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Images in paediatric cardiology最新文献

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A case of metastatic Wilms' tumour with reversible distortion of mediastinal anatomy - a diagnostic challenge for the echocardiographer. 转移性肾母细胞瘤伴纵隔解剖可逆性扭曲-超声心动图医师的诊断挑战。
Images in paediatric cardiology Pub Date : 2018-07-01
F Cassar Galea, J Bugeja, N Galea
{"title":"A case of metastatic Wilms' tumour with reversible distortion of mediastinal anatomy - a diagnostic challenge for the echocardiographer.","authors":"F Cassar Galea,&nbsp;J Bugeja,&nbsp;N Galea","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Delineation and documentation of anatomy in the presence of significant mass pathology presents a diagnostic challenge. This often necessitates the implementation of more than one imaging modality in order to perform an adequate assessment. We present a three-year old boy with extensive distortion of mediastinal anatomy secondary to pleural metastases from a Wilms tumour. This limited the ability to accurately assess mediastinal anatomy and cardiac function at baseline. Reassessment following initiation of chemotherapy showed a significant reduction in size of metastases with complete resolution of the mediastinal distortion.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"20 3","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37069474","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
Prominent Crista Terminalis in a Fetus. 胎儿中突出的终嵴。
Images in paediatric cardiology Pub Date : 2018-07-01
Y D Evong, A E Warren, H Mohsin
{"title":"Prominent Crista Terminalis in a Fetus.","authors":"Y D Evong,&nbsp;A E Warren,&nbsp;H Mohsin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The crista terminalis is a normal cardiac structure located in the right atrium. It is not usually seen using standard view transthoracic echocardiography techniques, but on occasion, hypertrophy allows for easy visualization of this structure, which can be mistakenly labelled pathologic.</p><p><strong>Case: </strong>We report the first known case of a prominent crista terminalis detected in a fetus.</p><p><strong>Conclusions: </strong>This case confirms the presence of a prominent crista terminalis in a developing fetus, a variant which was exclusively described in the pediatric and adult populations until now. Although a prominent crista terminalis is a benign variant, the correct identification of this structure has important diagnostic implications. This report aims to increase familiarity with the appearance of a prominent crista terminalis on both fetal echocardiography and newborn transthoracic echocardiography in hopes that this will aid in the correct diagnosis of this variant in the future.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"20 3","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37069473","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
Anomalous Origin of Left Coronary Artery - an unusual case. 左冠状动脉异常起源-一例罕见病例。
Images in paediatric cardiology Pub Date : 2018-04-01
U Abbas, W Cossor
{"title":"Anomalous Origin of Left Coronary Artery - an unusual case.","authors":"U Abbas,&nbsp;W Cossor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anomalies of the coronary arteries are rare but are an important cause of sudden cardiac arrest in young athletes. Sudden cardiac arrest has been reported in patients with congenital anomalies of the coronary arteries. We present a rare case of sudden cardiac arrest caused by anomalous left main coronary artery originating high from the posterior aspect of left sinus of Valsalva with intramural retroaortic segment, associated with bicuspid aortic valve.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"20 2","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37069468","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
Back trauma resulting in commotio cordis. 背部创伤导致心绞痛。
Images in paediatric cardiology Pub Date : 2018-04-01
J Bugeja, T Dimech, C Borg, S Meilak, M Sammut, V Grech
{"title":"Back trauma resulting in commotio cordis.","authors":"J Bugeja,&nbsp;T Dimech,&nbsp;C Borg,&nbsp;S Meilak,&nbsp;M Sammut,&nbsp;V Grech","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"20 2","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37069470","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
Aorto-left ventricular tunnel: a rare cause of heart failure in the newborn. 主动脉-左心室隧道:一种罕见的新生儿心力衰竭的原因。
Images in paediatric cardiology Pub Date : 2018-01-01
T Marinho-Rito, I Freitas, Martins J Diogo, R Rodrigues, J Fragata, F Pinto
{"title":"Aorto-left ventricular tunnel: a rare cause of heart failure in the newborn.","authors":"T Marinho-Rito,&nbsp;I Freitas,&nbsp;Martins J Diogo,&nbsp;R Rodrigues,&nbsp;J Fragata,&nbsp;F Pinto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Aorto-left ventricular tunnel is a rare congenital cardiac anomaly, consisting of a short abnormal pathway, usually from a sinus of Valsalva into the left ventricular cavity. It is usually diagnosed with echocardiography. We report a case of a newborn presenting with heart murmur and rapid progression to heart failure and left ventricular enlargement due to an aorto-left ventricular tunnel. Despite successful closure of the tunnel, the patient required a Ross procedure due to progressive aortic disease.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"20 1","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36988634","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
Rapidly progressing giant aneurysm of right ventricular outflow tract with severe conduit obstruction: Report of two cases. 迅速发展的右心室流出道巨大动脉瘤伴严重导管阻塞2例报告。
Images in paediatric cardiology Pub Date : 2018-01-01
M Tomar, A Bhan
{"title":"Rapidly progressing giant aneurysm of right ventricular outflow tract with severe conduit obstruction: Report of two cases.","authors":"M Tomar,&nbsp;A Bhan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pseudoaneurysm of the right ventricular outflow tract (RVOT) has been reported as a rare complication of RVOT reconstruction performed using conduit replacement or patch repair. The RVOT needs to be followed up on echocardiography and if aneurysm a large aneurysm forms, it needs to be operated. Usually progression of aneurysm is slow. Rarely, it may present with symptoms secondary to the compression of adjoining mediastinal structures or thrombus formation inside the aneurysm. We report two cases of rapidly progressing massive RVOT aneurysm needing early surgical intervention. Both patients had ventricular septal defect (VSD) closure and right ventricle to pulmonary artery conduit placement. In both patients Contegra pulmonary valved conduit (Medtronic) had been used.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"20 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36988633","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 first case of the Reveal LINQ™ Insertable Cardiac Monitor implanted in a child in Malta. 首例Reveal LINQ™可插入式心脏监护仪植入马耳他儿童体内。
Images in paediatric cardiology Pub Date : 2017-10-01
A Aquilina, O Aquilina, M Sammut, V Grech
{"title":"The first case of the Reveal LINQ™ Insertable Cardiac Monitor implanted in a child in Malta.","authors":"A Aquilina,&nbsp;O Aquilina,&nbsp;M Sammut,&nbsp;V Grech","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The Reveal LINQ™Insertable Cardiac Monitor (ICM) or Implantable Loop recorder (ILR), is a miniaturized, subcutaneous, single lead, electrocardiographic monitoring device which has been extensively used in the differential diagnosis of unexplained syncope and palpitations in adults.</p><p><strong>Patient description: </strong>We describe an asymptomatic 20-month-old boy, noted to have incidental bradycardia on routine examination and in whom Holter monitoring revealed complete heart block (CHB). Over 1 year, the longest recorded pause lengthened from 1.8 seconds to 3.6 seconds.</p><p><strong>Results: </strong>The Reveal LINQ™ ICM was inserted for long-term monitoring of the CHB. The device will record the electrocardiogram (ECG) continuously for up to 3 years, freezing in its memory any significant arrhythmic events. This will enable the diagnosis of the longest pauses, confirm whether they are lengthening over time and assist with the decision of pacemaker implantation.</p><p><strong>Conclusion: </strong>The Reveal LINQ™ ICM is much smaller than the conventional loop recorder and has been shown to be ideal for close monitoring of asymptomatic yet potentially dangerous arrhythmias in young children.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"19 4","pages":"10-21"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5917869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36073313","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
Mycotic aneurysm: a lesser known complication of coarctation repair in a child, managed by endovascular aneurysm repair. 霉菌性动脉瘤：通过血管内动脉瘤修补术治疗的一名儿童共动脉瘤修补术中鲜为人知的并发症。
Images in paediatric cardiology Pub Date : 2017-10-01
M Tomar, R Parakh, A Bhan
{"title":"Mycotic aneurysm: a lesser known complication of coarctation repair in a child, managed by endovascular aneurysm repair.","authors":"M Tomar, R Parakh, A Bhan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a 12-year-old child diagnosed with mycotic aneurysm at the site of coarctation of aorta (CoA) repair. Surgical intervention, though very high risk, is the mainstay of management. In selected cases endovascular stenting is being reported in adults. Here we report the use of an endovascular stent in a child.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"19 4","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5917868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36074388","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 coarctation - never too late to diagnose, never too late to treat. 主动脉缩窄——诊断永远不晚，治疗永远不晚。
Images in paediatric cardiology Pub Date : 2017-07-01
L Conti, S Borg Savona, T Spiteri, J Degiovanni, A Borg, M Caruana
{"title":"Aortic coarctation - never too late to diagnose, never too late to treat.","authors":"L Conti,&nbsp;S Borg Savona,&nbsp;T Spiteri,&nbsp;J Degiovanni,&nbsp;A Borg,&nbsp;M Caruana","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We present two cases of severe aortic coarctation detected in adulthood and who underwent successful relief by transcatheter stent deployment using a new covered stent, Optimus® stent (AndraTec GmbH Koblenz, Germany). One patient is a 46-year old female with resistant arterial hypertension, in whom coarctation was suspected on a follow-up transthoracic echocardiogram for bicuspid aortic valve disease and subsequently confirmed on magnetic resonance imaging. The second patient is a 68-year old male whose coarctation was diagnosed incidentally at coronary angiography being performed as part of the preoperative work-up for severe aortic stenosis. Suprasternal views to assess aortic arch and flows in the proximal descending aorta should be a standard part of every transthoracic echocardiogram. Treatment of aortic coarctation should be considered irrespective of patient's age.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"19 3","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5917866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36074392","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
An update work of pulse oximetry screening for detecting critical congenital heart disease in the newborn. 脉搏血氧仪筛查新生儿危重先天性心脏病的最新进展。
Images in paediatric cardiology Pub Date : 2017-07-01
A Taksande, R Meshram, A Lohakare, S Purandare, U Biyani, J Vagha
{"title":"An update work of pulse oximetry screening for detecting critical congenital heart disease in the newborn.","authors":"A Taksande,&nbsp;R Meshram,&nbsp;A Lohakare,&nbsp;S Purandare,&nbsp;U Biyani,&nbsp;J Vagha","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Congenital Heart Disease (CHD) is the commonest group of congenital malformations and affects 7-8 per 1000 live born newborns. Nevertheless, it is estimated that more than 50% of babies with undiagnosed CHD are not detected by routine neonatal cardiac examination.</p><p><strong>Aim: </strong>To find the incidence of CHD in newborns and to determine the accuracy of pulse oximetry for detecting clinically unrecognized critical congenital heart disease (CCHD) in the newborns.</p><p><strong>Methods: </strong>Pulse oximetry was performed on clinically normal newborns within 4 hours of first day of life. Inclusion criteria: All newborns who were admitted in postnatal ward & Neonatal Intensive care unit (NICU). Exclusion criteria: babies and neonates with a prenatal diagnosis of duct dependent circulation. If oxygen saturation (SpO<sub>2</sub>) was below 90%, then echocardiography was performed.</p><p><strong>Results: </strong>During the study period, 4926 live born neonates were examined. Nine out of 12 neonates with SpO2<90% had CCHD. Four neonates had tetralogy of Fallot (TOF), two had tricuspid atresia, two had transposition of great arteries (TGA) and one had truncus arteriosus. The incidence of CHD was 33.49 per 1000 live births and CCHD was 1.82 per 1000.  A pulse oximetry cut-off value of below 90% for detecting CCHD showed 90% sensitivity, 99.94% specificity, 75% positive predictive value (PPV) and 99.98% negative predictive value (NPV).</p><p><strong>Conclusion: </strong>Pulse oximetry is safe, feasible and noninvasive and also used to screen for CCHD. It is the nice method to detect the CHD along with the physical examination of neonates by medical personal.</p>","PeriodicalId":89564,"journal":{"name":"Images in paediatric cardiology","volume":"19 3","pages":"12-18"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5917867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36074389","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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