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  • Open Access

    CASE REPORT

    Persistent Left Superior Vena Cava with Severely Dilated Coronary Sinus: A Rare Case Report of Failed CRT-P and Successful Dual-Chamber Pacemaker Implantation

    Khaled Elenizi1, Abdullah Sharaf Aldeen2, Nasser Alotaibi3,*, Nagy Fagir2, Hussien Hado2, Mubarak Aldossari2
    Congenital Heart Disease, DOI:10.32604/chd.2025.071226
    Abstract Persistent left superior vena cava (PLSVC) is a rare congenital anomaly that may complicate cardiac procedures when associated with a dilated coronary sinus (CS) and conduction disturbances. We report the case of a 27-year-old male with Wilson’s disease who presented with complete heart block. Echocardiography showed biatrial enlargement and severe CS dilation, while contrast-enhanced computed tomography (CT) confirmed PLSVC draining into the CS without a bridging vein. Anatomical constraints prevented cardiac resynchronization therapy, and dual-chamber pacemaker implantation proved technically challenging due to lead placement difficulties. This case highlights the importance of thorough preoperative assessment and More >

  • Open Access

    ARTICLE

    The Relationship Between Intraoperative Blood Pressure Levels and Severe Adverse Outcomes in Elderly Patients Undergoing Noncardiac Surgery: A Single-Center Experience in China

    Dehua Wu*, Yanxuan Shi, Weixing Wang, Jiawen Tang, Tao Zhu, Guoqing Ding
    Congenital Heart Disease, DOI:10.32604/chd.2025.070946
    Abstract Objective: The correlation between intraoperative blood pressure thresholds and the incidence of severe adverse postoperative outcomes in geriatric patients undergoing noncardiac surgery remains inadequately characterized. This study aims to assess the association between intraoperative hypotension (IOH) parameters—specifically blood pressure thresholds and duration—and severe adverse outcomes in geriatric patients. Methods: A retrospective evaluation was performed on 846 elderly patients who underwent non-cardiac surgical procedures at Shanghai Songjiang District Hospital in China, from 01 January 2020, to 31 December 2021. Forty-one patients meeting specific exclusion criteria were excluded from the analysis, yielding a final sample size of 805.… More >

  • Open Access

    ARTICLE

    Causal Relationships between Anxiety, Depression, Their Influencing Factors, and Chronic Heart Failure: A Mendelian Randomization Study

    Gui-lian He1,2, Jun Chen1, Zhong-yong Liu2, Zeng-guang Fan2, Ping Liu1,3,*
    Congenital Heart Disease, DOI:10.32604/chd.2025.067855
    Abstract Background: Chronic heart failure (CHF) is a major cardiovascular disease linked to mental health, lifestyle, and socioeconomic factors. This study aims to assess the causal relationships between genetically predicted anxiety, depression, their influencing factors, and CHF risk. Methods: A two-sample bidirectional mendelian randomization (MR) analysis was conducted using genetic variants from large-scale GWAS as instrumental variables. Exposures included genetically predicted anxiety, depression, C-reactive protein (CRP), interleukin-6 (IL-6), smoking, physical activity, education level, and socioeconomic factors (number in household, and number of vehicles in a household). Causal effects were assessed using inverse variance weighted (IVW), MR-Egger, Simple… More >

  • Open Access

    ARTICLE

    Increased Incidence of Congenital Heart Disease during the COVID-19 Pandemic in 492,662 Newborns: Multicenter Observational Study

    Lanqing Qu1,2,#, Jinbiao Zhang1,2,#, Wei Jiang1,2, Jiayu Zhang1,2, Die Li1, Wei Cheng3, Linghua Tao4, Hongdan Zhu5, Jing Li6, Min Xue7, Feng Chen8, Cuicui Xu9, Qiang Shu1,2,*, Weize Xu1,2,*
    Congenital Heart Disease, DOI:10.32604/chd.2025.066258
    Abstract Background: Congenital heart disease (CHD) is the most common congenital anomaly, but whether the COVID-19 pandemic affects its prevalence is unknown. We aimed to compare the incidence of CHD during the COVID-19 pandemic with that before the pandemic in China. Methods: This multicenter retrospective observational study involved all newborns in seven representative cities of China between 01 September 2019, and 31 December 2021. All the newborns underwent pulse oximetry monitoring combined with cardiac murmur auscultation in the first 6 h to 72 h after birth for CHD screening. We defined fetuses born in and beyond September… More >