http://www.annalspc.com/currentissue.asp Table of Contents:Ann Pediatr Card 2009 - 2(2) Dalvi Bharat Editorial Annals of Pediatric Cardiology 2009 2(2):109-1100974-2069 Dalvi Bharat

Annals of Pediatric Cardiology 2009 2(2):109-110

]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=109;epage=110;aulast=Dalvi Francis Edwin, Gayathri S, Vaidyanathan Balu, Kannan B.R.J, Kumar R Krishna Original Article Annals of Pediatric Cardiology 2009 2(2):111-1150974-2069 Francis Edwin, Gayathri S, Vaidyanathan Balu, Kannan B.R.J, Kumar R Krishna

Annals of Pediatric Cardiology 2009 2(2):111-115

Background: Management of native uncomplicated coarctation in neonates remains controversial with current evidence favoring surgery. The logistics of organizing surgical repair at short notice in sick infants with critical coarctation can be challenging. Methods and Results: We reviewed data of 10 infants (mean age of 2.9 ±1.6 weeks) who underwent catheter intervention for severe coarctation and left ventricular (LV) dysfunction between July 2003 and August 2007. Additional cardiac lesions were present in 7. Mean systolic gradient declined from 51±12 mm Hg to 8.7±6.7 mm Hg after dilation. The coarctation segment was stented in five patients. Procedural success was achieved in all patients with no mortality. Complications included brief cardiopulmonary arrest (n =1), sepsis (n = 1) and temporary pulse loss (n = 2). LV dysfunction improved in all patients. Average ICU stay was 5±3.4 days and hospital stay was 6.5±3.4 days. On follow-up (14.1±10.5 months), all developed restenosis after median period of 12 weeks (range four to 28 weeks). Three (two with stents) underwent elective coarctation repair, two underwent ventricular septal defect (VSD) closure and coarctation repair and one underwent pulmonary artery (PA) banding. Two patients who developed restenosis on follow-up were advised surgery, but did not report. Two (one with stent) underwent redilatation and are being followed with no significant residual gradients. Conclusion : Balloon dilation ± stenting is an effective interim palliation for infants and newborns with critical coarctation and LV dysfunction. Restenosis is inevitable and requires to be addressed.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=111;epage=115;aulast=Francis Rao P Syamasundar Invited Comment Annals of Pediatric Cardiology 2009 2(2):116-1190974-2069 Rao P Syamasundar

Annals of Pediatric Cardiology 2009 2(2):116-119

]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=116;epage=119;aulast=Rao Mosalli Rafat, AlFaleh Khalid, Paes Bosco Original Article Annals of Pediatric Cardiology 2009 2(2):120-1260974-2069 Mosalli Rafat, AlFaleh Khalid, Paes Bosco

Annals of Pediatric Cardiology 2009 2(2):120-126

Objectives :To investigate the effectiveness and safety of prophylactic surgical ligation of patent ductus arteriosus (PDA) on mortality and morbidity of preterm infants weighing less than 1000 g at birth. Materials :The study conducted a systematic search of available database from 1996-2008. Retrieved articles were assessed for eligibility and data was abstracted independently by two reviewers. Decisions to include studies for review and the methodological quality of included studies were asssessed in duplicate based on predetermined criteria. No language restrictions were applied. Results :Only one eligible study that enrolled 84 extremely low birth weight infants was identified. Prophylactic surgical ligation of PDA resulted in a statistically significant reduction of severe stage II or III necrotizing enterocolitis, [RR 0.25, 95% CI (0.08, 0.83), P value 0.02, number needed to treat 5]. The study, however, found no statistically significant difference in mortality, intraventricular hemorrhage, bronchopulmonary dysplasia, and retinopathy of prematurity. Conclusions :Current evidence does not support the use of prophylactic surgical ligation of PDA in the management of the preterm infants.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=120;epage=126;aulast=Mosalli Sundaram P Shanmuga, Padma S Review Article Annals of Pediatric Cardiology 2009 2(2):127-1390974-2069 Sundaram P Shanmuga, Padma S

Annals of Pediatric Cardiology 2009 2(2):127-139

Diagnostic and prognostic power of myocardial perfusion imaging in patients with coronary artery disease has been demonstrated with planar imaging which was further improvised with addition of gated SPECT and newer Technetium labeled myocardial perfusion tracers like SestaMIBI, Tetrofosmin. Myocardial perfusion abnormalities at rest and after stress are considered to be the best predictors of cardiac event-free survival in adults with ischemic heart disease. This article highlights various myocardial perfusion imaging (MPI)radiopharmaceuticals, exercise procedures, pharmacological stress protocols, indications for MPI and myocardial perfusion patterns in children with some of the common congenital and acquired heart diseases.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=127;epage=139;aulast=Sundaram Kumar R Krishna Perspective Annals of Pediatric Cardiology 2009 2(2):140-1450974-2069 Kumar R Krishna

Annals of Pediatric Cardiology 2009 2(2):140-145

Pediatric cardiac specialties, pediatric cardiology (pediatric cardiac surgery and pediatric cardiac anesthesiology and intensive care) are only now being recognized as distinct specialties in most parts of the world. There has been a tremendous growth in knowledge in these specialties in the last 30-40 years with dramatic improvements in outcome. Pediatric cardiac care thrives on team work. The cohesiveness of the team of caregivers has a direct impact on the patient outcomes and efficiency of the system. The development of hybrid heart procedures in pediatric heart care represents an important benchmark in a team-based approach to patient care where a group of specialists with specific skills work closely together for ensuring the best possible patient outcome. Establishment of a cohesive team requires organization of group of team members with diverse skills to come together through good mutual understanding, under a leadership that actively promotes team harmony. Excellent communication among team members is a core requirement. The barriers for development and sustenance of a successful team must be recognized and overcome. They include egos of key team members as a source of conflict, time for interactions, disproportionate rewards and recognition for members of the team and traditional hierarchical arrangements. Special attention must be paid to motivating non-physician staff.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=140;epage=145;aulast=Kumar Restall Roger Down Memory Lane Annals of Pediatric Cardiology 2009 2(2):146-1480974-2069 Restall Roger

Annals of Pediatric Cardiology 2009 2(2):146-148

]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=146;epage=148;aulast=Restall Jain Shreepal, Vaidyanathan Balu OPINION POLL Annals of Pediatric Cardiology 2009 2(2):149-1520974-2069 Jain Shreepal, Vaidyanathan Balu

Annals of Pediatric Cardiology 2009 2(2):149-152

]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=149;epage=152;aulast=Jain Changela Vishal P, Pujar Suresh, Maheshwari Sunita Case Report Annals of Pediatric Cardiology 2009 2(2):153-1550974-2069 Changela Vishal P, Pujar Suresh, Maheshwari Sunita

Annals of Pediatric Cardiology 2009 2(2):153-155

We report a case of a 6-day-old neonate referred to us for surgical correction of total anomalous pulmonary venous connection. Meticulous evaluation contributed to accurate diagnosis of associated unilateral pulmonary venous atresia. This unique association provides insights into the importance of evaluation of all pulmonary veins using various imaging tools.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=153;epage=155;aulast=Changela Vora Amit, Lokhandwala Yash, Sheth Chirag, Dalvi Bharat Case Report Annals of Pediatric Cardiology 2009 2(2):156-1580974-2069 Vora Amit, Lokhandwala Yash, Sheth Chirag, Dalvi Bharat

Annals of Pediatric Cardiology 2009 2(2):156-158

We report an unusual presentation of supraventricular tachycardia, in an infant, with cyanosis. The child had atrial septal defect with hypoplastic right ventricle. Radiofrequency ablation was performed in view of drug resistant SVT]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=156;epage=158;aulast=Vora Koh Ghee Tiong, AI Mokthar Sharifah, Hamzah Amir, Kaur Jasvinder Case Report Annals of Pediatric Cardiology 2009 2(2):159-1610974-2069 Koh Ghee Tiong, AI Mokthar Sharifah, Hamzah Amir, Kaur Jasvinder

Annals of Pediatric Cardiology 2009 2(2):159-161

We report a case of transcatheter closure of patent ductus arteriosus using the new Amplatzer duct occluder II in an adult patient with interrupted inferior vena cava with azygous continuation via the femoral artery approach.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=159;epage=161;aulast=Koh Patel Nehal H, Madan Tarun H, Panchal Amar M, Thakkar Bhavesh M Case Report Annals of Pediatric Cardiology 2009 2(2):162-1640974-2069 Patel Nehal H, Madan Tarun H, Panchal Amar M, Thakkar Bhavesh M

Annals of Pediatric Cardiology 2009 2(2):162-164

Transcatheter closure of patent ductus arteriosus (PDA) using various occluders and coils via femoral vein is a well established therapeutic option. However, in patients with interrupted inferior vena cava (IVC) it is not feasible to close the PDA percutaneously using traditional methods. We present a nine-year-old girl with IVC interruption in whom percutaneous closure of PDA was successfully accomplished via the transjugular approach.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=162;epage=164;aulast=Patel Changela Vishal, Maheshwari Sunita, Bhat Meenakshi Case Report Annals of Pediatric Cardiology 2009 2(2):165-1660974-2069 Changela Vishal, Maheshwari Sunita, Bhat Meenakshi

Annals of Pediatric Cardiology 2009 2(2):165-166

We report a rare case of Williams syndrome associated with Ebstein's anomaly of the tricuspid valve. To our knowledge, such an association has never been reported.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=165;epage=166;aulast=Changela Malav Ishwar Chandra, Kothari S S Case Report Annals of Pediatric Cardiology 2009 2(2):167-1690974-2069 Malav Ishwar Chandra, Kothari S S

Annals of Pediatric Cardiology 2009 2(2):167-169

A 4-year-old boy with hypertension due to renal artery stenosis and neurofibromatosis type 1 is presented for its rarity. Renal artery stenosis due to neurofibromatosis is underrecognized and may masquerade Takayasu's arteritis in Asian children.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=167;epage=169;aulast=Malav Patted Suresh V, Halkati Prabhu C, Yavagal Suresh T, Patil Ravikant Case Report Annals of Pediatric Cardiology 2009 2(2):170-1720974-2069 Patted Suresh V, Halkati Prabhu C, Yavagal Suresh T, Patil Ravikant

Annals of Pediatric Cardiology 2009 2(2):170-172

The prevalence of fungal infections in newborns and small infants is on the rise consequent to the improved care and survival of preterm babies. Most of these premature infants are immunocompromised and subjected to invasive monitoring and therapy in neonatal intensive care units making them susceptible to nosocomial infections. We report a rare case of right ventricular mass secondary to candida krusei infection which was excised surgically. This article reemphasizes the importance of stringent aseptic practices in neonatal intensive care units to prevent nosocomial infections and the early use of echocardiography in neonates presenting with atypical unexplained symptoms to hasten diagnosis and facilitate timely intervention.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=170;epage=172;aulast=Patted Pawar Ravindra, Kasar Pankaj, Garekar Swati, Kulkarni Snehal Case Report Annals of Pediatric Cardiology 2009 2(2):173-1740974-2069 Pawar Ravindra, Kasar Pankaj, Garekar Swati, Kulkarni Snehal

Annals of Pediatric Cardiology 2009 2(2):173-174

We report the use of Bosentan in the post-operative period of a neonate with obstructed infradiaphragmatic total anomalous pulmonary venous connection and severe pulmonary arterial hypertension. To our knowledge, this is the first report of use of Bosentan in this situation.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=173;epage=174;aulast=Pawar Kumar Jamuna, Hegde Rajesh, Maheshwari Sunita, Rao Shekar Case Report Annals of Pediatric Cardiology 2009 2(2):175-1760974-2069 Kumar Jamuna, Hegde Rajesh, Maheshwari Sunita, Rao Shekar

Annals of Pediatric Cardiology 2009 2(2):175-176

We report a case of a 3-year-old boy who underwent an arterial switch operation with relief of left ventricular outflow tract obstruction and later presented with recurrent episodes of flash pulmonary edema. High-flow humidified oxygen with positive pressure support (Vapotherm) was used as a treatment modality, thereby avoiding intubation and mechanical ventilation.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=175;epage=176;aulast=Kumar Singhi Anil Kumar, Kumar R Krishna Images Annals of Pediatric Cardiology 2009 2(2):177-1780974-2069 Singhi Anil Kumar, Kumar R Krishna

Annals of Pediatric Cardiology 2009 2(2):177-178

Pulmonary arteriovenous malformation (PAVM) is common after cavopulmonary anastomosis. PAVMs appear on chest X-ray film as diffuse opacity in one or both lungs. Angiographically, it appears as spidery diffuse vascularity with near simultaneous opacification of pulmonary arteries and veins.]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=177;epage=178;aulast=Singhi Talwar Sachin, Choudhary Shiv Kumar, Airan Balram SELECTED SUMMARIES Annals of Pediatric Cardiology 2009 2(2):179-1810974-2069 Talwar Sachin, Choudhary Shiv Kumar, Airan Balram

Annals of Pediatric Cardiology 2009 2(2):179-181

]]> http://www.annalspc.com/article.asp?issn=0974-2069;year=2009;volume=2;issue=2;spage=179;epage=181;aulast=Talwar