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 Received: 2 June 2020 / Accepted: 16 June 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 the following: (1) transcatheter closure of sinus venous atrial septal defect which is feasible in adults with careful planning, (2) exercise echocardiography in children with hypertrophic cardiomyopathy which was found to be very helpful to identify low-risk patients when there is no gradient at rest or during exercise, (3) features of Fontan patients with normal exercise capacity who typically report more active life style and have less complications during the post-Fontan admissions, (4) the natural history of Anderson-Tawil syndrome which is characterized by high incidence of life-threatening arrhythmogenic events especially when there is history of syncope, ventricular tachycardia, or the use of amiodarone, (5) pulmonary artery banding in complete atrioventricular septal defects which were found to be a safe alternative to early complete repair and served as a bridge to biventricular repair with variable effect on common atrioventricular valve regurgitation and (6) tricuspid valve interventions (TVI) in patients undergoing pulmonary valve replacement (PVR) which further reduce tricuspid regurgitation beyond what is expected in PVR alone without increasing early complications or hospital length of stay. Keywords Fontan · Tetralogy of fallot · Anderson-Tawil syndrome · Sinus venosus atrial septal defect · Stress echocardiogram · Hypertrophic cardiomyopathy
Transcatheter Correction of Superior Sinus Venosus ASDs [1] In this article, the authors reviewed 48 consecutive cases of adults with sinus venous ASD referred to a single center for treatment. Pre-procedural cross-sectional imaging with simulation by 3D printing or virtual 3D modeling was performed. 25/48 (52%) underwent transcatheter repair, 6 patients were awaiting procedure at the time of publication, and the 17/38 (35%) underwent surgical repair. Surgical repair was performed due to unsuitable anatomy in 8, need for other procedures in 4, and provider and patient preference in 5 patients. The procedure included balloon inflation testing with transesophageal echocardiography to ensure the * Tarek Alsaied [email protected] 1
Heart Institute, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
2
defect is occluded and the right upper pulmonary vein is unobstructed. This is followed by deploying a 10-zig covered Cheatham stent with a second uncovered stent needed in 9 patients to anchor in the SVC. The right upper pulmonary ve
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