Transcatheter reduction in size of large undesirable fenestrations following extracardiac conduit Fontan surgery with off-label use of Occlutech atrial flow regulator
Bhushan Shivaji Sonawane, Kothandam SivakumarAnnals of Pediatric Cardiology 2020 13(3):260-263
Fontan surgery streamlines the systemic venous return through the pulmonary circulation before filling the systemic ventricle in univentricular hearts. The venous congestion leads to effusions, lowers cardiac output, and affects organ perfusion. Fenestrations in the Fontan circuit improve forward flow through the ventricles, lower venous pressures, and reduce perioperative morbidity. When large fenestrations cause profound hypoxia and effort intolerance, there are no current techniques to reduce their size. Atrial flow regulator...
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Bhushan Shivaji Sonawane Kothandam Sivakumar Source Type: research
Recurrent pericarditis in an adolescent with Crohn & #39;s colitis
Bibhuti B Das, Morgan Dodson, Angel GuzmanAnnals of Pediatric Cardiology 2020 13(3):256-259
Extraintestinal manifestations are common complications of inflammatory bowel disease (IBD), whereas the recurrent pericarditis during remission of Crohn's disease is rarely reported. Chest pain developed in a 13-year-old adolescent male who had a history of Crohn's colitis since 9 years of age and was in remission for 4 years after treatment with infliximab, adalimumab, and vedolizumab. Physicians should be aware of the pericardial involvement in patients with a history of IBD. The literature on pericardial i...
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Bibhuti B Das Morgan Dodson Angel Guzman Source Type: research
Lethal recurrent mycotic ascending aortic pseudoaneurysm in a 21-month-old child with repaired subaortic membrane
We report the lethal consequences of recurrent mycotic pseudoaneurysm in an 18-month-old baby, early after subaortic membrane resection. We managed to repair the pseudoaneurysm successfully by replacing the infected ascending aorta using bovine jugular vein graft, but unfortunately, the patient developed new pseudoaneurysm at the site of anastomosis which led to his death. Although prompt diagnosis and surgical management can save the patient life, uncontrolled infection can lead to the recurrence of the problem and lethal results. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Khaled A Alhawri Usama H Elsaedy Sami A Alahdal Nabil S Albahlooli Abdullah A Al Qwaee Ali A Alakhfash Source Type: research
Reversible hypertension associated with complete heart block in a 6-year-old boy
Elia Fares Anees Boles, Steven HeroldAnnals of Pediatric Cardiology 2020 13(3):248-251
We herein report a case of a 6-year-old boy with hypertension and complete heart block with a unique outcome. The patient was treated with an epicardial pacemaker followed by complete and sustained resolution of his hypertension with no further need for the previously prescribed antihypertensive medication. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Elia Fares Anees Boles Steven Herold Source Type: research
Atypical recurrent kawasaki disease with retropharyngeal involvement: A case study and literature review
We present an adolescent male with two episodes of complete KD between the age of 2 and 14 years. At age 14, he presented with findings suggestive of a retropharyngeal abscess. This was later determined to be a recurrence of KD, diagnosed after the development of coronary artery aneurysms. Our case reinforces the role of maintaining a high index of suspicion for KD, both in patients with prior KD episodes and in those with persistent fever who do not fulfill the diagnostic criteria for typical KD. This is particularly important for patients presenting with atypical symptoms not commonly associated with KD, such as inflamma...
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Rachel K Cason Umakumaran P Ponniah Elizabeth S Makil Mary C Niu Source Type: research
Steroid-associated bradycardia in a newly diagnosed B precursor acute lymphoblastic leukemia patient with Holt & #8211;Oram syndrome
We report a pediatric patient clinically diagnosed with HOS (missing thumbs bilaterally, atrial septal defect, ventricular septal defect, and first-degree heart block), who also developed B precursor acute lymphoblastic leukemia. During induction of chemotherapy with steroids, she developed profound bradycardia without clinical symptoms. The bradycardia resolved without intervention, but this case highlights the challenges of managing chemotherapy side effects in a patient with congenital heart disease. A literature review pertinent to the associated findings in the case is also presented. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Raymond Morales Bishir Clayton Hoang H Nguyen Lisa Giordano Brieann A Muller Source Type: research
Cardiac tumors in both twins & #8211; A case report of a rare occurrence
N M Sharath Babu, Dibyaranjan Behera, Anoop George Alex, Lijo Varghese, Oommen K GeorgeAnnals of Pediatric Cardiology 2020 13(3):238-240
Cardiac tumors in neonates and infancy are one among the many known congenital cardiac diseases. Although fetal cardiac tumors are rare, there is increased detection because of expertise in echocadiographic examination. Rhabdomyomas are the most common cardiac tumors among infants and children. Here, we describe twin neonates who had multiple cardiac tumors. This kind of presentation appears to be a very rare situation. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: N M Sharath Babu Dibyaranjan Behera Anoop George Alex Lijo Varghese Oommen K George Source Type: research
Percutaneous coronary intervention for coronary allograft vasculopathy with drug-eluting stent in Indian subcontinent: Issues in diagnosis and management
Mohammed Shakawat Alam, Arvind Sahadev Singh, Sreeja Pavithran, Vijayakumar Subban, Ajit Mullasari, Kothandam SivakumarAnnals of Pediatric Cardiology 2020 13(3):234-237
Coronary allograft vasculopathy fails to give a warning anginal pain due to denervation and often presents with acute coronary syndrome, ventricular dysfunction, or sudden cardiac death. Early diagnosis in a pediatric patient is difficult as it involves invasive coronary angiography or advanced imaging such as intravascular ultrasound or optical coherence tomography. A 12-year-old boy developed acute coronary syndrome, elevated troponins, and right bundle ...
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Mohammed Shakawat Alam Arvind Sahadev Singh Sreeja Pavithran Vijayakumar Subban Ajit Mullasari Kothandam Sivakumar Source Type: research
Patterns of myocardial involvement in children during COVID-19 pandemic: Early experience from northern Italy
Paolo Ferrero, Isabelle Piazza, Caterina Bonino, Matteo CiuffredaAnnals of Pediatric Cardiology 2020 13(3):230-233
There is limited information about coronavirus disease 2019 (COVID-19) in the pediatric population. Preliminary data suggest a not insignificant prevalence of cardiac involvement. Here, we report our early experience with COVID-19 in the pediatric population. These patients display exceptionally high levels of acute-phase reactants. The clinical syndrome in these patients is somewhat similar to Kawasaki disease with or without myocardial involvement. In some cases, the presentation mimics typical myocarditis....
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Paolo Ferrero Isabelle Piazza Caterina Bonino Matteo Ciuffreda Source Type: research
Hybrid approach for aortic embolization of Amplatzer duct occluder
Sudesh Prabhu, Shreesha Maiya, Riyan Shetty, Keshava Murthy, Prakash Ramachandra, Rishi TiwariAnnals of Pediatric Cardiology 2020 13(3):227-229
Embolization of the patent ductus arteriosus (PDA) device is a known adverse event of percutaneous PDA closure, which can lead to complications. Embolization can occur into the pulmonary artery or into the aorta. Device embolization can be moderate adverse event (when retrieved percutaneously) or major adverse event (when retrieved surgically). We are describing a hybrid approach for aortic embolization of PDA device when the percutaneous retrieval fails, where device retrieval an...
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Sudesh Prabhu Shreesha Maiya Riyan Shetty Keshava Murthy Prakash Ramachandra Rishi Tiwari Source Type: research
Early experience with pediatric cardiac transplantation in a limited resource setting
Conclusion: The results suggest acceptable short term outcomes in Indian pediatric patients can be achieved after heart transplantation in the current era. Significant rejection episodes and coronary allograft vasculopathy need careful follow up. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Swati Garekar Talha Meeran Vinay Patel Sachin Patil Shyam Dhake Shivaji Mali Amit Mhatre Dilip Bind Ashish Gaur Sandeep Sinha Vijay Shetty Kirtis Sabnis Bharat Soni Dhananjay Malankar Anvay Mulay Source Type: research
Surgical outcomes of absent pulmonary valve syndrome: An institutional experience
Conclusion: There has been improvement in surgical results for APVS over the years. However, it still remains a challenge to manage infants and patients with persistent respiratory problems. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Ashvin Krishna Nair Maruti Haranal Ibrahim Mukhtar Elkhatim Jeswant Dillon Chee Chin Hew Sivakumar Sivalingam Source Type: research
Electrocardiogram interpretation among pediatricians: Assessing knowledge, attitudes, and practice
Conclusions: Pediatricians recognize the importance of ECGs. However, their skill and level of accuracy at interpretation is suboptimal, including cardiologists, and may affect patient care. Thus, efforts should be made to improve ECG understanding to provide better service to patients. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Mohammad A Ebrahim Reem K Alseid Raghad T Aleinati Volkan Tuzcu Source Type: research
& #304;nvestigation of endothelial dysfunction in children with acute rheumatic fever
Conclusion: In our study, a decrease in FMD value, which is a marker of endothelial dysfunction, was found in children with rheumatic carditis. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Murat Ç iftel Osman Yilmaz Source Type: research
Systolic excursion of the leaflets of the truncal valve: An unusual mechanism for pulmonary stenosis in common arterial trunk
Conclusion: Pulmonary stenosis, produced by a relatively large leaflet of an asymmetric truncal sinus, may prevent early development of pulmonary vascular disease. Timely recognition of this unusual mechanism of pulmonary stenosis is important for optimal management. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Saurabh Kumar Gupta Abhinav Aggarwal Gurpreet S Gulati Sivasubramanian Ramakrishnan Shyam S Kothari Anita Saxena Sanjiv Sharma Balram Airan Robert H Anderson Source Type: research
