Pediatric CardiologyThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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Impact of Palivizumab on RSV Hospitalizations for Children with Hemodynamically Significant Congenital Heart DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to evaluate the impact of palivizumab prophylaxis on respiratory syncytial virus (RSV) hospitalizations among children with hemodynamically significant congenital heart disease (CHD). In 2003, the American Academy of Pediatrics (AAP) revised the bronchiolitis policy statement and recommended the use of palivizumab in children <24 months old with hemodynamically significant CHD (HS-CHD). California statewide hospital discharge data from years 2000–2002 (pre-AAP policy revision) were compared to those from years 2004–2006 (post-AAP policy revision). Hospitalizations due to...
Source: Pediatric Cardiology - November 14, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Beat-to-Beat QT Interval Dynamics and Variability in Familial DysautonomiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, most QT dynamics parameters in patients with FD are similar to that of normal controls. Nevertheless, FD patients have significantly higher QTVN, which might indicate higher risk for ventricular arrhythmias. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00246-009-9575-2Authors Udi Nussinovitch, Tel Aviv University Department of Internal Medicine B, Chaim Sheba Medical Center, Tel Hashomer, Israel and Sackler Faculty of Medicine Tel Aviv IsraelUriel Katz, Tel Aviv University Department of Pediatric Cardiology, Chaim Sheba Medical Center, Tel Hashomer, Israel and Sackler Faculty of Me...
Source: Pediatric Cardiology - November 14, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Cerebral Hemodynamics in the Presence of Decreased Systemic Venous Compliance in Patients with Fontan Physiology May Limit Anaerobic Exercise CapacityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Patients who have had the Fontan procedure report poor exercise performance. Fontan subjects can tolerate a higher level of sub maximal activity than might be anticipated from Vo 2, suggesting a different mechanism of exercise limitation. Near-infrared spectroscopy (NIRS) provides a non-invasive, continuous method to monitor regional tissue oxygenation (rSO2) and thereby a window into regional oxygen supply–demand relationships. We hypothesized that Fontan patients would have altered rSO2 trends from normal population that might reflect the mechanisms of exercise limitation. All the patients with...
Source: Pediatric Cardiology - November 14, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

GATA4 Mutations in Chinese Patients with Congenital Cardiac Septal DefectsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The object of the study was to elucidate the mutations of the GATA4 gene in Han ancestry patients with congenital cardiac septal defects. Fifty Han ancestry patients with sporadic and familial cardiac septal defects and 200 normal subjects of the same ethnical background were studied. A total of six exons and the intron–exon boundaries of GATA4 were amplified by polymerase chain reaction (PCR). The PCR products were purified and directly sequenced with an ABI PRISM 3730 Automatic DNA sequencer. Two novel heterozygous mutations were discovered in the GATA4 gene in five children with cardiac septal d...
Source: Pediatric Cardiology - November 14, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Initial Experience with Levosimendan Infusion for Preoperative Management of Hypoplastic Left Heart SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00246-009-9571-6Authors Luca Di Chiara, Bambino Gesù Pediatric Hospital Division of Pediatric Cardiac Anesthesia/Intensive Care Unit, Department of Pediatric Cardiology and Cardiac Surgery Piazza S.Onofrio 00100 Rome ItalyZaccaria Ricci, Bambino Gesù Pediatric Hospital Division of Pediatric Cardiac Anesthesia/Intensive Care Unit, Department of Pediatric Cardiology and Cardiac Surgery Piazza S.Onofrio 00100 Rome ItalyCristiana Garisto, Bambino Gesù Pediatric Hospital Division of Pediatric Cardiac Anesthesia/Intensive Care Unit, Department of Pediat...
Source: Pediatric Cardiology - November 14, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Cardiac Isoform of Alpha 2 Macroglobulin: A Marker of Cardiac Involvement in Pediatric HIV and AIDSEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Cardiac involvement in children with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) is known but less often considered. Our objectives were to determine cardiac manifestations in pediatric HIV/AIDS and estimate the cardiac isoform of alpha-2 macroglobulin [CA2M] among them. We recruited 67 pediatric HIV/AIDS patients, 37 with cardiac involvement (group A) and 30 without (group B); 30 cardiac patients without HIV infection (group C); and 30 healthy control subjects without any comorbid illness (group D). Their sociodemographic and clinical information were collected alo...
Source: Pediatric Cardiology - November 14, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Serial Cardiopulmonary Exercise Testing in Patients with Previous Fontan SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, although the exercise function of previous Fontan patients tends to decline during late adolescence, it appears to stabilize during early adulthood. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00246-009-9580-5Authors Susan M. Fernandes, Children’s Hospital Department of Cardiology Boston MA 02115 USADoff B. McElhinney, Children’s Hospital Department of Cardiology Boston MA 02115 USAPaul Khairy, Children’s Hospital Department of Cardiology Boston MA 02115 USADionne A. Graham, Children’s Hospital Department of Cardiology Boston MA 02115 USAMichael J. Landzberg, Children’s ...
Source: Pediatric Cardiology - November 14, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Heart Rate Variability in Children with Exercise-Induced Idiopathic Ventricular ArrhythmiasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Ventricular arrhythmias (VAs) are common pediatric rhythm disorders requiring comprehensive laboratory evaluation. Although usually idiopathic, implying a benign character and favorable prognosis, the initial clinical approach is still not established in all cases. Considering their prognostic significance, exercise-induced (precipitated or aggravated) VAs usually require additional diagnostics, treatment, and follow-up. A number of reports have presented experimental and clinical evidence that increased sympathetic activity can initiate, or at least facilitate, VAs. Recent data highlight the relati...
Source: Pediatric Cardiology - November 14, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Postnatal Course of Hypoplastic Left Heart Complex and Restrictive Foramen OvaleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes a unique case of this complex with a retrograde flow to the ascending aorta and a restrictive foramen ovale at birth in which the patient ultimately underwent biventricular repair after transient pulmonary congestion and full reversal of aortic and ductal flow. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00246-009-9563-6Authors Koa Hosoki, Mie University Graduate School of Medicine Department of Pediatrics 2-174 Edobashi Tsu City Mie Pref 514-8507 JapanYoshihide Mitani, Mie University Graduate School of Medicine Department of Pediatrics 2-174 Edobashi Tsu City Mie Pref 514-8507...
Source: Pediatric Cardiology - November 14, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Late Pulmonary Valve Replacement in Congenital Heart Disease Patients Without Original Congenital Pulmonary Valve PathologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes five cases of patients with a history of congenital heart surgery but no congenital pulmonary valve pathology who required pulmonary valve replacement due to the consequences of prolonged pulmonary regurgitation. Although pulmonary regurgitation may be well tolerated for many years, it is further evidence for the importance of close follow-up assessment and monitoring of young adults with congenital heart disease. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00246-009-9574-3Authors Brian E. Kogon, Emory University School of Medicine, Children’s Healthcare of Atlanta Div...
Source: Pediatric Cardiology - November 14, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Tetralogy of Fallot with Persistent Fifth Aortic Arch: Echocardiographic DiagnosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes a new case of P5A in an infant with tetralogy of Fallot but not pulmonary atresia, which was diagnosed echocardiographically. The echo-Doppler characteristics of P5A in the presence of right ventricular outflow obstruction are described, and the implications regarding surgery for the accompanying defects are discussed. To the authors’ best knowledge, the described case is the first reported instance of P5A in this specific setting. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00246-009-9573-4Authors Gerard Holmes, Pediatrix Cardiology Associates of New Mexico 201 Cedar SE, S...
Source: Pediatric Cardiology - November 10, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Lown-Ganong-Levine Syndrome in a 3-Month-Old Infant with Isolated Left Ventricular NoncompactionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes a 3-month-old boy with isolated left ventricular noncompaction admitted to a medical facility due to heart failure and dysrhythmia. His electrocardiogram showed a short PR interval and a normal QRS complex after abortion of supraventricular tachycardia in favor of Lown-Ganong-Levine syndrome or enhanced atrioventricular nodal conduction. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00246-009-9564-5Authors Reza Shabanian, Children’s Medical Center, Tehran University of Medical Sciences Division of Cardiology, Department of Pediatrics Tehran IranAbdolrazagh Kiani, Children’s M...
Source: Pediatric Cardiology - October 27, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Cardiac Tumor in Juvenile Onset Behçet’s Disease: Case Report and Review of the LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes an atypical presentation of pediatric Behçet’s disease with pulmonary emboli and a cardiac mass. A 16-year-old boy with a 2-year history of oral ulcers presented with weight loss, fever, joint pain, and a large tumor adhering to the free wall of the heart’s right ventricle. Surgical biopsy demonstrated endomyocarditis with thrombus formation and led to the diagnosis. At the 2-year follow-up evaluation, intracardiac thrombus and pulmonic emboli had not recurred. Symptom control with immunosuppressive therapy was good. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00246-009-95...
Source: Pediatric Cardiology - October 27, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Anomalous Origin of a Coronary Artery from the Right Branchiocephalic Trunk Associated with Complex Congenital Heart DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes the extremely rare case of a 42-day-old boy with anomalous origin of a single coronary artery from the right branchiocephalic trunk associated with hypoplastic left ventricle, mitral atresia, truncus arteriosus, total anomalous pulmonary venous drainage, and patent foramen ovale. Content Type Journal ArticleCategory Images in Pediatric CardiologyDOI 10.1007/s00246-009-9561-8Authors Fang Liu, Pediatric Heart Center, Children’s Hospital of Fudan University Shanghai ChinaGuoying Huang, Pediatric Heart Center, Children’s Hospital of Fudan University Shanghai ChinaJing Zhang, Pediatric Heart Cen...
Source: Pediatric Cardiology - October 27, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

N-terminal-Pro-B-Type Natriuretic Peptide in Premature Patent Ductus Arteriosus: A Physiologic Biomarker, But Is It a Clinical Tool?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigated whether N-terminal-pro-B-type natriuretic peptide (NT-proBNP) levels could serve as prognostic indicators of the therapeutic responsiveness of the patent ductus arteriosus to pharmacologic treatment. The levels of NT-proBNP in premature neonates with hemodynamically significant patency of the ductus arteriosus (hsPDA) were assessed before and after treatment using ibuprofen, indomethacin, or both. The baseline NT-proBNP levels were similar in both the infants who responded and those who did not respond to medical treatment. The combined data for all the subjects showed that NT-ProBNP decreased a...
Source: Pediatric Cardiology - October 27, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Aorto–Right Atrial Tunnel: Fetal Heart Failure, Diagnosis, and TreatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes the first fetal diagnosis of congenital aorto–right atrial tunnel and successful management of the heart failure by surgical intervention. Content Type Journal ArticleCategory Images in Pediatric CardiologyDOI 10.1007/s00246-009-9567-2Authors Shriprasad R. Deshpande, Children’s Healthcare of Atlanta, Sibley Heart Center Cardiology Department of Pediatric Cardiology The McGill Building, 2835 Brandywine Road, Suite 300 Atlanta GA 30341 USADerek A. Fyfe, Children’s Healthcare of Atlanta, Sibley Heart Center Cardiology Department of Pediatric Cardiology The McGill Building, 2835 Brandywine Roa...
Source: Pediatric Cardiology - October 27, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Regression of a Coronary Arterial Fistula in an Infant with Pulmonary Atresia and an Intact Ventricular SeptumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes a premature newborn with pulmonary atresia and an intact ventricular septum who presented with a significant fistula between the right ventricle and the left anterior descending coronary artery (LAD). The right ventricle was not decompressed to prevent myocardial damage. After 2 months, the fistula had closed spontaneously. The pulmonary valve was opened, and biventricular circulation was achieved. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00246-009-9559-2Authors Anca Popoiu, Deutsches Herzzentrum München Department of Pediatric Cardiology and Congenital Heart Disease ...
Source: Pediatric Cardiology - October 27, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Reconstruction of an Isolated Left Subclavian Artery in a Patient with a Right Aortic Arch and Tetralogy of FallotEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes the case of a 2-year-old boy who underwent ILSA reconstruction during repair of the associated tetralogy of Fallot to prevent future subclavian steal syndrome after surgery. Content Type Journal ArticleCategory Images in Pediatric CardiologyDOI 10.1007/s00246-009-9562-7Authors Hirofumi Kasahara, Keio University Division of Cardiovascular Surgery 35 Shinanomachi Shinjuku Tokyo 160-8582 JapanRyo Aeba, Keio University Division of Cardiovascular Surgery 35 Shinanomachi Shinjuku Tokyo 160-8582 JapanRyohei Yozu, Keio University Division of Cardiovascular Surgery 35 Shinanomachi Shinjuku Tokyo 160-858...
Source: Pediatric Cardiology - October 22, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Late Rupture of the Aorta After Interventional Treatment of a RecoarctationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Images in Pediatric CardiologyDOI 10.1007/s00246-009-9558-3Authors Reinald Motz, Klinikum Oldenburg gGmbH Paediatric Cardiology Oldenburg GermanyMichael Schumacher, Klinikum Oldenburg gGmbH Paediatric Cardiology Oldenburg GermanyJürgen Seidenberg, Klinikum Oldenburg gGmbH Paediatric Pneumology/Neonatology/Intensive Care Medicine Oldenburg GermanyGunther Fischer, Christian Albrecht University Paediatric Cardiology Kiel GermanyHans Heiner Kramer, Christian Albrecht University Paediatric Cardiology Kiel GermanyKlaus-Peter Larsch, Hannover Medical School Department of Forensic Medicine...
Source: Pediatric Cardiology - October 22, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Effect of Transcatheter Occlusion of a Pulmonary Arteriovenous Fistula on the Cardiopulmonary Response to ExerciseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00246-009-9556-5Authors Jonathan Rhodes, Children’s Hospital Department of Cardiology Boston MA USAPhyllis Pollack, University of Massachusetts Medical Center Department of Pediatric Worcester MA USAPeter Lang, Children’s Hospital Department of Cardiology Boston MA USA Journal Pediatric CardiologyOnline ISSN 1432-1971Print ISSN 0172-0643 (Source: Pediatric Cardiology)
Source: Pediatric Cardiology - October 20, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Intrapericardial Teratoma in a NewbornEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Images in Pediatric CardiologyDOI 10.1007/s00246-009-9533-zAuthors Geetika K. C. Shrestha, University of Chicago Comer Children’s Hospital Pediatric Cardiology 5721 S. Maryland Avenue, Room C140 Chicago IL 60637-1470 USABassam Mora, University of Chicago Comer Children’s Hospital Pediatric Cardiology 5721 S. Maryland Avenue, Room C140 Chicago IL 60637-1470 USABrojendra Agarwala, University of Chicago Comer Children’s Hospital Pediatric Cardiology 5721 S. Maryland Avenue, Room C140 Chicago IL 60637-1470 USA Journal Pediatric CardiologyOnline ISSN 1432-1971Print ISSN 0172...
Source: Pediatric Cardiology - October 20, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Oral Ibuprofen and Ductus Arteriosus Closure in Full-Term Neonates: A Prospective Case–Control StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study showed the efficacy of oral ibuprofen in achieving earlier closure of PDA in full-term neonates. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00246-009-9542-yAuthors Hamid Amoozgar, Shiraz University of Medical Sciences Department of Pediatrics, Namazee Hospital Shiraz IranMohammad Ghodstehrani, Shiraz University of Medical Sciences Department of Pediatrics, Namazee Hospital Shiraz IranNarjes Pishva, Shiraz University of Medical Sciences Department of Pediatrics, Namazee Hospital Shiraz Iran Journal Pediatric CardiologyOnline ISSN 1432-1971Print ISSN 0172-0643 (Source: Pediatric Cardiology)
Source: Pediatric Cardiology - October 20, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Clinical Improvement After Banding of a Pulmonary Branch Artery in a Symptomatic Patient with Osler–Rendu–Weber SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a symptomatic newborn with Osler–Rendu–Weber syndrome, multiple and diffuse pulmonary arteriovenous malformations, and right-to-left shunting in the left lung. Right-to-left shunting was significantly decreased by selectively banding the left pulmonary branch artery and clipping one large feeding vessel so that total resection of the left lung could be avoided. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00246-009-9553-8Authors Bettina Ruf, Deutsches Herzzentrum München, Technische Universität München Department of Pediatric Cardiology and Congenital Heart Disease Munich GermanyAndr...
Source: Pediatric Cardiology - October 20, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Coronary Arteriovenous Fistula: Direct Connection of the Proximal Circumflex Artery to the Coronary SinusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00246-009-9555-6Authors Yasunobu Hayabuchi, University of Tokushima Department of Pediatrics, School of Medicine Kuramoto-cho-3-18-15 Tokushima 770-8503 Japan Journal Pediatric CardiologyOnline ISSN 1432-1971Print ISSN 0172-0643 (Source: Pediatric Cardiology)
Source: Pediatric Cardiology - October 20, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Reversible Cardiomyopathy in an Adolescent with Idiopathic Aortic Cusp Ventricular TachycardiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes the case of an asymptomatic patient with a ventricular tachycardia-induced cardiomyopathy that resolved completely after successful radiofrequency ablation. This type of presentation and outcome has not been reported in the pediatric literature. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00246-009-9560-9Authors Siddharth Kakodkar, Rush Univesity Medical Center Sections of Adult and Pediatric Cardiology 1653 W. Congress Parkway Chicago IL 60612 USAKousik Krishnan, Rush Univesity Medical Center Sections of Adult and Pediatric Cardiology 1653 W. Congress Parkway Chicago IL 60612 ...
Source: Pediatric Cardiology - October 20, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

A Variant of Tetralogy of Fallot with Absent Pulmonary Valve: Left Pulmonary Artery Originate from Left Patent Ductus ArteriosusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Images in Pediatric CardiologyDOI 10.1007/s00246-009-9530-2Authors Min Jung Cho, Pusan Baik Hospital Department of Pediatrics Busan KoreaJi Ae Park, Pusan National University Children’s Hospital Department of Pediatrics Yangsan Keongsangnam-do 626-770 Republic of KoreaHyoung Doo Lee, Pusan National University Children’s Hospital Department of Pediatrics Yangsan Keongsangnam-do 626-770 Republic of Korea Journal Pediatric CardiologyOnline ISSN 1432-1971Print ISSN 0172-0643 (Source: Pediatric Cardiology)
Source: Pediatric Cardiology - October 15, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Closure of Conduit Fenestration After Extracardiac Fontan Procedure Using Amplatzer Vascular Plug: Comparison with Detachable CoilEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to report the outcome of fenestration closure using either an Amplatzer Vascular Plug I or detachable coils in patients undergoing extracardiac Fontan procedure with conduit fenestration. We reviewed the medical records of 23 patients who underwent transcatheter closure of conduit fenestration with the extracardiac Fontan procedure. The median age at fenestration closure was 57 months (range 36 to 98). The median interval between the operation and the procedure was 28 months (range 8 to 68). The Amplatzer Vascular Plug I (AVP) was used in 16 patients, and detachable coils were ...
Source: Pediatric Cardiology - October 15, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Catheter Ablation for Right Ventricular Outflow Tract Ventricular Tachycardia Induced by Fever in a 7-Year-Old GirlEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a 7-year old girl with ventricular tachycardia exacerbated by fever. She experienced her first symptom of palpitations during an influenza infection, and electrocardiogram showed wide QRS tachycardia of a left bundle branch block inferior axis pattern. We performed an electrophysiological study (EPS) for diagnosis, but the wide QRS tachycardia could not be induced. The wide QRS tachycardia recurred during upper respiratory tract infection with fever and ceased with lidocaine administration. Wide QRS tachycardia is characteristic of ventricular tachycardia (VT) exacerbated by fever. VT was not able to be induc...
Source: Pediatric Cardiology - October 8, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Staged Surgical Approach in Neonates with a Functionally Single Ventricle and Arch Obstruction: Pulmonary Artery Banding and Aortic Arch Reconstruction Before Placement of a Bidirectional Cavopulmonary Shunt in InfantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The success rate of right-heart bypass surgery in patients with a functionally single ventricle (f-SV) and systemic obstruction is low. In patients with a high risk of subaortic stenosis, we performed an initial step of pulmonary artery banding (PAB) and arch reconstruction before placing a bidirectional cavopulmonary shunt (BCPS) in infants with or without Damus-Kaye-Stansel (DKS) anastomosis. We assessed the success of right-heart bypass surgery. Between October 2003 and August 2008, we performed surgery in 19 neonates (median age 5 days) with f-SV and arch obstruction. Extended aortic arch a...
Source: Pediatric Cardiology - October 8, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Successful Two-Stage Correction of Ventricular Septal Defect and Patent Ductus Arteriosus in a Patient with Fixed Pulmonary HypertensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a 6-year-old boy with fixed severe pulmonary artery hypertension secondary to a ventricular septal defect (VSD) together with a patent ductus arteriosus (PDA). As a preliminary step, PDA embolization was performed following therapy with inhaled prostacyclin over a period of 6 months. Further, the patient underwent successful surgical VSD closure. We postulate that a staged procedure with long-term prostaglandin therapy might be capable of reducing pulmonary artery resistance and permitting total correction in a patient once considered to have inoperable pulmonary arteriopathy. Content Type J...
Source: Pediatric Cardiology - October 8, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

@RER1.0: A Novel Submaximal Cardiopulmonary Exercise IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Maximal oxygen consumption ( × V \textO2 \textmax ) is the “gold standard” by which to assess functional capacity; however, it is effort dependent. \textV\textO2 @RER1.0 is defined when \textV\textO2=V\textCO2 . Between December 22, 1997 and November 9, 2004, 305 pediatric subjects underwent cycle ergometer cardiopulmonary exercise testing, exercised to exhaustion, and reached a peak respiratory exchange ratio ≥1.10. Group 1 subjects achieved a peak \textV\textO2 ³ 80% of predicted × V \textO2 \textmax ; gro...
Source: Pediatric Cardiology - October 8, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Erratum to: Balloon Dilation of the Pulmonary Valve in Premature Infants with Tetralogy of FallotEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory ErratumDOI 10.1007/s00246-009-9550-yAuthors Vikas Kohli, Indraprastha Apollo Hospital Department of Pediatric Cardiology and Congenital Cardiac Surgery Sarita Vihar New Delhi 110044 IndiaSushil Azad, Indraprastha Apollo Hospital Department of Pediatric Cardiology and Congenital Cardiac Surgery Sarita Vihar New Delhi 110044 IndiaManvinder Singh Sachdev, Indraprastha Apollo Hospital Department of Pediatric Cardiology and Congenital Cardiac Surgery Sarita Vihar New Delhi 110044 IndiaReena Joshi, Indraprastha Apollo Hospital Department of Pediatric Cardiology and Congenital Cardiac Surg...
Source: Pediatric Cardiology - October 6, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Evaluating Safety, Effectiveness, and User Satisfaction of Home International Normalized Ratio Monitoring Service: Experience from a Tertiary Pediatric Cardiology Unit in the United KingdomEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Home international normalized ratio (INR) monitors are being increasingly used for monitoring the adequacy of anticoagulation in children on long-term warfarin. Their safety and effectiveness in the home setting has not been fully established. The purpose of this study was to explore the safety and effectiveness of home INR monitoring service in managing anticoagulation in children with congenital heart disease. At the Pediatric Cardiology Regional Referral Center, we studied records of 41 children on warfarin and assessed the control of anticoagulation and frequency of adverse reactions over a 1-ye...
Source: Pediatric Cardiology - October 6, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Ostial Stenosis of an Anomalous Left Coronary Artery from the Pulmonary Artery in a TeenagerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Images in Pediatric CardiologyDOI 10.1007/s00246-009-9546-7Authors Antoine Legendre, Hôpital Necker-Enfants Malades Department of Paediatric Cardiology, Centre de Reference Malformations Cardiaques Congénitales Complexes (M3C) 75015 Paris FrancePhalla Ou, Hôpital Necker-Enfants Malades Department of Pediatric Radiology 75015 Paris FranceDamien Bonnet, Hôpital Necker-Enfants Malades Department of Paediatric Cardiology, Centre de Reference Malformations Cardiaques Congénitales Complexes (M3C) 75015 Paris France Journal Pediatric CardiologyOnline ISSN 1432-1971Print ISSN 01...
Source: Pediatric Cardiology - October 6, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Ventricular Septal Rupture in a 4-Year-Old Child Following Blunt Chest InjuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on a 4-year-old child who developed rupture of the ventricular septum after a blunt chest injury. The symptoms appeared more than 12 h later with progressive deterioration in his hemodynamic status. The diagnosis was made by echocardiography and the large defect in the muscular part of the ventricular septum was successfully closed at surgery. Content Type Journal ArticleCategory Images in Pediatric CardiologyDOI 10.1007/s00246-009-9529-8Authors Anita Saxena, All India Institute of Medical Sciences Department of Cardiology, Cardiothoracic Sciences Center New Delhi IndiaSureshkumar Ramasamy, All India ...
Source: Pediatric Cardiology - October 1, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

A Teenager with Marfan Syndrome and Left Ventricular NoncompactionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a teenager with Marfan syndrome who presented to Cincinnati Children’s Hospital Medical Center as part of a preoperative evaluation for an orthopedic procedure after asymptomatic arrhythmia was recognized. Continuous cardiac monitoring showed frequent premature ventricular contractions and nonsustained runs of ventricular tachycardia. Cardiac magnetic resonance imaging showed left ventricular noncompaction (LVNC), prompting insertion of an implantable cardiac defibrillator. Although Marfan syndrome is associated with cardiac lesions, it has not previously been described with LVNC. Likewise LVNC has been see...
Source: Pediatric Cardiology - October 1, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

The Fantastic Journey of a Bullet: Out with a SnareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Bullet embolus is a rare complication of penetrating missile trauma. Removal of the bullet previously required surgery. We report the case of a 14-year-old with an hepatic vein bullet embolus following a gunshot wound to the left buttock. A transjugular approach was used to extract the bullet percutaneously with an Amplatzer gooseneck snare. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00246-009-9528-9Authors Sunil S. Raikar, Saint Louis University School of Medicine/Cardinal Glennon Children’s Medical Center Department of Pediatrics 1465 South Grand Boulevard St. Louis MO 63104...
Source: Pediatric Cardiology - October 1, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

PTPN11 Mutation Associated with Aortic Dilation and Hypertrophic Cardiomyopathy in a Pediatric Patient with Noonan SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe an 8-year-old girl who had Noonan syndrome involving a PTPN11 mutation, hypertrophic cardiomyopathy, main pulmonary artery dilation, and aortic root dilation. To our knowledge, this is the first case in which all three of these cardiovascular features have been observed in a single patient with Noonan syndrome. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00246-009-9537-8Authors John L. Jefferies, Texas Children’s Hospital Section of Pediatric Cardiology 6621 Fannin, MC 19345-C Houston TX 77030 USAJohn W. Belmont, Baylor College of Medicine Department of Human and Molecular Genetics Hou...
Source: Pediatric Cardiology - October 1, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Congenitally Corrected Transposition of the Great Arteries: A Unique Case from IraqEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A severely cyanotic 27-month-old Iraqi child was transferred to the United States for surgical treatment of suspected tetralogy of Fallot. Her diagnostic studies showed dextrocardia, congenitally corrected transposition of the great arteries, hypoplastic left-sided ventricle, interrupted inferior vena cava, and severe pulmonic stenosis. Given the anatomic constraints as well as the absence of long-term medical care, the decision was made to pursue single-ventricle palliation. The patient recovered from a superior cavopulmonary anastomosis without event and has since returned to her native Iraq. C...
Source: Pediatric Cardiology - September 29, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Ventricular Angiography Images in Noncompaction of the Left VentricleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Images in Pediatric CardiologyDOI 10.1007/s00246-009-9539-6Authors Joanna Kwiatkowska, Medical University of Gdańsk Department of Pediatric Cardiology and Congenital Heart Defects 80-210 Gdańsk PolandRobert Sabiniewicz, Medical University of Gdańsk Department of Pediatric Cardiology and Congenital Heart Defects 80-210 Gdańsk Poland Journal Pediatric CardiologyOnline ISSN 1432-1971Print ISSN 0172-0643 (Source: Pediatric Cardiology)
Source: Pediatric Cardiology - September 29, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Severe Hypertrophic Cardiomyopathy in an Infant with a Novel PRKAG2 Gene Mutation: Potential Differences Between Infantile and Adult Onset PresentationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study is aimed to determine the genetic cause of severe cardiac hypertrophy in an infant. An infant was assigned a diagnosis of ventricular preexcitation and severe biventricular HCM requiring septal myectomy. Genetic testing showed a novel heterozygous E506Q mutation of the adenosine monophosphate (AMP)-activated protein kinase (PRKAG2) gene. Endomyocardial biopsy samples did not demonstrate significant glycogen accumulation. Hypertrophic cardiomyopathy due to PRKAG2 mutations may have a degree of cardiac hypertrophy exceeding that expected from observed amounts of glycogen deposition. Content Type Journal Art...
Source: Pediatric Cardiology - September 29, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Limb Ischemic Preconditioning Reduces Heart and Lung Injury After an Open Heart Operation in InfantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Open heart surgery supported by cardiopulmonary bypass is associated with heart and lung ischemia–reperfusion injury (IRI). Limb remote ischemic preconditioning (RIPC) reduces injury caused by ischemia–reperfusion in multiple distant organs. We conducted a prospective clinical trial (randomized and controlled) to test the feasibility and safety of limb RIPC, as well as its protective effects against myocardial and pulmonary IRI for infants undergoing repair of simple congenital heart defects. Infants undergoing repair of ventricular septal defects were enrolled in our study and randomly assigned...
Source: Pediatric Cardiology - September 29, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Erratum to: Prenatal Diagnosis and Management of Fetal Long QT SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory ErratumDOI 10.1007/s00246-009-9551-xAuthors Viktor Tomek, University Hospital Motol Kardiocentrum and Cardiovascular Research Centre V uvalu 84 Prague 5 150 08 Czech RepublicJan Skovranek, University Hospital Motol Kardiocentrum and Cardiovascular Research Centre V uvalu 84 Prague 5 150 08 Czech RepublicRoman A. Gebauer, University Hospital Motol Kardiocentrum and Cardiovascular Research Centre V uvalu 84 Prague 5 150 08 Czech Republic Journal Pediatric CardiologyOnline ISSN 1432-1971Print ISSN 0172-0643 (Source: Pediatric Cardiology)
Source: Pediatric Cardiology - September 29, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Progressive Left Coronary Stenosis After Rotablator Ablation Appreciated by Doppler EchocardiographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Images in Pediatric CardiologyDOI 10.1007/s00246-009-9532-0Authors Shintaro Kishimoto, Kurume University Department of Pediatrics and Child Health 67 Asahi-Machi Kurume City 830-0011 JapanKenji Suda, Kurume University Department of Pediatrics and Child Health 67 Asahi-Machi Kurume City 830-0011 JapanMotofumi Iemura, Kurume University Cardiovascular Research Institute 67 Asahi-Machi Kurume City 830-0011 Japan Journal Pediatric CardiologyOnline ISSN 1432-1971Print ISSN 0172-0643 (Source: Pediatric Cardiology)
Source: Pediatric Cardiology - September 29, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Follow-Up Chest X-Ray in Patients with Kawasaki Disease: The Significance and Clinical Application of Coronary Artery Macro-CalcificationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Kawasaki disease (KD) related coronary artery (CA) aneurysms may lead to significant and potentially insidious progressive stenosis. It is also well recognized that CA scarring leads to heavy calcification in KD. We intended to correlate the angiographic anomalies associated with coronary calcifications in KD and to evaluate the chronology and the detection rate of KD-related CA calcification on plain chest X-ray. Between 1992 and 2006, 65 CA angiograms were performed in 50 KD patients. Chest fluoroscopies and angiograms were retrospectively reviewed. When angiograms were abnormal, chest X-rays were...
Source: Pediatric Cardiology - September 29, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Aortic Root Replacement with Re-Implantation Technique in an Infant with Loeys-Dietz Syndrome and a Bicuspid Aortic ValveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on an infant with a Loeys-Dietz Syndrome and a bicuspid aortic valve, who presented with rapid dilatation of the aortic root. We performed a valve-sparing aortic root replacement with re-implantation technique using a Dacron graft with pseudo-sinuses (Gelweave Valsalva conduit, Vascutek Terumo, Glasgow, Scotland). Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00246-009-9541-zAuthors Julie Cleuziou, Technische Universität München Department of Cardiovascular Surgery, German Heart Centre Munich Lazarettstrasse 36 80636 Munich GermanyWalter B. Eichinger, Technische Universität München Depar...
Source: Pediatric Cardiology - September 29, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Successful Staged Neonatal Repair of Tetralogy of Fallot with Long-Segment Hypoplasia of the AortaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe an extremely rare combination of tetralogy of Fallot (TOF), right-sided cervical aortic arch with long-segment hypoplasia, and other vascular anomalies. A two-stage surgical approach included aortic arch reconstruction followed by right ventricular muscle bundle division and ventricular septal defect closure a few weeks later. The initial clinical presentation, perioperative course, and imaging studies are presented along with a review of the relevant literature. This is the first report of successful neonatal repair of TOF with long-segment hypoplasia of the aorta. Content Type Journal ArticleCategory C...
Source: Pediatric Cardiology - September 29, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Vitamin D Receptor (VDR) Polymorphisms in the Cardiac Variant of Gaucher DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Type 3c Gaucher disease, an ultra-rare cardiac variant with progressive calcification of aortic and/or mitral heart valves, is generally fatal in teenage-hood. Vitamin D Receptors (VDR) are involved in calcium transport. The purpose of this pilot was to ascertain if VDR polymorphisms (BsmI, TaqI, ApaI, and FokI) are associated with type 3c Gaucher disease. There was a higher incidence of wild type alleles of all polymorphisms. Although a very small series, results seem to confirm preponderance of the BsmI B allele in type 3c as in other aortic calcifications, but also implicate linkage between ApaI...
Source: Pediatric Cardiology - September 29, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Stratification of Complexity Improves the Utility and Accuracy of Outcomes Analysis in a Multi-Institutional Congenital Heart Surgery Database: Application of the Risk Adjustment in Congenital Heart Surgery (RACHS-1) and Aristotle Systems in the Society of Thoracic Surgeons (STS) Congenital Heart Surgery DatabaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study reviewed the application of two case-mix complexity-adjustment tools in the Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database: the Aristotle Basic Complexity (ABC) score and the Risk Adjustment in Congenital Heart Surgery (RACHS-1) method. The 2006 STS Congenital Heart Surgery Database Report, the first STS report to incorporate both methods, included 45,635 operations from 47 centers. Each operation was assigned an ABC score in a range from 1.5 (lowest complexity) to 15 (highest complexity), an ABC level in a range from 1 (lowest complexity) to 4 (highest complexity), and a RACHS-1 categ...
Source: Pediatric Cardiology - September 22, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals

Pacemaker Upgrade Causing New-Onset Heart Failure in a Patient with Complete Congenital Atrioventricular BlockEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract For infants with congenital complete atrioventricular block (CCAVB), the choice of pacing modalities is limited. Due to their size and surgical limitations, neonates typically start with an epicardial right ventricular pacing system, then upgrade to right-sided dual-chamber pacing once appropriate size is achieved. These modes are generally well tolerated. However, the reported case involved a patient with CCAVB who paradoxically experienced congestive heart failure after upgrading to a dual-chamber system, a theoretically superior pacing modality. With conversion to biventricular pacing, a relative...
Source: Pediatric Cardiology - September 19, 2009 Category: Cardiology Tags: Pediatric Cardiology Source Type: journals