam Sunder Kothari Source Type: research

Early multicenter experience of Melody valve implantation in India
Conclusions : Our early experience shows encouraging results of the PPVI program in India with proctored case selection and meticulous planning. It also confirms the safety and efficacy of Melody TPV for treating dysfunctional RVOT in postoperative patients. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Kshitij Sheth Sushil Azad Bharat Dalvi Maulik Parekh Pramod Sagar Rajaram Anantharaman Sitaraman Radhakrishnan Kothandam Sivakumar Source Type: research

Early multicenter experience of a new balloon expandable MyVal transcatheter heart valve in dysfunctional stenosed right ventricular outflow tract conduits
Conclusions : Early experience of TPVI with MyVal THV in prestented conduits is encouraging with procedural success in all patients and acceptable mid-term outcomes. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Muthukumaran C Sivaprakasam J Raja Vijendra Reddy Sengottuvelu Gunasekaran Kothandam Sivakumar Sreeja Pavithran Gopalavilasam Rajagopalan Rohitraj M Jayranganath Edwin Francis Source Type: research

Outcomes of Venus P-valve for dysfunctional right ventricular outflow tracts from Indian Venus P-valve database
Conclusion : Straight and flared Venus P-valves are safe and effective in appropriate outflow tracts. Straight valve is an alternative to balloon-expandable valves in stenosed conduits. Flared valve is suitable for large outflows up to 34 mm, including patients with LPA stenosis. Recent design modifications may correct previous technical failures. Studies should focus on durability and late complications. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Kothandam Sivakumar Pramod Sagar Shakeel Qureshi Worakan Promphan Bijulal Sasidharan Neeraj Awasthy Mahesh Kappanayil Pujar Venkatesh Suresh Nageswara Rao Koneti Source Type: research

Getting around the pandemic & #8211; lessons from the Pediatric Cardiac Society of India COVID-19 study
Krishnanaik ShivaprakashaAnnals of Pediatric Cardiology 2021 14(3):278-280 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Krishnanaik Shivaprakasha Source Type: research

Outcome of COVID-19-positive children with heart disease and grown-ups with congenital heart disease: A multicentric study from India
Conclusions : Children with heart disease are at a higher risk of death when they acquire COVID-19 infection. Systematic preventive measures and management strategies are needed for improving the outcomes. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Sakshi Sachdeva Sivasubramanian Ramakrishnan Mrigank Choubey Nageswara Rao Koneti Kalaivani Mani Shweta Bakhru Saurabh Kumar Gupta Debasree Gangopadhyay Soumya Kasturi Jayashree Mishra Hemant Kumar Nayak Kothandam Sivakumar Prashant Bobhate Neeraj Awasthy Source Type: research

Impact of COVID-19 pandemic on pediatric cardiac services in India
Conclusions : The current COVID-19 pandemic significantly impacted the delivery of pediatric cardiac care across India with two-third reduction in hospitalizations and cardiac surgeries. In an already resource-constrained environment, the impact of such a massive reduction in the number of surgeries could be significant over the coming years. These findings may prove useful in formulating strategy to manage subsequent waves of ongoing COVID-19 pandemic. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Mrigank Choubey Sivasubramanian Ramakrishnan Sakshi Sachdeva Kalaivani Mani Debasree Gangopadhyay Kothandam Sivakumar Mahesh Kappanayil Mahimarangaiah Jayranganath Nageswara Rao Koneti Neeraj Awasthy Prashant Bobhate Saurabh Kumar Gupta Sushil Azad Bharga Source Type: research

Pediatric cardiology: Is India self-reliant ?
Sivasubramanian RamakrishnanAnnals of Pediatric Cardiology 2021 14(3):253-259 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - August 26, 2021 Category: Cardiology Authors: Sivasubramanian Ramakrishnan Source Type: research

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