Recent outcomes of the extracardiac Fontan procedure in patients with hypoplastic left heart syndrome
Conclusion: In HLHS patients undergoing Fontan, preoperative weight and IVC diameter appeared to have no influence on immediate postoperative outcomes. Performing the Fontan off CPB and with a fenestration also conferred no added clinical benefit. These observations should be considered when deciding optimal timing for Fontan completion. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Alisa Arunamata Theresa A Tacy Saraswati Kache Richard D Mainwaring Michael Ma Katsuhide Maeda Rajesh Punn Source Type: research

Impact of the COVID-19 pandemic on pediatric cardiac care in India: Time for action!
Krishna S IyerAnnals of Pediatric Cardiology 2020 13(3):183-185 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - July 7, 2020 Category: Cardiology Authors: Krishna S Iyer Source Type: research

Bail-out wire stenting of restrictive atrial septal defect in cardiac total anomalous pulmonary venous connection
Sakshi Sachdeva, Samir Shakya, Mrigank Choubey, Shyam S KothariAnnals of Pediatric Cardiology 2020 13(2):180-181 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: Sakshi Sachdeva Samir Shakya Mrigank Choubey Shyam S Kothari Source Type: research

Ranitidine-induced junctional rhythm in a pediatric patient: A rare and potentially harmful side effect
Vanessa Escamilla-Leyva, Dan Morgenstern-Kaplan, Carlos Manuel Aboitiz-Rivera, Ruben Blachman-BraunAnnals of Pediatric Cardiology 2020 13(2):179-180 (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: Vanessa Escamilla-Leyva Dan Morgenstern-Kaplan Carlos Manuel Aboitiz-Rivera Ruben Blachman-Braun Source Type: research

An exceedingly rare association of an isolated right subclavian artery with transposition of great vessels
We present the case of a 5-day-old neonate with cyanosis from birth and a transthoracic echocardiographic diagnosis of D-TGA, where on computed tomography angiography, the RSCA was seen arising from the proximal part of the ipsilateral pulmonary artery via a patent right ductus arteriosus. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: Mumun Sinha Niraj Nirmal Pandey Arun Sharma Priya Jagia Source Type: research

Double orifice mitral valve: A rare cause of isolated severe congenital mitral regurgitation
Himanshu Pratap, Amol Gupta, Pradipta Kumar Acharya, Viresh MahajanAnnals of Pediatric Cardiology 2020 13(2):174-176 Double orifice mitral valve (DOMV) is a rare congenital anomaly of the mitral valve apparatus consisting of an accessory bridge of fibrous tissue, which partially or completely divides the mitral valve into two orifices. It usually occurs as an associated lesion. Encountering a DOMV as an isolated finding meriting intervention is indeed rare. We, here, report a case of “complete bridging type DOMV” occurring as an isolated entity and presenting as severe congenital MR requiring sur...
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: Himanshu Pratap Amol Gupta Pradipta Kumar Acharya Viresh Mahajan Source Type: research

Multiple diffuse coronary cameral fistulas from the left anterior descending artery and right coronary artery to both the right and left ventricle associated with left ventricular noncompaction: A rare combination
Roli Srivastava, Sushil Azad, Sitaraman RadhakrishnanAnnals of Pediatric Cardiology 2020 13(2):171-173 Diffuse and multiple coronary cameral fistulas are very rare and with very few case reports of its association with left ventricular noncompaction are published. Here, we report a 6-year-old child of multiple diffuse coronary cameral fistulas to both the right and left ventricle in association with the left ventricular noncompaction. A possible common embryological link between the two uncommon entities is also discussed. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: Roli Srivastava Sushil Azad Sitaraman Radhakrishnan Source Type: research

Prenatal diagnosis of asplenia syndrome with sliding hiatus hernia in a fetus
This report highlights the importance of having a proper checklist for prenatal identification of extracardiac manifestations of isomerism syndromes. This will enable us to provide an effective family-centered counseling for perinatal management of these complex lesions. To our knowledge, prenatal sonographic detection of a sliding hiatal hernia in a fetus with right isomerism has not been reported previously. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: Balaganesh Karmegaraj Satjeet Kaur Deol Vivek Krishnan Balu Vaidyanathan Source Type: research

Repeat percutaneous recanalizations of a discontinuous pulmonary artery: A very & #8220;lucky & #8221; vessel
Giovanbattista Calabri, Alberto Clemente, Giuseppe SantoroAnnals of Pediatric Cardiology 2020 13(2):163-166 Pulmonary artery (PA) discontinuity with ductal origin of a major pulmonary branch is a rare congenital anomaly that can be diagnosed as an isolated lesion or in association with major cardiac malformations. Arterial duct (AD) closure results in complete disappearance of the dependent PA, thus leading to the misdiagnosis of “congenital PA absence.” Neonatal AD transcatheter recanalization is considered a cost-effective approach in view of later, lower-risk surgical recruitment of the discon...
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: Giovanbattista Calabri Alberto Clemente Giuseppe Santoro Source Type: research

Primary intrathymic lymphangioma in an infant
We describe one case of mediastinal lymphangioma with a true intrathymic localization, which to our knowledge has been reported just once in the literature. This case report elucidates the surgical management of the first lymphangioma reported in an infant. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: Channabasavaraj S Hiremath Utkarsh Sanghavi Aditya N Doddamane Anuradha Kamath Shekhar Rao Source Type: research

Common arterial trunk with intact septum and hypoplastic right ventricle: An uncommon embryological entity
We describe an infant with CAT, intact IVS, hypoplastic right ventricle, and Ebstein's anomaly of the tricuspid valve who presented to us and palliated successfully. The embryological mechanisms are discussed in this report. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: Kalyanraddi Chikkagoudar Palak Gupta Nageswara Rao Koneti Tapan K Dash Vinoth Doraiswamy Source Type: research

Incessant fascicular ventricular tachycardia in an infant with heart failure
We report an eight month old infant who presented with incessant Fascicular tachycardia and heart failure which was refractory to drugs and cardioversion. Sinus rhythm was restored by radio frequency ablation and this resulted in improvement in clinical status and cardiac function. Role of catheter ablation in this situation is discussed (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: Sudeep Verma Vejendla Gouthami Hygriv B Rao Source Type: research

Supraventricular tachycardia in one of the twins: The ethical dilemmas involved in treatment
Vinoth Doraiswamy, Lalitha Natarajan, Chitra TV VenkateshAnnals of Pediatric Cardiology 2020 13(2):150-152 The pediatric cardiologist now has an important role to play in fetal medicine. They are often called upon to manage fetal cardiac problems such as arrhythmias or perform fetal cardiac interventions such as balloon valvuloplasty or atrial septostomy. In these scenarios, it becomes very important for the pediatric cardiologist to understand the concepts of “fetus as a patient,” “viability,” etc., and their implications in management. We try to shed light on these pri...
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: Vinoth Doraiswamy Lalitha Natarajan Chitra TV Venkatesh Source Type: research

Terbutaline-induced neonatal ventricular tachycardia: A case report and review of literature
We present a 35-week-old gestation neonate who developed tachycardia following maternal exposure to terbutaline. Upon transfer to our neonatal intensive care unit, an electrocardiogram (ECG) was obtained which was consistent with VT. The arrhythmia did not respond to vagal maneuvers or adenosine but resolved following cardioversion demonstrated on postcoversion ECG. At outpatient follow-up, the infant had no further episodes of arrhythmia. To the best of our knowledge, this represents the first case describing terbutaline-induced fetal or neonatal VT. (Source: Annals of Pediatric Cardiology)
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: Phillip Edwin Nehls Ramachandra Bhat Lynn A Batten Source Type: research

Why humans should not eat broom straws: Pericarditis and endocarditis
William Edward Novotny, Cynthia P KeelAnnals of Pediatric Cardiology 2020 13(2):144-146 A broom straw was ingested and penetrated the esophageal wall, the pericardial space and its tip became lodged in the coronary sinus. Bacterial pericarditis and then fungal endocarditis ensued but were temporally separated by an asymptomatic 6-month period. On transthoracic echocardiography, the straw was mistakenly identified to be a “prominent Thebesian valve.” This child survived both life-threatening infections. The occurrence of infections caused by unusual organisms in the setting of immunocompetence hig...
Source: Annals of Pediatric Cardiology - April 24, 2020 Category: Cardiology Authors: William Edward Novotny Cynthia P Keel Source Type: research