Annals of Pediatric Cardiology最新文献_第2页

Tetralogy of Fallot with absent pulmonary valve: A single center retrospective review. 法洛四联症伴肺瓣膜缺失：一项单中心回顾性研究。

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Annals of Pediatric Cardiology Pub Date : 2025-03-01 Epub Date: 2025-08-29 DOI: 10.4103/apc.apc_248_24

Anis Fatima, Abdulraouf Jijeh, Abdulsalam Alsayad, Obayda M Diraneyya, Ghassan Shaath

{"title":"Tetralogy of Fallot with absent pulmonary valve: A single center retrospective review.","authors":"Anis Fatima, Abdulraouf Jijeh, Abdulsalam Alsayad, Obayda M Diraneyya, Ghassan Shaath","doi":"10.4103/apc.apc_248_24","DOIUrl":"10.4103/apc.apc_248_24","url":null,"abstract":"Context and aim: Absent pulmonary valve syndrome (APVS) in association with tetralogy of Fallot (TOF) is a rare congenital heart disease characterized by the aneurysmal dilatation of pulmonary arteries and associated major airway anomalies. Postoperative outcomes have been suboptimal, especially concerning dependency on positive pressure ventilation and the need for repeated cardiac reinterventions. This study aims to describe the postoperative course of these patients and to identify the risk factors associated with poor outcomes.Methods and results: A retrospective review of 38 patients who underwent surgery for TOF with APVS between 2001 and 2021 at a single cardiac center was conducted. There were 16 (42%) patients in the young infants group. They required longer postoperative mechanical ventilation, 77 (interquartile ranges [IQR] 22-306) versus 17 (IQR 6-67) hours for the older children (P-0.009); longer inotropic support, 127 (103-285) versus 60 (20-108) hours for older children (P-0.000); longer intensive care unit (ICU) stay, 12 (4-29) versus 4 (2-7) days (P-0.01), and longer hospital stay 23 (14-64) versus 15 (11-20) days (P-0.02). Seven (43%) of the younger infants' group required readmission, whereas 4 (18%) of the older children needed to be readmitted (P < 0.04). Bloodstream infections (BSIs) occurred more frequently in the infants' group (31%) compared to older children (4.5%) (P < 0.03). The need for redo surgeries and the incidence of hospital-acquired infections other than BSIs did not show differences between the groups.Conclusions: Age <3 months or weight <4 kg is associated with a more difficult postoperative course, characterized by longer ventilation days, a higher inotropic score, longer ICU and hospital stays, and more readmissions.","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"18 2","pages":"119-123"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084934","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

Prenatally diagnosed congenital right atrial aneurysm using three/four-dimensional spatiotemporal image correlation fetal echocardiography. 利用三维/四维时空图像相关胎儿超声心动图诊断先天性右心房动脉瘤。

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Annals of Pediatric Cardiology Pub Date : 2025-03-01 Epub Date: 2025-08-29 DOI: 10.4103/apc.apc_29_25

Prerna Bhat, Balu Vaidyanathan

引用次数: 0

An 11-year single-center experience of Norwood procedures in the neonates with hypoplastic left heart syndrome and variants. 诺伍德手术治疗左心发育不全综合征和变异新生儿11年的单中心经验。

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Annals of Pediatric Cardiology Pub Date : 2025-03-01 Epub Date: 2025-08-29 DOI: 10.4103/apc.apc_57_25

Akihiro Nakamura, Yuichi Ishikawa

{"title":"An 11-year single-center experience of Norwood procedures in the neonates with hypoplastic left heart syndrome and variants.","authors":"Akihiro Nakamura, Yuichi Ishikawa","doi":"10.4103/apc.apc_57_25","DOIUrl":"10.4103/apc.apc_57_25","url":null,"abstract":"Background: Despite improvement in the outcome of the Norwood procedure, the prognosis of hypoplastic left heart syndrome (HLHS) remains problematic. The aim of this study was to assess the impact of pre- and perioperative factors and catheterization data on outcomes after the Norwood procedure.Subjects and methods: This case-control study included all patients who underwent the Norwood procedure for HLHS at Fukuoka Children's Hospital between January 2000 and October 2011. Subjects (n = 66) were divided into two outcome groups: survivors (n = 41) and nonsurvivors (n = 25). First, we compared the pre- and perioperative data. Second, we compared the catheterization data after the Norwood procedure.Results: The mean follow-up period was 40 months (range: 1.4-141). Overall, there was a 38% mortality, including early death. The pre- and perioperative data, as well as PaO2 in room air at catheterization, were not significantly different. However, univariate analysis revealed that the incidence of home oxygen therapy to maintain oxygen saturation >80% was significantly higher in the survivors (P < 0.001). The right ventricular ejection fraction was higher in the survivors (48.7% ± 1.9%, mean ± standard error) than in the nonsurvivors (41.4% ± 2.8%, P = 0.041). The severity of tricuspid regurgitation (TR) and the pulmonary blood flow/systemic blood flow ratio were lower in the survivors than in the nonsurvivors. Multivariate logistic regression analysis identified severe TR as the only significant prognostic marker of mortality (P = 0.041).Conclusions: The severity of TR was associated with the prognosis of HLHS after the Norwood procedure.","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"18 2","pages":"100-104"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084790","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 grown-up congenital heart disease dilemma in India: A call for urgent reform in adult congenital cardiac care. 印度成人先天性心脏病困境：呼吁成人先天性心脏病护理紧急改革。

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Annals of Pediatric Cardiology Pub Date : 2025-03-01 Epub Date: 2025-08-29 DOI: 10.4103/apc.apc_223_25

Mohsin Raj Mantoo, Lamk Kadiyani, Sivasubramanian Ramakrishnan

引用次数: 0

Aortopathy in Tetralogy of Fallot - Insights from a single-center observational study. 法洛四联症的主动脉病变-来自单中心观察性研究的见解。

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Annals of Pediatric Cardiology Pub Date : 2025-03-01 Epub Date: 2025-08-29 DOI: 10.4103/apc.apc_245_24

Usnish Adhikari, Arun Gopalakrishnan, Sanjay Ganapathi, Kavassery Mahadevan Krishnamoorthy

{"title":"Aortopathy in Tetralogy of Fallot - Insights from a single-center observational study.","authors":"Usnish Adhikari, Arun Gopalakrishnan, Sanjay Ganapathi, Kavassery Mahadevan Krishnamoorthy","doi":"10.4103/apc.apc_245_24","DOIUrl":"10.4103/apc.apc_245_24","url":null,"abstract":"Objective: The objective of this study was to assess the presence of aortopathy on follow-up in operated and unoperated adolescent and adult patients with Tetralogy of Fallot (TOF) and to identify the various associated factors.Methods: This was a single-center observational study conducted at a tertiary care institute in India. All consecutive patients with a diagnosis of TOF, TOF with pulmonary atresia, or TOF with absent pulmonary valve, either repaired, palliated, or unoperated, >10 years of age who attended our institute between August 2021 and June 2023 were considered for enrolment. Primary outcome (aortopathy) was defined as sinus of Valsalva (SOV)/root diameter of ≥40 mm (for age ≥18 years), SOV/root Z-score ≥+2 (for age <18 years), or ≥ moderate aortic regurgitation by echocardiogram.Results: The study enrolled 193 patients. Their mean age was 25.0 ± 11.87 years; for the operated patients, the mean duration of follow-up after surgery was 17.42 ± 7.9 years. Mean aortic annulus, SOV, sinotubular junction, and ascending aortic dimension were 22.8 ± 4.26 mm, 33 ± 5.8 mm, 26.9 ± 5.08 mm, and 29.4 ± 5.46 mm, respectively. Aortopathy was noted in 69 (35.8%) out of a total of 193 subjects. TOF with pulmonary atresia, unrepaired TOF, those who had univentricular palliation, and non-confluent pulmonary arteries were associated with the primary outcome. The mean increase in the ascending aortic dimension was 0.68 ± 0.6 mm/year for the cohort.Conclusion: Aortopathy was noted in 35.8% of TOF patients on follow-up. Pulmonary atresia, absence of definite repair, and non-confluent pulmonary arteries are factors associated with aortopathy in TOF.","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"18 2","pages":"112-118"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084875","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

Late electrophysiology complications after surgical repair of D-transposition of great arteries. 大动脉d转位手术修复后的晚期电生理并发症。

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Annals of Pediatric Cardiology Pub Date : 2025-03-01 Epub Date: 2025-08-29 DOI: 10.4103/apc.apc_9_25

Maya A Baman, Maureen Chavez, Jenae Roseland, Sunita Juliana Ferns

引用次数: 0

Determining fetal laterality in fetal echocardiography - A case for mental visualization over physical props. 胎儿超声心动图中胎儿侧位的测定——心理可视化优于物理支撑的案例。

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Annals of Pediatric Cardiology Pub Date : 2025-03-01 Epub Date: 2025-08-29 DOI: 10.4103/apc.apc_177_25

Sakshi Sachdeva

引用次数: 0

Continuous right-to-left ductal flow in a newborn. 新生儿连续的从右到左导管血流。

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Annals of Pediatric Cardiology Pub Date : 2025-03-01 Epub Date: 2025-08-29 DOI: 10.4103/apc.apc_227_24

Jay Relan, Nayana Nemani, Reena Khantwal Joshi, Anurag Yadav, Raja Joshi

引用次数: 0

The effect of enalapril on cardiac mechanics in the pediatric heart network infant single-ventricle trial: Insights using noninvasive pressure-volume loop analysis. 依那普利对儿童心脏网络婴儿单心室试验中心脏力学的影响：使用无创压力-容量环路分析的见解。

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Annals of Pediatric Cardiology Pub Date : 2025-03-01 Epub Date: 2025-08-29 DOI: 10.4103/apc.apc_67_25

Jacob R Strelow, Eric M Graham, Carolyn L Taylor, Andrew M Atz, Shahryar M Chowdhury

{"title":"The effect of enalapril on cardiac mechanics in the pediatric heart network infant single-ventricle trial: Insights using noninvasive pressure-volume loop analysis.","authors":"Jacob R Strelow, Eric M Graham, Carolyn L Taylor, Andrew M Atz, Shahryar M Chowdhury","doi":"10.4103/apc.apc_67_25","DOIUrl":"10.4103/apc.apc_67_25","url":null,"abstract":"Patients with single-ventricle physiology who received enalapril in the Pediatric Heart Network Infant Single-ventricle Trial displayed no differences in heart failure outcomes compared to those who received a placebo. The objective of this study was to use noninvasive pressure-volume loop analysis to assess for differences in cardiac mechanics between the enalapril and placebo groups. Core-lab echocardiogram measures prior to superior cavopulmonary connection (SCPC) and post-SCPC at 14 months of age were obtained. End-systolic elastance (Ees), a measure of contractility, and arterial elastance (Ea), a measure of afterload, were calculated. Ventriculo-arterial coupling was expressed as Ea/Ees. Data from 150 patients were analyzed. There was no difference in Ees, Ea, or Ea/Ees between study groups at either time point. The failure of enalapril to improve heart failure outcomes in this cohort may have some association with its failure to improve cardiac mechanics in single-ventricle physiology.","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"18 2","pages":"142-144"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084886","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

Myocardial abscess from Stenotrophomonas maltophilia endocarditis in an adolescent. 青少年嗜麦芽窄养单胞菌性心内膜炎引起的心肌脓肿。

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Annals of Pediatric Cardiology Pub Date : 2025-03-01 Epub Date: 2025-08-29 DOI: 10.4103/apc.apc_28_25

Mohit Khare, Shyam S Kothari, Tarun Parmar

引用次数: 0