From Other Journals: A Review of Recent Articles in Pediatric Cardiology
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REVIEW ARTICLE
From Other Journals: A Review of Recent Articles in Pediatric Cardiology Tarek Alsaied1,2 · Awais Ashfaq1,3 Received: 28 July 2020 / Accepted: 19 August 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract In this review, we provide a brief description of recently published articles addressing topics relevant to pediatric cardiologists. Our hope is to provide a summary of the latest articles published recently in other journals in our field. The articles address (1) pulmonary valve repair in patients with tetralogy of Fallot and in patients with congenital pulmonary stenosis which seems to be a promising technique in selected patients, (2) the use of Losartan in patients with Marfan syndrome mostly in addition to beta blockers may result in a lower aortic root dilation rate and better clinical outcomes, (3) a summary of the characteristics of adults with congenital heart disease in the USA showed a wide variation in prevalence, associated morbidities, health care utilization and insurance type in different locations in the USA, (4) a large single center study confirmed that right ventricular morphology is associated with worse outcomes after the Fontan operation and that atrioventricular valve regurgitation is an important predictor of worse outcomes and precedes ventricular dysfunction post Fontan operation, (5) a large study describing the multi system inflammatory syndrome in children temporarily related to the COVID-19 pandemic in the USA showing that ventricular dysfunction is the most common cardiac manifestation (6) the reality of “limping to transplantation” showing that patients with one or more modifiable risk factors including mechanical ventilation, kidney or liver dysfunction are at significant increase risk post cardiac transplantation. Keywords Pulmonary valve repair · Tetralogy of Fallot · Marfan syndrome · Adults with congenital heart disease · Heart transplantation · Multisystem inflammatory syndrome in children In this review, we provide a brief description of recently published articles addressing topics relevant to pediatric cardiologists. Our hope is to provide a summary of the latest articles published in other journals in our field.
* Tarek Alsaied [email protected] 1
Heart Institute, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA
2
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
3
Heart Institute, Johns Hopkins All Children’s Hospital, St. Petersburg, FL, USA
Secondary Repair of Incompetent Pulmonary Valves After Previous Surgery or Intervention: Patient Selection and Outcomes [1] Pulmonary valve (PV) regurgitation (PR) is common after intervention for tetralogy of Fallot and congenital pulmonary stenosis. PV repair is an alternative to replacement (PVR) although selection criteria are not established. This study sought to clarify preoperative variables associated with successful PV repair and to compare outcomes between repair and
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