Annals of Pediatric Cardiology最新文献

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Immediate and short-term outcome of balloon pulmonary valvuloplasty in neonatal critical pulmonary stenosis. 球囊肺动脉瓣成形术治疗新生儿危重肺狭窄的近期和短期疗效。
IF 0.9
Annals of Pediatric Cardiology Pub Date : 2024-11-01 Epub Date: 2025-04-24 DOI: 10.4103/apc.apc_162_24
Neeraj Aggarwal, Mridul Agarwal, Praneet Lale, Jay Relan, Siddartha Rudrappa, Anil Kumar, Reena Khantwal Joshi, Raja Joshi
{"title":"Immediate and short-term outcome of balloon pulmonary valvuloplasty in neonatal critical pulmonary stenosis.","authors":"Neeraj Aggarwal, Mridul Agarwal, Praneet Lale, Jay Relan, Siddartha Rudrappa, Anil Kumar, Reena Khantwal Joshi, Raja Joshi","doi":"10.4103/apc.apc_162_24","DOIUrl":"https://doi.org/10.4103/apc.apc_162_24","url":null,"abstract":"<p><strong>Introduction: </strong>Balloon pulmonary valvuloplasty (BPV) is the treatment of choice for valvular pulmonary stenosis (PS) in all age groups. However, there are limited data regarding its outcomes in newborns with critical PS in the current era. We are reporting the immediate and short-term outcomes of BPV in this population.</p><p><strong>Materials and methods: </strong>The study population comprised of all neonates with critical valvular PS who underwent BPV at our center between January 2015 and December 2022. The clinical and echocardiographic data were collected retrospectively and stratified as preintervention, intervention, and follow-up.</p><p><strong>Results: </strong>Twenty-four neonates with critical PS underwent BPV at a mean age of 7.0 ± 6.8 days. The median pulmonary and tricuspid valve (TV) Z-scores were - 0.49 and - 1.50, respectively. The procedure was performed through the femoral and jugular veins in 15 (62.5%) and 4 (16.7%) patients, respectively. The pulmonary valve could be crossed only through the retrograde route (patent ductus arteriosus) in 5 (20.8%) patients. The mean balloon annulus ratio was 1.02 ± 0.12. Eleven (45.8%) patients required graded balloon dilatation. The procedure was successful in 22/24 patients. There was a significant reduction in the pulmonary peak transvalvular gradient (83.9 ± 14.4 mmHg to 18.2 ± 7.6 mmHg; P < 0.05). Follow-up showed a progressive increase in Z-scores of pulmonary and tricuspid valve. Two patients who developed restenosis had dysplastic pulmonary valves.</p><p><strong>Conclusion: </strong>Neonates undergoing BPV have good short-term outcomes with a low restenosis rate. In patients with small TV and severe regurgitation, crossing the pulmonary valve by retrograde approach (through ductus arteriosus) is an effective method.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 6","pages":"425-430"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971002","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
Management dilemma of a child with long-segment tracheal stenosis, double outlet right ventricle, and left pulmonary artery sling: For single or staged repair? 长段气管狭窄、右心室双出口、左肺动脉悬吊患儿的治疗困境:单次修复还是分阶段修复?
IF 0.9
Annals of Pediatric Cardiology Pub Date : 2024-11-01 Epub Date: 2025-04-24 DOI: 10.4103/apc.apc_199_24
Gurpreet Singh, Anna Marie Nathan, Norazah Zahari, Khairul Anuar Bin Abdul Aziz
{"title":"Management dilemma of a child with long-segment tracheal stenosis, double outlet right ventricle, and left pulmonary artery sling: For single or staged repair?","authors":"Gurpreet Singh, Anna Marie Nathan, Norazah Zahari, Khairul Anuar Bin Abdul Aziz","doi":"10.4103/apc.apc_199_24","DOIUrl":"https://doi.org/10.4103/apc.apc_199_24","url":null,"abstract":"<p><p>This is a case of a 3-year-old child who presented with long-segment tracheal stenosis (LSTS) and complex congenital cardiovascular disease for surgical intervention. The ideal operation for this child will include slide tracheoplasty and multiple cardiac lesion repairs. However, the low birth weight and extremely young age present a dilemma as to whether to perform total repair simultaneously or in stages. Age and weight by which the first surgical procedure was done, cardiovascular abnormality details, preoperative respiratory support, preoperative tracheobronchomalacia, cardiopulmonary bypass, the complexity of the surgery, and preoperative extracorporeal membrane oxygenation support are known to be predictive factors of long-term outcomes. Comparative studies between simultaneous and staged operations have shown that it is best to manage children with LSTS and complex cardiovascular anomalies in stages.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 6","pages":"444-447"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960152","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
Dilated ascending aorta in neonates with congenital complete heart block: An interesting observation worth exploring. 先天性完全性心脏传导阻滞新生儿升主动脉扩张:一个值得探讨的有趣观察。
IF 0.9
Annals of Pediatric Cardiology Pub Date : 2024-11-01 Epub Date: 2025-04-24 DOI: 10.4103/apc.apc_201_24
Lydia James George, Lamk Kadiyani, Shivaprasad Pannasamudra Mohankumar, Saurabh Kumar Gupta, Sivasubramanian Ramakrishnan
{"title":"Dilated ascending aorta in neonates with congenital complete heart block: An interesting observation worth exploring.","authors":"Lydia James George, Lamk Kadiyani, Shivaprasad Pannasamudra Mohankumar, Saurabh Kumar Gupta, Sivasubramanian Ramakrishnan","doi":"10.4103/apc.apc_201_24","DOIUrl":"https://doi.org/10.4103/apc.apc_201_24","url":null,"abstract":"<p><p>Ascending aorta dilatation has been reported in some cases of congenital complete heart block (CHB). Although maternal autoantibodies are implicated in the causation, the exact mechanism, significance, and management are not fully understood. In this report, we describe dilated ascending aorta in two neonates with congenital CHB and their short-term follow-up results.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 6","pages":"466-468"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960762","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
Sequential percutaneous intervention for sinus venosus defect and significant coronary artery disease. 静脉窦缺损及重大冠状动脉疾病的序贯经皮介入治疗。
IF 0.9
Annals of Pediatric Cardiology Pub Date : 2024-11-01 Epub Date: 2025-04-24 DOI: 10.4103/apc.apc_194_24
Bojja Venkata Satya Roopesh, Kothandam Sivakumar, Pramod Sagar, Ajit Sankardas Mullasari
{"title":"Sequential percutaneous intervention for sinus venosus defect and significant coronary artery disease.","authors":"Bojja Venkata Satya Roopesh, Kothandam Sivakumar, Pramod Sagar, Ajit Sankardas Mullasari","doi":"10.4103/apc.apc_194_24","DOIUrl":"https://doi.org/10.4103/apc.apc_194_24","url":null,"abstract":"<p><p>Superior vena cava (SVC) type of sinus venosus defect (SVD) associated with anomalous right upper pulmonary vein (RUPV) drainage is often corrected by open-heart surgery. Transcatheter-covered stent exclusion is an attractive emerging alternative using a covered stent in the lower end of SVC to close the SVD and redirect the RUPV to the left atrium. The location of SVD posterosuperior to oval fossa challenges its transthoracic echocardiographic identification and delays its diagnosis to adult age. Lifestyle adult diseases, including atherosclerosis, elevate the left ventricular end-diastolic pressures and increase the pretricuspid left-to-right shunt. Surgery addresses coronary stenosis and SVD, but lifestyle diseases increase surgical risks. We diagnosed significant coronary stenosis in three patients with SVD. These patients underwent percutaneous management of both lesions. Nonsurgical management of SVD and ischemic heart disease is a more viable alternative than a high-risk surgery in adults with comorbidities.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 6","pages":"459-465"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952864","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
Eptifibatide bolus dose postductal stenting intervention: A single-center experience. 依替巴肽大剂量导管支架置入术干预:单中心经验。
IF 0.9
Annals of Pediatric Cardiology Pub Date : 2024-11-01 Epub Date: 2025-04-24 DOI: 10.4103/apc.apc_175_24
Rishika Mehta, Amitabha Chattopadhyay, Aritra Mukherji, Sanjiban Ghosh, Jayita Nandy Das, Pushpanjali Gupta
{"title":"Eptifibatide bolus dose postductal stenting intervention: A single-center experience.","authors":"Rishika Mehta, Amitabha Chattopadhyay, Aritra Mukherji, Sanjiban Ghosh, Jayita Nandy Das, Pushpanjali Gupta","doi":"10.4103/apc.apc_175_24","DOIUrl":"https://doi.org/10.4103/apc.apc_175_24","url":null,"abstract":"<p><strong>Objectives: </strong>Stent thrombosis, a potential complication of ductal stenting, is associated with high mortality. This is a catastrophic complication, which can occur acutely (within 24 h), subacutely (within 30 days), or late (≥30 days) after stent implantation, with rates between 0.8% and 25%. Oral antiplatelet drugs like aspirin have erratic and inconsistent absorption and antiplatelet effects in critically ill neonates. Intravenous (IV) glycoprotein IIb/IIIa inhibitors (GPIs) are antiplatelet agents with rapid effect (84% inhibition of platelet aggregation 15 min after bolus) that may help prevent this catastrophic complication.</p><p><strong>Materials and methods: </strong>The study was conducted among 127 neonates with a median age of 1 month, of which 48% were male, undergoing ductal stenting procedures between January 2022 and March 2024 at our center who received an IV eptifibatide bolus of 180 µg/kg immediately postprocedure. Dosing simulations were generated based on extrapolation from the adult model. The primary outcome measures were stent thrombosis and bleeding events, whereas the secondary outcomes included platelet count.</p><p><strong>Results: </strong>Stent thrombosis occurred in one of the patients after prophylactic treatment with eptifibatide. Five patients experienced bleeding complications. Eight patients had thrombocytopenia, as thrombosis is prevented via the adenosine diphosphate pathway. The treatment did not affect serum creatinine and liver function.</p><p><strong>Conclusion: </strong>IV GPIs are safe in neonates after a ductal stenting procedure as an adjunct to oral antiplatelet therapy. Dosing considerations should include age and renal function. Randomized trials are warranted to establish efficacy and compare with current anticoagulation practices.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 6","pages":"415-419"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952781","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
Aortic atresia with complex aortic arch collateralization through the subclavian arteries. 经锁骨下动脉的主动脉闭锁伴复杂主动脉弓侧支。
IF 0.9
Annals of Pediatric Cardiology Pub Date : 2024-11-01 Epub Date: 2025-04-24 DOI: 10.4103/apc.apc_179_24
Saumya Kapoor, Thomas Knapp, Peace Madueme, Katherine T Braley, Peter D Wearden, Jennifer S Nelson
{"title":"Aortic atresia with complex aortic arch collateralization through the subclavian arteries.","authors":"Saumya Kapoor, Thomas Knapp, Peace Madueme, Katherine T Braley, Peter D Wearden, Jennifer S Nelson","doi":"10.4103/apc.apc_179_24","DOIUrl":"https://doi.org/10.4103/apc.apc_179_24","url":null,"abstract":"<p><p>A term newborn boy was diagnosed with aortic atresia and ventricular septal defect with duplicated subclavian arteries bilaterally. Computed tomography angiography demonstrated highly unusual aortic arch vasculature. A diminutive aortic arch and complex head vessel anatomy precluded standard surgical palliation with a Damus-Kaye-Stansel, arch reconstruction, and systemic to pulmonary artery shunt. Instead, the patient underwent placement of bilateral pulmonary artery bands and stenting of the patent arterial duct (PDA). At 2 months of age, the patient underwent PDA stent dilation. At 4 months of age, he underwent balloon angioplasty of pulmonary artery bands with transverse aortic stenting. At the most recent follow-up at 15 months of age, there was no significant growth of the aortic arch, and the patient was mildly hypertensive but otherwise hemodynamically stable. He is currently being evaluated for heart transplantation due to his complex vascular anatomy.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 6","pages":"441-443"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960151","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
Transcatheter recanalization and stenting of a complete modified Blalock-Taussig-Thomas shunt obstruction. 经导管再通和支架置入完全改良的Blalock-Taussig-Thomas分流阻塞。
IF 0.9
Annals of Pediatric Cardiology Pub Date : 2024-11-01 Epub Date: 2025-04-24 DOI: 10.4103/apc.apc_149_24
Mario Giordano, Gianpiero Gaio, Raffaella Marzullo, Maurizio Cappelli Bigazzi, Maria Giovanna Russo
{"title":"Transcatheter recanalization and stenting of a complete modified Blalock-Taussig-Thomas shunt obstruction.","authors":"Mario Giordano, Gianpiero Gaio, Raffaella Marzullo, Maurizio Cappelli Bigazzi, Maria Giovanna Russo","doi":"10.4103/apc.apc_149_24","DOIUrl":"https://doi.org/10.4103/apc.apc_149_24","url":null,"abstract":"<p><p>The modified Blalock-Taussig-Thomas shunt (mBTT shunt) is an effective palliation for cyanotic congenital heart diseases. However, a late obstruction of the mBTT shunt may present as a life-threatening complication. In this setting, a redo-surgery or a transcatheter recanalization is necessary to restore adequate pulmonary blood flow. We report three cases of transcatheter recanalization and stenting of a completely obstructed mBTT shunt, highlighting the tips and tricks of the percutaneous approach.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 6","pages":"431-435"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960322","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
Efficacy of early enteral feeding with supplemented mother's milk on postoperative outcomes of cardiac surgical infants: A randomized controlled trial. 早期肠内喂养补充母乳对心脏手术婴儿术后结局的影响:一项随机对照试验。
IF 0.9
Annals of Pediatric Cardiology Pub Date : 2024-09-01 Epub Date: 2024-12-24 DOI: 10.4103/apc.apc_160_24
Anuradha Singal, Manoj Kumar Sahu, Geeta Trilok Kumar, Bani Tamber Aeri, Mala Manral, Anuja Agarwala, Shivam Pandey
{"title":"Efficacy of early enteral feeding with supplemented mother's milk on postoperative outcomes of cardiac surgical infants: A randomized controlled trial.","authors":"Anuradha Singal, Manoj Kumar Sahu, Geeta Trilok Kumar, Bani Tamber Aeri, Mala Manral, Anuja Agarwala, Shivam Pandey","doi":"10.4103/apc.apc_160_24","DOIUrl":"https://doi.org/10.4103/apc.apc_160_24","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital heart disease (CHD)-associated malnutrition is a systemic consequence of CHD. Dietary recommendations to fulfill nutritional requirements are lacking. This randomized controlled trial (RCT) was conducted to determine the efficacy of early enteral feeding with supplemented expressed breast milk (suppl-EBM) versus expressed breast milk (EBM) in improving the weight of postoperative cardiac surgical infants.</p><p><strong>Objective: </strong>The primary objective was the weight change between the EBM group and the suppl-EBM group at the 15<sup>th</sup> postoperative day (POD) or intensive care unit (ICU) discharge. The secondary objectives were to compare the ventilation duration (VD), length of ICU stay (LOICUS), length of hospital stay (LOHS), macronutrient consumption, adverse events, sepsis, and mortality between the two groups.</p><p><strong>Materials and methods: </strong>This study was a parallel-group, open-labeled, single-blinded, variable block size RCT conducted at a tertiary care teaching hospital in northern India. Full-term breastfed infants ≤6 months, weighing ≥2.5 kg at birth, and undergoing congenital cardiac repair were enrolled in this study. The infants were fed either EBM or supplemented EBM in control and intervention groups, respectively. Weight and length were measured at baseline and 15<sup>th</sup> POD or at ICU discharge. Biochemical parameters at baseline and every alternate day, sepsis parameters every third POD and VD, LOICUS, LOHS, macronutrient consumption, and adverse events were assessed daily.</p><p><strong>Results: </strong>The mean weight, weight change percentage, and weight for age z score were significantly higher in the supplemented EBM group (<i>P</i> < 0.05). The macronutrient consumption was significantly higher in the intervention group (<i>P</i> < 0.05). No significant difference was found between the two groups for VD, LOICUS, and LOHS (<i>P</i> > 0.05). The sepsis was higher in the EBM group. However, the mortality rate did not differ between the two groups (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>Supplemented feeding may improve the weight of postoperative cardiac infants with no serious adverse events.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 5","pages":"320-330"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998983","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
Trim the sail: A rare cause of newborn hypoxia. 修剪帆:新生儿缺氧的罕见原因。
IF 0.9
Annals of Pediatric Cardiology Pub Date : 2024-09-01 Epub Date: 2024-12-24 DOI: 10.4103/apc.apc_164_24
Khalid A Katranji, Max Jacob Spiro, Cecilia A Albaro, Harma K Turbendian, Gretchen L Kopec
{"title":"Trim the sail: A rare cause of newborn hypoxia.","authors":"Khalid A Katranji, Max Jacob Spiro, Cecilia A Albaro, Harma K Turbendian, Gretchen L Kopec","doi":"10.4103/apc.apc_164_24","DOIUrl":"10.4103/apc.apc_164_24","url":null,"abstract":"<p><p>The right venous valve is critical to the proper development of the fetal heart. As the right venous valve degenerates later in fetal development, residual structures can remain, such as the terminal crest, Eustachian valve, Thebesian valve, and a prominent Chiari network, with a sail-like appearance resembling a spinnaker. While these structures are often incidentally found on adult echocardiograms, we present a case of a term neonate with hypoxia secondary to a persistent right valve of the sinus venosus.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 5","pages":"383-385"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998530","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
Persistent left superior vena cava with retrograde flow and absent coronary sinus in a child with ventricular septal defect and patent ductus arteriosus. 室间隔缺损及动脉导管未闭儿童持续性左上腔静脉伴逆行血流及冠状窦缺失。
IF 0.9
Annals of Pediatric Cardiology Pub Date : 2024-09-01 Epub Date: 2024-12-24 DOI: 10.4103/apc.apc_152_24
Rashmi Kishore, Rajesh Babu Gudipati, Palaparthi Sairam, Thomas Mathew, Suman Y Vyas, Nitin K Rao
{"title":"Persistent left superior vena cava with retrograde flow and absent coronary sinus in a child with ventricular septal defect and patent ductus arteriosus.","authors":"Rashmi Kishore, Rajesh Babu Gudipati, Palaparthi Sairam, Thomas Mathew, Suman Y Vyas, Nitin K Rao","doi":"10.4103/apc.apc_152_24","DOIUrl":"10.4103/apc.apc_152_24","url":null,"abstract":"<p><p>Coronary sinus (CS) defects are rare congenital cardiac anomalies that occur in isolation or with other congenital heart diseases. Persistent left superior vena cava (LSVC) is a relatively common entity that usually drains into the CS, is of no hemodynamic consequence, and is easily diagnosed on echocardiography by a dilated CS and an antegrade flow toward the heart. However, a combination of LSVC and CS defect may reverse its flow direction and CS dilation may be absent. In the absence of echocardiographic clues, the reversed flow can be easily misdiagnosed for other structures such as the more common vertical vein of anomalous pulmonary venous connection or the rarer levoatrial cardinal vein. Here, we report a 2-year-old boy with ventricular septal defect, patent ductus arteriosus, absent CS, and a persistent LSVC with retrograde flow producing a hemodynamically significant pretricuspid left-to-right shunt along with its diagnostic challenges. He underwent successful surgical closure of these defects and had been asymptomatic on follow-up.</p>","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"17 5","pages":"364-368"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998995","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
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