Annals of Pediatric Cardiology最新文献

Congenital heart disease in Singapore: Adoption of a collaborative learning approach to healthcare delivery.

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Annals of Pediatric Cardiology Pub Date : 2024-07-01 Epub Date: 2024-11-15 DOI: 10.4103/apc.apc_207_24

Sreekanthan Sundararaghavan, Ilango Sadasivan, Kim Kiat Ong

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Transcatheter pulmonary valve implantation with custom-made 35-mm Myval™ transcatheter heart valve.

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Annals of Pediatric Cardiology Pub Date : 2024-07-01 Epub Date: 2024-11-15 DOI: 10.4103/apc.apc_166_24

Sivasubramanian Ramakrishnan, Nabeel Valappil Faisal, Lamk Kadiyani, Saurabh Kumar Gupta, Muthukumaran Chinnasamy Sivaprakasam

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Pediatric cardiac interventions: Innovations from India.

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Annals of Pediatric Cardiology Pub Date : 2024-07-01 Epub Date: 2024-11-15 DOI: 10.4103/apc.apc_196_24

Mohsin Raj Mantoo, Sivasubramanian Ramakrishnan

{"title":"Pediatric cardiac interventions: Innovations from India.","authors":"Mohsin Raj Mantoo, Sivasubramanian Ramakrishnan","doi":"10.4103/apc.apc_196_24","DOIUrl":"https://doi.org/10.4103/apc.apc_196_24","url":null,"abstract":"India, owing to its population structure, faces an enormous burden of children born with congenital heart disease (CHD). Systematic challenges such as limited public health infrastructure, a shortage of trained specialists, and high out-of-pocket expenditures hinder uniform access to comprehensive CHD care. Despite these limitations, Indian pediatric cardiologists have delivered innovative and often cost-effective solutions to challenging clinical problems. Indigenous devices such as the MyVal transcatheter heart valve, Konar-MF (multifunction) occluder, and Zephyr large-diameter stents are significant achievements in their respective fields. Static balloon dilatation of interatrial septum and balloon-assisted atrial septal defect (ASD) device implantation are prime examples of many innovations that were established by Indians and followed across the world. India also helped consolidate significant interventions in children, such as percutaneous transvenous mitral commissurotomy and interventions for aortoarteritis. Notably, Indian centers have published some of the largest series on transcatheter closure of sinus venosus ASD and ruptured sinus of Valsalva aneurysm. Close collaboration with adult coronary interventionalists has facilitated innovations borrowed from coronary chronic total occlusion hardware and techniques to recanalize ductus arteriosus or membranous-type pulmonary atresia. This manuscript discusses some of India's innovative contributions to the field of pediatric cardiac interventions.","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 4","pages":"233-242"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Balloon-assisted stent strut dilation in branch pulmonary artery stenosis following ductal stenting: An observation from tertiary care center in Eastern India.

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Annals of Pediatric Cardiology Pub Date : 2024-07-01 Epub Date: 2024-11-15 DOI: 10.4103/apc.apc_32_24

Nurul Islam, Siddhartha Saha

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Congenital unicuspid aortic valve in adults: Minireview and case series.

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Annals of Pediatric Cardiology Pub Date : 2024-07-01 Epub Date: 2024-11-15 DOI: 10.4103/apc.apc_153_24

Ashraf Mohammed Anwar, Hattan H Alshawkani, Ibrahim Albakri, Saleh J Almatrafi

{"title":"Congenital unicuspid aortic valve in adults: Minireview and case series.","authors":"Ashraf Mohammed Anwar, Hattan H Alshawkani, Ibrahim Albakri, Saleh J Almatrafi","doi":"10.4103/apc.apc_153_24","DOIUrl":"https://doi.org/10.4103/apc.apc_153_24","url":null,"abstract":"A unicuspid aortic valve (UAV) in adults is a very rare form of aortic valve (AV) malformation. UAV has two distinct subtypes, acommissural UAV and unicommissural, and can be differentiated by anatomical features, imaging modalities, and clinical presentation. With the development of significant AV lesion (s), surgical or transcatheter intervention will be required. The first part is a summarized review of UAV (anatomical features, clinical presentation, diagnostic modalities, and management). In the second part, we present a series of four patients diagnosed with UAV (3 unicommissural and 1 acommissural). The first case underwent balloon aortic valvuloplasty during childhood and surgical AV replacement later, with the progression to severe aortic stenosis (AS). The second case underwent a Ross procedure. The third and fourth cases were asymptomatic with moderate AS and mild-to-moderate AR and were kept on follow-up. In all the cases, transesophageal echocardiography confirmed the diagnosis of UAV with detailed morphological and functional assessment of AV.","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 4","pages":"243-249"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The physiological implications of absent ductus venosus during fetal and post-natal life.

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Annals of Pediatric Cardiology Pub Date : 2024-07-01 Epub Date: 2024-11-15 DOI: 10.4103/apc.apc_93_24

Shweta Bakhru, Nageswara Rao Koneti

{"title":"The physiological implications of absent ductus venosus during fetal and post-natal life.","authors":"Shweta Bakhru, Nageswara Rao Koneti","doi":"10.4103/apc.apc_93_24","DOIUrl":"https://doi.org/10.4103/apc.apc_93_24","url":null,"abstract":"Background: The ductus venosus (DV) is a pivotal component of fetal circulation. Absent DV (ADV) is associated with structural defects, portal vein (PV) anomalies, and chromosomal anomalies. This observational study aims to investigate the impact of ADV on fetal circulation and postnatal outcomes.Materials and methods: This observational study was conducted from August 2016 to January 2020 at a fetal and pediatric cardiac center. The DV was evaluated as part of routine fetal echocardiography. Cases of ADV were identified. Blood flow and exit points of the umbilical vein were studied. Cardiothoracic ratio, hydrops, and PV were assessed during the initial and follow-up scans. The postnatal evaluation included an ultrasound abdomen and computed tomography with triple-phase imaging to assess portosystemic shunts (PSSs). Serum ammonia levels were monitored.Results: Twelve patients with ADV were identified. The median maternal age and median gestational age were 27.5 years and 22 weeks, respectively. Four patients had intrahepatic drainage, while eight had extrahepatic drainage. All patients (100%) exhibited cardiomegaly, but none developed hydrops. Four patients had persistent PSS postnatally. All four patients with PSS had asymptomatic hyperammonemia. Two patients underwent transcatheter closure of PSS. The intrahepatic variant showed good PV anatomy with no evidence of PSS.Conclusions: DV evaluation should be performed during fetal echocardiography. ADV can lead to cardiomegaly and dilation of the right atrium and ventricle. PSS can be a potential sequela of the extrahepatic variant of ADV.","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 4","pages":"257-263"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Late-onset aortic regurgitation after device closure of atrial septal defect.

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Annals of Pediatric Cardiology Pub Date : 2024-07-01 Epub Date: 2024-11-15 DOI: 10.4103/apc.apc_113_24

Pooja Prasad, Tania Singh, Baiju S Dharan, Arun Gopalakrishnan, Kavassery Mahadevan Krishnamoorthy

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Outcome of surgery for congenital heart disease - A perspective from Malaysia.

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Annals of Pediatric Cardiology Pub Date : 2024-07-01 Epub Date: 2024-11-15 DOI: 10.4103/apc.apc_206_24

Sivakumar Sivalingam

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Myocardial perfusion imaging in a case of cardiac strangulation: A novel approach to detect pacemaker-induced ischemia.

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Annals of Pediatric Cardiology Pub Date : 2024-07-01 Epub Date: 2024-11-15 DOI: 10.4103/apc.apc_125_24

Siven Kar, Harshita Gupta, Nusrat Shaikh, Vikram Lele

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Pulmonary stenosis-related proteinuria misdiagnosed as nephrotic syndrome.

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Annals of Pediatric Cardiology Pub Date : 2024-07-01 Epub Date: 2024-11-15 DOI: 10.4103/apc.apc_142_24

Nabeel Valappil Faisal, Lamk Kadiyani, Saurabh Kumar Gupta

引用次数: 0