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  • Open Access

    CASE REPORT

    One-and-a-Half Ventricle Repair with Hemi-Mustard/Bidirectional Glenn/Rastelli Procedure in a Patient with Double Outlet Right Ventricle and Atrioventricular Discordance: A Case Report

    Kai Luo#, Jinghao Zheng#, Yanjun Pan, Zhongqun Zhu, Xiaomin He*, Hao Zhang*

    Structural and Congenital Heart Disease, Vol.21, No.2, 2026, DOI:10.32604/schd.2026.078290 - 11 June 2026

    Abstract Background Double outlet right ventricle (DORV) is a complex congenital heart disease with significant anatomical variations. Patients with atrioventricular discordance have traditionally been managed with univentricular palliation strategies. However, advances in surgical concepts and techniques have enabled biventricular or one-and-a-half ventricle repair in selected patients, even after prior palliation. Case presentation We report a case of a 32-year-old woman with DORV and atrioventricular discordance who successfully underwent conversion to a one-and-a-half ventricle circulation using a combined Hemi-Mustard/Rastelli procedure with preservation of a pre-existing bidirectional Glenn shunt, performed 18 years after initial palliation. Conclusion This case More >

  • Open Access

    CASE REPORT

    Anesthesia-Induced Atrioventricular Block Predicted by Exercise Stress Test: A Case Report

    Shotaro Nozaki, Hiroyuki Oikawa, Naofumi F. Sumitomo*, Kentaro Tomita, Satoshi Narumi

    Structural and Congenital Heart Disease, Vol.21, No.2, 2026, DOI:10.32604/schd.2026.076771 - 11 June 2026

    Abstract Background: Many anesthetics suppress atrioventricular conduction and may exacerbate atrioventricular block (AVB), which has led to the establishment of pediatric perioperative guidelines. However, the perioperative management of patients with a history of AVB who have recovered to an apparent sinus rhythm remains unclear. Case presentation: We report the case of a 13-year-old girl who developed complete AVB following surgery for congenital heart disease in infancy and subsequently recovered sinus rhythm. She experienced a recurrence of AVB after anesthesia induction for scoliosis surgery. An implantable pacemaker was inserted in infancy after the onset of complete AVB.… More >

  • Open Access

    ARTICLE

    Explainable Segmentation-Guided Mamba-Transformer Framework for Automated Cardiovascular Disease Detection

    Ghada Atteia1, Abdulaziz Altamimi2, Nihal Abuzinadah3, Khaled Alnowaiser4, Muhammad Umer5,*, Yunyoung Nam6, Yongwon Cho6,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.147, No.1, 2026, DOI:10.32604/cmes.2026.078510 - 27 April 2026

    Abstract Cardiovascular diseases (CVD) remain the leading cause of global mortality, making early and accurate diagnosis essential for improving patient outcomes. However, most existing deep learning approaches address cardiac image segmentation or disease classification independently, limiting their effectiveness in complex clinical decision-making scenarios. In this study, we propose an explainable spatio-temporal deep learning framework that integrates segmentation-guided representation learning with efficient temporal modeling for automated CVD detection. The proposed architecture incorporates the Segment Anything Model for Medical Imaging in 2D (SAM-Med2D) to achieve accurate cardiac structure segmentation, followed by Mamba-based temporal feature extraction and Transformer-driven spatial… More >

  • Open Access

    REVIEW

    Targeting Inflammation in Coronary Artery

    Michael I. Bukrinsky1, Alessio L. Ravani2, Anastasia V. Poznyak3,*

    BIOCELL, Vol.50, No.4, 2026, DOI:10.32604/biocell.2026.072752 - 21 April 2026

    Abstract Atherosclerosis (AS) is a key contributor to ischemic heart disease, resulting in significant cardiovascular (CV) morbidity and mortality worldwide. Despite advancements in managing conventional risk factors, including the utilization of statins, recurrent adverse cardiovascular events remain prevalent, emphasizing the need for novel therapeutic strategies. This review explores the critical role of inflammation in the pathogenesis of coronary artery disease (CAD) and highlights potential atheroprotective approaches targeting inflammatory pathways. We discuss the multifaceted interplay between immune responses and AS, detailing the contributions of myeloid cells, T lymphocytes, and various cytokines in plaque formation and instability. Recent More >

  • Open Access

    REVIEW

    Research Advances on the Mechanisms and Clinical Outcomes of Hyperglycemia in Pregnancy Leading to Congenital Heart Disease in Offspring

    Jiafei He1,2, Ailixiati Alifu2, Haifan Wang2, Renwei Chen1,2,*

    Structural and Congenital Heart Disease, Vol.21, No.1, 2026, DOI:10.32604/schd.2026.075858 - 31 March 2026

    Abstract Hyperglycemia in pregnancy (HIP) is an important independent risk factor for congenital heart disease (CHD) in offspring. With an increasing number of women of childbearing age experiencing gestational hyperglycemia, the impact of an intrauterine hyperglycemic environment on fetal development has drawn significant attention. However, the teratogenic mechanisms underlying its effects on cardiac development remain incompletely understood. This review systematically analyzes relevant literature to summarize its underlying mechanisms and key findings: A hyperglycemic environment disrupts cardiac neural crest cell migration, differentiation, and the proliferation/apoptosis balance of cardiomyocytes by inducing oxidative stress, endoplasmic reticulum stress, and inflammatory… More >

  • Open Access

    REVIEW

    Understanding Endoplasmic Reticulum Stress as a Central Driver of Atherosclerosis

    Alessio L. Ravani1, Michael I. Bukrinsky2, Anastasia V. Poznyak3,*

    BIOCELL, Vol.50, No.3, 2026, DOI:10.32604/biocell.2025.074266 - 23 March 2026

    Abstract Atherosclerosis (AS) remains a major contributor to cardiovascular disease (CVD) mortality worldwide. Its development involves dysregulated lipid handling, persistent vascular inflammation, and endothelial cell (EC) dysfunction, influenced by genetic, environmental, and lifestyle factors. Increasing evidence highlights a pivotal role of endoplasmic reticulum (ER) stress as a molecular link between lipid dysregulation and inflammatory signaling in AS pathogenesis. ER stress is triggered by modified LDL, oxidized lipids, hyperhomocysteinemia, oxidative stress (OS), and disrupted calcium (Ca2+) homeostasis, leading to activation of the unfolded protein response (UPR). Core UPR mediators—inositol-requiring enzyme 1 (IRE1), protein kinase RNA-like ER kinase (PERK),… More >

  • Open Access

    ARTICLE

    Robust and Efficient Federated Learning for Machinery Fault Diagnosis in Internet of Things

    Zhen Wu1,2, Hao Liu3, Linlin Zhang4, Zehui Zhang5,*, Jie Wu1, Haibin He1, Bin Zhou6

    CMC-Computers, Materials & Continua, Vol.87, No.1, 2026, DOI:10.32604/cmc.2025.075156 - 10 February 2026

    Abstract Recently, Internet of Things (IoT) has been increasingly integrated into the automotive sector, enabling the development of diverse applications such as the Internet of Vehicles (IoV) and intelligent connected vehicles. Leveraging IoV technologies, operational data from core vehicle components can be collected and analyzed to construct fault diagnosis models, thereby enhancing vehicle safety. However, automakers often struggle to acquire sufficient fault data to support effective model training. To address this challenge, a robust and efficient federated learning method (REFL) is constructed for machinery fault diagnosis in collaborative IoV, which can organize multiple companies to collaboratively More >

  • Open Access

    REVIEW

    Molecular and Cellular Mechanisms of Neutrophil Extracellular Traps in Cardiovascular Diseases: From NET Formation to Mechanistic Therapeutic Targeting

    Rasit Dinc1, Nurittin Ardic2,*

    BIOCELL, Vol.50, No.1, 2026, DOI:10.32604/biocell.2025.072337 - 23 January 2026

    Abstract Neutrophil extracellular traps (NETs) have emerged as key mediators of cardiovascular diseases (CVDs), linking innate immune activation to vascular injury, thrombosis, and maladaptive remodeling. This review synthesizes recent insights into the molecular and cellular pathways driving NET formation, including post-translational modifications, metabolic reprogramming, inflammasome signaling, and autophagy. It highlights the role of NETs in atherosclerosis, thrombosis, myocardial ischemia-reperfusion injury, and hypertension, emphasizing common control points such as peptidylarginine deiminase 4 (PAD4)-dependent histone citrullination and nicotinamide adenine dinucleotide phosphate oxidases 2 (NOX2)-mediated oxidative stress. Mechanistic interpretation of circulating biomarkers, including myeloperoxidase (MPO)-DNA complexes, citrullinated histone H3,… More >

  • Open Access

    ARTICLE

    A Secure and Efficient Distributed Authentication Scheme for IoV with Reputation-Driven Consensus and SM9

    Hui Wei1,2, Zhanfei Ma1,3,*, Jing Jiang1, Bisheng Wang1, Zhong Di1

    CMC-Computers, Materials & Continua, Vol.86, No.1, pp. 1-25, 2026, DOI:10.32604/cmc.2025.069236 - 10 November 2025

    Abstract The Internet of Vehicles (IoV) operates in highly dynamic and open network environments and faces serious challenges in secure and real-time authentication and consensus mechanisms. Existing methods often suffer from complex certificate management, inefficient consensus protocols, and poor resilience in high-frequency communication, resulting in high latency, poor scalability, and unstable network performance. To address these issues, this paper proposes a secure and efficient distributed authentication scheme for IoV with reputation-driven consensus and SM9. First, this paper proposes a decentralized authentication architecture that utilizes the certificate-free feature of SM9, enabling lightweight authentication and key negotiation, thereby… More >

  • Open Access

    ARTICLE

    Pulmonary Valve Preservation without Right Ventriculotomy in Biventricular Repair of Atrioventricular Septal Defect with Tetralogy of Fallot or Double-Outlet Right Ventricle

    Jae Hong Lee1, Seung Min Baek2, Hye Won Kwon3, Sungkyu Cho3,4, Jae Gun Kwak3,4, Woong-Han Kim3,4,5,*

    Congenital Heart Disease, Vol.20, No.6, pp. 647-658, 2025, DOI:10.32604/chd.2025.075046 - 10 February 2026

    Abstract Background: We evaluated surgical outcomes of biventricular repair for atrioventricular septal defect (AVSD) with tetralogy of Fallot (TOF) or double-outlet right ventricle (DORV). Methods: This retrospective pilot study included 12 patients who underwent biventricular repair of AVSD with TOF (n = 6) or DORV (n = 6) between 2004 and 2023. Right ventricular outflow tract (RVOT) reconstruction was performed using transannular patch (TAP, n = 4) or pulmonary valve preservation (PVP, n = 8). Clinical outcomes, including longitudinal pulmonary valve growth, RVOT obstruction, and pulmonary regurgitation, were reviewed descriptively, with particular focus on the feasibility of PVP.… More >

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