17 hasil untuk "Navaneetha Sasikumar"
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Artikel Jurnal
Percutaneous closure of a large aortic paravalvular leak using two duct occluder devices
A 21-year-old male presented with severe aortic paravalvular leak. He had undergone three cardiac surgeries and also had chronic kidney disease. It was decided for a trans-catheter closure owing to the risks of a fourth surgery and co-morbidity. The device was sized based on angiogram, balloon…
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Artikel Jurnal
Diagnosis and management of junctional ectopic tachycardia in children
Junctional ectopic tachycardia (JET) is more common in its postoperative form. A thorough understanding of its etiology, pathophysiology, and management strategies is essential. Classically, postoperative JET is considered to arise from surgical trauma. Genetic susceptibility and an intrinsic…
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Artikel Jurnal
Challenges in neonatal ductal stenting: When to avoid tortuous ducts and pulmonary artery stenosis
Ductal stenting (DS) is the preferred palliative approach to the Blalock–Thomas–Taussig shunt (BTTS) for neonates with duct-dependent pulmonary circulation. However, appropriate case selection remains a critical challenge. This report explores the limitations of DS through illustrative examples and…
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Artikel Jurnal
Role of Echocardiography in Percutaneous Closure of Patent Ductus Arteriosus
Patent ductus arteriosus is a common congenital heart disease. The disease has varied presentations, ranging from severe respiratory distress and ventilatory requirements in preterm babies to asymptomatic ducts in older children. Echocardiography is the primary tool for diagnosis and assessment of…
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Artikel Jurnal
Branching vertical vein with multiple sites of obstruction in supracardiac total anomalous pulmonary venous connection
We present the case of an infant with total anomalous pulmonary venous connection and a branching vertical vein with multiple points of narrowing, draining the confluence into the innominate vein. The embryology and clinical relevance of this interesting anatomy is discussed.
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Artikel Jurnal
Mid-term outcomes of double-balloon technique for balloon aortic valvotomy: Experience from a tertiary care center in India
We hypothesized that a double-balloon technique would be associated with a lower likelihood of aortic regurgitation (AR) following balloon aortic valvotomy (BAV). We present the short- and mid-term outcomes of the double-balloon technique for BAV. Fifty consecutive patients (median age: 6.5 years…
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Artikel Jurnal
Balloon pulmonary valvuloplasty as a palliative strategy for late presenting adolescents and adult patients with cyanotic congenital heart disease
Background: Management of late presenters with cyanotic congenital heart disease (CCHD) and reduced pulmonary blood flow is challenged by multi-system derangements from longstanding hypoxia in addition to anatomic factors. Balloon pulmonary valvuloplasty (BPV) is a potentially viable palliative…
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Artikel Jurnal
Forewarned is forearmed: The critical role of prenatal diagnosis in managing high-risk neonates with transposition of great arteries-intact ventricular septum
Most neonates with prenatally detected d-transposition of great arteries with intact ventricular septum (TGA-IVS) have a relatively standard preoperative course, but some patients with restrictive foramen ovale (FO) or ductus arteriosus tend to have severe hypoxemia after birth, posing a…
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Artikel Jurnal
Three-dimensional/four-dimensional spatiotemporal image correlation morphology of the ductus arteriosus in fetuses with pulmonary atresia undergoing neonatal ductal stenting
Background : The value of prenatal identification of morphology of ductus arteriosus in fetuses with congenital heart defects (CHD) with pulmonary atresia and duct-dependent pulmonary circulation (DDPC) in planning neonatal ductal stenting procedure is untested. The aim of the study is to analyze…
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Artikel Jurnal
Infective endocarditis: Revisiting classical signs of enduring relevance
A 17-year-old previously healthy girl presented with 7 days of fever and classical peripheral findings including Osler’s nodes, Janeway lesions, splinter hemorrhages, and Roth’s spots. Echocardiography revealed a large vegetation attached to the posterior mitral leaflet. Blood culture later grew…
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Artikel Jurnal
Successful salvage of late-presenting isolated type B arch interruption
The catastrophic presentation, intriguing pathophysiology, and tailored management of a baby with late-presenting isolated interrupted aortic arch type B are presented herein. A 4-month-old baby presented with shock, arrested, and was resuscitated. She had severe left ventricular dysfunction, the…
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Artikel Jurnal
Patient-Reported Outcome-Based, Comprehensive Assessment of Quality of Life of Adults with Congenital Heart Disease in India
Background: The improved survival of patients with congenital heart disease (CHD) mandates a shift in focus towards an understanding of patient perspectives on outcomes, particularly focused on quality of life (QOL). This study represents the first systematic, prospective, comprehensive…
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Artikel Jurnal
Distribution and reference values of peripheral perfusion index in neonates from population-wide screening
Background Peripheral perfusion index (PPI) is useful in a variety of neonatal settings. Currently, available reference values are from small numbers and highly variable.Methods We sought to generate reference values of PPI by analysing previously collected data from newborns who underwent mandated…
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Artikel Jurnal
Burden of cardiovascular diseases in the Asia–Pacific region from 1990 to 2023, with forecasts to 2050: a secondary analysis of the Global Burden of disease study 2023
Summary: Background: Cardiovascular disease (CVD) is the leading cause of death globally, with the Asia–Pacific region home to over two-thirds of the world's population, bearing over half of this burden. This study aims to characterise historical trends and forecast CVD burden in the Asia–Pacific…
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Artikel Jurnal
The impact and evolution of environmental/occupational, behavioural, and metabolic risk factors on CVD burdens in the Asia–Pacific region from 1990 to 2023: a secondary analysis of the Global Burden of Disease Study 2023
Summary: Background: Understanding epidemiological trends of the cardiovascular risk factors is integral in designing effective countermeasures in tackling cardiovascular diseases (CVD) in the Asia–Pacific. The study aims to examine the cardiovascular risk factor burden in the Asia–Pacific from…
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Artikel Jurnal
Systematic review of cardiovascular care delivery across health systems in the Asia–Pacific: a regional roadmap for strengthening cardiovascular careResearch in context
Summary: Background: Achieving universal health coverage in the Asia–Pacific requires stronger, more equitable access to high-quality cardiovascular disease (CVD) services. Yet, despite the region's vast diversity in health systems and resources, there is limited consolidated evidence describing…