Annals of Pediatric Cardiology最新文献_第5页

Intrapulmonary percussive ventilation for obstructive atelectasis caused by bronchial cast-like clots after pulmonary hemorrhage in a child with congenital heart disease. 肺内冲击通气治疗先天性心脏病患儿肺出血后支气管铸型血块引起的阻塞性肺不张

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Annals of Pediatric Cardiology Pub Date : 2026-07-01 Epub Date: 2026-07-31 DOI: 10.4103/apc.apc_31_26

Naoki Kaneda, Wataru Sakai, Tomohiro Chaki

{"title":"Intrapulmonary percussive ventilation for obstructive atelectasis caused by bronchial cast-like clots after pulmonary hemorrhage in a child with congenital heart disease.","authors":"Naoki Kaneda, Wataru Sakai, Tomohiro Chaki","doi":"10.4103/apc.apc_31_26","DOIUrl":"https://doi.org/10.4103/apc.apc_31_26","url":null,"abstract":"Pulmonary hemorrhage may cause persistent airway obstruction due to retained intrapulmonary blood and clot material, resulting in obstructive atelectasis that may be difficult to resolve with conventional airway-clearance strategies. We report the case of a 3-year-old boy with congenital heart disease who developed extensive obstructive atelectasis associated with bronchial cast-like clots after right pulmonary hemorrhage during angioplasty. Chest physiotherapy, postural drainage, prone positioning, and repeated bronchoscopic airway clearance did not improve aeration. Intrapulmonary percussive ventilation (IPV) was introduced after stabilization of airway bleeding as an adjunctive airway-clearance intervention, using low driving pressures with predefined safety criteria and continuous cardiopulmonary monitoring. After IPV initiation, dark blood and bronchial cast-like clots were repeatedly retrieved during bronchoscopic airway-clearance procedures, and radiographic improvement was observed over time. No rebleeding, barotrauma, or clinically meaningful changes in mean arterial pressure, central venous pressure, heart rate, or oxygen saturation were observed during IPV. This case suggests that IPV may have an adjunctive role in the management of obstructive atelectasis caused by retained clot material after pulmonary hemorrhage in a child with congenital heart disease.","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"19 4","pages":"425-428"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757374","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

Surgical repair in coexisting transposition of the great arteries with infracardiac obstructed total anomalous pulmonary venous connection. 大动脉转位合并心下全异常肺静脉连接阻塞的手术修复。

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Annals of Pediatric Cardiology Pub Date : 2026-07-01 Epub Date: 2026-07-31 DOI: 10.4103/apc.apc_212_25

Amitabh Satsangi, Pratik K Jha, Sandeep Chakraborty, Akshay Kumar Bisoi

引用次数: 0

One-year postintervention health-related physical fitness and quality of life among children and grown-ups with congenital heart disease: An analysis from a tertiary cardiac care hospital, India. 先天性心脏病儿童和成人干预后一年与健康相关的身体素质和生活质量：来自印度一家三级心脏护理医院的分析

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Annals of Pediatric Cardiology Pub Date : 2026-07-01 Epub Date: 2026-07-31 DOI: 10.4103/apc.apc_16_26

Malabika Maity, Ankit Garg, Sushil Azad, Soumit Roy, S Radhakrishnan, Samir Bhatia, Mudasir Ahmad

引用次数: 0

Prolonged road transport of a critically ill postcardiac neonate: A systems failure rather than an unavoidable outcome. 一个危重心后新生儿的长期公路运输：系统故障而不是不可避免的结果。

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Annals of Pediatric Cardiology Pub Date : 2026-07-01 Epub Date: 2026-07-31 DOI: 10.4103/apc.apc_51_26

Ranganathan Ananthasubramanian, Rajesh Madavathazathil Gopalakrishnan

引用次数: 0

Lower airway changes in a neonate with cystic lesions: Anesthestic considerations. 新生儿囊性病变下气道改变：麻醉方面的考虑。

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Annals of Pediatric Cardiology Pub Date : 2026-07-01 Epub Date: 2026-07-31 DOI: 10.4103/apc.apc_171_26

Sneha Ann, T Krishna Prasad, G Dilip Kumar

引用次数: 0

Minimizing tricuspid valve damage during neonatal patent ductus arteriosus closure by implementing a change in procedural technique. 在新生儿动脉导管未闭闭合过程中通过改变手术技术来减少三尖瓣损伤。

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Annals of Pediatric Cardiology Pub Date : 2026-07-01 Epub Date: 2026-07-31 DOI: 10.4103/apc.apc_297_25

Christopher Iskander, Mehmet Kucuk, Salvador Rodriguez Franco, Ryan Leahy, Jenny E Zablah, Gareth John Morgan

{"title":"Minimizing tricuspid valve damage during neonatal patent ductus arteriosus closure by implementing a change in procedural technique.","authors":"Christopher Iskander, Mehmet Kucuk, Salvador Rodriguez Franco, Ryan Leahy, Jenny E Zablah, Gareth John Morgan","doi":"10.4103/apc.apc_297_25","DOIUrl":"https://doi.org/10.4103/apc.apc_297_25","url":null,"abstract":"Objective: This study aims to document the progression of tricuspid regurgitation (TR) following percutaneous patent ductus arteriosus (PDA) closure in preterm neonates weighing <2 kg following an institutional change in procedural technique.Materials and methods: Before June 1, 2021, the tricuspid valve was crossed with a glide catheter and glide wire. As of June 1, the tricuspid valve was crossed with a diagnostic catheter, microcatheter, and floppy 0.014\" wire. This retrospective single-center chart review of the progression of TR in ex-preterm infants weighing <2 kg following percutaneous PDA closure included cases from January 2019 to December 2022. Echocardiograms completed prior to and following the procedure were graded, and a comparison was made between the progression of TR in the old technique group (control) and the new technique group (treatment).Results: There were 58 patients who met the criteria during the study period. Median weight was 1.2 kg in the control group and 1.29 kg in the treatment group. The rate of TR progression was 32% (10/31) in the control group and 7% (2/27) in the treatment group. Both cases in the treatment group were progression from none/trivial to mild TR. Of the 10 cases that demonstrated progression in the control group, 4 progressed from none/trivial to mild and 6 progressed from none/trivial to moderate (P= 0.026).Conclusions: Despite the small sample size, this change in technique does demonstrate less progression in TR. Further studies are warranted to assess the longitudinal natural history of TR caused by trauma during neonatal duct closure.","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"19 4","pages":"374-378"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757532","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

Mild eccentric aortic regurgitation in bicuspid aortic valve causing anterior mitral leaflet perforation. 二尖瓣主动脉瓣轻度偏心反流，导致二尖瓣前叶穿孔。

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Annals of Pediatric Cardiology Pub Date : 2026-07-01 Epub Date: 2026-07-31 DOI: 10.4103/apc.apc_362_25

Rahul Nema, Arghadip Bose, Parag Barwad, Shyam Kumar Singh Thingnam

{"title":"Mild eccentric aortic regurgitation in bicuspid aortic valve causing anterior mitral leaflet perforation.","authors":"Rahul Nema, Arghadip Bose, Parag Barwad, Shyam Kumar Singh Thingnam","doi":"10.4103/apc.apc_362_25","DOIUrl":"https://doi.org/10.4103/apc.apc_362_25","url":null,"abstract":"Type 0 bicuspid aortic valve (BAV) with mild aortic regurgitation (AR) is generally considered a benign lesion. We report two pediatric cases of type 0 BAV with mild eccentric AR causing a previously undescribed complication: anterior mitral leaflet (AML) aneurysm and perforation through a novel \"jet lesion\" mechanism. A 13-year-old girl and an 8-year-old boy presented with palpitations and exertional dyspnea. Both had type 0 BAV with posteriorly or inferiorly directed mild eccentric AR. Transthoracic echocardiography identified a localized AML aneurysm with perforation resulting in severe secondary mitral regurgitation (MR). Inflammatory markers and blood cultures were negative, excluding infective endocarditis. Surgical exploration in one case confirmed a circular defect in the AML at the exact site where the AR jet impacted the leaflet. Pericardial patch repair was performed with successful restoration of mitral valve competence at 3-month follow-up. We propose that chronic low-velocity eccentric AR jets striking the AML induce endothelial denudation and localized myxomatous degeneration. Cyclic mechanical stress from regurgitant flow promotes progressive structural weakening, leading to aneurysm formation and eventual perforation with hemodynamically significant secondary MR. This observation challenges the assumption that mild AR in BAV is inconsequential. The temporal clustering of these cases suggests an underrecognized complication warranting heightened surveillance in BAV patients with posteriorly directed AR jets, regardless of AR severity. Systematic evaluation in larger cohorts is needed to clarify the prevalence, risk stratification, and optimal management strategies for this novel jet lesion complication in type 0 BAV disease.","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"19 4","pages":"446-449"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757609","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 dissection distal to coarctation of the aorta with severe coronary artery disease: A case report and surgical review of a rare combination of adult congenital and acquired heart diseases. 主动脉缩窄远端主动脉夹层合并严重冠状动脉疾病：一例罕见的成人先天性和后天性心脏病合并病例报告和手术回顾。

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Annals of Pediatric Cardiology Pub Date : 2026-07-01 Epub Date: 2026-07-31 DOI: 10.4103/apc.apc_306_25

Jithin Reji George, Ratish Radhakrishnan, S Anandakuttan

{"title":"Aortic dissection distal to coarctation of the aorta with severe coronary artery disease: A case report and surgical review of a rare combination of adult congenital and acquired heart diseases.","authors":"Jithin Reji George, Ratish Radhakrishnan, S Anandakuttan","doi":"10.4103/apc.apc_306_25","DOIUrl":"https://doi.org/10.4103/apc.apc_306_25","url":null,"abstract":"Coarctation of the aorta (CoA) persisting into adulthood is uncommon and may be complicated by hypertension and aortic pathology. Aortic dissection occurring distal to a coarctation segment in the presence of advanced coronary artery disease (CAD) is not uncommon, but its description in the literature - especially the management - is rarely reported. A 46-year-old male with no prior symptoms or history of comorbid illness presented with acute, tearing chest and back pain. Echocardiography revealed a CoA. Further evaluation with computed tomography angiography demonstrated a Stanford type B aortic dissection distal to the coarcted segment, and coronary angiography showed triple-vessel CAD. He underwent an open surgical repair with resection of the coarctation and Dacron graft replacement, along with triple coronary artery bypass grafting. Recovery was uneventful, and follow-up imaging confirmed durable repair and patent grafts. Vigilance for aortic complications in adults with uncorrected or residual coarctation is essential. Simultaneous repair of coarctation-associated dissection and coronary revascularization is feasible with meticulous planning.","PeriodicalId":8026,"journal":{"name":"Annals of Pediatric Cardiology","volume":"19 4","pages":"429-431"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148756964","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

Beyond case reports: Moving toward high-quality, practice-changing, contextual research in congenital heart disease. 超越病例报告：向高质量、改变实践的先天性心脏病背景研究迈进。

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Annals of Pediatric Cardiology Pub Date : 2026-07-01 Epub Date: 2026-07-31 DOI: 10.4103/apc.apc_298_26

Debasis Das

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Anatomical variants and innovative surgical approaches in juxtaductal aortic coarctation: Experience from a tertiary care center. 导管旁主动脉缩窄的解剖变异和创新手术入路：来自三级护理中心的经验。

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Annals of Pediatric Cardiology Pub Date : 2026-07-01 Epub Date: 2026-07-31 DOI: 10.4103/apc.apc_344_25

Deepak Yadav, Sakshi Chauhan, Arun Sharma, Akshay Kheni, Kulbhushan Saini, Rupesh Kumar

引用次数: 0