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...
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 : Th...
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