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Annals of Pediatric Cardiology
Scopus
ISSN 0974-2069 · Wolters Kluwer Medknow Publications · 1.426 artikel di indeks
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Juvenile ankylosing spondylitis unmasked by severe aortic regurgitation and subaortic bump
Enthesitis-related arthritis is a subtype of juvenile idiopathic arthritis that may precede or later progress to ankylosing spondylitis in adulthood. We describe a case of enthesitis-related arthritis diagnosed based on characteristic echocardiographic findings of aortitis, subaortic bump and…
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Feasibility of combining additional interventions to facilitate hemodynamics during Transcatheter Fontan procedure without prior surgical preparation
Transcatheter Fontan is an alternative palliation in severely hypoxic univentricular hearts at high-risk for Fontan surgery. While sternotomy, prolonged intubation, and positive-pressure ventilation impede passive systemic venous return, transcatheter Fontan allows early extubation and mobilization…
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Trans-catheter closure of large peri-membranous ventricular septal defect with multiple exits using two occluder devices
Aneurysmal peri-membranous ventricular septal defects (PM-VSD) may show multiple right ventricular exits separated by tricuspid chordae or trabeculations. Transcatheter PM-VSD closure is increasingly performed as a surgical alternative. An 8-year-old girl with a large PM-VSD, with moderate…
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Takotsubo cardiomyopathy in an infant with acute mediastinitis following cardiovascular surgery: An unusual diagnosis and successful management
Takotsubo syndrome (TTS) is a rare cause of ventricular dysfunction in children, commonly associated with neurological injury and emotional stress. After cardiac surgery, ventricular dysfunction may result from cardiopulmonary bypass-related myocardial stunning; however, other causes, including…
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Prenatal diagnosis of congenitally calcified tricuspid valve with postnatal follow-up and outcomes
Fetal echocardiography demonstrated a hyperechogenic lesion (possibly calcification) obstructing the tricuspid inflow along with hypoplasia of the right ventricle (RV) and duct-dependent pulmonary circulation. Postnatal inflow along with hypoplasia of the right ventricle (RV) and duct-dependent…
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Prenatal therapy of everolimus for large fetal cardiac rhabdomyoma in tuberous sclerosis
Fetal cardiac rhabdomyoma is the most common prenatal cardiac tumor and is frequently associated with tuberous sclerosis complex (TSC). Everolimus, a mammalian target of rapamycin inhibitor, is an established postnatal therapy for TSC-related tumors, but its prenatal use remains rare. A 27-year-old…
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Double trouble in tetralogy: Rare sequential pseudoaneurysms managed by distinct surgical and endovascular approaches
Pseudoaneurysm formation following a modified Blalock–Taussig–Thomas (BTT) shunt in tetralogy of Fallot (TOF) is rare, most commonly involving the subclavian artery; pulmonary artery (PA) pseudoaneurysms are even less frequent. We report an infant initially presenting with cyanosis and diagnosed…
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Non-surgical management of post-Ross left ventricular pseudoaneurysm assisted by virtual reality imaging
Infective endocarditis (IE) can cause extensive cardiac tissue destruction, often requiring surgical reconstruction with pericardial patches. The compromised integrity of necrotic tissue increases the risk of pseudoaneurysm formation. Redo surgical repair of pseudoaneurysms is associated with high…
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Ascending aortic replacement for aneurysm in a 30-month-old child with EFEMP2-related cutis laxa
EFEMP2-related cutis laxa is a rare autosomal recessive connective tissue disorder, and its characteristic symptom is arterial aneurysms and tortuosity. Herein, we describe a case of an ascending aortic aneurysm that was successfully managed with surgical repair in a 30-month-old female child with…
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Endovascular implantation of a Melody valve in the mitral position with extracorporeal membrane oxygenation support in a pediatric patient
Reoperation for dysfunctional mitral bioprostheses carries substantial risk. Endovascular valve-in-valve (V-in-V) implantation is an alternative, but pediatric experience is scarce. We report the feasibility of the Melody valve V-in-V with elective extracorporeal membrane oxygenation (ECMO) support…
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Emerging therapeutic strategies for the failing Fontan circulation
Patients with Fontan circulation face progressive multisystem dysfunction driven by venous hypertension, lymphatic failure, and metabolic derangements. This state-of-the-art review synthesizes evidence across hemodynamic, lymphatic, pulmonary vascular, and metabolic domains to outline emerging…
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Protein-losing enteropathy after the Fontan procedure – A cardiologist’s and gastroenterologist’s perspective
Protein-losing enteropathy (PLE) is a severe, multifactorial complication of Fontan circulation that affects approximately 12% of patients with single-ventricle physiology. Because no universal standard therapy exists, management is individualized and guided by the dominant hemodynamic and…
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Asymmetric calcification of the extracardiac Fontan conduit: Quantitative insights from long-term computed tomography imaging
The long-term structural integrity of expanded polytetrafluoroethylene (ePTFE) conduits used for extracardiac total cavopulmonary connection (EC-TCPC) is not well established. Although conduit calcification has been reported, quantitative data remain limited. We retrospectively analyzed 20 EC-TCPC…
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Cardiac output measurement in Fontan circulation: Challenges and potential emerging solutions
Similar to other cardiovascular conditions, accurate cardiac output (CO) assessment in Fontan patients is critical for evaluation of hemodynamic state. However, traditional methodologies, including the Fick principle, thermodilution, Doppler echocardiography, and cardiac magnetic resonance imaging…
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Arterial switch operation after left ventricular retraining with ductal stent: Our experience
Late-presenting transposition of the great arteries (TGAs) with an intact ventricular septum is characterized by left ventricular (LV) regression, making primary arterial switch operation (ASO) unsafe. Ductal stenting offers a less invasive alternative compared to conventional LV retraining using…
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