CHiP Network Congenital Heart Journal Watch – March 2020
Pediatric Cardiology Featured Articles
Pediatric Cardiology Reviews of January 2020 Manuscripts
Wozniak-Mielczarek L, Sabiniewicz R, Nowak R, Gilis-Malinowska N, Osowicka M, Mielczarek M.
Pediatr Cardiol. 2020 Jan 31. doi: 10.1007/s00246-020-02307-0. [Epub ahead of print]
PMID: 32006082
Select item 20301322
Take Home Points:
- Aortic root ratio may be another helpful screening measurement for aortic root dilation in patients with suspected connective tissue disorders
- This study did not assess normal patients or patients with other etiologies for aortic root dilation (such as BAV)
- Whether cumulative changes such as rate of change or significant change would improve morbidity/mortality or be useful for surgical intervention remains to be seen
Commentary from Dr. Jared Hershenson (Greater Washington DC), section editor of Pediatric Cardiology Journal Watch: Similar to nearly all echo measurements in children, the aortic diameter is affected by a patient’s age, sex, and BSA. Z-scores are used to allow for the necessary adjustments in order to determine if something is within the normal range. There are currently 3 main z-score nomograms used. Based on a premise that z-score calculations are time consuming and impractical, this study aimed to introduce a simple screening method to identify aortic root dilation. The authors retrospectively analyzed 193 patients with Marfan Syndrome (MFS) or Marfan-like disorders (including Ehlers-Danlos, Loeys-Dietz, ectopia lentis, neonatal Marfan, MASS phenotype, and Marfanoid habitus). Marfanoid habitus was defined as a constellation of symptoms similar to MFS but did not fully meet Ghent criteria. The mean age was 12 years. The aortic root (sinuses of Valsalva only) was measured in the parasternal long axis view using both the leading edge in end-diastole and the inner edge in mid-systole. The aortic root ratio (ARr) was calculated as the aortic root diameter (mm) divided by the height (cm) multiplied by 100. This was compared to the 2 measurement techniques and z-scores using all 3 nomograms.
28-31 % of the patients had aortic root dilation as expressed by z-score (z > 2) depending on which nomogram was used. 11 patients (5.79%) had inconsistent results (dilated vs. non-dilated) when comparing z-score nomograms (Gautier vs. Cantinotti only). The mean value for ARr was 18.1 vs. 17.8 for the leading edge vs. inner edge measurements. The optimal cut-off for ARr was > 18.7 with resulted in a sensitivity of 88-100% and specificity of 94-98% (Table 7).
The authors further assessed the subgroup in whom the ARr failed to identify aortic root dilation. They found the results were inconsistent using the 3 different nomograms. Notably, a detailed table shows that all of the z-scores of this group were either just below or just above 2. ROC curves showed an ARr > 18 yielded a sensitivity of 100% for the Petterson and Cantinotti nomograms and > 18.7 for the Gautier nomogram. Tables 10 and 11 show the high values of PPV, NPV and accuracy of ARr using the various cut-offs.
The authors make a reasonable argument that extremely thin or obese patients may have inaccurate z-scores, and based on previous data that height is more important than BSA for aortic root diameter, the ARr may be useful. There are however a few major caveats to this study. First, ARr only assess the aortic root at the sinuses. It will therefore not be useful in those with significant annular dilation or ascending aorta dilation, and we know that surgical decision making often entails valve sparing vs. non-sparing aortic root replacement. Additionally, the Marfan-like subgroup was large and may not represent a normal population for which this measurement has not been validated. They also did not include a BAV/aortic root dilation group, or other groups with CHD such as TOF or d-TGA s/p ASO, which may have a different form of aortic root dilation than the genetic connective tissue disorder group. Finally, the claim that nomograms are difficult to use may be a bit spurious, given that many reporting software and measurement packages on the echo equipment may automatically calculate z-scores. It is interesting to note that there may be variation depending on the nomogram used, so echo readers should keep this in mind based on the specific software algorithms used. However, most of these patients would have routine follow up, so a “missed” diagnosis when the z-score is 1.9 is probably not too clinically relevant. Since this was a one-time measurement study, further research on the ARr over time would be necessary, since rate of change is also a key factor in decision making.
Kelly P, Hua N, Madriago EJ, Holmes KW, Shaughnessy R, Ronai C.
Pediatr Cardiol. 2020 Jan;41(1):62-68. doi: 10.1007/s00246-019-02222-z. Epub 2019 Oct 31.
PMID: 31673735
Select item 31654097
Take Home Points:
- A single positive blood culture without other major or minor Modified Duke’s Criteria (MDC) and no prior history of congenital heart disease has a positive predictive value of 0 for infectious endocarditis (IE)
- Two positive cultures without other criteria also has a very low PPV
- MDC should be used to assess the clinical probability of IE; if low, a TTE is not recommended due to poor diagnostic yield
Commentary from Dr. Jared Hershenson (Greater Washington DC), section editor of Pediatric Cardiology Journal Watch: While sonographic findings are part of the major criteria for MDC, they are usually meant to supplement clinical judgment when there is a higher pretest probability of IE. The sensitivity and specificity in adults is not great for IE, and the ACC/AHA calls TTE an inadequate screening tool. This study was a retrospective chart review to determine the diagnostic yield of TTE in children with suspected IE and structurally normal hearts and no prior history of IE. 300 patients were included. Charts were reviewed to determine whether patients met any MDC prior to the echocardiogram. Clinical IE was determined if patients were treated with 4-6 weeks of IV antibiotics. Positive TTE findings were defined as mass, abscess, thrombus or new significant valvular regurgitation.
Over the 10 year study period, 10/300 (3.3%) had positive TTE findings. Of those 10 patients, 8 were treated for IE with 2 false positives that the authors detail. Of the 290 with negative TTE, 3 were diagnosed with IE. These were all teenagers with poorer echo images and clinical features strongly suggestive of IE. See tables 3 and 4. 98 patients (33%) had 2 positive blood cultures; 7 were diagnosed with IE, with one likely having a false positive TTE and the other 6 having some MDC. The PPV of 2 positive cultures and no MDC risk factors was 0.071. 46 patients (15.3%) had only 1 positive blood culture. The PPV of 1 positive culture and no additional MDC risk factors was 0. The PPV of those that met MDC prior to TTE was 0.86. See table 5.
There was pretty clear data that those with 1 or 2 positive blood cultures and no other MDC risk factors have a very low likelihood of IE and a positive echo. Misdiagnosis of IE obviously has increased morbidity (need for CVL and antibiotics) and TTE can have false positives. Therefore, use of MDC should be strongly recommended prior to obtaining a TTE. A few caveats/limitations include poor documentation of various vascular and immunologic findings in their chart review. Additionally, while presence of CHD is a risk factor, this study does not address the risk/PPV in this population.
Cognata A, Kataria-Hale J, Griffiths P, Maskatia S, Rios D, O’Donnell A, Roddy DJ, Mehollin-Ray A, Hagan J, Placencia J, Hair AB.
J Pediatr. 2019 Dec;215:11-16.e2. doi: 10.1016/j.jpeds.2019.08.009. Epub 2019 Sep 24.
PMID: 31561958
Take Home Points:
- In infants with isolated critical congenital heart lesions, the incidence of preoperative necrotizing enterocolitis (NEC) was 3.3% and developed at a median of 5 days after initiation of feeds.
- Large volume feeding (>100ml/kg/d) of infants with critical heart disease in the preoperative period is associated with a 3-fold increase in the risk of NEC
- Infants who are exclusively fed with unfortified human milk diet had a significantly lower risk of preoperative NEC.
Commentary from Dr. Venu Amula (Salt Lake City), section editor of Pediatric Cardiology Journal Watch: In this retrospective, single-center cohort study of infants of any gestational age with isolated critical congenital heart lesion between January 2010 and January 2016, the authors evaluated whether large feeding volumes (> 100ml/kg/d) and exposure to cow’s milk formula increased the risk of preoperative Necrotizing Enterocolitis (NEC). NEC was defined based on the modified Bell criteria. The cardiac lesions included were those with a high risk of NEC – ductal dependent lesions, transposition of great arteries, truncus arteriosus, aortopulmonary window, severe Ebstein’s anomaly and tetralogy of Fallot with absent PV. Infants were excluded if they were admitted at >72 hours of age or had heterotaxy, major gastrointestinal anomalies or hypoxic-ischemic encephalopathy. Infants with cardiac anomalies that did not require intervention were also excluded. Demographic data were collected for all the infants who met inclusion criteria. Feeding data included date feeds were initiated; type of feeds provided; the largest volume of feeds (mL/kg/d) provided; and the feeding route that was used (oral vs nasogastric).
The association of volume of feeds (> 100ml/kg/d or less) and type of formula (cow’s milk) with the incidence of NEC in the preoperative period was evaluated in a multivariable logistic regression model that was built by including clinically relevant and all other risk factors found to be significantly associated with NEC (P = .05) in univariate analysis.
After screening 878 infants 546 were found to be eligible for the study. The incidence of NEC was 3.3% before the surgery and developed a median of 5 days after feeds were started. Large volume feeds defined as feeding volume more than 100 ml/kg/day was associated with an increased risk of NEC. Exclusive unfortified human milk diet was protective, with a significantly lower risk for NEC when controlled for other risk factors like feeding volume, birth weight small for gestational age, race, inotropic support preoperatively/pre-NEC, prematurity (gestational age <37 weeks), and cardiac lesion. Infants with biventricular ductal dependent blood flow had increased risk of NEC but were probably confounded by the fact that they were younger, had long wait times before surgery and were fed high volume, nonhuman milk diet.
The study is limited by being an evaluation of a single-center practice and outcomes and as such the results may not be generalizable, however, the sample size is large and contained decent case-mix severity. Like other studies on necrotizing enterocolitis, the definition of NEC and Bell staging, especially for stage 1 ( 8 out of 18) is subjective as acknowledged by the authors but every effort was taken to standardize. Whether these risk factors apply to severe stages of NEC is unclear due to the rarity of the outcomes in comparison to sample size when analyzed separately. The study suggests that caution should be exercised in the preoperative period when feeding infants with critical heart lesions of any gestational age regardless of the type and ductal dependency. Feeding volumes < 100ml/kg/d and using unfortified human milk diet seem to decrease the risk of this GI complication with major morbidity.
What is the Significance of Elevated Troponin I in Children and Adolescents? A Diagnostic Approach.
Yoldaş T, Örün UA.
Pediatr Cardiol. 2019 Dec;40(8):1638-1644. doi: 10.1007/s00246-019-02198-w. Epub 2019 Sep 4.
PMID: 31485699
Take Home Points:
- A single-center evaluation of children with no known prior heart disease, who presented with elevated troponin I, showed association with diverse cardiac and noncardiac pathologies.
- The most frequent cause of elevated troponin I is myopericarditis (46%). Perimyocarditis is associated with higher peak troponin I levels and takes a long time to normalize.
- Most frequent non-cardiac causes include drug intoxication, carbon-monoxide poisoning. Intensive inhalation beta-agonist use in acute asthma and lower respiratory tract infections.
- A careful history, physical examination, Electrocardiogram, and Echocardiogram to evaluate function should form the basis for differentiating cardiac and noncardiac etiologies. CT angiography and Magnetic Resonance Imaging were performed in few patients.
- Unlike adults, coronary involvement is rare and cardiac catheterization is not routinely warranted except when rare pathology is suspected.
Commentary from Dr. Venu Amula MD (Salt Lake City), section editor of Pediatric Cardiology Journal Watch: Troponin I is an important cardiac biomarker and its elevation in adult patients signifies coronary artery disease. Myocardial injury and elevated troponin, though rare in children, create considerable anxiety among pediatric providers. In the current study, Yoldas et al aim to evaluate the significance of elevated Troponin I in a retrospective cohort of children less than 18 years of age admitted to a single-center between 2007 – 2018. They excluded children with a history of congenital heart disease and those requiring or having undergone cardiac surgery within the previous year. Neonates with birth asphyxia and sepsis were also excluded. For those who met inclusion criteria demographics, clinical and other diagnostic data were abstracted from medical records and analyzed using descriptive statistics.
Troponin elevation was defined as >0.06 ng/ml per the institute’s laboratory standard. Of the patients with elevated Troponin I, ECG findings, echocardiography and degree of troponin elevation were evaluated along with the final diagnosis sorted by cardiac and non-cardiac etiologies. The peak troponin levels were also compared between those with cardiac and noncardiac etiologies.
They screened 972 patient records and found 759 subjects meeting the study criteria. Evaluation of troponin was done for the most common indication of chest pain and syncope within 2 weeks of presentation. The most common cardiac causes of raised troponin were myopericarditis (46%), perimyocarditis (18%), cardiomyopathy (15%), followed by dysrhythmias (12%). The most common indication for performing troponin I test in the non-cardiac group was to investigate cardiac involvement in drug intoxications. The other reasons were carbon monoxide Poisoning and respiratory symptoms. Patients with myopericarditis and perimyocarditis had distinct characteristics of troponin elevation. Patients with perimyocarditis had higher peak troponins and also took a long time to negative troponin, not surprising given the predominance of myocardial inflammation.
The study provides a framework for differential diagnosis of elevated troponin I testing in children with no congenital heart disease. Providers should be wary of the implications of routine testing of troponin I levels. A careful review of history, indication for testing, physical examination findings should be corroborated by ECG and echocardiogram to interpret the elevated troponin I levels. Short of this, providers may produce an undue burden of anxiety for patients and themselves.
Pediatric cardiology Jan 2020
Wozniak-Mielczarek L, Sabiniewicz R, Nowak R, Gilis-Malinowska N, Osowicka M, Mielczarek M.
Pediatr Cardiol. 2020 Jan 31. doi: 10.1007/s00246-020-02307-0. [Epub ahead of print]
PMID: 32006082
Select item 20301322
Nowaczyk MJM, Wassif CA.
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PMID: 20301322 Free Books & Documents
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Gabriel GC, Lo CW.
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Welch CL, Chung WK.
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PMID: 32006592
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Krishna MR, Kumar RK.
Indian J Pediatr. 2020 Jan 28. doi: 10.1007/s12098-019-03163-4. [Epub ahead of print] Review.
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Poskanzer SA, Hobensack VL, Ciciora SL, Santoro SL.
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Alsuhebani M, Sims T, Hansen JK, Hakim M, Walia H, Miller R, Tumin D, Tobias JD.
J Anesth. 2020 Jan 24. doi: 10.1007/s00540-019-02729-y. [Epub ahead of print]
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Agrawal H, Dokania G, Allen HD, Acosta S, Caracostis A, Havemann LM, Lara A, Riley AF, Seery TJ.
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Haji-Valizadeh H, Feng L, Ma LE, Shen D, Block KT, Robinson JD, Markl M, Rigsby CK, Kim D.
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Patel ND, Sullivan PM, Sabati A, Hill A, Maedler-Kron C, Zhou S, Shillingford N, Williams R, Takao C, Badran S.
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Ramprasad VH, Shaffer AD, Jabbour N.
Otolaryngol Head Neck Surg. 2020 Jan 21:194599820901351. doi: 10.1177/0194599820901351. [Epub ahead of print]
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Avitabile CM, Vorhies EE, Ivy DD.
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Yoshida T, Hiraiwa A, Ibuki K, Makimoto M, Inomata S, Tamura K, Kawasaki Y, Ozawa S, Hirono K, Ichida F.
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Cloete E, Gentles TL, Bloomfield FH.
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Fabi M, Balducci A, Cazzato S, Aceti A, Gallucci M, Di Palmo E, Gargiulo G, Donti A, Lanari M.
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Chen C, Luo F, Wu P, Huang Y, Das A, Chen S, Chen J, Hu X, Li F, Fang Z, Zhou S.
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N Engl J Med. 2020 Jan 16;382(3):291-293. doi: 10.1056/NEJMcibr1913824. No abstract available.
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Barbosa MDG, Castelo PM, Ferreira CLP, Haddad DS, Chiari BM, Santana MV, Bommarito S.
Int J Pediatr Otorhinolaryngol. 2020 Jan 15;131:109883. doi: 10.1016/j.ijporl.2020.109883. [Epub ahead of print] Review.
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Zhonghua Er Ke Za Zhi. 2020 Jan 2;58(1):25-29. doi: 10.3760/cma.j.issn.0578-1310.2020.01.007. Chinese.
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Cloete E, Bloomfield FH, Cassells SA, de Laat MWM, Sadler L, Gentles TL.
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Cloete E, Gentles TL, Webster DR, Davidkova S, Dixon LA, Alsweiler JM, Bloomfield FH; Pulse Oximetry Screening Steering Committee.
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Siefkes H, Kair L, Tancredi DJ, Vasquez B, Garcia L, Bedford-Mu C, Lakshminrusimha S.
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Banerji N, Krishna MR, Kumar RK, Anderson RH.
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Scrascia G, Grimaldi AMP, Troise D, Scalzo G.
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Atitlán-Gil A, Mendiola-Figueroa LR, Morales-Argüelles VH, Salomón-Ganado A, Medécigo-Castelán E, Erdmenger-Orellana J.
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Sommariva G, Zilli T, Crescentini C, Marini A, Pilotto C, Venchiarutti M, Gortan AJ, Fabbro F, Cogo P.
Child Neuropsychol. 2020 Jan;26(1):1-14. doi: 10.1080/09297049.2019.1617261. Epub 2019 May 23.
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Bodilsen J, Dalager-Pedersen M, van de Beek D, Brouwer MC, Nielsen H.
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Sacks LD, Axelrod DM.
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Parkes B, Hansell AL, Ghosh RE, Douglas P, Fecht D, Wellesley D, Kurinczuk JJ, Rankin J, de Hoogh K, Fuller GW, Elliott P, Toledano MB.
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Agger P, Hyldebrandt JA, Hansen ESS, Omann C, Bøgh N, Waziri F, Nielsen PM, Laustsen C.
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PMID: 31329841 Free PMC Article
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van der Ven JPG, Sadighy Z, Valsangiacomo Buechel ER, Sarikouch S, Robbers-Visser D, Kellenberger CJ, Kaiser T, Beerbaum P, Boersma E, Helbing WA.
Eur Heart J Cardiovasc Imaging. 2020 Jan 1;21(1):102-113. doi: 10.1093/ehjci/jez164.
PMID: 31280290 Free PMC Article
Select item 31180449
Pepe G, Corica D, de Sanctis L, Salerno M, Faienza MF, Tessaris D, Tuli G, Scala I, Penta L, Alibrandi A, Pajno GB, Aversa T, Wasniewska M.
Eur J Endocrinol. 2020 Jan 1. pii: EJE-19-0823.R2. doi: 10.1530/EJE-19-0823. [Epub ahead of print]
PMID: 31999620
Select item 31534214
Ramlogan S, Aly D, France R, Schmidt S, Hinzman J, Sherman A, Goudar SP, Forsha D.
J Am Soc Echocardiogr. 2020 Jan;33(1):110-119. doi: 10.1016/j.echo.2019.08.004. Epub 2019 Oct 23.
PMID: 31668503
Select item 31979603
Brown MA, Rajamarthandan S, Francis B, O’Leary-Kelly MK, Sinha P.
J Card Surg. 2020 Jan;35(1):174-179. doi: 10.1111/jocs.14312. Epub 2019 Nov 9. Review.
PMID: 31705822
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Smith BJ, Flyer JN, Edwards EM, Soll RF, Horbar JD, Yeager SB.
J Pediatr. 2020 Jan;216:67-72. doi: 10.1016/j.jpeds.2019.09.014. Epub 2019 Oct 24.
PMID: 31668886
Select item 31610927
Puri K, Price JF, Spinner JA, Powers JM, Denfield SW, Cabrera AG, Tunuguntla HP, Dreyer WJ, Shah MD.
J Pediatr. 2020 Jan;216:58-66.e1. doi: 10.1016/j.jpeds.2019.08.060. Epub 2019 Oct 11.
PMID: 31610927
Select item 31669495
Silva JA, Neves AL, Flor-de-Lima F, Soares P, Guimarães H.
Pediatr Cardiol. 2020 Jan;41(1):155-164. doi: 10.1007/s00246-019-02239-4. Epub 2019 Nov 25.
PMID: 31768578
Select item 31758211
Rodriguez-Fanjul J, Tubio-Gómez S, Carretero Bellón JM, Bautista-Rodríguez C, Sanchez-de-Toledo J.
Pediatr Cardiol. 2020 Jan;41(1):175-180. doi: 10.1007/s00246-019-02241-w. Epub 2019 Nov 23.
PMID: 31758211
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Lahiri S, Wang Y, Caldarone CA, Morris SA.
Pediatr Cardiol. 2020 Jan;41(1):77-87. doi: 10.1007/s00246-019-02224-x. Epub 2019 Nov 22.
PMID: 31758210
Select item 31745583
Neumann L, Springer T, Nieschke K, Kostelka M, Dähnert I.
Pediatr Cardiol. 2020 Jan;41(1):108-113. doi: 10.1007/s00246-019-02230-z. Epub 2019 Nov 15.
PMID: 31729543
Select item 31676955
Davis JAM, Bass A, Humphrey L, Texter K, Garee A.
Pediatr Cardiol. 2020 Jan;41(1):114-122. doi: 10.1007/s00246-019-02231-y. Epub 2019 Nov 1.
PMID: 31676955
Select item 31673735
Kelly P, Hua N, Madriago EJ, Holmes KW, Shaughnessy R, Ronai C.
Pediatr Cardiol. 2020 Jan;41(1):62-68. doi: 10.1007/s00246-019-02222-z. Epub 2019 Oct 31.
PMID: 31673735
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Agrawal A, Swaminathan S, Guvvala SL, Gorla SR.
Pediatr Cardiol. 2020 Jan;41(1):202-205. doi: 10.1007/s00246-019-02171-7. Epub 2019 Jul 25.
PMID: 31342117
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Desai LP, Berhane H, Husain N, Robinson JD, Rigsby CK, Markl M.
Pediatr Radiol. 2020 Jan;50(1):17-27. doi: 10.1007/s00247-019-04507-0. Epub 2019 Aug 31.
PMID: 31473788
Select item 31801853
Kaushal D, Kalra N, Tyagi R, Khatri A, Biswas K.
Spec Care Dentist. 2020 Jan;40(1):121-126. doi: 10.1111/scd.12433. Epub 2019 Dec 3.
PMID: 31794068
Select item 31869685
Ambra M, Nuri HA, Giuseppe P, Marasini M, Francesco S.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):79-84. doi: 10.1177/2150135119885895.
PMID: 31835981
Kewcharoen J, Mekraksakit P, Limpruttidham N, Kanitsoraphan C, Charoenpoonsiri N, Poonsombudlert K, Pattison RJ, Rattanawong P.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):85-91. doi: 10.1177/2150135119872196.
PMID: 31835979
Select item 31835977
Nowicki M, Bazan-Socha S, Błażejewska-Hyzorek B, Gellert R, Imiela J, Kaźmierczak J, Kłopotowski M, Oko-Sarnowska Z, Pawlaczyk K, Ponikowski P, Sławek J, Sykut-Cegielska J, Witkowski A, Zwolińska D.
Pol Arch Intern Med. 2020 Jan 31;130(1):91-97. doi: 10.20452/pamw.15117. Epub 2019 Dec 20. No abstract available.
PMID: 31868861 Free Article
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Nassr AA, Furtun BY, Cortes MS, Erfani H, Whitehead WE, Donado MY, Olutoye O, Velez MP, Espinoza J, Belfort MA, Shamshirsaz AA.
Prenat Diagn. 2020 Jan 31. doi: 10.1002/pd.5655. [Epub ahead of print]
PMID: 32003478
Select item 31999067
Stelmaszewski EV, Parente DB, Farina A, Stein A, Gutierrez A, Raquelo-Menegassio AF, Manterola C, de Sousa CF, Victor C, Maki D, Morón EM, de Abrantes FF, Iqbal F, Camacho-Vilchez J, Jimenez-Pavón J, Polania JP, Thompson L, Bonanato L, Diebold M, Da Silva MVCP, Nashwan MWJ, Galvani MAG, Idris OEA, Danos P, Ortiz-Lopez R, Mahmoud RAA, Gresse S, Loss KL.
Cardiol Young. 2020 Jan 27:1-9. doi: 10.1017/S1047951119003147. [Epub ahead of print]
PMID: 31983379
Select item 31983366
Dye B, Lincoln J.
Cold Spring Harb Perspect Biol. 2020 Jan 27. pii: a036723. doi: 10.1101/cshperspect.a036723. [Epub ahead of print]
PMID: 31988139
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Iacobelli R, Ricci Z, Marinari E, Haiberger R, Di Molfetta A, Toscano A, Di Chiara L.
Interact Cardiovasc Thorac Surg. 2020 Jan 27. pii: ivz319. doi: 10.1093/icvts/ivz319. [Epub ahead of print]
PMID: 31986196
Select item 31990901
Simpson CE, Damico RL, Hassoun PM, Martin LJ, Yang J, Nies MK, Vaidya RD, Brandal S, Pauciulo MW, Austin ED, Ivy DD, Nichols WC, Everett AD.
Chest. 2020 Jan 24. pii: S0012-3692(20)30129-X. doi: 10.1016/j.chest.2019.12.037. [Epub ahead of print]
PMID: 31987881
Select item 31980953
Liu L, Luo C, Hua Y, Wu M, Shao S, Liu X, Zhou K, Wang C.
Eur J Pediatr. 2020 Jan 24. doi: 10.1007/s00431-019-03492-8. [Epub ahead of print]
PMID: 31980953
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Nyrnes SA, Fadnes S, Wigen MS, Mertens L, Lovstakken L.
J Am Soc Echocardiogr. 2020 Jan 24. pii: S0894-7317(19)31114-9. doi: 10.1016/j.echo.2019.11.003. [Epub ahead of print]
PMID: 31987749
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Haji-Valizadeh H, Feng L, Ma LE, Shen D, Block KT, Robinson JD, Markl M, Rigsby CK, Kim D.
NMR Biomed. 2020 Jan 24:e4240. doi: 10.1002/nbm.4240. [Epub ahead of print]
PMID: 31977117
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Holst KA, Qureshi MY, Dearani JA.
Ann Thorac Surg. 2020 Jan 23. pii: S0003-4975(20)30054-0. doi: 10.1016/j.athoracsur.2019.12.011. [Epub ahead of print] No abstract available.
PMID: 31982442
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Avitabile CM, Vorhies EE, Ivy DD.
Paediatr Drugs. 2020 Jan 21. doi: 10.1007/s40272-019-00374-2. [Epub ahead of print] Review.
PMID: 31960361
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- Use of a novel antiplatelet agent cangrelor in an infant supported with a ventricular assist device.
Absi M, Sainathan S, Beasley G, Boston U.
Artif Organs. 2020 Jan 19. doi: 10.1111/aor.13613. [Epub ahead of print] No abstract available.
PMID: 31957028
Select item 27809440
Solomon MA, Thattaliyath B, Ashwath R.
Cardiol Young. 2020 Jan 14:1-3. doi: 10.1017/S1047951119003275. [Epub ahead of print]
PMID: 31933446
Select item 31943749
Türe M, Balık H, Akın A, Bilici M, Nergiz A.
Eur J Pediatr. 2020 Jan 14. doi: 10.1007/s00431-020-03569-9. [Epub ahead of print]
PMID: 31938873
Select item 31953026
Małek ŁA, Kamińska H, Barczuk-Falęcka M, Ferreira VM, Wójcicka J, Brzewski M, Werner B.
J Magn Reson Imaging. 2020 Jan 13. doi: 10.1002/jmri.27036. [Epub ahead of print]
PMID: 31930765
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Girdauskas E, Kaemmerer H, von Kodolitsch Y.
J Clin Med. 2020 Jan 11;9(1). pii: E204. doi: 10.3390/jcm9010204.
PMID: 31940858 Free Article
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Woods RK, Ginde S.
J Thorac Cardiovasc Surg. 2020 Jan 11. pii: S0022-5223(20)30068-4. doi: 10.1016/j.jtcvs.2019.12.080. [Epub ahead of print] No abstract available.
PMID: 32014319
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Alp H, Elmacı AM, Taşar M.
Cardiol Young. 2020 Jan 10:1-2. doi: 10.1017/S1047951119003305. [Epub ahead of print]
PMID: 31920191
Select item 31920190
Güler M, Laloğlu F, Ceviz N.
Cardiol Young. 2020 Jan 10:1-3. doi: 10.1017/S1047951119003317. [Epub ahead of print]
PMID: 31920190
Select item 31922335
Koestenberger M, Avian A, Chouvarine P, Gamillscheg A, Cvirn G, Schweintzger S, Kurath-Koller S, Cantinotti M, Hohmann D, Hansmann G.
Pediatr Res. 2020 Jan 10. doi: 10.1038/s41390-020-0748-2. [Epub ahead of print]
PMID: 31923914
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Asada D, Morishita Y, Kawai Y, Kajiyama Y, Ikeda K.
Cardiol Young. 2020 Jan 9:1-4. doi: 10.1017/S104795111900324X. [Epub ahead of print]
PMID: 31916529
Select item 31916527
Egbe AC, Wajih Ullah M, Afzal A, Banala K, Vojjini R, Najam M, Osman K, Thotamgari S, Hagler DJ.
Int J Cardiol Heart Vasc. 2020 Jan 9;26:100464. doi: 10.1016/j.ijcha.2019.100464. eCollection 2020 Feb.
PMID: 31956694 Free PMC Article
Select item 31954647
Fournier E, Séguéla PE, Sauvestre F, Jalal Z, Thomas J, Iriart X, Bonello B, Thambo JB.
JACC Cardiovasc Imaging. 2020 Jan 9. pii: S1936-878X(19)31050-2. doi: 10.1016/j.jcmg.2019.11.017. [Epub ahead of print] No abstract available.
PMID: 31954647
Select item 31910934
Cantinotti M, Giordano R, Koestenberger M, Voges I, Santoro G, Franchi E, Assanta N, Valverde I, Simpson J, Kutty S.
Cardiol Young. 2020 Jan 8:1-11. doi: 10.1017/S1047951119003196. [Epub ahead of print]
PMID: 31910934
Select item 31910927
Hagdorn QAJ, Berger RMF.
Cardiol Young. 2020 Jan 8:1-2. doi: 10.1017/S1047951119003081. [Epub ahead of print] No abstract available.
PMID: 31910925
Select item 31914795
Gerling S.
Eur J Prev Cardiol. 2020 Jan 8:2047487319897334. doi: 10.1177/2047487319897334. [Epub ahead of print] No abstract available.
PMID: 31914795
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Naeem B, Ayub A, Aly AM, Malloy MH, Okorodudu AO, Jain SK.
J Perinatol. 2020 Jan 7. doi: 10.1038/s41372-019-0581-9. [Epub ahead of print]
PMID: 31911650
Select item 31912176
Amoozgar H, Banafi P, Mohammadi H, Edraki MR, Mehdizadegan N, Ajami G, Borzouee M, Keshaarz K, Moradi P, Dehghani E.
Pediatr Cardiol. 2020 Jan 7. doi: 10.1007/s00246-019-02273-2. [Epub ahead of print]
PMID: 31912176
Select item 31909552
Teitel DF, Newburger JW, Sutton N, Tani LY, Harahsheh AS, Jone PN, Mensch DJ, Cotts T, Davidson A, Dahdah N, Johnson WH Jr, Portman MA.
Clin Pediatr (Phila). 2020 Jan 3:9922819896098. doi: 10.1177/0009922819896098. [Epub ahead of print]
PMID: 31896280
Select item 31921956
Cunningham C, Spence JC, Stearns JA, Carson V, Kantor PF, Urschel S, Conway J.
J Cardiovasc Nurs. 2020 Jan 3. doi: 10.1097/JCN.0000000000000629. [Epub ahead of print]
PMID: 31904691
Select item 31910992
Miller JC, Shepherd J, Rinderknecht D, Cheng AL, Pahlevan NM.
PLoS One. 2020 Jan 3;15(1):e0227145. doi: 10.1371/journal.pone.0227145. eCollection 2020.
PMID: 31899768 Free PMC Article
Select item 31883641
Blaauwgeers MW, van Asten I, Kruip MJHA, Beckers EAM, Coppens M, Eikenboom J, van Galen KPM, Huisman A, Korporaal SJA, Ploos van Amstel HK, Tamminga RYJ, Urbanus RT, Schutgens REG.
Am J Hematol. 2020 Jan;95(1):E26-E28. doi: 10.1002/ajh.25667. Epub 2019 Nov 13. Review. No abstract available.
PMID: 31659778 Free PMC Article
Select item 31303349
Gupta P, Chikkagoudar KN, Koneti NR.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):105-106. doi: 10.4103/apc.APC_160_19. Epub 2019 Nov 22. No abstract available.
PMID: 32030052 Free PMC Article
Select item 32030049
- Isolated persistence of the fifth aortic arch in an infant presenting with congestive heart failure.
Meliota G, Lombardi M, Zaza P, Tagliente MR, Versacci P, Scalzo G, Vairo U.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):91-94. doi: 10.4103/apc.APC_53_19. Epub 2019 Nov 22.
PMID: 32030044 Free PMC Article
Select item 32030043
Das D, Dutta N, Pandey P, Basu A, Sharma MK, Koley R, Chattopadhyay A.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):81-83. doi: 10.4103/apc.APC_86_19. Epub 2019 Dec 4.
PMID: 32030041 Free PMC Article
Select item 32030035
Sacks LD, Axelrod DM.
Curr Opin Cardiol. 2020 Jan;35(1):37-41. doi: 10.1097/HCO.0000000000000694.
PMID: 31644471
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Molossi S, Sachdeva S.
Curr Opin Cardiol. 2020 Jan;35(1):42-51. doi: 10.1097/HCO.0000000000000696.
PMID: 31633566
Select item 31609733
Cohen M.
Curr Opin Cardiol. 2020 Jan;35(1):35-36. doi: 10.1097/HCO.0000000000000697. No abstract available.
PMID: 31609733
Select item 31574005
Cohen JA, Almodovar MC.
Curr Opin Cardiol. 2020 Jan;35(1):52-57. doi: 10.1097/HCO.0000000000000692.
PMID: 31574005
Select item 31574003
Acheampong B, Parra DA, Aliyu MH, Moon TD, Soslow JH.
Echocardiography. 2020 Jan;37(1):96-103. doi: 10.1111/echo.14575. Epub 2019 Dec 27.
PMID: 31879998
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Yang LT, Foley TA, Eidem BW, Crestanello JA, Michelena HI.
Eur Heart J Cardiovasc Imaging. 2020 Jan 1;21(1):118. doi: 10.1093/ehjci/jez195. No abstract available.
PMID: 31302682
Select item 31280290
van der Ven JPG, Sadighy Z, Valsangiacomo Buechel ER, Sarikouch S, Robbers-Visser D, Kellenberger CJ, Kaiser T, Beerbaum P, Boersma E, Helbing WA.
Eur Heart J Cardiovasc Imaging. 2020 Jan 1;21(1):102-113. doi: 10.1093/ehjci/jez164.
PMID: 31280290 Free PMC Article
Select item 31006006
van Stijn-Bringas Dimitriades D, Planken RN, Groenink M, Streekstra GJ, Kuijpers TW, Kuipers IM.
Eur Radiol. 2020 Jan;30(1):432-441. doi: 10.1007/s00330-019-06367-6. Epub 2019 Aug 19.
PMID: 31428828 Free PMC Article
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Forsha D, Li L, Joseph N, Kutty S, Friedberg MK.
Int J Cardiol. 2020 Jan 1;298:66-71. doi: 10.1016/j.ijcard.2019.07.090. Epub 2019 Aug 1.
PMID: 31402159
Select item 31894525
Arroyo-Rodríguez C, Fritche-Salazar JF, Posada-Martínez EL, Arías-Godínez JA, Ortiz-León XA, Calvillo-Arguelles O, Ruiz-Esparza ME, Sandoval JP, Sierra-Lara D, Araiza-Garaygordobil D, Picano E, Rodríguez-Zanella H.
Int J Cardiovasc Imaging. 2020 Jan 1. doi: 10.1007/s10554-019-01753-z. [Epub ahead of print]
PMID: 31894525
Select item 31894524
Jacobs KG, Chan FP, Cheng JY, Vasanawala SS, Maskatia SA.
Int J Cardiovasc Imaging. 2020 Jan 1. doi: 10.1007/s10554-019-01751-1. [Epub ahead of print]
PMID: 31894524
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Barrera CA, Saul D, Rapp JB, Smith CL, White AM, Biko DM, Otero HJ.
Int J Cardiovasc Imaging. 2020 Jan;36(1):141-147. doi: 10.1007/s10554-019-01693-8. Epub 2019 Sep 9.
PMID: 31502067
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Abdolmanafi A, Cheriet F, Duong L, Ibrahim R, Dahdah N.
J Biophotonics. 2020 Jan;13(1):e201900112. doi: 10.1002/jbio.201900112. Epub 2019 Sep 2.
PMID: 31423740
Select item 31730717
Meinel K, Noessler N, Koestenberger M.
J Cardiothorac Vasc Anesth. 2020 Jan;34(1):306-307. doi: 10.1053/j.jvca.2019.03.067. Epub 2019 Apr 3. No abstract available.
PMID: 31076312
Select item 31828872
Hornung A, Sieverding L, Schlensak C, Hofbeck M.
Klin Padiatr. 2020 Jan;232(1):40-42. doi: 10.1055/a-1007-8700. Epub 2019 Oct 29. No abstract available.
PMID: 31663105
Select item 31818728
Thatte N, Kirakosian M, Kaza A, Friedman K.
Pediatr Cardiol. 2020 Jan;41(1):215-216. doi: 10.1007/s00246-019-02265-2. Epub 2019 Dec 13.
PMID: 31834461
Select item 31811329
Perry T, Bora K, Bakar A, Meyer DB, Sweberg T.
Pediatr Cardiol. 2020 Jan;41(1):201. doi: 10.1007/s00246-019-02259-0.
PMID: 31796981
Select item 31768578
Perry T, Bora K, Bakar A, Meyer DB, Sweberg T.
Pediatr Cardiol. 2020 Jan;41(1):194-200. doi: 10.1007/s00246-019-02255-4. Epub 2019 Nov 12. Erratum in: Pediatr Cardiol. 2019 Dec 3;:.
PMID: 31720782
Select item 31712860
Patel MD, Myers C, Negishi K, Singh GK, Anwar S.
Pediatr Cardiol. 2020 Jan;41(1):186-193. doi: 10.1007/s00246-019-02243-8. Epub 2019 Nov 9.
PMID: 31707490
Select item 31701166
Lee JS, Cinanni N, Di Cristofaro N, Lee S, Dillenburg R, Adamo KB, Mondal T, Barrowman N, Shanmugam G, Timmons BW, Longmuir PW.
Pediatr Cardiol. 2020 Jan;41(1):46-53. doi: 10.1007/s00246-019-02220-1. Epub 2019 Nov 7.
PMID: 31701166
Maher E, Elshehaby W, El Amrousy D, El Razaky O.
Pediatr Cardiol. 2020 Jan;41(1):101-107. doi: 10.1007/s00246-019-02228-7. Epub 2019 Nov 3.
PMID: 31680221
Select item 31676956
Davis JAM, Bass A, Humphrey L, Texter K, Garee A.
Pediatr Cardiol. 2020 Jan;41(1):114-122. doi: 10.1007/s00246-019-02231-y. Epub 2019 Nov 1.
PMID: 31676955
Select item 31673735
Kelly P, Hua N, Madriago EJ, Holmes KW, Shaughnessy R, Ronai C.
Pediatr Cardiol. 2020 Jan;41(1):62-68. doi: 10.1007/s00246-019-02222-z. Epub 2019 Oct 31.
PMID: 31673735
Select item 31673734
Khan U, Omdal TR, Matre K, Greve G.
Pediatr Cardiol. 2020 Jan;41(1):1-11. doi: 10.1007/s00246-019-02219-8. Epub 2019 Oct 30. Review.
PMID: 31673733
Select item 31659391
Penk J, Mukadam S, Zaidi SJ, Cui V, Metzger R, Roberson DA, Li Y.
Pediatr Cardiol. 2020 Jan;41(1):69-76. doi: 10.1007/s00246-019-02223-y. Epub 2019 Oct 28.
PMID: 31659391
Select item 31654097
Nakamura Y, Hama T, Nakamura Y, Tsukada H, Oda Y, Awa S.
Pediatr Cardiol. 2020 Jan;41(1):24-30. doi: 10.1007/s00246-019-02216-x. Epub 2019 Oct 8.
PMID: 31595326
Select item 31535182
Miura M, Kobayashi T, Igarashi T, Hamada H, Iwata N, Sasaki Y, Matsukawa M, Sato N, Kubo H, Takei S.
Pediatr Infect Dis J. 2020 Jan;39(1):41-47. doi: 10.1097/INF.0000000000002503.
PMID: 31815838
Select item 31499515
Haranal M, Abdul Latiff HB, Sivalingam S.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):130-132. doi: 10.1177/2150135119885889.
PMID: 31835984
Select item 31835983
Janeel M, Vaidyanathan S, Arvind A, Solomon NA.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):108-110. doi: 10.4103/apc.APC_28_19. Epub 2019 Jul 26. No abstract available.
PMID: 32030054 Free PMC Article
Select item 32030053
Barac YD, Quinones Q, Schroder J, Glower DD.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):107-108. doi: 10.4103/apc.APC_10_19. Epub 2019 Jul 17. No abstract available.
PMID: 32030053 Free PMC Article
Select item 32030052
Rajanbabu BB, Andrews DR.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):104. doi: 10.4103/apc.APC_130_19. Epub 2019 Nov 7. No abstract available.
PMID: 32030051 Free PMC Article
Select item 32030050
Agati S, Sousa CG, Calvaruso FD, Zanai R, Campanella I, Poli D, Pino AD, Secinaro A, Iorio FS, Raponi M, Anderson RH, Reali S, DeZorzi A, Borro L.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):104-105. doi: 10.4103/apc.APC_149_19. Epub 2020 Jan 9. No abstract available.
PMID: 32030050 Free PMC Article
Select item 32030049
Garekar S, Bharati A.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):103. doi: 10.4103/apc.APC_153_19. Epub 2020 Jan 9. No abstract available.
PMID: 32030049 Free PMC Article
Select item 32030048
Gupta SK, Anderson RH.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):102-103. doi: 10.4103/apc.APC_127_19. Epub 2019 Dec 4. No abstract available.
PMID: 32030048 Free PMC Article
Select item 32030047
Krishna MR, Gnanappa GK, Mervis J, Forsey J, Ayer JG, Orr Y.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):100-101. doi: 10.4103/apc.APC_45_19. Epub 2019 Jul 19.
PMID: 32030047 Free PMC Article
Select item 32030046
Pandey NN, Shaw M, Sachdeva S, Gulati GS, Kothari SS.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):98-99. doi: 10.4103/apc.APC_128_19. Epub 2019 Nov 7.
PMID: 32030046 Free PMC Article
Select item 32030045
Babu NS, Vimala LR, Varghese L, George OK.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):95-97. doi: 10.4103/apc.APC_47_19. Epub 2019 Oct 9.
PMID: 32030045 Free PMC Article
Select item 32030044
Scrascia G, Grimaldi AMP, Troise D, Scalzo G.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):75-77. doi: 10.4103/apc.APC_54_19. Epub 2019 Dec 4.
PMID: 32030039 Free PMC Article
Select item 32030038
Lahiri S, Gil W, Daria S, Joshua G, Parul J, Redmond B, Elizabeth W.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):38-45. doi: 10.4103/apc.APC_51_19. Epub 2019 Oct 9.
PMID: 32030034 Free PMC Article
Select item 32030033
Babu NS, Vimala LR, Varghese L, George OK.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):95-97. doi: 10.4103/apc.APC_47_19. Epub 2019 Oct 9.
PMID: 32030045 Free PMC Article
Select item 32030044
ACHD Featured Articles in association with ISACHD
Adult Congenital Heart Featured Reviews of January 2020 Abstracts provided through collaboration with ISACHD.
Fontan-associated nephropathy: Predictors and outcomes.
Khuong JN, Wilson TG, Grigg LE, Bullock A, Celermajer D, Disney P, Wijesekera VA, Hornung T, Zannino D, Iyengar AJ, d’Udekem Y.
Int J Cardiol. 2020 Jan 10. pii: S0167-5273(19)34728-X. doi: 10.1016/j.ijcard.2020.01.014. [Epub ahead of print]
PMID: 31955974
Take Home Points:
- 20% of patients with Fontan circuits have mild to moderate renal dysfunction as per eGFR.
- Atrio-pulmonary Fontan and the absence of a prior bidirectional were the only predictors of renal dysfunction
- In this cohort, renal dysfunction did not impact the outcomes of death, cardiac transplantation or Fontan failure.
Commentary from Dr. Blanche Cupido (Cape Town, South Africa), section editor of ACHD Journal Watch: Although nephropathy is a known complication of a Fontan circuit, not much data is available in contemporary literature on this topic. This study from the Australia and New Zealand Fontan Registry aimed to ascertain the prevalence of nephropathy, identify its predictors and characterize their long term outcomes in young adults with Fontan circuits.
Patients >age 16 with Fontan circuits were included if they had a serum creatinine measurement when between the ages of 16 and 25. Those with primary renal diagnoses, those who underwent Fontan take-downs, received heart transplantation or died before age 16, were excluded. Baseline renal function was assessed by glomerular filtration rate (GFR) as per the Modification of Diet in Renal Disease (MDRD) equation. Renal dysfunction was defined as a GFR < 90ml/kg/min/1.73m2.
The primary end-point for Fontan failure was death, heart transplantation, plastic bronchitis, protein losing enteropathy, Fontan take-down and NYHA III-IV. The secondary outcome was chronic kidney disease – GFR < 90ml/kg/min/1.73m2.
A total of 328 patients were included. Fifty-two percent were male and the mean age was 26 years. The prevalence of renal dysfunction was 20% (n=67). Most had mild renal dysfunction, though 1% (3 patients) had moderate renal dysfunction with a GFR < 60ml/kg/min/1.73m2.
The following factors were associated with increased renal dysfunction on univariate analysis:
- Atrio-pulmonary Fontan (AP Fontan) – OR 2.22 (95% CI 1.11-4.30, p=0.024)
- Absence of prior bidirectional cavo-pulmonary shunt – OR 2.23 (95% CI 1.28-3.98, p=0.005)
This did not hold for multi-variate analysis though.
Two patients in the renal dysfunction group (2%) and 19 (7%) of the non-renal dysfunction group died during follow-up. From Figure 1 below, it is evident that fewer deaths occurred in the renal dysfunction group (2/67 deaths vs 9/261 deaths)
Ten year survival for the renal dysfunction group was 96% compared to 89% in the non-renal dysfunction group. (p=0.1) No independent risk factors for mortality were identified.
Figure 2 below shows that the 10-year freedom from death and transplant for the renal dysfunction and no renal dysfunction groups were 96% and 87% respectively (p=0.05)
Fontan failure occurred in 12% of patients (n=38) over a 7 year follow-up period. There was no difference in the prevalence of Fontan failure between those with and without renal dysfunction.
Ten year freedom from Fontan failure was 82.5% in the renal dysfunction group and 81% in the no renal dysfunction group (p=0.84) – see figure 3 below. Independent risk factors for Fontan failure were right atrial isomerism and developing >moderate ventricular systolic dysfunction.
Over an 8 year follow-up period, no significant differences in mean eGFR were found in the group who had renal dysfunction at the outset (eGFR 78 vs 80ml/kg/min/1.73m2, p=0.4). The group with normal renal function initially, did show a decline in eGFR (120 to 108ml/kg/min/1.73m2, p<0.001).
Fritz C, Müller J, Oberhoffer R, Ewert P, Hager A.
Int J Cardiol. 2020 Jan 9. pii: S0167-5273(19)33852-5. doi: 10.1016/j.ijcard.2020.01.015. [Epub ahead of print]
PMID: 31992463
Take Home Points:
- Daily IMT for a 6 month period did not improve exercise and lung capacity and lung volumes in Fontan patients.
- Daily IMT for 6 months in adult patients with Fontan was associated with an increase in O2 saturation at rest.
- Larger studies are warranted in order to gain more insight into the mechanisms of exercise training and the Fontan physiology.
Commentary from Dr. Soha Romeih (Aswan, Egypt), section editor of ACHD Journal Watch:
Background:In Fontan patients, due to the hemodynamic limitations of an absent sub-pulmonic chamber, pulmonary arterial and systemic venous blood flow are strongly affected by modest intrathoracic pressure shifts, since ± 30% of flow in the systemic venous pathway is driven by respiration. In patients with Fontan circulation, blood flow in the IVC is increased during inspiration, enhancing the systemic venous blood return into the lungs considerably.
Young adults with Fontan circulation show respiratory and skeletal muscle weakness, and higher prevalence of respiratory muscle dysfunction, comparable to adults with advanced heart failure.
In a recent study in children with Fontan circulation, daily inspiratory muscle training (IMT) of six weeks improved inspiratory muscle strength and ventilatory efficiency in a cardiopulmonary exercise test (CPET). It is therefore reasonable that an individually adjusted IMT in adult patients with Fontan circulation improves parameters of ventilation and exercise capacity.
The aims of the current study were to investigate the effect of a telephone-supervised, daily inspiratory muscle training for 6 months on exercise capacity and on lung volumes in adult patients with Fontan circulation.
Methods
- Study subjects
42 patients (50% female; 30.5 ± 8.1 years; age 18 to 51 years old) out of 209 eligible patients participated from January 2017 until October 2018.
After baseline assessments (visit 1), consisting of a lung function test (LFT) and a CPET, 42 patients were randomized into either an intervention group (IG, n = 20) or control group (CG, n = 22). The IG started performing a telephone-supervised, daily IMT until six months follow-up (visit 2). The daily intervention was performed with an inspiratory resistive training device (POWER breathe International Ltd., Southam, UK).
Within the first six months after baseline evaluation the CG continued their usual activities and did not get any treatment. At the six months follow-up (visit 2) this group started IMT under the same conditions, including weekly telephone supervision till 12 months re-evaluation (visit 3). To assess the sustainability of the training program, the IG was asked to continue performing IMT without weekly telephonic-supervision until 12 months reevaluation (visit 3). This independent six-months IMT period of the CG was performed from 12 months follow-up until 18 months re-evaluation (visit 4). (Figure 1)
The study consisted of three visits for the IG and four visits for the CG, where a CPET and a LFT were performed, respectively. All tests were implemented by the same experienced sports scientist.
- Inspiratory muscle training (IMT)
After baseline evaluation patients were instructed by an experienced sports scientist in term of the IMT. Patients were instructed to begin the inhalation phase with diaphragmatic breathing and to continue inhaling by expanding the rib cage. Incorrect breathing and malposition were corrected immediately. Patients used an inspiratory resistive training device for three sets with 10–30 repetitions once daily. During the second 6 months training period, patients were instructed to continue the IMT independently, since no telephone supervision was implemented. Both groups performed IMT under the same conditions.
- Measurement of exercise capacity
Incremental symptom-limited CPET until exhaustion. Gas exchange and ventilation were measured via a breath-by-breath gas exchange analysis. Peak oxygen uptake (VO2 peak) was calculated as the highest mean O2 consumption obtained during any 30-second time interval. Compliance criteria for a valid CPET were achieved when either respiratory exchange ratio (RER) was ≥1.05, or peak heart rate was ≥85%. Cyanotic patients (oxygen saturation b 90% at rest or at peak exercise) were rarely able to reach the above-mentioned thresholds, however they were included in the study, independent of those criteria.
- Measurement of lung function
Forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and the FEV1/FVC ratio were performed.
Results:
- Exercise capacity
At 6 months re-evaluation both groups had not improved their VO2 peak and VO2 peak predicted, without any significant difference between IG and CG. Additionally, no significant difference was found between the IG and the CG concerning ventilatory efficiency.
The only significant result was an increase of O2 saturation at rest in the IG in comparison to the CG after six months IMT. These results indicate an enhancement of hypoxic pulmonary vasoconstriction resulting in an improvement in ventilation/perfusion matching, which favors systemic oxygen delivery by the constriction of intrapulmonary arteries reacting to alveolar hypoxia. Another plausible mechanism could be a reduction in chronic atelectasis following IMT. Hence IMT may improve blood flow of the lungs.
- Lung function
After 6 months of IMT, no significant changes could be observed between the IG and the CG concerning FVC and FVC predicted. Further, FEV1 and FEV1 predicted did not change significantly after IMT between the IG and CG.
Conclusions
Six months of weekly telephone-supervised, daily IMT could not improve exercise and lung capacity in adult patients with Fontan circulation. According to current evidence, beneficial effects of IMT in adult patients with Fontan circulation cannot be verified. Therefore, larger studies are warranted in order to gain more insight into the mechanisms of exercise training and the Fontan physiology.
Rodríguez de Santiago E, Téllez L, Garrido-Lestache Rodríguez-Monte E, Garrido-Gómez E, Aguilera-Castro L, Álvarez-Fuente M, Del Cerro MJ, Albillos A.
Liver Int. 2020 Jan 8. doi: 10.1111/liv.14375. [Epub ahead of print]
PMID: 31912956
Take Home Points:
- Fontan patients with PLE demonstrated more severe liver damage and cardiac impairment, and greater systemic inflammation, intestinal inflammation and intestinal permeability than those without PLE.
- Timely reminder that liver assessment and close surveillance is essential in all Fontan patients, and especially those with PLE.
- Faecal calprotectin is complementary to faecal alpha-1-antitrypsin and may be useful as a biomarker for the diagnosis and follow-up of Fontan PLE.
- Data originates from an observational single-centre case-control study (n=29).
Commentary from Dr. Timothy Roberts (Melbourne, Australia), section editor of ACHD Journal Watch:
Background
Protein-losing enteropathy (PLE) affects 3 – 18 % of patients after a Fontan operation, and is thought to be contributed by factors including elevated central venous pressure and inflammation.
Aims of this study: to investigate in patients with Fontan circulation and PLE:
- the presence of intestinal and systemic inflammation;
- the relationship between PLE and severity of liver and cardiac damage.
Methods
All Fontan subjects diagnosed prospectively with PLE were included. PLE was defined as a 24 hours alpha-1-antitrypsin faecal clearance value above 27 mL/day. Exclusion criteria were coexisting inflammatory bowel disease, coeliac disease or gastrointestinal infection. Controls were matched at a 1:1 ratio by age (±2 years) and Fontan surgery procedure (atriopulmonary vs total cavopulmonary).
Initial assessment included a structured medical interview, physical examination, blood and faeces tests, abdominal Doppler-ultrasonography, liver elastography, abdominal angio-magnetic resonance imaging (MRI) or computed tomography (CT) scan when MRI was contraindicated, and echocardiography. A cardiac MRI and cardiac haemodynamic study were also performed when clinically indicated.
Results
Of 61 subjects, 15 had PLE (24.6 %) with one excluded following diagnosis of coeliac disease. Fifteen control Fontan patients were included (see Figure 1, below).
Faecal calprotectin was significantly increased in the PLE group (80 vs 30 ug/g, P < 0.001; Figure 2). Serum I-FABP, used as a marker of intestinal barrier disruption, was elevated in PLE (9 vs 5 ng/ml, P = 0.019), while pro-inflammatory cytokines TNF-alpha and IL-6 were also elevated in the PLE cohort (Figure 3).
Cardiac index was lower in PLE subjects in the hemodynamic study (2.54 vs 4.25 L/min/m2, P = .016), lower ventricular ejection fraction on cardiac MRI (58.5% vs 63.5%, P = .04) and lower systemic oxygen saturation (93% vs 96%, P = .025). No difference in BNP was observed.
No difference in routine liver function testing was observed (bilirubin, ALT, AST, GGT, ALP). Platelet count was lower, while liver stiffness was greater (25.4 vs 14.3 kPA; P < 0.001) in the PLE group. No cases of hepatocarcinoma were diagnosed.
Conclusions
Fontan patients with PLE demonstrated more severe liver damage and cardiac impairment, and greater systemic inflammation, intestinal inflammation and intestinal permeability than those without PLE.
Faecal calprotectin is complementary to faecal alpha-1-antitrypsin and may be useful as a biomarker for the diagnosis and follow-up of Fontan patients diagnosed with PLE.
Assessment and Implications of Right Ventricular Afterload in Tetralogy of Fallot.
Egbe AC, Taggart NW, Reddy YNV, Sufian M, Banala K, Vojjini R, Najam M, Osman K, Obokata M, Borlaug BA.
Am J Cardiol. 2019 Dec 1;124(11):1780-1784. doi: 10.1016/j.amjcard.2019.08.035. Epub 2019 Sep 9.
PMID: 31586531
Select item 30772131
Take Home Points:
- In adult patients with repaired tetralogy of Fallot (TOF), higher right ventricle systolic pressure (RVSP) is associated with worse prognosis including a higher risk of death or transplant. However, there was no such association with right ventricle outflow tract (RVOT) obstruction severity.
- In this study, there was good correlation between invasively measured and Doppler derived RVSP.
Commentary from Dr. Maan Jokhadar (Atlanta GA), section editor of ACHD Journal Watch:
Repaired TOF patients commonly have residual RVOT obstruction and increased right ventricle (RV) pressure overload. This is in addition to the increased risk of pulmonary valve regurgitation after repair and right ventricle volume overload.
Dr. Egbe and colleagues from Mayo Clinic in Rochester, Minnesota performed a retrospective cohort analysis of 266 adult TOF patients who had contemporaneous echocardiography and cardiac catheterization (within 48 hours) between 1990 and 2015. Patients with aortopulmonary collaterals were excluded. The mean age was about 35 and the mean follow-up with just under 13 years.
In this study, invasively measured RVSP was used as an index of RV afterload, which can increase as a result of any number of factors that include RVOT obstruction, pulmonary artery vascular obstruction, pulmonary vascular resistance, and increased left heart filling pressure.
Study participants were divided into 2 groups based on RVOT gradient of less or more than 36 mmHg. About 66% (175 patients) had significant RVOT obstruction and the rest did not. During a follow-up period of almost 13 years, there was no significant mortality difference between patients with and without RVOT obstruction: 27/175 patients died in the RVOT obstruction group and 8/91 patients died in the no RVOT obstruction group.
Of the 35 patients who died, right heart failure was the cause in 14, sudden-death in 11, sepsis with multi organ system failure in 3, postoperative death in 4, major bleeding in 2, and 1 died of unknown causes. There were 4 patients who had heart transplant.
In this study, there was good correlation between invasively measured and Doppler derived RVSP.
In adult repaired TOF patients, higher RVSP, as a marker of RV afterload, was independently associated with death and heart transplant, whether assessed invasively or non-invasively. However, there was no such association with RVOT obstruction. Thus, increased RV pressure overload from any cause is a marker of worse prognosis in repaired TOF patients. Further study is needed to determine if reducing RV pressure overload improved outcomes.
The results of the study bolster the notion that elevated RVSP is helpful in the risk stratification and decision-making regarding pulmonary valve intervention for patients with repaired TOF and pulmonary regurgitation. However, further study is needed.
ACHD Jan 2020
Drake M, Ginde S, Cohen S, Bartz P, Sowinski J, Reinhardt E, Saleska T, Earing MG.
Pediatr Cardiol. 2020 Jan 30. doi: 10.1007/s00246-020-02289-z. [Epub ahead of print]
PMID: 32002577
Select item 31996146
Chilikov A, Wainstock T, Sheiner E, Pariente G.
Eur J Obstet Gynecol Reprod Biol. 2020 Jan 29;246:145-150. doi: 10.1016/j.ejogrb.2020.01.038. [Epub ahead of print]
PMID: 32028141
Select item 31997041
Ly R, Compain F, Gaye B, Pontnau F, Bouchard M, Mainardi JL, Iserin L, Lebeaux D, Ladouceur M.
Eur Heart J Acute Cardiovasc Care. 2020 Jan 28:2048872620901394. doi: 10.1177/2048872620901394. [Epub ahead of print]
PMID: 31990202
Select item 31989462
Easter SR, Valente AM, Economy KE.
Curr Treat Options Cardiovasc Med. 2020 Jan 27;22(1):3. doi: 10.1007/s11936-020-0800-x. Review.
PMID: 31989331
Select item 31984440
Flocco SF, Caruso R, Barello S, Nania T, Simeone S, Dellafiore F.
BMJ Open. 2020 Jan 23;10(1):e034588. doi: 10.1136/bmjopen-2019-034588.
PMID: 31980511 Free Article
Select item 31972004
Carazo M, Andrade L, Kim Y, Wilson W, Wu FM.
Heart Fail Rev. 2020 Jan 22. doi: 10.1007/s10741-020-09914-2. [Epub ahead of print] Review.
PMID: 31970551
Select item 31979109
Sturla F, Piatti F, Jaworek M, Lucherini F, Pluchinotta FR, Siryk SV, Giese D, Vismara R, Tasca G, Menicanti L, Redaelli A, Lombardi M.
Magn Reson Imaging. 2020 Jan 22;68:18-29. doi: 10.1016/j.mri.2020.01.006. [Epub ahead of print]
PMID: 31981709
Select item 31970575
Anderson KN, Tepper NK, Downing K, Ailes EC, Abarbanell G, Farr SL.
Am Heart J. 2020 Jan 21;222:38-45. doi: 10.1016/j.ahj.2020.01.008. [Epub ahead of print]
PMID: 32014720
Select item 31964345
Duijnhouwer A, van den Hoven A, Merkx R, Schokking M, van Kimmenade R, Kempers M, Dijk AV, de Boer MJ, Roos-Hesselink J.
J Clin Med. 2020 Jan 21;9(2). pii: E290. doi: 10.3390/jcm9020290.
PMID: 31972995 Free Article
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Enomoto J, Mizuno Y, Okajima Y, Kawasoe Y, Morishima H, Tateno S.
Pediatr Int. 2020 Jan 19. doi: 10.1111/ped.14152. [Epub ahead of print]
PMID: 31957140
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Skogby S, Moons P, Johansson B, Sunnegårdh J, Christersson C, Nagy E, Winberg P, Hanséus K, Trzebiatowska-Krzynska A, Fadl S, Fernlund E, Kazamia K, Rydberg A, Zühlke L, Goossens E, Bratt EL.
Int J Cardiol. 2020 Jan 17. pii: S0167-5273(19)32630-0. doi: 10.1016/j.ijcard.2020.01.016. [Epub ahead of print]
PMID: 31959410 Free Article
Select item 31945047
Toyoda S, Sakuma M, Abe S, Nakajima T, Inoue T.
Int J Cardiol. 2020 Jan 16. pii: S0167-5273(19)35747-X. doi: 10.1016/j.ijcard.2020.01.011. [Epub ahead of print] No abstract available.
PMID: 31982163
Select item 31945804
Nashat H, Kempny A, Harries C, Dormand N, Alonso-Gonzalez R, Price LC, Gatzoulis MA, Dimopoulos K, Wort SJ.
Int J Cardiol. 2020 Jan 15;299:131-135. doi: 10.1016/j.ijcard.2019.07.004. Epub 2019 Jul 4.
PMID: 31371115
Select item 31337551
Possner M, Buechel RR, Vontobel J, Mikulicic F, Gräni C, Benz DC, Clerc OF, Fuchs TA, Tobler D, Stambach D, Greutmann M, Kaufmann PA.
Int J Cardiol. 2020 Jan 15;299:110-115. doi: 10.1016/j.ijcard.2019.07.041. Epub 2019 Jul 13.
PMID: 31337551
Select item 31307847
Yang H, Bouma BJ, Dimopoulos K, Khairy P, Ladouceur M, Niwa K, Greutmann M, Schwerzmann M, Egbe A, Scognamiglio G, Budts W, Veldtman G, Opotowsky AR, Broberg CS, Gumbiene L, Meijboom FJ, Rutz T, Post MC, Moe T, Lipczyńska M, Tsai SF, Chakrabarti S, Tobler D, Davidson W, Morissens M, van Dijk A, Buber J, Bouchardy J, Skoglund K, Christersson C, Kronvall T, Konings TC, Alonso-Gonzalez R, Mizuno A, Webb G, Laukyte M, Sieswerda GTJ, Shafer K, Aboulhosn J, Mulder BJM.
Int J Cardiol. 2020 Jan 15;299:123-130. doi: 10.1016/j.ijcard.2019.06.014. Epub 2019 Jun 13.
PMID: 31307847 Free Article
Select item 31968274
Easson K, Rohlicek CV, Houde JC, Gilbert G, Saint-Martin C, Fontes K, Majnemer A, Marelli A, Wintermark P, Descoteaux M, Brossard-Racine M.
Neuroimage. 2020 Jan 15;205:116255. doi: 10.1016/j.neuroimage.2019.116255. Epub 2019 Oct 9.
PMID: 31605826 Free Article
Select item 31989061
Radin M, Schreiber K, Cecchi I, Bortoluzzi A, Crisafulli F, de Freitas CM, Bacco B, Rubini E, Foddai SG, Padovan M, Gallo Cassarino S, Franceschini F, Andrade D, Benedetto C, Govoni M, Bertero T, Marozio L, Roccatello D, Andreoli L, Sciascia S.
Rheumatology (Oxford). 2020 Jan 14. pii: kez620. doi: 10.1093/rheumatology/kez620. [Epub ahead of print]
PMID: 31943123
Select item 30725710
Singh DP, Patel H.
StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. 2020 Jan 13.
PMID: 30725710 Free Books & Documents
Select item 31928554
Ooues G, Pope N, Hudsmith LE.
Cardiol Young. 2020 Jan 13:1-2. doi: 10.1017/S1047951119003214. [Epub ahead of print] No abstract available.
PMID: 31928554
Select item 31959409
Kubota H, Endo H, Ishii H, Tsuchiya H, Inaba Y, Terakawa K, Takahashi Y, Noma M, Takemoto K, Taniai S, Sakata K, Soejima K, Shimoyamada H, Kamma H, Kawakami H, Kaneko Y, Hirono S, Izumi D, Ozaki K, Minamino T, Yoshino H, Sudo K.
J Cardiothorac Surg. 2020 Jan 13;15(1):14. doi: 10.1186/s13019-020-1048-y.
PMID: 31931842 Free PMC Article
Select item 31930365
Carvajal HG, Brar AK, Eghtesady P.
Open Forum Infect Dis. 2020 Jan 13;7(1):ofaa013. doi: 10.1093/ofid/ofaa013. eCollection 2020 Jan. No abstract available.
PMID: 31993452 Free PMC Article
Select item 31939506
Girdauskas E, Kaemmerer H, von Kodolitsch Y.
J Clin Med. 2020 Jan 11;9(1). pii: E204. doi: 10.3390/jcm9010204.
PMID: 31940858 Free Article
Select item 31922335
Mueller AS, McDonald DM, Singh HS, Ginns JN.
Heart Fail Rev. 2020 Jan 10. doi: 10.1007/s10741-019-09903-0. [Epub ahead of print] Review.
PMID: 31925611
Select item 32001038
Björk A, Mandalenakis Z, Giang KW, Rosengren A, Eriksson P, Dellborg M.
Int J Cardiol. 2020 Jan 10. pii: S0167-5273(19)33573-9. doi: 10.1016/j.ijcard.2020.01.010. [Epub ahead of print]
PMID: 32001038
Select item 31955974
Khuong JN, Wilson TG, Grigg LE, Bullock A, Celermajer D, Disney P, Wijesekera VA, Hornung T, Zannino D, Iyengar AJ, d’Udekem Y.
Int J Cardiol. 2020 Jan 10. pii: S0167-5273(19)34728-X. doi: 10.1016/j.ijcard.2020.01.014. [Epub ahead of print]
PMID: 31955974
Select item 31924244
Satış S, Alparslan N, Tuna M, Dere O, Yetişgin A.
World Neurosurg. 2020 Jan 10;136:62-65. doi: 10.1016/j.wneu.2020.01.010. [Epub ahead of print]
PMID: 31931249
Select item 31986287
Farr SL, Klewer SE, Nembhard WN, Alter C, Downing KF, Andrews JG, Collins RT, Glidewell J, Benavides A, Goudie A, Riehle-Colarusso T, Overman L, Riser AP, Oster ME.
Am Heart J. 2020 Jan 9;221:106-113. doi: 10.1016/j.ahj.2019.12.021. [Epub ahead of print]
PMID: 31986287
Select item 31916525
Choudhary P, Strugnell W, Puranik R, Hamilton-Craig C, Kutty S, Celermajer DS.
Cardiol Young. 2020 Jan 9:1-7. doi: 10.1017/S1047951119001872. [Epub ahead of print]
PMID: 31916525
Select item 31915104
Eckerström F, Eriksson P, Dellborg M, Lappas G, Rosengren A, Hjortdal VE, Mandalenakis Z.
Eur Heart J Qual Care Clin Outcomes. 2020 Jan 9. pii: qcz069. doi: 10.1093/ehjqcco/qcz069. [Epub ahead of print]
PMID: 31917406
Select item 31917902
Fritz C, Müller J, Oberhoffer R, Ewert P, Hager A.
Int J Cardiol. 2020 Jan 9. pii: S0167-5273(19)33852-5. doi: 10.1016/j.ijcard.2020.01.015. [Epub ahead of print]
PMID: 31992463
Select item 31959411
Saraf A, De Staercke C, Everitt I, Haouzi A, Ko YA, Jennings S, Kim JH, Rodriguez FH, Kalogeropoulos AP, Quyyumi A, Book W.
Int J Cardiol. 2020 Jan 9. pii: S0167-5273(19)32608-7. doi: 10.1016/j.ijcard.2020.01.012. [Epub ahead of print]
PMID: 31959411
Select item 31956694
Egbe AC, Wajih Ullah M, Afzal A, Banala K, Vojjini R, Najam M, Osman K, Thotamgari S, Hagler DJ.
Int J Cardiol Heart Vasc. 2020 Jan 9;26:100464. doi: 10.1016/j.ijcha.2019.100464. eCollection 2020 Feb.
PMID: 31956694 Free PMC Article
Select item 31936524
Gross AM, Frone M, Gripp KW, Gelb BD, Schoyer L, Schill L, Stronach B, Biesecker LG, Esposito D, Hernandez ER, Legius E, Loh ML, Martin S, Morrison DK, Rauen KA, Wolters PL, Zand D, McCormick F, Savage SA, Stewart DR, Widemann BC, Yohe ME.
Am J Med Genet A. 2020 Jan 8. doi: 10.1002/ajmg.a.61485. [Epub ahead of print]
PMID: 31913576
Select item 31912986
Kopeć G, Kurzyna M, Mroczek E, Chrzanowski Ł, Mularek-Kubzdela T, Skoczylas I, Kuśmierczyk B, Pruszczyk P, Błaszczak P, Lewicka E, Karasek D, Mizia-Stec K, Tomaszewski M, Jacheć W, Ptaszyńska-Kopczyńska K, Peregud-Pogorzelska M, Doboszyńska A, Pawlak A, Gąsior Z, Zabłocka W, Ryczek R, Widejko-Pietkiewicz K, Waligóra M, Darocha S, Furdal M, Ciurzyński M, Kasprzak JD, Grabka M, Kamiński K, Hoffman P, Podolec P, Torbicki A.
J Clin Med. 2020 Jan 8;9(1). pii: E173. doi: 10.3390/jcm9010173.
PMID: 31936377 Free Article
Select item 31912956
Rodríguez de Santiago E, Téllez L, Garrido-Lestache Rodríguez-Monte E, Garrido-Gómez E, Aguilera-Castro L, Álvarez-Fuente M, Del Cerro MJ, Albillos A.
Liver Int. 2020 Jan 8. doi: 10.1111/liv.14375. [Epub ahead of print]
PMID: 31912956
Select item 31926831
Mercuri M, Wustmann K, Tengg-Kobligk HV, Göksu C, Hose DR, Narracott A.
Med Eng Phys. 2020 Jan 8. pii: S1350-4533(19)30244-9. doi: 10.1016/j.medengphy.2019.12.003. [Epub ahead of print]
PMID: 31926831
Select item 31909881
Patel RS, Nguyen S, Lee MT, Price MD, Krause H, Truong VTT, Sandhu HK, Charlton-Ouw KM, LeMaire SA, Coselli JS, Prakash SK.
Ann Vasc Surg. 2020 Jan 7. pii: S0890-5096(20)30016-9. doi: 10.1016/j.avsg.2019.12.039. [Epub ahead of print]
PMID: 31923594
Select item 31912327
Writing Group, Sachdeva R, Valente AM, Armstrong AK, Cook SC, Han BK, Lopez L, Lui GK, Pickard SS, Powell AJ; Rating Panel, Bhave NM, Sachdeva R, Valente AM, Pickard SS, Baffa JM, Banka P, Cohen SB, Glickstein JS, Kanter JP, Kanter RJ, Kim YY, Kipps AK, Latson LA, Lin JP, Parra DA, Rodriguez FH 3rd, Saarel EV, Srivastava S, Stephenson EA, Stout KK, Zaidi AN.
J Am Coll Cardiol. 2020 Jan 6. pii: S0735-1097(19)37812-X. doi: 10.1016/j.jacc.2019.10.002. [Epub ahead of print] No abstract available.
PMID: 31918898
Select item 31906990
Easter SR, Rouse CE, Duarte V, Hynes JS, Singh MN, Landzberg MJ, Valente AM, Economy KE.
Am J Obstet Gynecol. 2020 Jan;222(1):77.e1-77.e11. doi: 10.1016/j.ajog.2019.07.019. Epub 2019 Jul 13.
PMID: 31310750
Select item 31003242
Bozkaya VÖ, Oskovi Kaplan ZA, Özgü E, Engin Ustun Y.
Anatol J Cardiol. 2020 Jan;23(2):99-104. doi: 10.14744/AnatolJCardiol.2019.55267.
PMID: 32011322 Free Article
Select item 31929258
Gangakhedkar GR, Chhabria RD, Gour SD, Palani Y.
Ann Card Anaesth. 2020 Jan-Mar;23(1):95-97. doi: 10.4103/aca.ACA_175_18.
PMID: 31929258 Free Article
Select item 31929239
Naganur SH, Tiwari A, Pruthvi CR.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):72-74. doi: 10.4103/apc.APC_149_18. Epub 2019 Dec 4.
PMID: 32030038 Free PMC Article
Select item 32030036
Shapero KS, Desai NR, Elder RW, Lipkind HS, Chou JC, Spatz ES.
Cleve Clin J Med. 2020 Jan;87(1):43-52. doi: 10.3949/ccjm.87a.18137. Epub 2020 Jan 2. Review.
PMID: 31990654 Free Article
Select item 31158518
Dev M, Sharma M, Rana N.
Curr Cardiol Rev. 2020;16(1):73-76. doi: 10.2174/1573403X15666190513105231.
PMID: 31092183
Select item 31526142
Nordmeyer S, Hellmeier F, Yevtushenko P, Kelm M, Lee CB, Lehmann D, Kropf S, Berger F, Falk V, Knosalla C, Kuehne T, Goubergrits L.
Eur J Cardiothorac Surg. 2020 Jan 1;57(1):133-141. doi: 10.1093/ejcts/ezz149.
PMID: 31131388
Select item 31856606
Moons P.
Eur J Cardiovasc Nurs. 2020 Jan;19(1):83-88. doi: 10.1177/1474515119888972.
PMID: 31856606
Select item 31999620
Malecki SL, Van Mil S, Graffi J, Breetvelt E, Corral M, Boot E, Chow EWC, Sanches M, Verma AA, Bassett AS.
Genet Med. 2020 Jan;22(1):132-141. doi: 10.1038/s41436-019-0603-1. Epub 2019 Jul 31.
PMID: 31363180
Select item 31874904
Gallego P, Oliver JM.
Heart. 2020 Jan;106(2):154-162. doi: 10.1136/heartjnl-2019-314701. No abstract available.
PMID: 31874904
Select item 31662332
Rodriguez FH, Book WM.
Heart. 2020 Jan;106(2):105-110. doi: 10.1136/heartjnl-2019-314937. Epub 2019 Oct 29. Review.
PMID: 31662332
Select item 31649049
Bhatt AB, Krishnamurthy Y.
Heart. 2020 Jan;106(2):94-96. doi: 10.1136/heartjnl-2019-315780. Epub 2019 Oct 24. No abstract available.
PMID: 31649049
Select item 31492700
Reekie J.
Heart. 2020 Jan;106(1):87-88. doi: 10.1136/heartjnl-2019-315727. Epub 2019 Sep 6. No abstract available.
PMID: 31492700
Select item 31735307
González-Islas D, Arámbula-Garza E, Orea-Tejeda A, Castillo-Martínez L, Keirns-Davies C, Salgado-Fernández F, Hernández-Urquieta L, Hernández-López S, Pilotzi-Montiel Y.
Heart Lung. 2020 Jan – Feb;49(1):42-47. doi: 10.1016/j.hrtlng.2019.07.003. Epub 2019 Aug 15.
PMID: 31421949
Select item 31735685
Zentner D, Celermajer DS, Gentles T, d’Udekem Y, Ayer J, Blue GM, Bridgman C, Burchill L, Cheung M, Cordina R, Culnane E, Davis A, du Plessis K, Eagleson K, Finucane K, Frank B, Greenway S, Grigg L, Hardikar W, Hornung T, Hynson J, Iyengar AJ, James P, Justo R, Kalman J, Kasparian N, Le B, Marshall K, Mathew J, McGiffin D, McGuire M, Monagle P, Moore B, Neilsen J, O’Connor B, O’Donnell C, Pflaumer A, Rice K, Sholler G, Skinner JR, Sood S, Ward J, Weintraub R, Wilson T, Wilson W, Winlaw D, Wood A.
Heart Lung Circ. 2020 Jan;29(1):5-39. doi: 10.1016/j.hlc.2019.09.010. Epub 2019 Nov 15.
PMID: 31735685 Free Article
Select item 30686641
Appadurai V, Thoreau J, Malpas T, Nicolae M.
Heart Lung Circ. 2020 Jan;29(1):137-141. doi: 10.1016/j.hlc.2018.12.003. Epub 2018 Dec 17.
PMID: 30686641
Select item 31415819
Arroyo-Rodríguez C, Fritche-Salazar JF, Posada-Martínez EL, Arías-Godínez JA, Ortiz-León XA, Calvillo-Arguelles O, Ruiz-Esparza ME, Sandoval JP, Sierra-Lara D, Araiza-Garaygordobil D, Picano E, Rodríguez-Zanella H.
Int J Cardiovasc Imaging. 2020 Jan 1. doi: 10.1007/s10554-019-01753-z. [Epub ahead of print]
PMID: 31894525
Select item 31894524
Jacobs KG, Chan FP, Cheng JY, Vasanawala SS, Maskatia SA.
Int J Cardiovasc Imaging. 2020 Jan 1. doi: 10.1007/s10554-019-01751-1. [Epub ahead of print]
PMID: 31894524
Select item 31471763
Shiina Y, Inai K, Takahashi T, Shimomiya Y, Nagao M.
Int J Cardiovasc Imaging. 2020 Jan;36(1):131-140. doi: 10.1007/s10554-019-01691-w. Epub 2019 Aug 30.
PMID: 31471763
Select item 31746147
Alizadehasl A, Saedi S, Ganji H, Pourafkari L.
Int J Rheum Dis. 2020 Jan;23(1):116-119. doi: 10.1111/1756-185X.13742. Epub 2019 Nov 19.
PMID: 31746147
Select item 31605480
Harshini, Padmanaban UB, Raja AG, Panneerselvam AJ.
J Assoc Physicians India. 2020 Jan;68(1):55. No abstract available.
PMID: 31979603
Select item 31730717
Mizuno A, Niwa K, Ochiai R, Shiraishi I, Sumita Y, Daida H, Fukuda T, Miyamoto Y, Nishimura K, Ogawa H, Yasuda S.
J Cardiol. 2020 Jan;75(1):105-109. doi: 10.1016/j.jjcc.2019.06.010. Epub 2019 Aug 14.
PMID: 31421934
Select item 31868841
Sarno LA, Misra A, Siddeek H, Kheiwa A, Kobayashi D.
J Cardiopulm Rehabil Prev. 2020 Jan;40(1):E1-E4. doi: 10.1097/HCR.0000000000000482.
PMID: 31868841
Select item 31805616
Salem A, Zachou G, Makuloluwa K, Kardos A.
J Cardiovasc Imaging. 2020 Jan;28(1):70-73. doi: 10.4250/jcvi.2019.0077. Epub 2019 Sep 24. No abstract available.
PMID: 31805616 Free Article
Select item 31592855
Gramszlo C, Karpyn A, Demianczyk AC, Shillingford A, Riegel E, Kazak AE, Sood E.
J Pediatr. 2020 Jan;216:51-57.e2. doi: 10.1016/j.jpeds.2019.09.059. Epub 2019 Nov 14.
PMID: 31735417
Select item 31668886
Acuña Mora M, Saarijärvi M, Sparud-Lundin C, Moons P, Bratt EL.
J Pediatr Nurs. 2020 Jan – Feb;50:e8-e17. doi: 10.1016/j.pedn.2019.09.021. Epub 2019 Oct 25.
PMID: 31669495 Free Article
Select item 30928310
Shiina Y, Inai K, Taniguchi K, Takahashi T, Nagao M.
Pediatr Cardiol. 2020 Jan;41(1):94-100. doi: 10.1007/s00246-019-02227-8. Epub 2019 Oct 25.
PMID: 31654097
Select item 31342117
Zografos PM, Protopapas EM, Hakim NI, Alexopoulos C, Sarris GE.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):117-119. doi: 10.1177/2150135119878703. Epub 2019 Nov 22.
PMID: 31755375
Di Maria MV, Patel SS, Fernie JC, Rausch CM.
Pediatr Cardiol. 2020 Jan 31. doi: 10.1007/s00246-020-02311-4. [Epub ahead of print]
PMID: 32006081
Select item 31868861
Drake M, Ginde S, Cohen S, Bartz P, Sowinski J, Reinhardt E, Saleska T, Earing MG.
Pediatr Cardiol. 2020 Jan 30. doi: 10.1007/s00246-020-02289-z. [Epub ahead of print]
PMID: 32002577
Select item 31997085
Shiraishi M, Murakami T, Higashi K.
J Hypertens. 2020 Jan 27. doi: 10.1097/HJH.0000000000002360. [Epub ahead of print]
PMID: 31990901
Select item 31985140
Iriart X, Le Quellenec S, Pillois X, Jaussaud J, Jalal Z, Roubertie F, Douard H, Cochet H, Thambo JB.
Int J Cardiol. 2020 Jan 15;299:116-122. doi: 10.1016/j.ijcard.2019.07.054. Epub 2019 Aug 6.
PMID: 31405586
Select item 31337551
Possner M, Buechel RR, Vontobel J, Mikulicic F, Gräni C, Benz DC, Clerc OF, Fuchs TA, Tobler D, Stambach D, Greutmann M, Kaufmann PA.
Int J Cardiol. 2020 Jan 15;299:110-115. doi: 10.1016/j.ijcard.2019.07.041. Epub 2019 Jul 13.
PMID: 31337551
Select item 31605826
Tahir E, Scherz B, Starekova J, Muellerleile K, Fischer R, Schoennagel B, Warncke M, Stehning C, Cavus E, Bohnen S, Radunski UK, Blankenberg S, Simon P, Pressler A, Adam G, Patten M, Lund GK.
Eur J Prev Cardiol. 2020 Jan;27(1):94-104. doi: 10.1177/2047487319859975. Epub 2019 Jun 26.
PMID: 31242053 Free PMC Article
Select item 31428828
Shiina Y, Inai K, Takahashi T, Shimomiya Y, Nagao M.
Int J Cardiovasc Imaging. 2020 Jan;36(1):131-140. doi: 10.1007/s10554-019-01691-w. Epub 2019 Aug 30.
PMID: 31471763
Select item 31927802
Sarno LA, Misra A, Siddeek H, Kheiwa A, Kobayashi D.
J Cardiopulm Rehabil Prev. 2020 Jan;40(1):E1-E4. doi: 10.1097/HCR.0000000000000482.
PMID: 31868841
Select item 31076312
Noessler N, Schweintzger S, Koestenberger M, Kurath-Koller S.
Klin Padiatr. 2020 Jan;232(1):43. doi: 10.1055/a-1047-0503. Epub 2019 Nov 26. No abstract available.
PMID: 31770781
Select item 31663105
Shiina Y, Inai K, Taniguchi K, Takahashi T, Nagao M.
Pediatr Cardiol. 2020 Jan;41(1):94-100. doi: 10.1007/s00246-019-02227-8. Epub 2019 Oct 25.
PMID: 31654097
Select item 31654096
Cabrera-Mino C, Roy B, Woo MA, Singh S, Moye S, Halnon NJ, Lewis AB, Kumar R, Pike NA.
Pediatr Res. 2020 Jan;87(1):169-175. doi: 10.1038/s41390-019-0569-3. Epub 2019 Sep 9.
PMID: 31499515
Select item 31401646
Oberhoffer FS, Abdul-Khaliq H, Jung AM, Zemlin M, Rohrer TR, Abd El Rahman M.
Quant Imaging Med Surg. 2020 Jan;10(1):15-25. doi: 10.21037/qims.2019.09.19.
PMID: 31956525 Free PMC Article
Select item 31958275
Naganur SH, Tiwari A, Pruthvi CR.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):72-74. doi: 10.4103/apc.APC_149_18. Epub 2019 Dec 4.
PMID: 32030038 Free PMC Article
Select item 32030037
Congenital Heart and Pediatric Cardiac Electrophysiology Featured Articles
Congenital Heart and Pediatric Cardiac Featured EP Manuscripts of January 2020
Marcondes L, Sanders SP, Del Nido PJ, Walsh EP.
Heart Rhythm. 2020 Jan 21. pii: S1547-5271(20)30026-6. doi: 10.1016/j.hrthm.2020.01.013. [Epub ahead of print]
PMID: 31978592
Select item 31972995
Take Home Points:
- Cardiac anatomy in Ebstein’s anomaly (EA) is frequently characterized by a prominent muscular ridge along the inferior AV annulus
- The presence of this ridge in postmortem hearts correlates with a clinical history of supraventricular tachycardia
- The presence of an inferior annular ridge has important implications for the pathogenesis of accessory pathways in EA and may affect catheter ablation outcomes
Commentary by Dr. Jeremy Moore (Los Angeles) Congenital and Pediatric Cardiac EP section editor: Marcondes and colleagues report on the pathological features of the right AV groove in hearts with EA and correlate it with clinical evidence of arrhythmia. The study points to a prominent inferior annular ridge in many gross specimens with EA and correlates this anatomical finding with the clinical presence of accessory pathways. The authors were able to identify thirty-three cardiac specimens with EA from their insitutional cardiac registry for morphometric analysis. At blinded gross examination, a prominent ridge was identified along the inferior AV annulus in nearly half of the specimens. In addition, when correlated with a clinical history of definite or suspected arrhythmia, the ridge was identified in 7 of 10 patients with arrhythmia versus only 3 of 14 patients without arrhythmia (70% vs 21%, p=0.03).
Due to the quality of the specimens that were up to 60 years old in some cases, the results of microscopic examination in this study were limited. Although accessory muscular connections were suspected by gross examination in 17 cases, this could not be verified by light microscopy. Therefore, a direct correlation between anatomic accessory connections and the presence of a fibromuscular inferior ridge could not be established in the present investigation. As the authors point out however, in the modern era, intact specimens have become a relatively rare commodity as operative outcomes have improved and surgical repair along the true tricuspid annulus is more commonly pursued.
Despite these limitations, the current study contributes greatly to our understanding of the relevant anatomy for catheter ablation of accessory connections in EA. Not only should the usual impedements to successful catheter ablation (i.e. multiple accessory connections, atrial enlargement, displaced AV system conduction, diseased atrial and ventricular myocardium) be expected, but the presence of a prominent annular ridge should be routinely anticipated. The present report also opens the door to future investigations of practical implications of the study findings. For instance, it is possible that the presence of an annular ridge may correlate with specific electrogram characteristics, broad insertions, or multiple accessory connections as often observed in EA. Specific strategies to improve outcomes, such as utilization of intracardiac echocardiography (as the authors suggest) or alternatively, use of pre-procedural advanced imaging with electroanatomical mapping data, could be routinely considered to facilitate technical success for EA. Finally, coronary angiography could be considered standard practice when the operator encounters an annular ridge eithe pre- or intra-procedurally to avoid collateral damage. Ultimately, this study may raise as many questions as it answers, but it represents a major step forward in our understanding of the anatomical correlates of electrophysiology in EA.
CHD EP Jan 2020
Chandler SF, Chu E, Whitehill RD, Bevilacqua LM, Bezzerides VJ, DeWitt ES, Alexander ME, Abrams DJ, Triedman JK, Walsh EP, Mah DY.
Heart Rhythm. 2020 Jan 31. pii: S1547-5271(20)30074-6. doi: 10.1016/j.hrthm.2020.01.022. [Epub ahead of print]
PMID: 32014568
Select item 31956137
Mori H, Sumitomo N, Muraji S, Imamura T, Iwashita N, Kobayashi T.
Int Heart J. 2020 Jan 31;61(1):174-177. doi: 10.1536/ihj.19-236. Epub 2020 Jan 17.
PMID: 31956137 Free Article
Select item 32006082
Sawhney V, Mc Lellan A, Chatha S, Perera D, Aderonke A, Juno S, Whittaker-Axon S, Daw H, Garcia J, Lambiase PD, Cullen S, Bhan A, Von Klemperer K, Walker F, Pandya B, Lowe MD, Ezzat V.
J Interv Card Electrophysiol. 2020 Jan 29. doi: 10.1007/s10840-019-00692-y. [Epub ahead of print]
PMID: 31997041
Select item 31994447
Marcondes L, Sanders SP, Del Nido PJ, Walsh EP.
Heart Rhythm. 2020 Jan 21. pii: S1547-5271(20)30026-6. doi: 10.1016/j.hrthm.2020.01.013. [Epub ahead of print]
PMID: 31978592
Select item 31972995
Roberts JD, Asaki SY, Mazzanti A, Bos JM, Tuleta I, Muir AR, Crotti L, Krahn AD, Kutyifa V, Shoemaker MB, Johnsrude CL, Aiba T, Marcondes L, Baban A, Udupa S, Dechert B, Fischbach P, Knight LM, Vittinghoff E, Kukavica D, Stallmeyer B, Giudicessi JR, Spazzolini C, Shimamoto K, Tadros R, Cadrin-Tourigny J, Duff HJ, Simpson CS, Roston TM, Wijeyeratne YD, El Hajjaji I, Yousif MD, Gula LJ, Leong-Sit P, Chavali N, Landstrom AP, Marcus GM, Dittmann S, Wilde AAM, Behr ER, Tfelt-Hansen J, Scheinman MM, Perez MV, Kaski JP, Gow RM, Drago F, Aziz PF, Abrams DJ, Gollob MH, Skinner JR, Shimizu W, Kaufman ES, Roden DM, Zareba W, Schwartz PJ, Schulze-Bahr E, Etheridge SP, Priori SG, Ackerman MJ.
Circulation. 2020 Jan 16. doi: 10.1161/CIRCULATIONAHA.119.043114. [Epub ahead of print]
PMID: 31941373
Select item 31950297
Weiland MD, Spector Z, Idriss SF.
Curr Cardiol Rep. 2020 Jan 16;22(1):5. doi: 10.1007/s11886-020-1253-2. Review.
PMID: 31950297
Select item 31982163
Ladouceur M.
Int J Cardiol. 2020 Jan 13. pii: S0167-5273(19)36087-5. doi: 10.1016/j.ijcard.2020.01.022. [Epub ahead of print] No abstract available.
PMID: 31959409
Select item 31931842
Krause U, Müller MJ, Stellmacher C, Backhoff D, Schneider H, Paul T.
Clin Res Cardiol. 2020 Jan 2. doi: 10.1007/s00392-019-01592-x. [Epub ahead of print]
PMID: 31897601
Select item 31902564
Kwiatkowska J, Budrejko S, Wasicionek M, Meyer-Szary FJ, Lubinski A, Kempa M.
Adv Clin Exp Med. 2020 Jan;29(1):123-133. doi: 10.17219/acem/110313.
PMID: 31895976 Free Article
Select item 30945165
Kottmaier M, Baur A, Lund S, Bourier F, Reents T, Semmler V, Telishevska M, Berger F, Koch-Büttner K, Lennerz C, Popa M, Kornmayer M, Rousseva E, Brooks S, Brkic A, Grebmer C, Kolb C, Deisenhofer I, Hessling G.
Clin Res Cardiol. 2020 Jan 1. doi: 10.1007/s00392-019-01580-1. [Epub ahead of print]
PMID: 31894385
Select item 31092183
Lahrouchi N, Raju H, Lodder EM, Papatheodorou S, Miles C, Ware JS, Papadakis M, Tadros R, Cole D, Skinner JR, Crawford J, Love DR, Pua CJ, Soh BY, Bhalshankar JD, Govind R, Tfelt-Hansen J, Winkel BG, van der Werf C, Wijeyeratne YD, Mellor G, Till J, Cohen M, Tome-Esteban M, Sharma S, Wilde AAM, Cook SA, Sheppard MN, Bezzina CR, Behr ER.
Eur J Hum Genet. 2020 Jan;28(1):17-22. doi: 10.1038/s41431-019-0500-8. Epub 2019 Sep 18.
PMID: 31534214
Select item 31893560
Kato Y, Suzuki T, Yoshida Y, Ozaki N, Kishimoto S, Aoki H, Yoshida S, Watanabe S, Nakamura Y.
Heart Rhythm. 2020 Jan;17(1):49-55. doi: 10.1016/j.hrthm.2019.08.013. Epub 2019 Aug 12.
PMID: 31415819
Select item 31349063
Moore JP, Gallotti RG, Chiriac A, McLeod CJ, Stephenson EA, Maghrabi K, Fish FA, Kilinc OU, Bradley D, Krause U, Balaji S, Shannon KM.
Heart Rhythm. 2020 Jan;17(1):58-65. doi: 10.1016/j.hrthm.2019.07.020. Epub 2019 Jul 23.
PMID: 31349063
Select item 31278424
Gitto L, Serinelli S, Arunkumar P, White SM.
J Forensic Sci. 2020 Jan;65(1):117-127. doi: 10.1111/1556-4029.14165. Epub 2019 Aug 12.
PMID: 31404479
Select item 29614915
Anderson H, Dearani J, Qureshi MY, Holst K, O’Leary P, Cannon B, Wackel P.
Pediatr Cardiol. 2020 Jan;41(1):181-185. doi: 10.1007/s00246-019-02242-9. Epub 2019 Nov 19.
PMID: 31745583
Select item 31729543
Adler A, Novelli V, Amin AS, Abiusi E, Care M, Nannenberg EA, Feilotter H, Amenta S, Mazza D, Bikker H, Sturm AC, Garcia J, Ackerman MJ, Hershberger RE, Perez MV, Zareba W, Ware JS, Wilde AAM, Gollob MH.
Circulation. 2020 Jan 27. doi: 10.1161/CIRCULATIONAHA.119.043132. [Epub ahead of print] No abstract available.
PMID: 31983240
Select item 31988139
Schneider LM, Wong JJ, Trela A, Hanisch D, Shaw RJ, Sears SF, Motonaga KS, Ceresnak SR, Hood KK, Dubin AM.
Pacing Clin Electrophysiol. 2020 Jan 23. doi: 10.1111/pace.13876. [Epub ahead of print]
PMID: 31971265
Select item 31974717
Khaznadar R, Chandler SF, Chaouki AS, Tsao S, Webster G.
Pediatr Cardiol. 2020 Jan 23. doi: 10.1007/s00246-020-02285-3. [Epub ahead of print]
PMID: 31974716
Select item 31971070
Weiland MD, Spector Z, Idriss SF.
Curr Cardiol Rep. 2020 Jan 16;22(1):5. doi: 10.1007/s11886-020-1253-2. Review.
PMID: 31950297
Select item 31945228
Holmberg MJ, Ross CE, Atkins DL, Valdes SO, Donnino MW, Andersen LW; American Heart Association’s for the AHA’s Get With The Guidelines®-Resuscitation Pediatric Research Task Force.
Resuscitation. 2020 Jan 16. pii: S0300-9572(20)30013-7. doi: 10.1016/j.resuscitation.2019.12.033. [Epub ahead of print]
PMID: 31954741
Select item 31945242
Chubb H, Ceresnak SR.
HeartRhythm Case Rep. 2020 Jan 15;6(1):2-7. doi: 10.1016/j.hrcr.2019.09.003. eCollection 2020 Jan. No abstract available.
PMID: 31956492 Free PMC Article
Select item 31980272
Prutkin JM, Wang Y, Escudero CA, Stephenson EA, Minges KE, Curtis JP, Hsu JC.
Int J Cardiol. 2020 Jan 15. pii: S0167-5273(19)35105-8. doi: 10.1016/j.ijcard.2020.01.027. [Epub ahead of print]
PMID: 31980272
Select item 31405586
Çetin M, Yavuz İH, Gümüştaş M, Yavuz GÖ.
Cardiol Young. 2020 Jan 8:1-5. doi: 10.1017/S1047951119002968. [Epub ahead of print]
PMID: 31910927
Select item 31910925
Lucchini M, Wapner RJ, Chia-Ling NC, Torres C, Yang J, Williams IA, Fifer WP.
Int J Gynaecol Obstet. 2020 Jan 8. doi: 10.1002/ijgo.13096. [Epub ahead of print]
PMID: 31912893
Select item 31913406
Hermans BJM, Bennis FC, Vink AS, Koopsen T, Lyon A, Wilde AAM, Nuyens D, Robyns T, Pison L, Postema PG, Delhaas T.
Heart Rhythm. 2020 Jan 7. pii: S1547-5271(20)30001-1. doi: 10.1016/j.hrthm.2019.12.020. [Epub ahead of print]
PMID: 31917370
Select item 31902322
Woodward S, Mundorff M, Weng C, Gamboa DG, Johnson MD.
J Asthma. 2020 Jan 6:1-10. doi: 10.1080/02770903.2019.1709867. [Epub ahead of print]
PMID: 31902263
Select item 31906753
Moore JP, Gallotti RG, Chiriac A, McLeod CJ, Stephenson EA, Maghrabi K, Fish FA, Kilinc OU, Bradley D, Krause U, Balaji S, Shannon KM.
Heart Rhythm. 2020 Jan;17(1):58-65. doi: 10.1016/j.hrthm.2019.07.020. Epub 2019 Jul 23.
PMID: 31349063
Select item 31229680
- Genetic testing and cascade screening in pediatric long QT syndrome and hypertrophic cardiomyopathy.
Knight LM, Miller E, Kovach J, Arscott P, von Alvensleben JC, Bradley D, Valdes SO, Ware SM, Meyers L, Travers CD, Campbell RM, Etheridge SP.
Heart Rhythm. 2020 Jan;17(1):106-112. doi: 10.1016/j.hrthm.2019.06.015. Epub 2019 Jun 20.
PMID: 31229680
Select item 31169929
Dasgupta S, Madani R, Figueroa J, Cox D, Ferguson E, Border W, Sachdeva R, Fischbach P, Whitehill R.
J Cardiovasc Electrophysiol. 2020 Jan;31(1):337-344. doi: 10.1111/jce.14312. Epub 2019 Dec 16.
PMID: 31828872
Select item 31724792
Takeuchi D, Toyohara K, Shoda M, Hagiwara N.
J Cardiovasc Electrophysiol. 2020 Jan;31(1):89-99. doi: 10.1111/jce.14273. Epub 2019 Nov 26.
PMID: 31724792
Select item 31761510
Kumthekar RN, Opfermann JD, Mass P, Clark BC, Moak JP, Sherwin ED, Whitman T, Marshall M, Berul CI.
Pacing Clin Electrophysiol. 2020 Jan;43(1):93-99. doi: 10.1111/pace.13843. Epub 2019 Dec 11.
PMID: 31721231
Select item 31701534
Wu J, Chen Y, Ji W, Gu B, Shen J, Fu L, Li F.
Pacing Clin Electrophysiol. 2020 Jan;43(1):37-46. doi: 10.1111/pace.13835. Epub 2019 Dec 2.
PMID: 31701534
Select item 31897523
Karikari Y, Abdulkarim M, Li Y, Loomba RS, Zimmerman F, Husayni T.
Pediatr Cardiol. 2020 Jan;41(1):141-148. doi: 10.1007/s00246-019-02237-6. Epub 2019 Nov 13.
PMID: 31722042
Select item 31720782
Porcedda G, Brambilla A, Favilli S, Spaziani G, Mascia G, Giaccardi M.
Pediatr Cardiol. 2020 Jan;41(1):123-128. doi: 10.1007/s00246-019-02233-w. Epub 2019 Nov 11.
PMID: 31712859
Select item 31707490
Ortega MC, Ramos DBB, Novoa JCR, Suarez FJO, Ramírez FD, González MD.
Pediatr Cardiol. 2020 Jan;41(1):54-61. doi: 10.1007/s00246-019-02221-0. Epub 2019 Oct 31.
PMID: 31673734
Select item 31673733
Bunck AC, Baeßler B, Ritter C, Kröger JR, Persigehl T, Pinto Santos D, Steinmetz M, Niehaus A, Bamberg F, Beer M, Ley S, Tiemann K, Beerbaum P, Maintz D, Lotz J.
Rofo. 2020 Jan;192(1):e1. doi: 10.1055/a-1034-2379. Epub 2019 Nov 6. German. No abstract available.
PMID: 31694058 Free Article
Select item 31597176
Ferreiro-Marzal A, Rodríguez-Serrano F, Esteban-Molina M, González-Vargas T, Perin F, Garrido JM.
Thorac Cardiovasc Surg. 2020 Jan;68(1):68-71. doi: 10.1055/s-0039-1697914. Epub 2019 Oct 20.
PMID: 31630382
Select item 30743276
Congenital Heart Interventions Featured Articles
Congenital Interventional Cardiology Reviews of January 2020 Manuscripts
Routine Surveillance Catheterization is Useful in Guiding Management of Stable Fontan Patients.
Patel ND, Sullivan PM, Sabati A, Hill A, Maedler-Kron C, Zhou S, Shillingford N, Williams R, Takao C, Badran S.
Pediatr Cardiol. 2020 Jan 24. doi: 10.1007/s00246-020-02293-3. [Epub ahead of print]
PMID: 31980851
Take Home Points:
- Routine cardiac catheterization is a common part of Fontan surveillance algorithms.
- Despite appearing to be clinically stable, a large proportion of Fontan patients in this cohort required transcatheter interventions; required initiation of pulmonary vasodilator therapy; and were identified to have hepatic fibrosis.
Commentary from Dr. Konstantin Averin (Edmonton), catheterization section editor of Pediatric Cardiology Journal Watch: As survival of patients with single ventricle physiology palliated with a Fontan circulation improves it is becoming increasingly recognized that they are prone to developing significant end organ pathology. Various monitoring strategies have been proposed but all usually involve a surveillance catheterization 5-10 years after the Fontan surgery. The value of this assessment has not been fully explored. The authors sought to explore the utility of surveillance cardiac catheterization in stable Fontan patients at a single center.
Sixty-three Fontan patients (mean age 14.6 ± 3.0 and mean time from Fontan surgery 11.3 ± 3.1 years) underwent cardiac catheterization over a 5-year period. The pre-catheterization echocardiograms (within a year) were unremarkable – 80% had normal ventricular function and less than mild AVV insufficiency. Baseline hemodynamics were mostly reassuring with 4 patients having a Fontan pressure > 15 mmHg and 19 having a PVRi > 2.0 iWu. Vasoreactivity testing with iNO was performed in 53 and half had a reduction in the PVRi of at least 20%.
Fifty-seven patients underwent a trans-jugular liver biopsy at the time of procedure with more than half (32/57) demonstrating higher grades of congestive hepatic fibrosis. Forty percent of patients had an intervention at the time of the procedure: pulmonary artery stent (16), existing stent dilation (5), SVC angioplasty (4), Fontan stent (3), and others (7). There were no major complications.
Despite the limitations of this work, the authors demonstrate that routine invasive assessment of Fontan patients can provide valuable information and allow for optimization of the Fontan circulation. Given the high morbidity experienced by this patient population it is important for providers to be pro-active in longitudinal Fontan assessment management as a stable Fontan is not necessarily a good Fontan.
CHD Interventions Jan 2020
Eilers L, Qureshi AM.
Curr Cardiol Rep. 2020 Jan 29;22(3):14. doi: 10.1007/s11886-020-1266-x. Review.
PMID: 31997085
Select item 32028141
[No authors listed]
Semin Cardiothorac Vasc Anesth. 2020 Jan 29:1089253220904808. doi: 10.1177/1089253220904808. [Epub ahead of print] No abstract available.
PMID: 31994447
Select item 31989135
Thambo JB.
Arch Cardiovasc Dis. 2020 Jan 23. pii: S1875-2136(20)30005-X. doi: 10.1016/j.acvd.2019.12.001. [Epub ahead of print] No abstract available.
PMID: 31983654
Select item 31980511
Stern H, Seidenbusch M, Hapfelmeier A, Meierhofer C, Naumann S, Schmid I, Spix C, Ewert P.
J Clin Med. 2020 Jan 22;9(2). pii: E315. doi: 10.3390/jcm9020315.
PMID: 31979109 Free Article
Select item 31968049
Smith CL, Saul D, Goldfarb SB, Biko DM, O’Byrne ML.
Catheter Cardiovasc Interv. 2020 Jan 20. doi: 10.1002/ccd.28735. [Epub ahead of print]
PMID: 31957932
Select item 31955712
Roggen M, Cools B, Brown S, Boshoff D, Heying R, Eyskens B, Gewillig M.
Catheter Cardiovasc Interv. 2020 Jan 17. doi: 10.1002/ccd.28725. [Epub ahead of print]
PMID: 31951315
Select item 31894840
Tzifa A, Mylonas KS, Halapas A.
Cardiol Young. 2020 Jan 16:1-4. doi: 10.1017/S1047951119003202. [Epub ahead of print]
PMID: 31941559
Select item 31941373
Sommer RJ, Love BA, Paolillo JA, Gray RG, Goldstein BH, Morgan GJ, Gillespie MJ; ASSURED Investigators.
Catheter Cardiovasc Interv. 2020 Jan 14. doi: 10.1002/ccd.28728. [Epub ahead of print]
PMID: 31943749
Select item 31953026
El-Sabawi B, Al-Hijji MA, Eleid MF, Cabalka AK, Ammash NM, Dearani JA, Bjarnason H, Holmes DR, Rihal CS.
Catheter Cardiovasc Interv. 2020 Jan 10. doi: 10.1002/ccd.28721. [Epub ahead of print]
PMID: 31922335
Select item 31998753
Tanghöj G, Liuba P, Sjöberg G, Naumburg E.
Front Cardiovasc Med. 2020 Jan 10;6:185. doi: 10.3389/fcvm.2019.00185. eCollection 2019.
PMID: 31998753 Free PMC Article
Select item 31925611
Nicholson GT, Glatz AC, Qureshi AM, Petit CJ, Meadows JJ, McCracken C, Kelleman M, Bauser-Heaton H, Gartenberg AJ, Ligon RA, Aggarwal V, Kwakye DB, Goldstein BH.
J Am Heart Assoc. 2020 Jan 7;9(1):e013807. doi: 10.1161/JAHA.119.013807. Epub 2019 Dec 19.
PMID: 31852418 Free PMC Article
Select item 31912176
Rigatelli G, Zuin M, Dell’Avvocata F, Roncon L, Vassilev D, Nghia N.
Eur J Intern Med. 2020 Jan 2. pii: S0953-6205(19)30440-6. doi: 10.1016/j.ejim.2019.12.010. [Epub ahead of print]
PMID: 31902564
Select item 31926641
Lammers AE, Bauer LJ, Diller GP, Helm PC, Abdul-Khaliq H, Bauer UMM, Baumgartner H; German Competence Network for Congenital Heart Defects Investigators.
Int J Cardiol. 2020 Jan 2. pii: S0167-5273(19)35865-6. doi: 10.1016/j.ijcard.2019.12.070. [Epub ahead of print]
PMID: 31926641
Select item 31905472
Wang J, Semple T, Bautista-Rodriguez C, Hoschtitzky A, Cheshire N, Chan-Dominy A.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):87-90. doi: 10.4103/apc.APC_67_19. Epub 2019 Jul 19.
PMID: 32030043 Free PMC Article
Select item 32030042
Hoetama E, Prakoso R, Roebiono PS, Sakidjan I, Kurniawati Y, Siagian SN, Lelya O, Rahajoe AU, Harimurti GM, Lilyasari O.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):11-15. doi: 10.4103/apc.APC_14_19. Epub 2019 Nov 7.
PMID: 32030030 Free PMC Article
Select item 31996861
Faccini A, Giamberti A, Chessa M.
J Cardiovasc Med (Hagerstown). 2020 Jan;21(1):78-79. doi: 10.2459/JCM.0000000000000875.
PMID: 31592855
Select item 31746096
Suzuki K, Kato T, Koyama S, Shinohara T, Inukai S, Sato J, Yamamoto H, Omori D, Yoshida S, Takeda S, Nishikawa H, Ohashi N, Sakurai H, Saitoh S.
Int Heart J. 2020 Jan 31;61(1):83-88. doi: 10.1536/ihj.19-173. Epub 2020 Jan 17.
PMID: 31956134 Free Article
Select item 32014282
Sivakumar K, Anantharaj A, Raghuram P, Krishna Kumar R, Vani P, Neuss M.
Catheter Cardiovasc Interv. 2020 Jan 30. doi: 10.1002/ccd.28737. [Epub ahead of print]
PMID: 31999067
Select item 32001672
Eilers L, Qureshi AM.
Curr Cardiol Rep. 2020 Jan 29;22(3):14. doi: 10.1007/s11886-020-1266-x. Review.
PMID: 31997085
Select item 31995168
Patel ND, Sullivan PM, Sabati A, Hill A, Maedler-Kron C, Zhou S, Shillingford N, Williams R, Takao C, Badran S.
Pediatr Cardiol. 2020 Jan 24. doi: 10.1007/s00246-020-02293-3. [Epub ahead of print]
PMID: 31980851
Select item 31980646
Arnaz A, Akansel S, Yalcinbas Y, Saygili A, Sarioglu T.
Ann Thorac Surg. 2020 Jan 23. pii: S0003-4975(20)30070-9. doi: 10.1016/j.athoracsur.2019.12.019. [Epub ahead of print]
PMID: 31982444
Select item 31982442
Houeijeh A, Godart F, Jalal Z, Ovaert C, Heitz F, Mauran P, Baruteau AE, Guirguis L, Hadeed K, Baudelet JB, Iriart X, Aldebert P, Acar P, Fraisse A, Odemis E, Karsenty C, Thambo JB, Hascoët S.
Arch Cardiovasc Dis. 2020 Jan 22. pii: S1875-2136(20)30015-2. doi: 10.1016/j.acvd.2019.11.004. [Epub ahead of print]
PMID: 31982353
Select item 31964454
Adhikari CM, Acharya KP, Bogati A, Dhungel S, Shrestha M.
J Nepal Health Res Counc. 2020 Jan 21;17(4):474-478. doi: 10.33314/jnhrc.v17i4.1957.
PMID: 32001851
Select item 31961960
Roggen M, Cools B, Brown S, Boshoff D, Heying R, Eyskens B, Gewillig M.
Catheter Cardiovasc Interv. 2020 Jan 17. doi: 10.1002/ccd.28725. [Epub ahead of print]
PMID: 31951315
Select item 31951249
Uçar T, Karagözlü S, Ramoğlu MG, Tutar E.
Cardiol Young. 2020 Jan 13:1-3. doi: 10.1017/S1047951119003342. [Epub ahead of print]
PMID: 31928548
Select item 31929513
- Right Ventricular Outflow Tract Reintervention in the Transcatheter Era: Outcomes and Cost Analysis.
Crethers D, Kalish J, Shafer B, Mathis L, Polimenakos AC.
Pediatr Cardiol. 2020 Jan 2. doi: 10.1007/s00246-019-02281-2. [Epub ahead of print]
PMID: 31894397
Select item 31896128
Hong NC, Wang L, Wang XP, Zhang CM, Shi XY, Zhang YJ, Lu YN, Wu YR, Chen S, Sun K.
Zhonghua Er Ke Za Zhi. 2020 Jan 2;58(1):51-53. doi: 10.3760/cma.j.issn.0578-1310.2020.01.012. Chinese.
PMID: 31905477
Select item 31903011
Chatterjee A, Bhatia N, Torres MG, Cribbs MG, Mauchley DC, Law MA.
Am J Cardiol. 2020 Jan 1;125(1):135-139. doi: 10.1016/j.amjcard.2019.09.031. Epub 2019 Oct 11.
PMID: 31711632
Select item 31703806
Sharma VK, Kumar G, Joshi S, Tiwari N, Kumar V, Ramamurthy HR.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):31-37. doi: 10.4103/apc.APC_36_19. Epub 2019 Nov 1.
PMID: 32030033 Free PMC Article
Select item 32030032
Qureshi SA, Kumar RK.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):1-3. doi: 10.4103/apc.APC_213_19. Epub 2020 Jan 9. No abstract available.
PMID: 32030028 Free PMC Article
Select item 31518582
Figueras-Coll M, Sabaté-Rotés A, Roguera-Sopena M, Betrián-Blasco P.
Arch Cardiol Mex. 2020;90(1):90-92. doi: 10.24875/ACM.M19000214. No abstract available.
PMID: 31996855 Free Article
Select item 30297440
Ankola AA, McAllister J, Turner ME, Zuckerman WA, Richmond ME, Addonizio LJ, Lee TM, Law SP.
Artif Organs. 2020 Jan;44(1):100-105. doi: 10.1111/aor.13558. Epub 2019 Oct 7.
PMID: 31429943
Select item 30908288
El-Saiedi SA, Elshedoudy SA, El-Sisi AM, Hanna BM, Fattouh AM, Hijazi Z.
Catheter Cardiovasc Interv. 2020 Jan;95(1):78-82. doi: 10.1002/ccd.28338. Epub 2019 May 23.
PMID: 31120630
Select item 31136304
Thompson J.
Curr Opin Cardiol. 2020 Jan;35(1):58-62. doi: 10.1097/HCO.0000000000000695.
PMID: 31652133
Select item 31644471
Aggarwal V, Spigel ZA, Hiremath G, Binsalamah Z, Qureshi AM.
Expert Rev Cardiovasc Ther. 2020 Jan;18(1):7-16. doi: 10.1080/14779072.2020.1715796. Epub 2020 Jan 30.
PMID: 31928255
Select item 31212296
Rizk C, Fares G, Vanhavere F, Saliba Z, Farah J.
Health Phys. 2020 Jan;118(1):85-95. doi: 10.1097/HP.0000000000001114.
PMID: 31764423
Select item 31662332
Shah JH, Bhalodiya DK, Rawal AP, Nikam TS.
Int J Appl Basic Med Res. 2020 Jan-Mar;10(1):3-7. doi: 10.4103/ijabmr.IJABMR_192_19. Epub 2020 Jan 3.
PMID: 32002377 Free PMC Article
Select item 31544560
Webb MK, Hunter LE, Kremer TR, Huddleston CB, Fiore AC, Danon S.
Pediatr Cardiol. 2020 Jan 1. doi: 10.1007/s00246-019-02283-0. [Epub ahead of print]
PMID: 31894396
Select item 31894395
Sigurdsson TS, Lindberg L.
Pediatr Cardiol. 2020 Jan;41(1):149-154. doi: 10.1007/s00246-019-02238-5. Epub 2019 Nov 18.
PMID: 31741015 Free PMC Article
Select item 31734750
van den Berg G, Helbing WA, van Beynum I, Krasemann TB.
Pediatr Cardiol. 2020 Jan;41(1):213-214. doi: 10.1007/s00246-019-02211-2. Epub 2019 Sep 18.
PMID: 31535182
Select item 31522266
Meliota G, Lombardi M, Zaza P, Tagliente MR, Vairo U.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):67-71. doi: 10.4103/apc.APC_2_19. Epub 2019 Oct 9.
PMID: 32030037 Free PMC Article
Select item 32030036
Sharma B, Pinto R, Dalvi B.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):4-10. doi: 10.4103/apc.APC_66_19. Epub 2019 Dec 4.
PMID: 32030029 Free PMC Article
Select item 32030028
Congenital Heart Surgery
Congenital Heart Surgery Reviews of January 2020 Manuscripts
Use of a dilatable exGraft™ conduit in single ventricle palliation.
Qadir A, Tannous P, Stephens EH, Kalra A, Forbess JM, Nugent A.
Ann Thorac Surg. 2020 Jan 25. pii: S0003-4975(20)30075-8. doi: 10.1016/j.athoracsur.2019.12.024. [Epub ahead of print]
PMID: 31991132
Select item 31982878
Take Home Points:
- The major limitation of conduits made with prosthetic material is that they do not dilate much or grow with the patient.
- The development of a novel, balloon-expandable ePTFE conduit may change the management of patients that require a prosthetic conduit. This is the first published case of this conduit.
Commentary from Dr. Timothy Pirolli (Dallas), section editor of Congenital Heart Surgery Journal Watch: Surgically-placed conduits and vascular grafts are commonplace in congenital heart surgery. One obvious limitation to placing a prosthetic conduit between a ventricle and great vessel (as opposed to a homograft or autograft) is the lack of growth potential. A prosthetic conduit that could be dilated could revolutionize the field, as it would add the ability to minimize or delay redo surgeries, thus decreasing the associated morbidity and mortality. A start-up company in Pittsburgh (PECA labs) has developed a novel version of the ePTFE graft that has been shown to be dilated up to 200% its original diameter in bench trials.
I chose to highlight this case report because of its novelty. As a disclaimer, I am an unpaid consultant for this company and have had the ability to collaborate with this group of researchers on animal studies, some of which are on-going. Thus, I can attest first-hand that the graft handles well and does indeed dilate without significant recoil months after implantation. The graft also has the novel advantage of having radiopaque markers on it to allow for safer dilation during catheterization (Figure 1). As mentioned in this case report, the graft is FDA-approved and available for surgical implantation in human beings. This report represents the first published case of implantation and dilation of the novel exGraft™ in a patient undergoing congenital heart surgery.
The case report describes a relatively standard Stage 1 palliation of a baby born with hypoplastic left heart syndrome (MA/AA). The surgeon used of a 6 mm exGraft™ as an RV-PA (Sano) conduit in lieu of the relatively standard ring-enforced PTFE graft that is often used for Sano construction. Aspirin alone was used for shunt thrombosis prophylaxis. The patient underwent a pre-Glenn catheterization at age 5 months. A gradient across the conduit was found to be 60-65 mmHg and the conduit was then dilated to 9 mm by serial dilations (Figure 2). There was mild residual narrowing at the insertion site into the pulmonary arteries, but otherwise the conduit held its dilated diameter and did not require a stent placement. The patient proceeded to a Glenn at 7 months of age that had an uncomplicated postoperative course. At the time of the explant of the conduit, it had maintained its internal diameter 2 months after dilation (Figure 3).
As stated, this is the first published application of the novel exGraft™ in congenital heart surgery. The safe dilation of the graft to 150% its original diameter in this patient represents a potential milestone for our field. The use of the exGraft™ as a Sano conduit during a stage 1 palliation represents one of many potential uses of this graft. There is a range of sizes that would allow the graft to be used as a modified BT-shunt, interposition graft on large vessels, Fontan conduit and RV-PA conduits on larger children. The ability to implant and later enlarge a prosthetic graft would certainly decrease the morbidity and mortality associated with surgical correction of conduit dysfunction. The company is also working on valved-conduits that are balloon expandable, but those studies are still ongoing. In summary, the exGraft™ from PECA labs has the potential to change the paradigm of the timing and frequency of certain congenital heart surgical procedures.
.
CHD Surgery Jan 2020
Ando M, Ichimori Y, Sakamoto S.
Gen Thorac Cardiovasc Surg. 2020 Jan 30. doi: 10.1007/s11748-020-01301-w. [Epub ahead of print]
PMID: 32002749
Select item 32002577
Ponsiglione A, Spagnuolo G, Spagnuolo G, Stanzione A, Nappi C, Dell’Aversana S, Spagnuolo A, Cuocolo A, Imbriaco M.
BMC Cardiovasc Disord. 2020 Jan 29;20(1):37. doi: 10.1186/s12872-020-01351-1.
PMID: 31996146 Free PMC Article
Select item 32006592
Butler A, Chapman G, Johnson JN, Amodeo A, Böhmer J, Camino M, Davies RR, Dipchand AI, Godown J, Miera O, Pérez-Blanco A, Rosenthal DN, Zangwill S, Kirk R.
Pediatr Transplant. 2020 Jan 27:e13655. doi: 10.1111/petr.13655. [Epub ahead of print]
PMID: 31985140
Select item 31991132
Qadir A, Tannous P, Stephens EH, Kalra A, Forbess JM, Nugent A.
Ann Thorac Surg. 2020 Jan 25. pii: S0003-4975(20)30075-8. doi: 10.1016/j.athoracsur.2019.12.024. [Epub ahead of print]
PMID: 31991132
Select item 31982878
Matsushima S, Heß A, Lämmerzahl JR, Karliova I, Giebels C, Schäfers HJ.
Eur J Cardiothorac Surg. 2020 Jan 23. pii: ezz380. doi: 10.1093/ejcts/ezz380. [Epub ahead of print]
PMID: 31972004
Select item 31981616
Garven E, Throckmorton A.
J Card Surg. 2020 Jan 23. doi: 10.1111/jocs.14432. [Epub ahead of print] No abstract available.
PMID: 31971629
Select item 31971277
Hernandez GA, Lemor A, Clark D, Blumer V, Burstein D, Byrne R, Fowler R, Frischhertz B, Sandhaus E, Schlendorf K, Zalawadiya S, Lindenfeld J, Menachem JN.
J Card Surg. 2020 Jan 23. doi: 10.1111/jocs.14430. [Epub ahead of print]
PMID: 31971277
Select item 31969137
Ergün S, Yildiz O, Güneş M, Akdeniz HS, Öztürk E, Onan İS, Güzeltaş A, Haydin S.
Perfusion. 2020 Jan 23:267659119897746. doi: 10.1177/0267659119897746. [Epub ahead of print]
PMID: 31971070
Select item 31964440
Yu X, Chen M, Liu X, Chen Y, Hao Z, Zhang H, Wang W.
BMC Infect Dis. 2020 Jan 21;20(1):64. doi: 10.1186/s12879-020-4769-6.
PMID: 31964345 Free PMC Article
Select item 31978592
Phillips KA, Thrush PT, Lal AK, Kindel SJ, Castleberry C, Sparks J, Daly KP, Johnson JN.
Pediatr Transplant. 2020 Jan 20:e13640. doi: 10.1111/petr.13640. [Epub ahead of print]
PMID: 31960528
Select item 31957140
Geier L, Menzel C, Germund I, Trieschmann U.
Cardiol Young. 2020 Jan 17:1-6. doi: 10.1017/S1047951120000025. [Epub ahead of print]
PMID: 31948508
Schleihauf J, Cleuziou J, Meierhofer C, Klingel K, Jesinghaus M, Kaltenecker E, Ewert P, Wolf CM.
Eur J Cardiothorac Surg. 2020 Jan 17. pii: ezz356. doi: 10.1093/ejcts/ezz356. [Epub ahead of print]
PMID: 31951249
Select item 31959410
Fraser CD Jr, Chacon-Portillo MA, Well A, Zea-Vera R, Binsalamah Z, Adachi I, Mery CM, Heinle JS.
Semin Thorac Cardiovasc Surg. 2020 Jan 17. pii: S1043-0679(20)30004-6. doi: 10.1053/j.semtcvs.2020.01.004. [Epub ahead of print]
PMID: 31958553
Select item 31958550
Martin E, Mainwaring RD, Collins RT 2nd, MacMillen KL, Hanley FL.
Semin Thorac Cardiovasc Surg. 2020 Jan 17. pii: S1043-0679(20)30003-4. doi: 10.1053/j.semtcvs.2020.01.003. [Epub ahead of print]
PMID: 31958550
Select item 31958577
Jiang Y, Lian XL.
Bioact Mater. 2020 Jan 14;5(1):74-81. doi: 10.1016/j.bioactmat.2020.01.003. eCollection 2020 Mar. Review.
PMID: 31989061 Free PMC Article
Select item 31943749
Sfyridis PG, Mylonas KS, Avramidis D, Kontzoglou K, Kouraklis G, Rokkas CK, Sarris GE.
Hellenic J Cardiol. 2020 Jan 14. pii: S1109-9666(20)30002-6. doi: 10.1016/j.hjc.2019.12.008. [Epub ahead of print] No abstract available.
PMID: 31953026 Free Article
Select item 31952850
Raggi F, Cangelosi D, Becherini P, Blengio F, Morini M, Acquaviva M, Belli ML, Panizzon G, Cervo G, Varesio L, Eva A, Bosco MC.
J Transl Med. 2020 Jan 10;18(1):21. doi: 10.1186/s12967-020-02210-5.
PMID: 31924244 Free PMC Article
Select item 31919591
Garcia RU, Balakrishnan PL, Aggarwal S.
Cardiol Young. 2020 Jan 9:1-5. doi: 10.1017/S1047951119003329. [Epub ahead of print]
PMID: 31915104
Select item 31917406
Butera G, Lucchese G, Austin C, Frigiola A.
Catheter Cardiovasc Interv. 2020 Jan 8. doi: 10.1002/ccd.28714. [Epub ahead of print]
PMID: 31912986
Select item 31915964
Kwak JG, Bang JH, Cho S, Kim ER, Shih BC, Lee CH, Kim WH.
J Thorac Cardiovasc Surg. 2020 Jan 3. pii: S0022-5223(19)43491-0. doi: 10.1016/j.jtcvs.2019.11.134. [Epub ahead of print]
PMID: 32014323
Select item 31883644
Chatterjee A, Bhatia N, Torres MG, Cribbs MG, Mauchley DC, Law MA.
Am J Cardiol. 2020 Jan 1;125(1):135-139. doi: 10.1016/j.amjcard.2019.09.031. Epub 2019 Oct 11.
PMID: 31711632
Select item 31703806
Ghimire LV, Chou FS, Devoe C, Moon-Grady A.
Am J Cardiol. 2020 Jan 1;125(1):140-145. doi: 10.1016/j.amjcard.2019.09.025. Epub 2019 Oct 11.
PMID: 31703806
Select item 31310750
Marathe SP, Talwar S.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):56-66. doi: 10.4103/apc.APC_3_19. Epub 2019 Oct 22. Review.
PMID: 32030036 Free PMC Article
Select item 32030034
Lahiri S, Gil W, Daria S, Joshua G, Parul J, Redmond B, Elizabeth W.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):38-45. doi: 10.4103/apc.APC_51_19. Epub 2019 Oct 9.
PMID: 32030034 Free PMC Article
Select item 32030030
Zhou C, Tong Y, Feng Z, Cui Y, Zhao M, Hu J, Liu K, Zhao J, Liu J.
Artif Organs. 2020 Jan;44(1):58-66. doi: 10.1111/aor.13561. Epub 2019 Oct 7.
PMID: 31494945
Select item 31364828
Polivenok I, Gelatt M, Cardarelli M.
Curr Opin Cardiol. 2020 Jan;35(1):76-79. doi: 10.1097/HCO.0000000000000691.
PMID: 31574003
Select item 31652152
Karaca-Altintas Y, Laux D, Gouton M, Bensemlali M, Roussin R, Hörer J, Raisky O, Bonnet D.
Eur J Cardiothorac Surg. 2020 Jan 1;57(1):46-53. doi: 10.1093/ejcts/ezz167.
PMID: 31180449
Select item 31131388
Miyamoto T, Ozaki S, Inui A, Tanaka Y, Yamada Y, Matsumoto N.
Heart Vessels. 2020 Jan;35(1):46-51. doi: 10.1007/s00380-019-01466-2. Epub 2019 Jul 5.
PMID: 31278424
Select item 31894525
Deutsch O, Bruehl F, Cleuziou J, Prinzing A, Schlitter AM, Krane M, Lange R.
Interact Cardiovasc Thorac Surg. 2020 Jan 1;30(1):64-73. doi: 10.1093/icvts/ivz234.
PMID: 31605480
Select item 31520462
Elassal AA, Al-Radi OO, Dohain AM, Abdelmohsen GA, Al-Ebrahim KE, Eldib OS.
J Card Surg. 2020 Jan;35(1):108-112. doi: 10.1111/jocs.14338. Epub 2019 Nov 15.
PMID: 31730717
Select item 31705822
Ruzmetov M, Fortuna RS, Shah JJ, Welke KF, Plunkett MD.
J Card Surg. 2020 Jan;35(1):28-34. doi: 10.1111/jocs.14294. Epub 2019 Oct 26.
PMID: 31654591
Select item 31638718
Zhigalov K, Alofesh A, Sá MPBO, Easo J, Ruhparwar A, Weymann A.
J Card Surg. 2020 Jan;35(1):239-241. doi: 10.1111/jocs.14288. Epub 2019 Oct 22.
PMID: 31638718
Select item 31614023
Alshamdin FD, Dawary MA, Khouqeer FA.
J Card Surg. 2020 Jan;35(1):207-210. doi: 10.1111/jocs.14287. Epub 2019 Oct 15.
PMID: 31614023
Select item 31421934
Tsirikos AI, Augustithis GA, McKean G, Karampalis C.
Med Princ Pract. 2020;29(1):46-53. doi: 10.1159/000501840. Epub 2019 Jul 3.
PMID: 31266026 Free Article
Select item 32000445
Lin H, Yan J, Wang Q, Li S, Sun H, Zhang Y, Zhang L, Liu W.
Pediatr Cardiol. 2020 Jan;41(1):134-140. doi: 10.1007/s00246-019-02235-8. Epub 2019 Dec 6.
PMID: 31811329
Select item 31768578
O’Halloran CP, Andren KG, Mecklosky J, Larsen S, Brediger S, Vitali S, Zalieckas JM, Fynn-Thompson F, Thiagarajan RR, Alexander PMA.
Pediatr Crit Care Med. 2020 Jan;21(1):75-81. doi: 10.1097/PCC.0000000000002073.
PMID: 31593556
Select item 31568238
Sochet AA, Grindy AK, Son S, Barrie EK, Hickok RL, Nakagawa TA, Wilsey MJ.
Pediatr Crit Care Med. 2020 Jan;21(1):50-58. doi: 10.1097/PCC.0000000000002129.
PMID: 31568238
Select item 31305328
Kim-Campbell N, Gretchen C, Ritov VB, Kochanek PM, Balasubramani GK, Kenny E, Sharma M, Viegas M, Callaway C, Kagan VE, Bayír H.
Pediatr Crit Care Med. 2020 Jan;21(1):33-41. doi: 10.1097/PCC.0000000000002036.
PMID: 31305328
Select item 31651808
Schulz A, Sinzobahamvya N, Cho MY, Böttcher W, Miera O, Redlin M, Ovroutski S, Photiadis J.
Thorac Cardiovasc Surg. 2020 Jan;68(1):30-37. doi: 10.1055/s-0038-1676617. Epub 2019 Jan 4.
PMID: 30609447
Select item 31835988
Kulyabin YY, Gorbatykh YN, Soynov IA, Zubritskiy AV, Voitov AV, Bogachev-Prokophiev AV.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):49-55. doi: 10.1177/2150135119885887.
PMID: 31835988
Select item 31835986
Nichay NR, Zhuravleva IY, Kulyabin YY, Zubritskiy AV, Voitov AV, Soynov IA, Gorbatykh AV, Bogachev-Prokophiev AV, Karaskov AM.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):56-64. doi: 10.1177/2150135119885900.
PMID: 31835985
Select item 31835982
Fudulu D, Zakkar M, Stoica S.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):101-104. doi: 10.1177/2150135119881396.
PMID: 31835982
Select item 31835981
Wise-Faberowski L, Machovec K.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):77-78. doi: 10.1177/2150135119890248.
PMID: 31835980
Select item 31835979
Temur B, Davutoglu A, Dogruoz A, Aydin S, Suzan D, Kırat B, Odemis E, Erek E.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):65-70. doi: 10.1177/2150135119888154.
PMID: 31835977
Select item 31755375
Ross CJ, Laurence DW, Hsu MC, Baumwart R, Zhao YD, Mir A, Burkhart HM, Holzapfel GA, Wu Y, Lee CH.
Ann Biomed Eng. 2020 Jan 31. doi: 10.1007/s10439-020-02464-6. [Epub ahead of print]
PMID: 32006267
Select item 32003456
Januszewska K, Nawrocki P, Lehner A, Stegger J, Kleinerueschkamp F, Malec E.
Eur J Cardiothorac Surg. 2020 Jan 29. pii: ezz376. doi: 10.1093/ejcts/ezz376. [Epub ahead of print]
PMID: 31995168
Select item 32000202
Butler A, Chapman G, Johnson JN, Amodeo A, Böhmer J, Camino M, Davies RR, Dipchand AI, Godown J, Miera O, Pérez-Blanco A, Rosenthal DN, Zangwill S, Kirk R.
Pediatr Transplant. 2020 Jan 27:e13655. doi: 10.1111/petr.13655. [Epub ahead of print]
PMID: 31985140
Select item 31985118
Tirilomis T, Grossmann M, Steinmetz M, Schoendube FA.
Pediatr Transplant. 2020 Jan 27:e13661. doi: 10.1111/petr.13661. [Epub ahead of print] No abstract available.
PMID: 31985118
Select item 31987822
- Resuscitating the chimney graft-to-innominate artery for straightforward cannulation during infancy.
Chen PC, Dodge-Khatami J, Hanfland RA, Sinha R, Salazar J, Dodge-Khatami A.
Ann Thorac Surg. 2020 Jan 24. pii: S0003-4975(20)30043-6. doi: 10.1016/j.athoracsur.2019.11.053. [Epub ahead of print]
PMID: 31987822
Select item 31973780
Loar RW, Pignatelli RH, Morris SA, Colquitt JL, Feagin DK, Denfield SW, Tunuguntla HP.
J Am Soc Echocardiogr. 2020 Jan 24. pii: S0894-7317(19)31116-2. doi: 10.1016/j.echo.2019.11.004. [Epub ahead of print]
PMID: 31987750
Select item 31987749
Wang G, Ma K, Pang K, Hua Z, Zhang S, Qi L, Yang Y, Feng Z, Mao F, Zhang H, Li S.
Pediatr Cardiol. 2020 Jan 23. doi: 10.1007/s00246-020-02292-4. [Epub ahead of print]
PMID: 31974717
Select item 31974716
Phillips KA, Thrush PT, Lal AK, Kindel SJ, Castleberry C, Sparks J, Daly KP, Johnson JN.
Pediatr Transplant. 2020 Jan 20:e13640. doi: 10.1111/petr.13640. [Epub ahead of print]
PMID: 31960528
Select item 31957028
- Use of a novel antiplatelet agent cangrelor in an infant supported with a ventricular assist device.
Absi M, Sainathan S, Beasley G, Boston U.
Artif Organs. 2020 Jan 19. doi: 10.1111/aor.13613. [Epub ahead of print] No abstract available.
PMID: 31957028
Select item 27809440
IJsselhof RJ, Slieker MG, Hazekamp MG, Accord R, van Wetten H, Haas F, Schoof PH.
Ann Thorac Surg. 2020 Jan 18. pii: S0003-4975(20)30040-0. doi: 10.1016/j.athoracsur.2019.11.050. [Epub ahead of print]
PMID: 31962116
Select item 31951315
Al Absi HS, Kiraly L, Mora B, Al Zoebie L, Al Shehhi S, Talo H.
J Card Surg. 2020 Jan 16. doi: 10.1111/jocs.14425. [Epub ahead of print]
PMID: 31945228
Select item 31954725
Kutty S, Jacobs ML, Thompson WR, Danford DA.
J Am Heart Assoc. 2020 Jan 7;9(1):e013691. doi: 10.1161/JAHA.119.013691. Epub 2019 Dec 19. No abstract available.
PMID: 31852419 Free PMC Article
Select item 31911650
Verhaegh AJFP, Accord RE, Kooi EMW, Arrigoni SC, Bos AF, Berger RMF, Ebels T.
Ann Thorac Surg. 2020 Jan;109(1):171-177. doi: 10.1016/j.athoracsur.2019.06.068. Epub 2019 Aug 10.
PMID: 31408645
Select item 31400328
Cantinotti M, Giordano R, Scalese M, Marchese P, Franchi E, Viacava C, Molinaro S, Assanta N, Koestenberger M, Kutty S, Gargani L, Ait-Ali L.
Ann Thorac Surg. 2020 Jan;109(1):178-184. doi: 10.1016/j.athoracsur.2019.06.057. Epub 2019 Aug 7.
PMID: 31400328
Select item 31323208
- Novel Biomarkers Improve Prediction of 365-Day Readmission After Pediatric Congenital Heart Surgery.
Parker DM, Everett AD, Stabler ME, Vricella L, Jacobs ML, Jacobs JP, Parikh CR, Pasquali SK, Brown JR.
Ann Thorac Surg. 2020 Jan;109(1):164-170. doi: 10.1016/j.athoracsur.2019.05.070. Epub 2019 Jul 16.
PMID: 31323208
Select item 31181204
Bayle KM, Boston U, Sainathan S, Naik R, Knott-Craig CJ.
Ann Thorac Surg. 2020 Jan;109(1):e41-e43. doi: 10.1016/j.athoracsur.2019.04.061. Epub 2019 Jun 7.
PMID: 31181204
Select item 31163115
Mazurak M, Kusa J.
Arch Dis Child. 2020 Jan;105(1):92-94. doi: 10.1136/archdischild-2018-315684. Epub 2018 Oct 8. No abstract available.
PMID: 30297440
Select item 31815306
Law S, Chai P, Ündar A.
Artif Organs. 2020 Jan;44(1):5-11. doi: 10.1111/aor.13596. No abstract available.
PMID: 31815306
Select item 31429943
Ruzmetov M, Fortuna RS, Shah JJ, Welke KF, Plunkett MD.
J Card Surg. 2020 Jan;35(1):28-34. doi: 10.1111/jocs.14294. Epub 2019 Oct 26.
PMID: 31654591
Select item 31421934
Amodeo A, Filippelli S, Perri G, Iacobelli R, Adorisio R, Iodice F, Rizza A, Massicotte MP, Baldwin JT, Almond CS.
J Heart Lung Transplant. 2020 Jan;39(1):83-87. doi: 10.1016/j.healun.2019.09.003. Epub 2019 Sep 11. No abstract available.
PMID: 31761510
Select item 30033784
Camprubí-Tubella E, Albert-Brotons DC, Betrián-Blasco P.
Pediatr Cardiol. 2020 Jan;41(1):217-219. doi: 10.1007/s00246-019-02278-x. Epub 2020 Jan 2.
PMID: 31897523
Select item 31894396
Kwon HW, Kim WH, Lee JR, Kwak JG, Cho S, Bae EJ, Kim GB.
Pediatr Cardiol. 2020 Jan 1. doi: 10.1007/s00246-019-02282-1. [Epub ahead of print]
PMID: 31894395
Select item 31872283
Alshami N, Sarvestani AL, Thomas AS, St Louis J, Kochilas L, Raghuveer G.
Pediatr Cardiol. 2020 Jan;41(1):129-133. doi: 10.1007/s00246-019-02234-9. Epub 2019 Nov 16.
PMID: 31734750
Select item 31729543
Michalak KW, Sobczak-Budlewska K, Moll JJ, Szymczyk K, Moll JA, Łubisz M, Moll M.
Pediatr Cardiol. 2020 Jan;41(1):31-37. doi: 10.1007/s00246-019-02217-w. Epub 2019 Oct 25.
PMID: 31654096
Select item 31650215
Deng X, Huang P, Luo J, Chen R, Yang G, Chen W, Liu Q, He C.
Pediatr Cardiol. 2020 Jan;41(1):38-45. doi: 10.1007/s00246-019-02218-9. Epub 2019 Oct 24.
PMID: 31650215
Select item 31595326
Gupta A, Husain N, Tannous P, Hauck A.
Pediatr Cardiol. 2020 Jan;41(1):209-212. doi: 10.1007/s00246-019-02192-2. Epub 2019 Sep 14.
PMID: 31522266
Select item 31482238
Asimacopoulos EP, Garbern JC, Gauvreau K, Blume ED, Daly KP, Singh TP.
Transplantation. 2020 Jan;104(1):e31-e37. doi: 10.1097/TP.0000000000002983.
PMID: 31568274
Select item 31974320
Işık O, Akyüz M, Çakmak M, Demircan T, Bakiler AR.
Turk Kardiyol Dern Ars. 2020 Jan;48(1):67-71. doi: 10.5543/tkda.2019.57510. Turkish.
PMID: 31974320 Free Article
Select item 31162848
Ma B, Wu L, Zhang W.
Ultrasound Obstet Gynecol. 2020 Jan;55(1):135-137. doi: 10.1002/uog.20365. No abstract available.
PMID: 31162848
Select item 31835991
Carotti A.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):34-38. doi: 10.1177/2150135119884914.
PMID: 31835990
Select item 31835989
Korun O, Yücel İK, Çiçek M, Altın HF, Yurdakök O, Kılıç Y, Selçuk A, Yurtseven N, Şaşmazel A, Aydemir NA.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):29-33. doi: 10.1177/2150135119884918.
PMID: 31835989
Select item 31835984
Alsoufi B, McCracken C, Kanter K, Shashidharan S, Border W, Kogon B.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):39-48. doi: 10.1177/2150135119885890.
PMID: 31835983
Select item 31835981
Ambra M, Nuri HA, Giuseppe P, Marasini M, Francesco S.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):79-84. doi: 10.1177/2150135119885895.
PMID: 31835981
Select item 31835977
Temur B, Davutoglu A, Dogruoz A, Aydin S, Suzan D, Kırat B, Odemis E, Erek E.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):65-70. doi: 10.1177/2150135119888154.
PMID: 31835977
Select item 31755355
Rao S, Stewart RD, Pettersson G, Tan C, Golz S, Komarlu R.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):123-126. doi: 10.1177/2150135119880547. Epub 2019 Nov 22.
PMID: 31755355
Select item 31658888
Lugones I, Junco N, Biancolini MF, Martínez IA, Damsky Barbosa J.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):105-107. doi: 10.1177/2150135119882327. Epub 2019 Oct 28.
PMID: 31658888
Fetal Cardiology Featured Articles
Fetal Cardiology Reviews of January 2020 Manuscripts
Raucher Sternfeld A, Sheffy A, Tamir A, Mizrachi Y, Assa S, Shohat M, Berger R, Lev D, Gindes L.
J Matern Fetal Neonatal Med. 2020 Jan 12:1-5. doi: 10.1080/14767058.2020.1712710. [Epub ahead of print]
PMID: 31928261
Select item 31940858
Take Home Points:
- Small muscular VSDs are common in fetal life with almost 50% closing before birth and over 90% closing by 2 years of life
- Muscular VSDs were not associated with any chromosomal abnormalities or genetic mutations on microarray analysis, but only a small number of patients underwent testing
- The high incidence and frequency of spontaneous closure along with no genetic abnormality may suggest that the presence of small muscular VSDs may be a delayed physiological process as opposed to something pathologic, but this premise should be studied further
- Perimembranous VSDs are less likely to close and more likely to be associated with a genetic abnormality
Commentary from Dr. Jared Hershenson (Greater Washington DC), section editor of Pediatric Cardiology Journal Watch: VSDs are the most common congenital cardiac malformation and often diagnosed prenatally. Most VSDs will have little hemodynamic effect prenatally due to equal pressure in both ventricles and limited shunting and many close during fetal life or within a few years after birth. This was a retrospective study looking at prenatal course and postnatal outcomes in fetuses diagnosed with VSDs over a 4 year study period of 7466 fetal echocardiograms. 59 cases of complicated CHD was seen (0.79%). 86 isolated VSDs were diagnosed (1.17%) with 11 cases excluded due to loss of follow up. 64/75 patients had muscular VSDs with a mean size of 1.1 mm and median maximal size of 1 mm. In comparison, perimembranous VSDs had a mean size of 2.5 mm and a median size of 3.5 mm.
The authors note that all fetuses with a VSD are referred for genetic consultation at this study center and each family can decide on testing. 19 fetuses subsequently had a karyotype and 4 fetuses had a complete microarray. All fetuses had normal testing except for 1 with Down Syndrome who had a perimembranous VSD. Spontaneous closure occurred in 92% of the muscular VSDs during the study period (up to 2 years) and 48.4% closed before birth. This contrasted with perimembranous VSDs, with 45.5% closing over 2 years and 27% before birth (see Table 1). Amongst all VSDs, those that closed spontaneously were significantly smaller than those that remained open (1.48 +/- 0.68 mm vs. 2.6 +/- 1.25 mm).
The authors conclude that muscular VSDs are common, are not associated with chromosomal aberrations, and often close spontaneously. They suggest that the presence of these VSDs may actually represent a delayed physiologic process rather than something pathologic. A significant caveat to this would be that very few patients in their study actually underwent genetic testing (specifically microarray) and it is possible that there may be some genetic mutations that would be associated with VSDs. However, invasive genetic testing such as amniocentesis should likely not be recommended for this patient population.
Additionally, the overall number of patients was small and while they mention size as a significant factor for spontaneous closure, nearly all of those patients had muscular VSDs anyway. I do think that this study adds to the objective ability of fetal cardiologists to reassure patients when small muscular VSDs are seen even though most of us have recognized this by experience.
Adams AD, Aggarwal N, Iqbal SN, Tague L, Skurow-Todd K, McCarter R, Donofrio MT.
Pediatr Cardiol. 2019 Dec;40(8):1575-1583. doi: 10.1007/s00246-019-02189-x. Epub 2019 Aug 30.
PMID: 31471626
Take Home Points:
- Newborns with a prenatal diagnosis of congenital heart disease are not at increased risk of acidosis at the time of delivery when compared to gestational age-matched controls.
- No difference was noticed in the umbilical arterial (UA) pH between those with single ventricle vs two-ventricle disease and those with and without aortic arch obstruction.
- In pregnancies complicated by congenital heart disease, spontaneous vaginal delivery with prolonged labor seems to impact the fetal outcome as noted by the significant decline in UA pH with increasing duration of labor in this group when compared to other modes such as induced vaginal delivery and C-Section post-labor.
Commentary from Dr. Venu Amula (Salt Lake City), section editor of Fetal Cardiology Journal Watch: The American College of Obstetricians and Gynecologists and the American Academy of Pediatrics recommend performing umbilical artery blood acid-base analysis after certain high-risk deliveries in which a fetal metabolic abnormality is suspected to assess fetal well-being. Adams et al conducted this single-center, retrospective observational study to determine if newborns with congenital heart disease are at a higher risk for acidosis at delivery as determined by the umbilical cord blood analysis. The control group included singleton deliveries without CHD matched by date of birth and gestational age. The authors also sought to determine if specific fetal cardiac diagnosis, type, and duration of labor are associated with acidosis. The cases included all forms of complex congenital heart disease. Given the unique physiological challenges faced by single ventricle heart lesions and those with systemic outflow obstruction – the lesions were divided into 4 categories – Single Ventricle lesions with and without aortic arch obstruction, and Biventricular lesions with and without aortic arch obstruction. Class, I was defined as patients with two ventricles without aortic arch obstruction Class II as patients with two ventricles with arch obstruction, Class III as patients with a single ventricle without arch obstruction and Class IV as patients with a single ventricle with arch obstruction.
The study cohort consisted of 134 cases with an equal number of gestational and calendar year matched healthy newborns. Overall there was no difference in the median UA pH in the cases with congenital heart disease versus the control group. There was also no difference by physiological class nor by single ventricle vs two ventricle type nor by the presence or absence of aortic arch obstruction. The authors conclude that fetuses with congenital heart disease have well-compensated hemodynamics and inutero oxygen delivery owing to fetoplacental circulation regardless of the subtype of congenital heart disease.
They also evaluated the effect of mode of delivery on UA pH and found that in the congenital heart disease group there was a significant decline in the median UA pH with increasing duration of labor in those with spontaneous vaginal delivery when compared to those with induced vaginal and C-Section Post-Labor. However, it is to be noted that even in this group pathological fetal acidemia, a practical pH threshold where neonatal morbidity increases i.e. umbilical artery pH <7, was rare.
The study is limited by a sampling bias given no umbilical arterial blood analysis data was present for those with hemodynamically unstable neonates with congenital heart lesions. Maternal characteristics were also not completely matched given the placental health may impact umbilical cord gas analysis even though venous sampling would be more reflective of that.
Duration of labor in fetuses with the diagnosis of congenital heart disease planned for spontaneous vaginal delivery may impact the outcome as evidenced by declining UA pH and needs planned perinatal management.
Fetal Cardiology Jan 2020
Wei W, Li B, Li F, Sun K, Jiang X, Xu R.
Clin Genet. 2020 Jan 31. doi: 10.1111/cge.13710. [Epub ahead of print]
PMID: 32003456
Select item 32014568
Zheng M, Sun L, Liu X, Wang X, He Y.
Prenat Diagn. 2020 Jan 28. doi: 10.1002/pd.5646. [Epub ahead of print]
PMID: 31990991
Select item 31989331
Cao ML, Zhu BL, Sun YY, Qiu GR, Fu WN, Jiang HK.
Cytogenet Genome Res. 2020 Jan 24. doi: 10.1159/000505143. [Epub ahead of print]
PMID: 31982878
Select item 31980926
Permanyer E, Laurie S, Blasco-Lucas A, Maldonado G, Amador-Catalan A, Ferrer-Curriu G, Fuste B, Perez ML, Gonzalez-Alujas T, Beltran S, Comas-Riu J, Bardají A, Evangelista A, Galiñanes M.
Eur J Med Genet. 2020 Jan 23:103854. doi: 10.1016/j.ejmg.2020.103854. [Epub ahead of print]
PMID: 31981616
Select item 31976751
Bayram AK, Kütük MS, Doganay S, Özgün MT, Gümüş H, Başbuğ M, Kumandaş S, Canpolat M, Per H.
Neurol Sci. 2020 Jan 22. doi: 10.1007/s10072-019-04224-4. [Epub ahead of print]
PMID: 31970575
Select item 31969166
[No authors listed]
Clin Sci (Lond). 2020 Jan 17;134(1):1. doi: 10.1042/CS-20180732_COR. No abstract available.
PMID: 31894840
Select item 31848133
Bak GS, Shaffer BL, Madriago E, Allen A, Kelly B, Caughey AB, Pereira L.
Ultrasound Obstet Gynecol. 2020 Jan 16. doi: 10.1002/uog.21977. [Epub ahead of print]
PMID: 31945242
Select item 31941532
Sevim Bayrak C, Zhang P, Tristani-Firouzi M, Gelb BD, Itan Y.
Genome Med. 2020 Jan 15;12(1):9. doi: 10.1186/s13073-019-0709-8.
PMID: 31941532 Free PMC Article
Select item 31371115
Wu Y, Kapse K, Jacobs M, Niforatos-Andescavage N, Donofrio MT, Krishnan A, Vezina G, Wessel D, du Plessis A, Limperopoulos C.
JAMA Pediatr. 2020 Jan 13:e195316. doi: 10.1001/jamapediatrics.2019.5316. [Epub ahead of print]
PMID: 31930365
Select item 31993452
Walter C, Soveral I, Bartrons J, Escobar MC, Carretero JM, Quirado L, Gómez O, Sánchez-de-Toledo J.
Pediatr Cardiol. 2020 Jan 10. doi: 10.1007/s00246-019-02279-w. [Epub ahead of print]
PMID: 31919591
Select item 31931249
Szot JO, Campagnolo C, Cao Y, Iyer KR, Cuny H, Drysdale T, Flores-Daboub JA, Bi W, Westerfield L, Liu P, Leung TN, Choy KW, Chapman G, Xiao R, Siu VM, Dunwoodie SL.
Am J Hum Genet. 2020 Jan 2;106(1):129-136. doi: 10.1016/j.ajhg.2019.12.006. Epub 2019 Dec 26.
PMID: 31883644
Select item 31870554
Zhao Y, Diacou A, Johnston HR, Musfee FI, McDonald-McGinn DM, McGinn D, Crowley TB, Repetto GM, Swillen A, Breckpot J, Vermeesch JR, Kates WR, Digilio MC, Unolt M, Marino B, Pontillo M, Armando M, Di Fabio F, Vicari S, van den Bree M, Moss H, Owen MJ, Murphy KC, Murphy CM, Murphy D, Schoch K, Shashi V, Tassone F, Simon TJ, Shprintzen RJ, Campbell L, Philip N, Heine-Suñer D, García-Miñaúr S, Fernández L; International 22q11.2 Brain and Behavior Consortium, Bearden CE, Vingerhoets C, van Amelsvoort T, Eliez S, Schneider M, Vorstman JAS, Gothelf D, Zackai E, Agopian AJ, Gur RE, Bassett AS, Emanuel BS, Goldmuntz E, Mitchell LE, Wang T, Morrow BE.
Am J Hum Genet. 2020 Jan 2;106(1):26-40. doi: 10.1016/j.ajhg.2019.11.010. Epub 2019 Dec 20.
PMID: 31870554
Select item 31897601
Miksiunas R, Mobasheri A, Bironaite D.
Adv Exp Med Biol. 2020;1212:155-178. doi: 10.1007/5584_2019_349. Review.
PMID: 30945165
Select item 31711632
Whitcomb J, Gharibeh L, Nemer M.
IUBMB Life. 2020 Jan;72(1):53-67. doi: 10.1002/iub.2163. Epub 2019 Sep 13. Review.
PMID: 31520462
Select item 31668503
He M, Zhang Z, Hu T, Liu S.
Medicine (Baltimore). 2020 Jan;99(5):e19014. doi: 10.1097/MD.0000000000019014.
PMID: 32000445 Free Article
Select item 31914083
Ding Z, Yang W, Yi K, Ding Y, Zhou D, Xie X, You T.
Medicine (Baltimore). 2020 Jan;99(2):e18715. doi: 10.1097/MD.0000000000018715.
PMID: 31914083 Free PMC Article
Select item 31914027
Dasouki MJ, Wakil SM, Al-Harazi O, Alkorashy M, Muiya NP, Andres E, Hagos S, Aldusery H, Dzimiri N, Colak D.
OMICS. 2020 Jan;24(1):16-28. doi: 10.1089/omi.2019.0165. Epub 2019 Dec 19.
PMID: 31855513
Select item 31872283
Shabana NA, Shahid SU, Irfan U.
Pediatr Cardiol. 2020 Jan;41(1):12-23. doi: 10.1007/s00246-019-02271-4. Epub 2019 Dec 23. Review.
PMID: 31872283
Select item 31811329
Mardy C, Blumenfeld YJ, Arunamata AA, Girsen AI, Sylvester KG, Halabi S, Rubesova E, Hintz SR, Tacy TA, Maskatia SA.
Prenat Diagn. 2020 Jan;40(2):206-215. doi: 10.1002/pd.5612. Epub 2019 Dec 1.
PMID: 31742724
Select item 31652332
Janicki MB, Fernandez CG, Wakefield D, Shepherd JP, Figueroa R.
Prenat Diagn. 2020 Jan;40(2):223-231. doi: 10.1002/pd.5581. Epub 2019 Dec 9.
PMID: 31652332
Select item 31687920
You W, Andescavage NN, Kapse K, Donofrio MT, Jacobs M, Limperopoulos C.
Radiology. 2020 Jan;294(1):141-148. doi: 10.1148/radiol.2019190751. Epub 2019 Nov 5.
PMID: 31687920
Select item 31920043
Madani S, Van Linthout C, Rondia G, Seghaye MC.
Rev Med Liege. 2020 Jan;75(1):43-48. French.
PMID: 31920043
Select item 31794068
Inácio JM, Almeida M, Cristo F, Belo JA.
Stem Cell Res. 2020 Jan;42:101677. doi: 10.1016/j.scr.2019.101677. Epub 2019 Dec 20.
PMID: 31869685 Free Article
Select item 30609447
Wei W, Li B, Li F, Sun K, Jiang X, Xu R.
Clin Genet. 2020 Jan 31. doi: 10.1111/cge.13710. [Epub ahead of print]
PMID: 32003456
Select item 32004080
Zhou S, Wang J, Wang Q, Meng Z, Peng J, Song W, Zhou Y.
J Cardiovasc Pharmacol. 2020 Jan 29. doi: 10.1097/FJC.0000000000000803. [Epub ahead of print]
PMID: 32000202
Select item 31995438
[No authors listed]
Pediatr Cardiol. 2020 Jan 17. doi: 10.1007/s00246-019-02261-6. [Epub ahead of print] No abstract available.
PMID: 31953570
Select item 31951681
Bak GS, Shaffer BL, Madriago E, Allen A, Kelly B, Caughey AB, Pereira L.
Ultrasound Obstet Gynecol. 2020 Jan 16. doi: 10.1002/uog.21977. [Epub ahead of print]
PMID: 31945242
Select item 31734412
Sulas E, Urru M, Tumbarello R, Raffo L, Pani D.
Comput Methods Programs Biomed. 2020 Jan 15;190:105336. doi: 10.1016/j.cmpb.2020.105336. [Epub ahead of print]
PMID: 32007836 Free Article
Select item 31956492
Raucher Sternfeld A, Sheffy A, Tamir A, Mizrachi Y, Assa S, Shohat M, Berger R, Lev D, Gindes L.
J Matern Fetal Neonatal Med. 2020 Jan 12:1-5. doi: 10.1080/14767058.2020.1712710. [Epub ahead of print]
PMID: 31928261
Select item 31940858
Walter C, Soveral I, Bartrons J, Escobar MC, Carretero JM, Quirado L, Gómez O, Sánchez-de-Toledo J.
Pediatr Cardiol. 2020 Jan 10. doi: 10.1007/s00246-019-02279-w. [Epub ahead of print]
PMID: 31919591
Select item 31925535
Soveral I, Crispi F, Walter C, Guirado L, García-Cañadilla P, Cook A, Bonnin A, Dejea H, Rovira-Zurriaga C, Sánchez de Toledo J, Gratacós E, Martínez JM, Bijnens B, Gómez O.
Ultrasound Obstet Gynecol. 2020 Jan 7. doi: 10.1002/uog.21970. [Epub ahead of print]
PMID: 31909552
Select item 31907356
Tugcu AU, Ince DA, Esin S, Turan O, Erdogan I, Ecevit A.
Acta Cardiol Sin. 2020 Jan;36(1):72-75. doi: 10.6515/ACS.202001_36(1).20190711A. No abstract available.
PMID: 31903011 Free PMC Article
Select item 31432551
Agopian AJ, Hoang TT, Goldmuntz E, Hakonarson H, Musfee FI, Mitchell LE; Pediatric Cardiac Genomics Consortium.
Am J Med Genet A. 2020 Jan;182(1):250-254. doi: 10.1002/ajmg.a.61411. Epub 2019 Nov 15. No abstract available.
PMID: 31729158
Select item 31898418
Guerri-Guttenberg R, Castilla R, Cao G, Azzato F, Ambrosio G, Milei J.
Angiology. 2020 Jan;71(1):62-69. doi: 10.1177/0003319719849784. Epub 2019 May 14.
PMID: 31088126
Select item 31475425
Lahiri S, Gil W, Daria S, Joshua G, Parul J, Redmond B, Elizabeth W.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):38-45. doi: 10.4103/apc.APC_51_19. Epub 2019 Oct 9.
PMID: 32030034 Free PMC Article
Select item 32030033
Clavero Adell M, Ayerza Casas A, Jiménez Montañés L, Palanca Arias D, López Ramón M, Alcalá Nalvaiz JT, Samper Villagrasa P.
Int J Cardiovasc Imaging. 2020 Jan;36(1):59-66. doi: 10.1007/s10554-019-01695-6. Epub 2019 Oct 29.
PMID: 31664680
Select item 31502067
Alici Davutoglu E, Ozel A, Oztunc F, Madazli R.
J Matern Fetal Neonatal Med. 2020 Jan;33(2):277-282. doi: 10.1080/14767058.2018.1489534. Epub 2018 Jul 22.
PMID: 30033784
Select item 31215308
Marini D, Xu J, Sun L, Jaeggi E, Seed M.
Prenat Diagn. 2020 Jan;40(1):71-83. doi: 10.1002/pd.5626. Epub 2019 Dec 19.
PMID: 31834624
Select item 31956525
Congenital Heart Anesthesia and Intensive Care
Anesthesia Critical Care Jan 2020
Alsuhebani M, Sims T, Hansen JK, Hakim M, Walia H, Miller R, Tumin D, Tobias JD.
J Anesth. 2020 Jan 24. doi: 10.1007/s00540-019-02729-y. [Epub ahead of print]
PMID: 31980926
Select item 31987651
Tirotta CF, Alcos S, Lagueruela RG, Salyakina D, Wang W, Hughes J, Irizarry M, Burke RP.
J Cardiothorac Surg. 2020 Jan 6;15(1):1. doi: 10.1186/s13019-020-1051-3.
PMID: 31906990 Free PMC Article
Select item 31899550
Michel J, Hofbeck M, Peper AK, Kumpf M, Neunhoeffer F.
Curr Med Res Opin. 2020 Jan;36(1):1-6. doi: 10.1080/03007995.2019.1663689. Epub 2019 Sep 17.
PMID: 31526142
Select item 31644471
Lin S, Liang L, Zhang C, Ye S.
J Int Med Res. 2020 Jan;48(1):300060518760435. doi: 10.1177/0300060518760435. Epub 2018 Apr 3. No abstract available.
PMID: 29614915
Select item 31289972
Huang J, Gou B, Rong F, Wang W.
Per Med. 2020 Jan;17(1):33-41. doi: 10.2217/pme-2019-0003. Epub 2019 Dec 16.
PMID: 31841075
Select item 31742724
Vener DF, Abbasi RK, Brown M, Greene N, Guzzetta NA, Jacobs JP, Latham G, Mossad E, Nicolson SC, Twite M, Zhang S, Wise-Faberowski L.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):14-21. doi: 10.1177/2150135119884911.
PMID: 31835986
Select item 31835985
Plaschke K, Weiskircher A, Benner L, Klein B, Loukanov T, Gorenflo M, Weigand MA, Rauch H.
Perfusion. 2020 Jan 11:267659119895447. doi: 10.1177/0267659119895447. [Epub ahead of print]
PMID: 31928325
Select item 31924159
Saini A, Maher KO, Deshpande SR.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):46-55. doi: 10.4103/apc.APC_190_18. Epub 2019 Dec 4. Review.
PMID: 32030035 Free PMC Article
Select item 32030034
Sharma VK, Kumar G, Joshi S, Tiwari N, Kumar V, Ramamurthy HR.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):31-37. doi: 10.4103/apc.APC_36_19. Epub 2019 Nov 1.
PMID: 32030033 Free PMC Article
Select item 32030032
Michel J, Hofbeck M, Peper AK, Kumpf M, Neunhoeffer F.
Curr Med Res Opin. 2020 Jan;36(1):1-6. doi: 10.1080/03007995.2019.1663689. Epub 2019 Sep 17.
PMID: 31526142
Select item 31652133
Saini A, Maher KO, Deshpande SR.
Ann Pediatr Cardiol. 2020 Jan-Mar;13(1):46-55. doi: 10.4103/apc.APC_190_18. Epub 2019 Dec 4. Review.
PMID: 32030035 Free PMC Article
The CHIP Network Journal Watch Team
Konstantin Averin, MD, MS is an Associate Professor of Pediatrics at the University of Alberta and an Interventional Pediatric Cardiologist at the Stollery Children’s Hospital in Edmonton, Alberta. He received his medical degree from the Feinberg School of Medicine at Northwestern University in Chicago, IL. After medical school, he completed pediatrics residency, pediatric cardiology fellowship and sub-specialty training in pediatric and adult interventional cardiology at the Cincinnati Children’s Hospital in Cincinnati, OH. His clinical and research interests are focused on the percutaneous treatment of pediatric patients with congenital and acquired heart disease with a focus on patients with single ventricle physiology, transcatheter pulmonary valves, and pulmonary hypertension.
Dr. Leong Ming Chern “MC” is an adult congenital heart disease specialist at the National Heart Institute, Kuala Lumpur, Malaysia. He received his medical training at the University of Malaya and pediatric cardiology training at the National Heart Institute. His area of interest includes treatment of adult patients with congenital heart disease and pulmonary hypertension in congenital heart disease.
Dr. Damien Cullington, MBChB MRCP MD FESC is a consultant adult congenital cardiologist who works at Leeds General Infirmary, UK. In summer 2019, he will move over to the newly commissioned North West ACHD Service based in Liverpool, UK. Damien qualified in 2002 from the University of Liverpool and became a substantive consultant in 2016. Prior to this, he worked throughout the North of England and Yorkshire as a cardiology trainee. Damien was awarded a doctorate in medicine (MD) from the University of Hull in 2013 for his work in heart rate in patients with heart failure. He is a member of the Royal College of Physicians (London), Fellow of the European Society of Cardiology and honorary senior lecturer for the University of Leeds. His ACHD subspecialty clinical interests are heart failure, imaging and palliative care. He is regional organiser for ACHD training at Leeds and clinical governance lead for the Leeds congenital cardiac unit. His research interests and wide and far but particularly epidemiology, chronic heart failure in ACHD patients in all its guises, the systemic RV and the univentricle
Dr. Blanche Cupido is a consultant adult cardiologist working at Groote Schuur Hospital, UCT Private Academic Hospital and the University of Cape Town(UCT), South Africa. She completed her physician training in 2009 and her cardiology subspecialist training in 2013. She recently returned to SA after doing a Fellowship in Adult Congenital Heart Disease in Leeds, United Kingdom under the guidance of Dr Kate English. She has established a dedicated unit for Grown Up Congenital Heart Disease in Cape Town, South Africa. Her aim is to grow ACHD services in Sub-Saharan Africa and embark on GUCH research on the African continent.
Dr. Jeremy L. Herrmann is an Assistant Professor of Surgery in the Division of Thoracic and Cardiovascular Surgery at Indiana University. He specializes in pediatric and adult congenital cardiac surgery, and his clinical interests also include heart transplantation and mechanical circulatory support. His hospital affiliations include Indiana University Health Riley Hospital for Children and Methodist Hospital as well as Peyton Manning Children’s Hospital at St. Vincent Hospital in Indianapolis
Maan Jokhadar is a cardiologist and associate professor of medicine at Emory University in Atlanta, Georgia. He is board certified in internal medicine, cardiovascular disease, advanced heart failure/transplantation, adult congenital heart disease, and echocardiography. He is fellowship director for the Emory Adult Congenital Heart Disease training program and Core Curriculum Director for the Emory general cardiology fellowship program. Dr Jokhadar graduated from the University Damascus School of Medicine in Syria and then went to Mayo Clinic in Rochester, Minnesota for internal medicine residency. He then completed cardiology and subspecialty training at Emory University, where he currently on faculty. Dr. Jokhadar has been the recipient of numerous teaching awards. He is married with 3 children.
Michael Ma, MD is an Assistant Professor in Cardiothoracic Surgery in the Division of Pediatric Cardiac Surgery at Stanford University. He specializes in pediatric and adult congenital cardiac surgery, with an emphasis on neonates, complex biventricular repair, and pulmonary artery reconstruction. His research lab investigates ex and in vivo translational models for complex congenital heart disease, to optimize future surgical and endovascular repair strategies.
Jeremy P. Moore MD MS FHRS is the Director of Clinical Research and faculty in Pediatric Cardiology and Adult Congenital Heart Disease at the University of California, Los Angeles. Dr. Moore received his medical degree from the Medical College of Virginia in 2003. He completed residency and fellowship at UCLA before pursuing his subspecialty training in Pediatric Electrophysiology at Vanderbilt University in 2009. Dr. Moore has been faculty at UCLA since 2010 and has since published numerous research manuscripts dealing with electrophysiologic aspects pertinent to congenital heart disease. Dr. Moore’s primary interest is the study of mechanisms of arrhythmia, and the development of novel electrophysiologic techniques for management of the adult patient with congenital heart disease
Dr. Mehul Patel MD, is a structural and adult congenital heart disease specialist and an interventional cardiologist. Dr. Patel earned his undergraduate and medical education from the Mumbai University, India. After completing his post-graduate training in Internal Medicine and Cardiology, he further trained in interventional cardiology at the Mount Sinai Medical Center, NYC, NY and Adult Congenital Heart Disease at the Texas Children’s Hospital, Texas Heart Institute, Baylor College of Medicine, Houston, TX. Dr. Patel worked as Chief of adult congenital heart disease, Assistant Professor at the Michigan State University, Grand Rapids, MI where he not only expanded the program, performing complex interventions and device implantations but also established the percutaneous pulmonary valve implantation (Melody Valve) Program. Due to his passion for treating structurally abnormal hearts, he did a dedicated year of Structural Heart Disease fellowship at Henry Ford Hospital, Detroit, MI where he worked with pioneers in this field before moving to North Carolina. He is proficient in performing transcatheter aortic valve replacement (TAVR), MitraClip, Watchman device implantation, percutaneous Mitral, Tricuspid and Pulmonary valve replacements along with a variety of interventions on congenital heart disease and pulmonary hypertension. Dr. Patel is ABIM board certified in Internal Medicine, Cardiology, Interventional cardiology and Adult Congenital Heart Disease. Dr. Patel has more than 50 peer reviewed publications and numerous abstracts to his credit. He serves as a Co-Editor-in-Chief for the CHiP Network journal watch. His wife, Khyati is a pediatric cardiac Electrophysiologist and they have a 9-year-old daughter. Dr. Patel is also an artist, likes music, yoga and plays badminton. His clinical areas of expertise and interests are: 1) Transcatheter therapies for Structural and Adult Congenital heart disease. 2) Complex device implantations.
Dr. Timothy Pirolli is an Assistant Professor of Surgery in the Division of Pediatric Cardiothoracic Surgery at University of Texas Southwestern Medical Center. He specializes in pediatric and adult congenital cardiac surgery. His hospital affiliations include Children’s Medical Center in Dallas, Parkland Memorial Hospital, and Clements University Hospital (UTSW).
Dr. Inga Voges, M.D. Consultant in Pediatric Cardiology, Lead Consultant Cardiovascular MRI. I trained in General Pediatrics and Pediatric Cardiology in Rostock (Germany) and Kiel (Germany) from 2002-2010 and did additional training in Adult Congenital Heart Disease (ACHD) in Kiel (Germany) which I finished in 2014. I specialized in Cardiovascular Magnetic Resonance Imaging (CMR) and have a further special interest in cardiomyopathies. Currently, I am working as a consultant pediatric and ACHD cardiologist at the University Hospital Schleswig-Holstein (Kiel, Germany) where I am responsible for the CMR imaging program in pediatric and ACHD patients and contribute to the care of patients with acquired and congenital heart disease. I received my MD from the Medical University Luebeck in 2006 (Germany) and finished my “Habilitation” (PhD equivalent; University Hospital Kiel, Germany) in 2014. Since 2016, I am the secretary of the Association for European Paediatric and Congenital Cardiology Imaging Working Group.
Dr. Gary Webb, M.D. is an Emeritus Professor of Pediatrics and Internal Medicine at the University of Cincinnati College of Medicine and,
from 2009-2016, the Director of the Adult Congenital Heart Program at Cincinnati Children’s Hospital Heart Institute. A graduate of McGill
University in Montréal, he interned at the Royal Victoria Hospital, and then trained in internal medicine and cardiology at the University of Toronto. From 1980-2004, he was co-director and then director of the Toronto Congenital Cardiac Center for Adults at Toronto General Hospital. He is a Fellow of the Royal College of Physicians and Surgeons of Canada in both internal medicine and cardiology. From 2004-2009, he was director of the Philadelphia Adult Congenital Heart Center at the University of Pennsylvania. Since 2016, he has been a consultant to Cincinnati Children’s Hospital, and has been responsible for the ACHD Learning Center, the Cardiology Fellow Testing Center, and the Congenital Heart Professionals International (CHIP) Network. Since 2017, he has resumed seeing patients on a part-time basis at the Toronto Congenital Cardiac Centre for Adults.
Wendy Whiteside, MD Wendy is Assistant Professor of Pediatrics and Associate Director of Interventional Pediatric Cardiology at the University of Michigan Congenital Heart Center, C.S. Mott Children’s Hospital. She obtained her medical degree from Albert Einstein College of Medicine in 2006 then completed pediatric residency at Children’s Hospital Oakland in Oakland, CA in 2009. She received
both her categorical and interventional pediatric cardiology training at the University of Michigan in Ann Arbor, MI. Her clinical and research interests include single ventricle physiology, transcatheter
pulmonary valves, and quality improvement within the cardiac catheterization laboratory.
About the Congenital Heart and Pediatric Cardiac Journal Watch
Congenital heart and pediatric cardiac Journal Watch was designed to make it easier for congenital heart and pediatric cardiac professionals to keep up with the literature in 6 subsections of congenital heart disease abstracts on a monthly basis: pediatric cardiology; congenital heart surgery; congenital heart interventions; congenital/pediatric electrophysiology; fetal cardiology; and adult congenital heart disease.
We encourage your continued support as well as your valuable comments and feedback.
Learn More
Sincerely,
Dr. Gary Webb, MD and Dr. Mehul Patel
CHiP Network
Congenital Heart and Pediatic Cardiac Journal Watch Editorial Board
The Chip Network, the Congenital Heart International Professionals Network, aims to develop a single global list of all congenital and pediatric cardiac professionals.
We invite you to share this with your colleagues.
We invite you to share this with your colleagues.
