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Age at study years Pulse oximetry screening POS in newborns can reduce. POS has been proposed as an effective, non inv asive,. Aim of the study: T est the hypothesis that POS can reduce the. Prospective multicenter trial in Saxony , Ger many. From July —June , newborns from POS was true positive in. Sensitivity , specificity, positi ve and negative pr edictive. False positive results leading to.

N-terminal pro-B-type natr iuretic peptide NT -. In adults, it is predictive of outcome. Patients admitted for acute CHF between May and. July , were enrolled. Patients less than 3 months of age or those. NT - proBNP levels were obtained.

NT -proBNP levels were — times above normal. NT -proBNP decreased more rapidly in patients who did not. Of those patients on mechanical. NT -proBNP levels are extremely elevated in acute. NT-pr oBNP did not correlate with clinical measures. NT -proBNP did not predict the need for mechanical support. Howev er, the rate of decline may be useful in deter mining which.

Effect of selective alpha 1 receptor agonist in the. The study was designed to examine the effect of. Methods Fifty nine children 23 male, 36 female,. University First Hospital were included in the study and clinical. They were randomally divided into group I with. Head-up tilt test under quiet. At the end of follo w-up, the cure. Results The cure rate at the. The effective rate at the end of follow-up in group. II and group III. And the time of symptom improvement in.

Ethnic Group Differences in the Perinatal Antecedents of. United States are overweight body mass index [BMI]. Overweight preschool-aged children are. Little is known about the. Representative samples — of the National. Mexican Amer ican children were. Chi square analysis showed that breastfeeding had a. Mexican American and non-Hispanic black mother s.

Obesity in children as young as preschool age is. Minority women should not. The University of Melbourne, Australia. Murdoch Childrens Research Institute 2. University of Melbourne 3. University of Melbourne, 3. Monash Medical Centre 2. To in vestigate the emo tional impac t on parents of t heir. Surgery may r esult in paren ts being. They ex perience uncertainty. Mothers and fathers were recruited if their baby had. Ninety nine families participated in the study. The study found significant emotional trauma in parents.

It suggests that a. Patients with congenital heart disease CHD associated with. We recently show ed. Heterotaxy is characterized by dis-. As mucociliary clearance requires airway. T o test this hypothesis, we recruited Panel review of nNO, ciliary motion and EM data led. Giv en heterotaxy and PCD. Those with confir med ciliary dysfunction.

Such change in the standard of care may impro ve. Disease and Increased Postoperativ e Respiratory. Patients with heterotaxy and complex congenital heart disease. CHD undergo cardiac surgery with high mortality and. Recent studies have revealed an association betw een.

W e undertook a retrospective review of patients undergoing. Reviewed were post-surg ical outcomes of 87 patients with CHD. As controls, cardiac surgical patients with CHD ,. Surgical r isks and. Our results showed the mean length of post-operativ e hos pital. All with p , 0. In conclusion, our findings show heterotaxy patients had more. This was associated with an increased risk for. Pulmonary venous anatomy and incidence of obstruction. Retrospective review of patients undergoing repair of.

TAPVC , n 5 63 from Normal PV anatomy having non-obstr ucti ve PVs, well-. Presence of PV anomaly was associated with a higher.

TAPVCs n 5 10 , whereas it occur red constantly up to 3 years. T otal Cavopulmonary Connection: Extra-cardiac conduit total cav opul monary connection. In this study the clinical results of this. Since , patients. Surgical r esults an d hemody namic v ariables w ere review ed. Follo w-up time was 6. There were no operative death. Actuarial surv ival rate was Eight patients had reoperation. Six patients had catheter intervention for branch pulmonary.

Nineteen patients developed late complication including. Freedom from Fontan-related ev ents was The incidence of late complication was not. Late cardiac catheterization for. No patient sho wed conduit stenosis. Biointegration and growth of porcine valved pulmonary.

Glaucio Furlanetto, Instituto Furlanetto , Brazil. T o date, there is no suitable valved conduit for small. Of the 8 sur vivors. The average weight of the animals was 4. The radiographic analysis did not reveal significant. Histological analysis of the grafts demonstrated total integ ration. Functional evaluation, echocardiographic analysis and. Finding a mutation in an ion channel gene in Long. QT syndrome allows the accurate identification of other family.

Long QT syndrome being missense mutations, frequently novel,. W e present a new model that combines an analysis of 5. Complete sequencing of six. Likelihood ratios strongly favouring pathogenicity were. The described model provides an objective tool to. Asymptomatic ventricular preexcitation mimicking. V entr icular preexcitation is common. W e demonstrated a causal relationship between. All had v entr icular preexcitation on the ECG,. None had had a documented tachyarrhythmia; how ever all.

Diagnostic cardiac catheterization was performed. Eight of the 10 patients underwent EP study ,. The AP had a right sided septal location in 7, and was a. All APs were successfully ablated; 2 patients. Right sided septal APs with overt preexcitation may. Radiofrequency ablation procedures in children under. Radiofrequency ablation RFA has been shown to. Thirty six procedures were done in 29 patients Diagnoses were atrio-ventr icular bypass tracts 12 ,.

Fifteen presented with severe congestive heart. In 3 patients RFA was not done. VT , and in 1 of 2 patients with congenital JET 1 cured,. One infant with multifocal atrial tachycardia. RFA is effective in infants with tachyarrhythmia. The procedure should be reserved. Homemonitoring in young patients with a congenital. Children and young adults with a congenital heart disease. CHD show a wide spectrum of cardiac arrhythmias. In 7 of 8 pat ients specifi c event reports w ere recei ved. More than epi sodes w ere reported.

In three patie nts the reported events w ere of critical. Patients with a CHD and progressive arrhythmia and.

The integrated monitoring system. Additionally it ser ves to. The online information system extends medical care. Chronic dual chamber pacing improves relative aortic. Congenital complete heart block CCHB has been associated to. W e aim to descr ibe our experience on the effects of chronic PM.

Retrospective review of echocardiograms was per-. Z-scores of aortic segments were analyzed. T wenty-five patients met inclusion criteria. Z-score of the aortic valve annulus was similar before and. While within normal limits, the Z-score of ortic root ratio. Ascending aorta dilation is present in a large. Our observations of relativ e. AsAo regression following chronic dual chamber pacing support. Long-term effect of exercise-induced hypertension in. Exercise-induced hypertension in patients with suc-.

Its clinical importance is an ongoing debate, and. The aim of this study was to look at long-term outcome in. All underwent standard echo-. There were no cardiovascular deaths during follow-up. The two groups remained as defined groups thr oughout the. The number of patients who had star ted. At follow-up the left ventricular mass divided. Demographic data, resting systolic blood pressure and. Regarding the r isk of developing resting hypertension.

Age at repair months Age at Follow-up Yrs Quality of outcome for patients with double inlet left. Double-inlet-left-ventricle DIL V and similar pathologies are. This is best managed pre-emptively. W e evaluated late outcomes using this approach with a. Quality indicators noted included. This subset may be better. PA banding whilst those without AAO can be well managed by a. Cardiac Surgery for children from developing countries:.

T o evaluate the short term results of a single center. Chain of Hope as part of a multif aceted approach to developing. Cardiac surgery can be offered to children from. Close co-operation between local referring centers. Difficulties and possible solutions in establishing pediatric. Lahore, Pakistan, P akistan. Establishment of pediatric cardiac ser vices in.

In Pakistan with population of 16 millions, about. T o analyze difficulties and propose solutions, in. It is a multidisciplin-. Pediatric cardiac program at CH started in So far we have performed surgery on. The cost for an open. This is still too much for a poor patient. Despite improved infrastructure and skills, the logistics,. With continued deter mination and philanthropic.

Outcomes for the Fetus with Hypoplastic Left Heart. A Stratification Scheme for Prenatal. HLHS remains one of the most challenging for ms of. Advances in fetal imaging have. Accurate prenatal counseling depends upon knowledge of the most. W e repor t on early outcomes for the fetus. Survival is defined as alive at discharge following. Risk factors analyzed were: Outcome from point of fetal diagnosis is shown in table. Anatomical subtype of HLHS did not relate to survival.

Early survival for the fetus with HLHS, with no. Our study provides for a means of stratifying. Fetal aortic valvuloplasty may reverse hydrops and enable. Second trimester fetuses with critical aor tic stenosis AS , dilated. Since December we have attempted 15 fetal aortic. In 3 fetuses impaired right ventricular filling had resulted. Of the 5 patients. Of the 9 fetuses with technical. In 4 of them this w as the only.

One child needed a coarctation repair, 3 underwent. In selected fetuses with cr itical AS in-utero valvuloplasty has the. Mid-term Result of Surgical Repair in Patients with.

Double Outlet Right V entr icle. The aim of this study was to review characteristics and. Between January and August , patients. We re viewed their medical record. Fallot group was 96, ventricular septal defect VSD group was 49,.

Biventricular repair performed in Fiv e-year surviv al rate was Ther e were 7 early. Repai red mean a ge was 4. In BV group, main causes of reoperation w ere conduit fail ure,.

In SV group, they were pulmonary arter iovenous. In spite of various features of DOR V , their sur vival. We conclude that single. Augustin, Germany , Ger many.

Sankt Augustin, Germany , Germany. The aim of this study was to analyze mid-term results. Between and , 27 patients pts with complex. Median age at operation was 3.

No g radient on LVOT w as noticed. All pts are in sinus rhythm and one pt is on. With the technical aspects of this procedure w ell. High incidence of MR in infants associated with. Earlier indication of Ross-. Konno operation in infants might prevent development of EFE,. T ransposition of the Great Arter ies with V entr icular. Septal Defect and Pulmonary Stenosis: Louis University School of Medicine, St. Andrew C Fiore, St.

The optimal surgical treatment of patients with. This report reviews our years experience. Between and , 40 patients median age, 4years. Foll ow-up was availab le for all. The R VOT was. Three patients required a pacemaker. There was one early and tw o late deaths and one heart. Univariate risk factors for death or. Freedom fr om conduit. Multivariate analysis revealed that the risks. The R O is a low-risk operation with regard to early.

Surgical treatment of the transposition of the great. Katrin Wey and, Germany. The purpose of this study was to evaluate midterm. Between and , 41 patients pts with well. In 4 pts a total cavopulmonary anastomosis. TCPC was performed because of unfavorable intracardiac. The median age at final operation was 1. On the last ECHO, all pts but one sho wed a good.

The Rastelli operation suffers by a high re-. Nikaidoh operation has a potential to minimize utilization of. TCPC used in the past for unfavorable intracardiac anatomy. Early Mechanical V alve Replacement? Irreparable mitral pathology may lead to early mitral. Often, a small mechanical. The aim of this study was to evaluate interval annular. Between and , children underw ent. MVR; of these children median age: MVR only at time of initial implant.

The data support somatic growth of the mitral. Additionally , there was a statistically significant. Relationship between Administration of Intravenous. T o evaluate the effectiveness of intravenous immuno-. Method A questionnaire form and guideline for KD were. The median age of KD patients was 2.

Si x therap y schemes of IVI G were admini stered. Results Among all, the. Lower incidence of CAL complications Endothelial progenitor cells and arterial function in the. T o investigate endothelial progenitor cells level and ultrasound. Group2, n 5 20 , and control group Group3, n 5 Flow-mediated dilation in three groups were. Group 2, Group 1 vs Group 3, Gr oup 2 vs Group 3, all. Group 1 vs Group 3, p , 0. Group1 vs Group3, p , 0.

Multiple linear regressions identified flow-mediated dilation and. Our findings suggest that systemic arterial dysfunction. Coronary Artery Lesions in The Adolescents and. Coronary artery lesions CALs late after Kawasaki. W e investigated 6 sites with localized stenosis,. NC , and dense calcium DC areas. Qualitatively , the normal.

Quantitatively , a combined. KD , and therefore warrant further investigation. Objective Measurement of Mitral V alve Thickness in. Children with and without Rheumatic Heart Disease.

Mitral valve MV leaflet thickening is a well-recognised. W e aimed to establish methodology for, and define. Prospective screening study conducted in a high risk. Standard 2-dimensional and colour-. Doppler echocardiography on students aged 10—13 years using. Anterior mitral valve leaflet AMVL thickness was measured in. Posterior mitral valve leaflet. PMVL mid-point thickness was measured in mid-diastole.

Measurements from students with nor mal. There were statistically significant differences between. Measurements were repr oducible with. W e have developed an objectiv e standardised method for. Children with RHD had significantly thicker mitral valve.

Inter-observer comparison of the Vivid E measurements with. Fudan University , China. T o investigate the correlation among single nucleotide. KD in the late convalescence period of KD. CRP gene were 2. Endothelial microparticles for assessment of vascular. Nongnuch Sirachainan, Department of Pediatrics, Ramathibodi. Kawasaki disease KD is an arteritis syndrome affecting young c hildren.

Numerous reports demonstrated pathological and immunological me-. EMPs may play a role in. W e attempted to character ize the level of EMPs in. Blood samples from patients with Kawasaki disease were. Fresh heparinized venous blood. The samples were incub ated and immunolabelled with annexin V ,.

CD, and CD62E before flow cy tometric immunophenotyping. Demographic data and other standard laborator y studies were also. There were 12 cases of acute KD with age ranging from. Comparing to age-match healthy infant, the EMPs. One patient with EMPs. Analysis of EMPs is a promising tool for assessing. The changes in the level of EMPs are more. Morphology of ventr icular scoop in atrioventricular septal.

Since previous anatomical studies. W e examined 43 hear t specimens: In 16 hearts with complete for m, the scoop extended. By contrast, none of the other. Hearts with the extension had significantly nar rower diameters of. Howev er, when the diameters were stratified with scoop. The antero-superiorly extended and skewed scoop. Therefore, the antero-superior extension should require recogni-. V alves Compared to Unicuspid or Tricuspid Ones.

Dilatation of the ascending aorta in adults with bicuspid. Possible dilatation of the aorta. The aortas were measured at 6 sites in 89 cases with BAV ,. The TA V cases were selected to. The ages with BA V ranged from stillbor n to 69 years,. The deficient commissure in BA V cases was.

The only commissure present with U A V was. Apart from smaller aortic valve. The aver age ascending ao rtic diame ters w ere. The aortas were not dilated in these cases with BAV. Further study is required to assess the histology of the aortas in. Phenotypic features, cardiovascular manifestations and. Center , Kochi, India, India. Many of the patients reported are. Mutation of SCL2A10 gene chromo-. T o describe phenotypic features, ar terial manifestations.

Prospective, hospital-based, observ ational study conducted. Five consecutive patients with. All 5 patients presented in infancy and belonged to same. Phenotypic features are depict ed in T able, and. All presented with respiratory symptoms, betw een 1—9. Echocardio graphy and multislice CT. Branch pulmonary artery stenosis was present in tw o. T wo surviving patients 10 and 14 months ol d show. SCL2A10 mutation has been ruled-. Common phenotypic features in patient cohort. Downslanting palpebral fissures in all 5 patients.

Generalized hypotonia in all 5 patients. Prominent, visible arterial pulsations in the neck and axillary. This cohort appears to be a unique, more lethal. Genetic studies are underway to identify the. A Prospective Study in a Community Hospital in. O, Kochi, Kerala, India, India. A large proportion of neonates born with congenital. T o examine the feasibility of development of a clinical. All consecutive newborns born in a secondary level. The on-site pediatrician did.

A study nurse recorded pulse oxymetry. Echocardiography was performed on site in all newborns. Of babies screened, had CHD. Univ ariate predictors of CHD included. On multiv ariate analysis, murmur OR 5 5. Clinical evaluation immediately after birth has a very. A 6-week clinical evaluation is recommended to ensure that. Mean platelet volume is a predictor of 22q T rust, United Kingdom. T o investigate whether mean platelet volume may be a.

Retrospective analysis of mean. Hospital, between August and June A mean platelet volume of. T wenty one children were 22q11 positive. Platelet counts were significantly lower in the 22q This finding should aid rapid decision-making for. In Scandinavia, LQT founder. In Sweden we hav e, so far, identified Presently , YC constitutes almost a third of all identified. LQTS mutations in probands analyzed at the Department of. The founder mutation concept is based on genealogical,.

A common founder for 9. In March , investigations to determine the age of the. Ergometry in Patients with Pediatric Heart Disease. Nearly T ests Later! Stress testing poses problems in clinical practice in.

Subjects exercised on a semi-recumbent cycle ergometer. Measurements w ere made at rest, during eac h. The protocol was adapted to.

T esting was not done routinely in children less than 8. Since we have performed stress. Our stress echocardiography protocol allows us to.

A case control study of neurodevelopmental outcome in. Improvements in neonatal and infant surgery. There is a well founded concern that a significant number of. Causes and promoters of NDI are present at every stage from. This prospective population based case control study. W e recruited infants who had.

Circulatory arrest was not employed in the cardiac surger y group. Developmental outcomes were measured using the Bayley Scales. Early results confirm a significant level of NDI in. Cardiac surgery group 49 41 Control infants 15 10 Resting MRI does not predict ventricular dysfunction. T o investigate the potential for exercise to reveal occult. W e conducted a prospective study of controls n 5 25 and.

Those with T OF were. Functional M-mode and tissue Doppler data was obtained for. In those with TOF ,. Data were compared between groups using standard statistical. Resting echocardiography detected abnormalities of r ight but.

VO2 at cardiopulmonary stress testing R 5 0. Exercise reveals evidence of L V. Establishing a congenital cardiac surgery program in. The impact of Inter national,. Population of Pakistan -. Lack of awareness, infra-structure, and. T o emphasize the importance of collaboration and. Collaboration established in phases with. Phase One was training of personal, procurement of.

Phase T wo saw collaboration with. Distribution of open heart surger ies Distribution of closed heart surger ies Median age at surgery , 4. Our mortality is comparable to reports from. Economic Evaluation of Palivizumab in Children with. Respiratory syncitial virus RSV is a common cause. In children with congenital heart. T o assess cost-savings, cost-effectiveness and cost-utility of.

Children who received palivizumab from — Direct costs w ere obtained from hospital. Indirect costs were estimated from govern-. W e assessed the incremental cost of the program,.

After accounting for the costs of. Palivizumab is clinically-effective in terms of. Howev er, the cost of. Given the financial constraints in public. Neoaortic valve function 10—18 years after arterial switch. Arterial switch operation ASO is currently a procedure of choice. During the procedure, the valves ar e not.

The aim of this paper is to evaluate neoaortic valve function, the. Within the analyzed group, the frequency of regurgitations. No severe regurgitations requiring a reoperation. Neoaortic valve regurgitation arises and develops gradually. Long-term Results of Modified Fontan Operation. Atrioventricular V alve Regurgitation. T o examine the long-term outcome of modified. Fontan operation mFO concomitant with valve surgery against.

W e retrospectively review ed children. Significantly higher proportion of patients have hetero-. Preoperative grading of AVV regurgita-. Surgical techniques to cor rect valve incompetence included. Kaye-Reed methods, and edge-to-edge repair methods, which. Actuar ial survival were Freedom from re-intervention including all.

Long-term sur vivor show ed. Single ventricular patients with A VV regurgitation. Howev er, further improvement of valv e surger y is required. Surgical repair for congenital mitral valve dysplasia: MV dysplasia and to determine predictors for late postoperative.

Sixtyone patients were in the. All patients underwent successful MV repair. T welve patients underwent MV. Stenosis is a statist ically significant risk factor for. Conservative mitral surgery approach shows accep-. Long-term survival and freedom from reintervention in. Congenital aortic stenosis AS in children is initially. W e compared freedom from re-intervention. W e reviewed patients with congenital AS who. Number of reinterv entions,.

Mean age was 4. First intervention was OC in 47 patients and BV in. A VR as a second intervention. There were 16 deaths, 5 in OC and 11 in BV group during follow-up. After OC 1, 5 and year freedom from second intervention.

After BV 1, 5. One, 5 and year survival after OC was One, 5 and year survival after. In the first year after inter vention there is a higher. Ho wever , there were no. Congenital Left-to-right Shunts with Severe Pulmonary. Compar ison of Outcomes of. Return to Sign Up. Free Online Website Malware Scanner check website for malware and vulnerability exploits online. Sitescan report Scanned files analysis Additional information Blacklisting status Warning: Malware Detected On This Website!

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Circulation ;[suppl I] I; 4. Effect of Ischemic Postconditioning in Infant with. T etralogy of Fallot. W anjun Luo, Xiangy a Hospital, China.

The postoperative course in children with cyanotic. The ischemic postconditioning provide. W e conducted a randomized. Sixty and six children with tetralogy of Fallot were. The ischemic postconditioning was performed by intermittent. The morbidity, mortality ,. The two groups were comparable.

There w ere one death. The troponin I was significantly lower P , 0. The study suggests that ischemic postconditioning. Differential Neuronal V ulnerability varies according to. W e used a piglet model with different mechanisms of. Eighty piglets assigned to bypass groups with different. TOI and oxyhemoglobin HbO2 nadir time. Significant neuronal damage was observed in cortex,. TOI and HbO2 nadir time predicted degree of injur y. Histological damage in cortex and Purkinje cells was not.

Neurological recovery was significantly. V ulnerability of neurons depends on the mechanism. NIRS can predict injury. Injury to hippocampal neurons which are critical to memory. Surgeons in Ireland, Dublin, Ireland. Multiple organ dysfunction MOD following cardi-. Using a juvenile porcine CPB and circulatory arrest. Five experiments were completed at 8hr s,. A low cardiac output state developed in all cases at.

Cardiac injury manifested as a troponin peak at 6hrs. Pulmonary injury was demon-. These changes w ere preceded. Renal injury presented as progressive tubular structural. Throughout this period, renal NIRS readings. Post-operative pulmonary dysfunction appears. The study was designed to evaluate the reliability and. After Institutional Ethics Committee approval and.

CO was calculated by flow measurement. The level of patient. Median age range was 2. Median number of PF measurements per patient was 53 21— Mean CI 5 3. One third of patients had.

COMRI affected agreement r 51 0. Preliminary data demonstrate that CI is not accurate. Recruitment of patients with more. Exercise induces significant biventricular intraventricular. T o investigate the effect of exercise on right R V and.

W e prospectively studied 29 children with TOF with. Dyssynchrony results were compared. Controls and patients with TOF were of similar age and. Although the exercise capacity of those with TOF was. Exercise induces significant LV and R V intraventri-. Controls Children with TOF p value. Age at study years Pulse oximetry screening POS in newborns can reduce. POS has been proposed as an effective, non inv asive,. Aim of the study: T est the hypothesis that POS can reduce the.

Prospective multicenter trial in Saxony , Ger many. From July —June , newborns from POS was true positive in. Sensitivity , specificity, positi ve and negative pr edictive. False positive results leading to. N-terminal pro-B-type natr iuretic peptide NT -. In adults, it is predictive of outcome. Patients admitted for acute CHF between May and. July , were enrolled. Patients less than 3 months of age or those. NT - proBNP levels were obtained.

NT -proBNP levels were — times above normal. NT -proBNP decreased more rapidly in patients who did not. Of those patients on mechanical. NT -proBNP levels are extremely elevated in acute. NT-pr oBNP did not correlate with clinical measures. NT -proBNP did not predict the need for mechanical support.

Howev er, the rate of decline may be useful in deter mining which. Effect of selective alpha 1 receptor agonist in the. The study was designed to examine the effect of. Methods Fifty nine children 23 male, 36 female,. University First Hospital were included in the study and clinical. They were randomally divided into group I with. Head-up tilt test under quiet. At the end of follo w-up, the cure. Results The cure rate at the. The effective rate at the end of follow-up in group.

II and group III. And the time of symptom improvement in. Ethnic Group Differences in the Perinatal Antecedents of. United States are overweight body mass index [BMI].

Overweight preschool-aged children are. Little is known about the. Representative samples — of the National. Mexican Amer ican children were. Chi square analysis showed that breastfeeding had a. Mexican American and non-Hispanic black mother s. Obesity in children as young as preschool age is.

Minority women should not. The University of Melbourne, Australia. Murdoch Childrens Research Institute 2. University of Melbourne 3. University of Melbourne, 3. Monash Medical Centre 2. To in vestigate the emo tional impac t on parents of t heir.

Surgery may r esult in paren ts being. They ex perience uncertainty. Mothers and fathers were recruited if their baby had. Ninety nine families participated in the study. The study found significant emotional trauma in parents.

It suggests that a. Patients with congenital heart disease CHD associated with. We recently show ed. Heterotaxy is characterized by dis-. As mucociliary clearance requires airway. T o test this hypothesis, we recruited Panel review of nNO, ciliary motion and EM data led. Giv en heterotaxy and PCD. Those with confir med ciliary dysfunction. Such change in the standard of care may impro ve. Disease and Increased Postoperativ e Respiratory. Patients with heterotaxy and complex congenital heart disease.

CHD undergo cardiac surgery with high mortality and. Recent studies have revealed an association betw een. W e undertook a retrospective review of patients undergoing. Reviewed were post-surg ical outcomes of 87 patients with CHD. As controls, cardiac surgical patients with CHD ,. Surgical r isks and. Our results showed the mean length of post-operativ e hos pital. All with p , 0. In conclusion, our findings show heterotaxy patients had more.

This was associated with an increased risk for. Pulmonary venous anatomy and incidence of obstruction. Retrospective review of patients undergoing repair of. TAPVC , n 5 63 from Normal PV anatomy having non-obstr ucti ve PVs, well-. Presence of PV anomaly was associated with a higher. TAPVCs n 5 10 , whereas it occur red constantly up to 3 years. T otal Cavopulmonary Connection: Extra-cardiac conduit total cav opul monary connection.

In this study the clinical results of this. Since , patients. Surgical r esults an d hemody namic v ariables w ere review ed. Follo w-up time was 6.

There were no operative death. Actuarial surv ival rate was Eight patients had reoperation. Six patients had catheter intervention for branch pulmonary.

Nineteen patients developed late complication including. Freedom from Fontan-related ev ents was The incidence of late complication was not. Late cardiac catheterization for. No patient sho wed conduit stenosis. Biointegration and growth of porcine valved pulmonary.

Glaucio Furlanetto, Instituto Furlanetto , Brazil. T o date, there is no suitable valved conduit for small. Of the 8 sur vivors. The average weight of the animals was 4.

The radiographic analysis did not reveal significant. Histological analysis of the grafts demonstrated total integ ration. Functional evaluation, echocardiographic analysis and. Finding a mutation in an ion channel gene in Long. QT syndrome allows the accurate identification of other family. Long QT syndrome being missense mutations, frequently novel,. W e present a new model that combines an analysis of 5. Complete sequencing of six. Likelihood ratios strongly favouring pathogenicity were.

The described model provides an objective tool to. Asymptomatic ventricular preexcitation mimicking. V entr icular preexcitation is common. W e demonstrated a causal relationship between. All had v entr icular preexcitation on the ECG,. None had had a documented tachyarrhythmia; how ever all. Diagnostic cardiac catheterization was performed. Eight of the 10 patients underwent EP study ,. The AP had a right sided septal location in 7, and was a. All APs were successfully ablated; 2 patients.

Right sided septal APs with overt preexcitation may. Radiofrequency ablation procedures in children under. Radiofrequency ablation RFA has been shown to. Thirty six procedures were done in 29 patients Diagnoses were atrio-ventr icular bypass tracts 12 ,.

Fifteen presented with severe congestive heart. In 3 patients RFA was not done. VT , and in 1 of 2 patients with congenital JET 1 cured,. One infant with multifocal atrial tachycardia. RFA is effective in infants with tachyarrhythmia. The procedure should be reserved. Homemonitoring in young patients with a congenital. Children and young adults with a congenital heart disease.

CHD show a wide spectrum of cardiac arrhythmias. In 7 of 8 pat ients specifi c event reports w ere recei ved. More than epi sodes w ere reported. In three patie nts the reported events w ere of critical.

Patients with a CHD and progressive arrhythmia and. The integrated monitoring system. Additionally it ser ves to. The online information system extends medical care.

Chronic dual chamber pacing improves relative aortic. Congenital complete heart block CCHB has been associated to. W e aim to descr ibe our experience on the effects of chronic PM. Retrospective review of echocardiograms was per-. Z-scores of aortic segments were analyzed. T wenty-five patients met inclusion criteria. Z-score of the aortic valve annulus was similar before and. While within normal limits, the Z-score of ortic root ratio.

Ascending aorta dilation is present in a large. Our observations of relativ e. AsAo regression following chronic dual chamber pacing support. Long-term effect of exercise-induced hypertension in. Exercise-induced hypertension in patients with suc-. Its clinical importance is an ongoing debate, and. The aim of this study was to look at long-term outcome in.

All underwent standard echo-. There were no cardiovascular deaths during follow-up. The two groups remained as defined groups thr oughout the. The number of patients who had star ted. At follow-up the left ventricular mass divided. Demographic data, resting systolic blood pressure and. Regarding the r isk of developing resting hypertension.

Age at repair months Age at Follow-up Yrs Quality of outcome for patients with double inlet left. Double-inlet-left-ventricle DIL V and similar pathologies are.

This is best managed pre-emptively. W e evaluated late outcomes using this approach with a. Quality indicators noted included. This subset may be better. PA banding whilst those without AAO can be well managed by a. Cardiac Surgery for children from developing countries:. T o evaluate the short term results of a single center. Chain of Hope as part of a multif aceted approach to developing. Cardiac surgery can be offered to children from. Close co-operation between local referring centers.

Difficulties and possible solutions in establishing pediatric. Lahore, Pakistan, P akistan. Establishment of pediatric cardiac ser vices in. In Pakistan with population of 16 millions, about. T o analyze difficulties and propose solutions, in. It is a multidisciplin-. Pediatric cardiac program at CH started in So far we have performed surgery on.

The cost for an open. This is still too much for a poor patient. Despite improved infrastructure and skills, the logistics,. With continued deter mination and philanthropic. Outcomes for the Fetus with Hypoplastic Left Heart. A Stratification Scheme for Prenatal. HLHS remains one of the most challenging for ms of. Advances in fetal imaging have. Accurate prenatal counseling depends upon knowledge of the most. W e repor t on early outcomes for the fetus.

Survival is defined as alive at discharge following. Risk factors analyzed were: Outcome from point of fetal diagnosis is shown in table. Anatomical subtype of HLHS did not relate to survival. Early survival for the fetus with HLHS, with no. Our study provides for a means of stratifying.

Fetal aortic valvuloplasty may reverse hydrops and enable. Second trimester fetuses with critical aor tic stenosis AS , dilated. Since December we have attempted 15 fetal aortic. In 3 fetuses impaired right ventricular filling had resulted.

Of the 5 patients. Of the 9 fetuses with technical. In 4 of them this w as the only. One child needed a coarctation repair, 3 underwent. In selected fetuses with cr itical AS in-utero valvuloplasty has the. Mid-term Result of Surgical Repair in Patients with.

Double Outlet Right V entr icle. The aim of this study was to review characteristics and. Between January and August , patients. We re viewed their medical record. Fallot group was 96, ventricular septal defect VSD group was 49,. Biventricular repair performed in Fiv e-year surviv al rate was Ther e were 7 early.

Repai red mean a ge was 4. In BV group, main causes of reoperation w ere conduit fail ure,. In SV group, they were pulmonary arter iovenous. In spite of various features of DOR V , their sur vival. We conclude that single. Augustin, Germany , Ger many.

Sankt Augustin, Germany , Germany. The aim of this study was to analyze mid-term results. Between and , 27 patients pts with complex. Median age at operation was 3. No g radient on LVOT w as noticed. All pts are in sinus rhythm and one pt is on. With the technical aspects of this procedure w ell.

High incidence of MR in infants associated with. Earlier indication of Ross-. Konno operation in infants might prevent development of EFE,. T ransposition of the Great Arter ies with V entr icular. Septal Defect and Pulmonary Stenosis: Louis University School of Medicine, St.

Andrew C Fiore, St. The optimal surgical treatment of patients with. This report reviews our years experience. Between and , 40 patients median age, 4years. Foll ow-up was availab le for all. The R VOT was. Three patients required a pacemaker. There was one early and tw o late deaths and one heart. Univariate risk factors for death or. Freedom fr om conduit. Multivariate analysis revealed that the risks.

The R O is a low-risk operation with regard to early. Surgical treatment of the transposition of the great. Katrin Wey and, Germany. The purpose of this study was to evaluate midterm. Between and , 41 patients pts with well.

In 4 pts a total cavopulmonary anastomosis. TCPC was performed because of unfavorable intracardiac. The median age at final operation was 1. On the last ECHO, all pts but one sho wed a good. The Rastelli operation suffers by a high re-.

Nikaidoh operation has a potential to minimize utilization of. TCPC used in the past for unfavorable intracardiac anatomy. Early Mechanical V alve Replacement? Irreparable mitral pathology may lead to early mitral. Often, a small mechanical. The aim of this study was to evaluate interval annular.

Between and , children underw ent. MVR; of these children median age: MVR only at time of initial implant. The data support somatic growth of the mitral. Additionally , there was a statistically significant. Relationship between Administration of Intravenous.

T o evaluate the effectiveness of intravenous immuno-. Method A questionnaire form and guideline for KD were. The median age of KD patients was 2.

Si x therap y schemes of IVI G were admini stered. Results Among all, the. Lower incidence of CAL complications Endothelial progenitor cells and arterial function in the. T o investigate endothelial progenitor cells level and ultrasound. Group2, n 5 20 , and control group Group3, n 5 Flow-mediated dilation in three groups were. Group 2, Group 1 vs Group 3, Gr oup 2 vs Group 3, all. Group 1 vs Group 3, p , 0. Group1 vs Group3, p , 0. Multiple linear regressions identified flow-mediated dilation and.

Our findings suggest that systemic arterial dysfunction. Coronary Artery Lesions in The Adolescents and. Coronary artery lesions CALs late after Kawasaki. W e investigated 6 sites with localized stenosis,. NC , and dense calcium DC areas. Qualitatively , the normal. Quantitatively , a combined. KD , and therefore warrant further investigation. Objective Measurement of Mitral V alve Thickness in. Children with and without Rheumatic Heart Disease.

Mitral valve MV leaflet thickening is a well-recognised. W e aimed to establish methodology for, and define. Prospective screening study conducted in a high risk. Standard 2-dimensional and colour-. Doppler echocardiography on students aged 10—13 years using. Anterior mitral valve leaflet AMVL thickness was measured in.

Posterior mitral valve leaflet. PMVL mid-point thickness was measured in mid-diastole. Measurements from students with nor mal. There were statistically significant differences between.

Measurements were repr oducible with. W e have developed an objectiv e standardised method for. Children with RHD had significantly thicker mitral valve. Inter-observer comparison of the Vivid E measurements with. Fudan University , China. T o investigate the correlation among single nucleotide. KD in the late convalescence period of KD. CRP gene were 2.

Endothelial microparticles for assessment of vascular. Nongnuch Sirachainan, Department of Pediatrics, Ramathibodi. Kawasaki disease KD is an arteritis syndrome affecting young c hildren.

Numerous reports demonstrated pathological and immunological me-. EMPs may play a role in. W e attempted to character ize the level of EMPs in. Blood samples from patients with Kawasaki disease were.

Fresh heparinized venous blood. The samples were incub ated and immunolabelled with annexin V ,. CD, and CD62E before flow cy tometric immunophenotyping. Demographic data and other standard laborator y studies were also. There were 12 cases of acute KD with age ranging from. Comparing to age-match healthy infant, the EMPs. One patient with EMPs. Analysis of EMPs is a promising tool for assessing. The changes in the level of EMPs are more. Morphology of ventr icular scoop in atrioventricular septal.

Since previous anatomical studies. W e examined 43 hear t specimens: In 16 hearts with complete for m, the scoop extended. By contrast, none of the other. Hearts with the extension had significantly nar rower diameters of. Howev er, when the diameters were stratified with scoop. The antero-superiorly extended and skewed scoop.

Therefore, the antero-superior extension should require recogni-. V alves Compared to Unicuspid or Tricuspid Ones. Dilatation of the ascending aorta in adults with bicuspid. Possible dilatation of the aorta. The aortas were measured at 6 sites in 89 cases with BAV ,. The TA V cases were selected to. The ages with BA V ranged from stillbor n to 69 years,. The deficient commissure in BA V cases was. The only commissure present with U A V was. Apart from smaller aortic valve. The aver age ascending ao rtic diame ters w ere.

The aortas were not dilated in these cases with BAV. Further study is required to assess the histology of the aortas in. Phenotypic features, cardiovascular manifestations and. Center , Kochi, India, India. Many of the patients reported are. Mutation of SCL2A10 gene chromo-. T o describe phenotypic features, ar terial manifestations.

Prospective, hospital-based, observ ational study conducted. Five consecutive patients with. All 5 patients presented in infancy and belonged to same.

Phenotypic features are depict ed in T able, and. All presented with respiratory symptoms, betw een 1—9. Echocardio graphy and multislice CT. Branch pulmonary artery stenosis was present in tw o. T wo surviving patients 10 and 14 months ol d show. SCL2A10 mutation has been ruled-. Common phenotypic features in patient cohort. Downslanting palpebral fissures in all 5 patients. Generalized hypotonia in all 5 patients. Prominent, visible arterial pulsations in the neck and axillary.

This cohort appears to be a unique, more lethal. Genetic studies are underway to identify the. A Prospective Study in a Community Hospital in. O, Kochi, Kerala, India, India.

A large proportion of neonates born with congenital. T o examine the feasibility of development of a clinical. All consecutive newborns born in a secondary level.

The on-site pediatrician did. A study nurse recorded pulse oxymetry. Echocardiography was performed on site in all newborns. Of babies screened, had CHD. Univ ariate predictors of CHD included. On multiv ariate analysis, murmur OR 5 5.

Clinical evaluation immediately after birth has a very. A 6-week clinical evaluation is recommended to ensure that. Mean platelet volume is a predictor of 22q T rust, United Kingdom. T o investigate whether mean platelet volume may be a. Retrospective analysis of mean. Hospital, between August and June A mean platelet volume of. T wenty one children were 22q11 positive. Platelet counts were significantly lower in the 22q This finding should aid rapid decision-making for. In Scandinavia, LQT founder.

In Sweden we hav e, so far, identified Presently , YC constitutes almost a third of all identified. LQTS mutations in probands analyzed at the Department of. The founder mutation concept is based on genealogical,. A common founder for 9. In March , investigations to determine the age of the. Ergometry in Patients with Pediatric Heart Disease. Nearly T ests Later! Stress testing poses problems in clinical practice in. Subjects exercised on a semi-recumbent cycle ergometer.

Measurements w ere made at rest, during eac h. The protocol was adapted to. T esting was not done routinely in children less than 8. Since we have performed stress. Our stress echocardiography protocol allows us to.

A case control study of neurodevelopmental outcome in. Improvements in neonatal and infant surgery. There is a well founded concern that a significant number of. Causes and promoters of NDI are present at every stage from. This prospective population based case control study. W e recruited infants who had. Circulatory arrest was not employed in the cardiac surger y group. Developmental outcomes were measured using the Bayley Scales. Early results confirm a significant level of NDI in. Cardiac surgery group 49 41 Control infants 15 10 Resting MRI does not predict ventricular dysfunction.

T o investigate the potential for exercise to reveal occult. W e conducted a prospective study of controls n 5 25 and. Those with T OF were. Functional M-mode and tissue Doppler data was obtained for. In those with TOF ,. Data were compared between groups using standard statistical. Resting echocardiography detected abnormalities of r ight but.

VO2 at cardiopulmonary stress testing R 5 0. Exercise reveals evidence of L V. Establishing a congenital cardiac surgery program in. The impact of Inter national,. Population of Pakistan -. Lack of awareness, infra-structure, and. T o emphasize the importance of collaboration and. Collaboration established in phases with. Phase One was training of personal, procurement of. Phase T wo saw collaboration with. Distribution of open heart surger ies Distribution of closed heart surger ies Median age at surgery , 4.

Our mortality is comparable to reports from. Economic Evaluation of Palivizumab in Children with. Respiratory syncitial virus RSV is a common cause. Weekly newsletter contains information on the following topics: Recent blog posts with malware analysis of websites detected by online website scanner Promotional offers on anti-malware services and products when available Tips and best-practices on web security Top news in information security.

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