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Pediatric Atrial Septal Defects

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Minimally Invasive Surgery vs Device Closure for Atrial Septal Defects: A Systematic Review and Meta-analysis.

Konstantinos S Mylonas, Ioannis A Ziogas, Alexandros Evangeliou, Pouya Hemmati, Dimitrios Schizas, Panagiotis G Sfyridis, Konstantinos P Economopoulos, Christos Bakoyiannis, Alkistis Kapelouzou, Aphrodite Tzifa, Dimitrios V Avgerinos,

Device closure is the first-line treatment for most atrial septal defects (ASDs). Minimally invasive cardiac surgery (MICS) has been found safe and effective for ASD closure with comparable mortality/morbidity and superior cosmetic results compared to conventional median sternotomy. Our goal was to compare percutaneous versus MICS of ASDs. A systematic ... Read more >>

Pediatr Cardiol (Pediatric cardiology)
[2020, :]

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Left ventricular unloading during extracorporeal membrane oxygenation - Impella versus atrial septal defect: A simulation study.

Arianna Di Molfetta, Iki Adachi, Gianfranco Ferrari, Maria Giulia Gagliardi, Gianluigi Perri, Roberta Iacobelli, Athar M Qureshi, Luigi Di Pasquale, Rodrigo Zea Vera, Paolo Guccione, Matteo Di Molfetta, Giovanni Alfonso Chiariello, Sergio Filippelli, Antonio Amodeo,

BACKGROUND:Atrial septal defect and Impella have been proposed for left ventricular unloading in venoarterial extracorporeal membrane oxygenation patients. This work aims at evaluating the haemodynamic changes in venoarterial extracorporeal membrane oxygenation patients after Impella implantation or atrial septal defect realization by a simulation study. METHODS:A lumped parameter model of the ... Read more >>

Int J Artif Organs (The International journal of artificial organs)
[2020, :391398820906840]

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Haploinsufficiency of AKT3 gene causing microcephaly and psychomotor delay in a patient with 1q43q44 microdeletion.

Alessandra Pelle, Piergiorgio Modena, Anna Cavallini, Angelo Selicorni,

Deletion of the 1q43q44 chromosomal region has been related to a clinical syndrome characterized by neurodevelopmental delay, intellectual disability, microcephaly, congenital abnormality of the corpus callosum, and epilepsy and dysmorphic features. A wide variability of the clinical features have been linked to the contiguous deleted genes and incomplete penetrance has ... Read more >>

Clin. Dysmorphol. (Clinical dysmorphology)
[2020, 29(2):97-100]

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Atrioventricular Valve Function Predicts Reintervention in Complete Atrioventricular Septal Defect.

Rinske Ijsselhof, Kimberlee Gauvreau, Pedro Del Nido, Meena Nathan,

OBJECTIVE:Technical performance score (TPS) has been associated with both early and late outcomes across a wide range of congenital cardiac procedures. A previous study has shown that the presence of residual lesions before discharge, as measured by TPS, is accurately able to identify patients who required postdischarge reinterventions after complete ... Read more >>

World J Pediatr Congenit Heart Surg (World journal for pediatric & congenital heart surgery)
[2020, 11(2):247-248]

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MHCA with SACP versus DHCA in Pediatric Aortic Arch Surgery: A Comparative Study.

Ling Xie, Yan Xu, Guijin Huang, Mao Ye, Xiao Hu, Shiyu Shu, Harness Lynn,

The safety and efficacy of selective antegrade cerebral perfusion (SACP) in children undergoing aortic arch surgery are unclear. In this retrospective analysis, we compared moderate hypothermic circulatory arrest (MHCA; n = 61) plus SACP vs deep hypothermic circulatory arrest (DHCA; n = 53) in children undergoing aortic arch surgery during a period from January ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):4439]

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Early and late outcomes of surgical repair of double-chambered right ventricle: a single-centre experience.

Murat Surucu, İlkay Erdoğan, Birgül Varan, Murat Özkan, N Kürşad Tokel, Sait Aşlamacı,

OBJECTIVE:Double-chambered right ventricle is characterised by division of the outlet portion of the right ventricle by hypertrophy of the septoparietal trabeculations into two parts. We aim to report our experiences regarding the presenting symptoms of double-chambered right ventricle, long-term prognosis, including the recurrence rate and incidence of arrhythmias after surgery. ... Read more >>

Cardiol Young (Cardiology in the young)
[2020, 30(3):409-412]

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Arterial-level repair of transposition of great arteries without coronary artery transfer.

Ahmed A Elassal, Gaser A Abdelmohsen, Mohamed S Elhudairy, Osman O Al-Radi,

Hypoplastic ascending aorta and interrupted aortic arch (IAA) are rarely associated with dextro-transposition of the great arteries (D-TGA). Severe hypoplastic ascending aorta may preclude coronary artery transfer making arterial switch operation problematic. We report a case of D-TGA with a large subpulmonic ventricular septal defect, IAA, and hypoplastic ascending aorta ... Read more >>

J Card Surg (Journal of cardiac surgery)
[2020, :]

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Congenital Heart Disease in the Pediatric Population in Eastern India: A Descriptive Study.

Sharmila Chatterjee, Santanu Dutta, Sumanta Ghosh, Sanchita Das, Nital Bhattachary,

This cross-sectional study assessed distribution and pattern of echocardiography confirmed congenital heart disease, among 593 pediatric patients in outpatient departments of a tertiary care hospital in eastern India. Commonest defects were ventricular septal defect (43, 40.7%), atrial septal defect (241, 31.7%), and tetralogy of Fallot (125, 21%). ... Read more >>

Indian Pediatr (Indian pediatrics)
[2020, 57(2):174-175]

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Transcatheter Closure of Perimembranous Ventricular Septal Defects Using Different Generations of Amplatzer Devices: Multicenter Experience.

Roberto Mijangos-Vázquez, Amal El-Sisi, Juan P Sandoval Jones, José A García-Montes, Rogelio Hernández-Reyes, Rodina Sobhy, Antoine Abdelmassih, Mohammed M Soliman, Safaa Ali, Tatiana Molina-Sánchez, Carlos Zabal,

Objectives:To demonstrate safety and efficacy of using different generations of softer Amplatzer™ devices for ventricular septal defect (VSD) closure to avoid serious complications at follow-up. Background:Transcatheter closure of perimembranous ventricular septal defects (PmVSD) is a well-established procedure; however, it is associated with unacceptable incidence of complete heart block. Great advantages ... Read more >>

J Interv Cardiol (Journal of Interventional Cardiology)
[2020, 2020:8948249]

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Right Atrial Myocardial Remodeling in Children With Atrial Septal Defect Involves Inflammation, Growth, Fibrosis, and Apoptosis.

Hatem Rouatbi, Nesrine Farhat, Ruth Heying, Arlette Gérard, Jaime F Vazquez-Jimenez, Marie-Christine Seghaye,

Introduction: Myocardial remodeling due to large atrial septum defect (ASD) is macroscopically characterized by dilation of the right-sided cardiac cavities secondary to volume overload, the cellular mechanisms of which are not yet understood. We postulated that inflammation, fibrosis, and cell death are actors of right atrial remodeling secondary to ASD. ... Read more >>

Front Pediatr (Frontiers in pediatrics)
[2020, 8:40]

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Malposition of left atrial disc and feasibility of recapturing Figulla-II Occlutech septal occluder.

Masood Sadiq, Ahmad U Qureshi, Zahid Amin,

We report a case of Figulla-II Occlutech septal occluder malposition with residual shunt at posteriosuperior margin of an atrial septal defect. Improvising its bioptome type delivery cable, same system was used to recapture the device and redeploy it successfully. This report highlights a potential malfunction of Figulla-II Occlutech disc and ... Read more >>

Cardiol Young (Cardiology in the young)
[2020, 30(3):444-445]

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Risk factors and outcomes of intravenous tissue plasminogen activator and endovascular thrombectomy utilization amongst pediatrics acute ischemic stroke.

Preeti Malik, Urvish K Patel, Surabhi Kaul, Ramit Singla, Tapan Kavi, Kogulavadanan Arumaithurai, Vishal B Jani,

BACKGROUND:Pediatric stroke is a debilitating disease. There are several risk factors predisposing children to this life-threatening disease. Although, published literature estimates a relatively high incidence of pediatric stroke, treatment guidelines on intravenous tissue plasminogen activator and endovascular thrombectomy utilization remain a dilemma. There is a lack of large population-based studies ... Read more >>

Int J Stroke (International journal of stroke : official journal of the International Stroke Society)
[2020, :1747493020904915]

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Modified Warden Operation With the Use of Femoral Vein Homograft for Repair of a Variant of Right-Sided Partial Anomalous Pulmonary Venous Connection.

Josue Chery, Karthik Ramakrishnan, Russel Cross, Richard A Jonas,

Surgical repair of right-sided partial anomalous pulmonary venous return (PAPVR) involves baffling the pulmonary vein across a naturally occurring or surgically created atrial septal defect without causing pulmonary venous or superior vena cava obstruction. A nine-year-old male presented to us with an unusual anatomical variant of right-sided partial anomalous pulmonary ... Read more >>

World J Pediatr Congenit Heart Surg (World journal for pediatric & congenital heart surgery)
[2020, 11(2):217-219]

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Rare Association Between Atrioventricular Septal Defect and Partial Anomalous Pulmonary Venous Connection.

Alexandre Noboru Murakami, Gabriela Guimarães Baston, Mariana Ribeiro Rodero Cardoso, Carlos Henrique De Marchi, Ulisses Alexandre Croti,

CLINICAL DATA:Infant, 7 months, female, referred to our department at one month of age, suspecting of congenital heart disease for further investigation. CHEST RADIOGRAPHY:Demonstrates cardiomegaly and prominent pulmonary vascular markings. ELECTROCARDIOGRAPHY:Shows right ventricular hypertrophy and left anterior fascicular block. ECHOCARDIOGRAPHY:Evidenced common atrioventricular valve with two orifices and the left superior ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2020, 34(6):765-768]

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Aberrant right subclavian artery with atrial septal defect: Simultaneous repair via median sternotomy.

Hina Inam, Abdul Ahad Sohail, Narmeen Asif, Waris Ahmad,

INTRODUCTION:Aberrant right subclavian artery, also known as arteria lusoria, is one of the rarer congenital vascular malformations of the left sided aortic arch which arises distal to the left subclavian artery, following a retroesophageal course to the right side causing compression of the trachea or esophagus and resulting in a ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2020, 67:30-33]

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Transcatheter closure of atrial septal defect with Chinese and Thai nitinol wire mesh occluders in adult patients.

Filip Tyc, Alexander Suchodolski, Mateusz Knop, Dominika Rojczyk, Michał Gałeczka, Sebastian Smerdziński, Małgorzata Szkutnik, Jacek Białkowski, Roland Fiszer,

Kardiol Pol (Kardiologia polska)
[2020, 78(1):68-70]

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ASSURED clinical study: New GORE® CARDIOFORM ASD occluder for transcatheter closure of atrial septal defect.

Robert J Sommer, Barry A Love, Joseph A Paolillo, Robert G Gray, Bryan H Goldstein, Gareth J Morgan, Matthew J Gillespie, ,

OBJECTIVE:Assess clinical performance of a new device for transcatheter closure of atrial septal defect (ASD). BACKGROUND:Previously-approved ASD Closure devices have known limitations. Device erosion has been associated with the AMPLATZER® septal occluder in patients with retro-aortic rim deficiency (<5 mm), while defects ≥18 mm are too large for the GORE® CARDIOFORM septal ... Read more >>

Catheter Cardiovasc Interv (Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions)
[2020, :]

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Use of the GORE® CARDIOFORM Septal Occluder for percutaneous closure of secundum atrial septal defects: Results of the multicenter U.S. IDE trial.

Matthew J Gillespie, Alexander J Javois, Phillip Moore, Thomas Forbes, Joseph A Paolillo, ,

OBJECTIVE:To evaluate safety and efficacy of the GORE® CARDIOFORM Septal Occluder for percutaneous transcatheter closure of ostium secundum atrial septal defects. BACKGROUND:The GORE® CARDIOFORM septal occluder is a double-disc, low profile, soft, conformable device, with distinct advantages over the GORE® HELEX® Septal Occluder. METHODS:Subjects were enrolled in this single arm ... Read more >>

Catheter Cardiovasc Interv (Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions)
[2020, :]

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Reversible atrioventricular block after atrial septal defect closure with a Gore Cardioform Septal Occluder.

Marc Figueras-Coll, Anna Sabaté-Rotés, Marc Roguera-Sopena, Pedro Betrián-Blasco,

Arch Cardiol Mex (Archivos de cardiologia de Mexico)
[2020, 90(1):90-92]

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Twenty-Three-Year Experience With the Arterial Switch Operation: Expectations and Long-Term Outcomes.

Charles D Fraser, Martin A Chacon-Portillo, Andrew Well, Rodrigo Zea-Vera, Ziyad Binsalamah, Iki Adachi, Carlos M Mery, Jeffrey S Heinle,

We aimed to describe the short- and long-term outcomes of patients after an arterial switch operation (ASO) at a single institution during a 23-year period. A retrospective chart review of all patients <18 months of age who underwent an ASO between January 1995 and March 2018 at Texas Children's Hospital, ... Read more >>

Semin. Thorac. Cardiovasc. Surg. (Seminars in thoracic and cardiovascular surgery)
[2020, :]

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In Hospital Complications of Atrial Septal Defect Device Closure at Shahid Gangalal National Heart Centre, Kathmandu, Nepal.

Chandra Mani Adhikari, Kiran Prasad Acharya, Amrit Bogati, Sachin Dhungel, Manish Shrestha,

BACKGROUND:Atrial deptal defect device closure has become the preferred method in the treatment of atrial septal defect. We aim to study the in-hospital complications of atrial septal defect device closure procedure. METHODS:It was a single center, retrospective study conducted from Febuary 2016 to January 2019. Cardiac catheterization laboratory records of ... Read more >>

J Nepal Health Res Counc (Journal of Nepal Health Research Council)
[2020, 17(4):474-478]

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Simulation of Transcatheter Atrial and Ventricular Septal Defect Device Closure Within Three-Dimensional Echocardiography-Derived Heart Models on Screen and in Virtual Reality.

Hannah H Nam, Christian Herz, Andras Lasso, Simon Drouin, Adriana Posada, Brian Morray, Michael L O'Byrne, Beatriz Paniagua, Denise Joffe, Burkhard Mackensen, Lindsay Rogers, Gabor Fichtinger, Matthew A Jolley,

J Am Soc Echocardiogr (Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography)
[2020, :]

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Here today, gone tomorrow: Outcomes of residual leak following secundum atrial septal defect closure with the GORE CARDIOFORM Septal Occluder.

Brent M Gordon, Islam Abudayyeh, Jake Goble, Nancy A Collado, Joseph Paolillo,

OBJECTIVE:To assess the outcomes and potential predictors of residual leak after implantation of the GORE CARDIOFORM Septal Occluder (GSO) in secundum atrial septal defects (ASDs). BACKGROUND:The non-self-centering design of the GSO could lead to residual leak at the edge of the device. Outcomes of residual leak are poorly understood. METHODS:Retrospective, ... Read more >>

Catheter Cardiovasc Interv (Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions)
[2019, :]

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Does Early Drain Removal Affect Postoperative Pericardial Effusion after Congenital Cardiac Surgery?

Young Eun Kim, Hanna Jung, Joon Yong Cho, Yeo Hyang Kim, Myung Chul Hyun, Youngok Lee,

Background:Patients undergoing cardiac surgery require postoperative chest drainage. However, the drain is difficult to keep in place in children with congenital heart disease. Since 2015, at Kyungpook National University Hospital, the chest tube is removed on postoperative day 1 in patients who have undergone simple congenital cardiac surgery (i.e., closure ... Read more >>

Korean J Thorac Cardiovasc Surg (The Korean journal of thoracic and cardiovascular surgery)
[2020, 53(1):16-21]

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Influence of Percutaneous Occlusion of Atrial Septal Defect on Left Atrial Function Evaluated Using 2D Speckle Tracking Echocardiography.

Kazutaka Suzuki, Taichi Kato, Satoshi Koyama, Tsutomu Shinohara, Sachiko Inukai, Jun Sato, Hidenori Yamamoto, Daisuke Omori, Shuichiro Yoshida, Sho Takeda, Hiroshi Nishikawa, Naoki Ohashi, Hajime Sakurai, Shinji Saitoh,

Percutaneous occlusion of atrial septal defect (ASD) has recently become a standard therapeutic strategy, but little is known about left atrial (LA) function thereafter. The present study aimed to determine LA function in 43 children with ASD and 13 controls based on LA strain measured by two-dimensional echocardiographic speckle tracking ... Read more >>

Int Heart J (International heart journal)
[2020, 61(1):83-88]

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