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  • Open Access

    CASE REPORT

    Prenatal Diagnosis of an Apically Located Congenital Left Ventricular Aneurysm: A Rare Case

    Yücel Kaya1,*, And Yavuz1, Hasan Berkan Sayal1, Büşra Tsakir1, Gökalp Kabacaoğlu1, Kadriye Nilay Özcan2

    Congenital Heart Disease, Vol.19, No.1, pp. 123-129, 2024, DOI:10.32604/chd.2024.048145

    Abstract Congenital ventricular aneurysm is a very rare cardiac anomaly. A diagnosis can be made during the prenatal period using fetal echocardiography. This study presents a very rare apically located left ventricular aneurysm case, and the relevant literature was reviewed and discussed. In this case, a 35-year-old, gravida 2, parity 1 pregnant woman at 24 weeks of gestation, displayed a wide aneurysmal image in the left ventricular apical wall on fetal echocardiography. There was a 1.79 mm muscular ventricular septal defect at the apical region of the interventricular septum. In the course of the color Doppler ultrasonography examination, an aberrant fibrous… More >

  • Open Access

    ARTICLE

    Association of Congenital Heart Defects (CHD) with Factors Related to Maternal Health and Pregnancy in Newborns in Puerto Rico

    Yamixa Delgado1,*, Caliani Gaytan1, Naydi Perez2, Eric Miranda3, Bryan Colón Morales1, Mónica Santos1

    Congenital Heart Disease, Vol.19, No.1, pp. 19-31, 2024, DOI:10.32604/chd.2024.046339

    Abstract Background: Given the pervasive issues of obesity and diabetes both in Puerto Rico and the broader United States, there is a compelling need to investigate the intricate interplay among body mass index (BMI), pregestational, and gestational maternal diabetes, and their potential impact on the occurrence of congenital heart defects (CHD) during neonatal development. Methods: Using the comprehensive System of Vigilance and Surveillance of Congenital Defects in Puerto Rico, we conducted a focused analysis on neonates diagnosed with CHD between 2016 and 2020. Our assessment encompassed a range of variables, including maternal age, gestational age, BMI, pregestational diabetes, gestational diabetes, hypertension,… More >

  • Open Access

    CASE REPORT

    Implementation of a High-Risk Outpatient Clinic for Children with Complex Congenital Heart Disease in a Reference Service in Brazil

    Gustavo Foronda1,2, Vanessa Ferreira Amorim de Melo2,3,*, Claudia Regina Pinheiro de Castro Grau4, Ingrid Magatti Piva1, Glaucia Maria Penha Tavares4, Ana Cristina Sayuri Tanaka1, Nana Miura1

    Congenital Heart Disease, Vol.18, No.6, pp. 649-656, 2023, DOI:10.32604/chd.2023.027987

    Abstract Background: Children with congenital heart disease (CHD), even after surgical approaches, and especially those who undergo staged procedures in the first months of life, remain vulnerable to readmissions and complications, requiring very close monitoring and differentiated intervention strategies. Methods: Descriptive and exploratory study, of the experience report type, which presents the process of building the high-risk outpatient clinic for complex congenital heart diseases (AAR) at the Instituto do Coração (InCor). Results: Report of the path taken to structure the AAR, demonstrating the organization, interface with the multidisciplinary team, admission and discharge criteria, training, and patient profile. In these five years… More >

  • Open Access

    ARTICLE

    Real-Time Remote-Mentored Echocardiography in Management of Newborns with Critical Congenital Heart Defects

    Håvard Bjerkeseth Solvin1,2,5,*, Simone Goa Diab1,4, Ole Jakob Elle2,3, Henrik Holmstrøm1,4, Henrik Brun2,4,*

    Congenital Heart Disease, Vol.18, No.5, pp. 551-559, 2023, DOI:10.32604/chd.2023.031537

    Abstract Background: The management of suspected critical congenital heart defects (CCHD) relies on timely echocardiographic diagnosis. The availability of experienced echocardiographers is limited or even non-existent in many hospitals with obstetric units. This study evaluates remote-mentored echocardiography performed by physicians without experience in imaging of congenital heart defects (CHD). Methods: The setup included a pediatric cardiologist in a separate room, guiding a physician without experience in echocardiographic imaging of CHD in the examination of a symptomatic newborn. This remote-mentoring pair was blinded to the diagnosis of the newborn and presented with a simplified patient history. The echocardiographic images were streamed to… More > Graphic Abstract

    Real-Time Remote-Mentored Echocardiography in Management of Newborns with Critical Congenital Heart Defects

  • Open Access

    ARTICLE

    Maternal Vascular Dysfunction in Congenital Heart Defects

    Yanli Liu1,2, Fengzhen Han2, Jian Zhuang4, Yanqiu Ou4, Yanji Qu5, Yanyan Lin2, Weina Zhang2, Haiping Wang3,*, Liping Huang1,*

    Congenital Heart Disease, Vol.18, No.5, pp. 561-570, 2023, DOI:10.32604/chd.2023.030511

    Abstract Background: Research on fetal congenital heart defect (CHD) mostly focuses on etiology and mechanisms. However, studies on maternal complications or pathophysiology are limited. Our objective was to determine whether vascular dysfunction exists in pregnant women carrying a fetus with congenital heart defects. Methods: We conducted a case-control study. 27 cases of pregnant women carrying a fetus with major CHD admitted to our hospital for delivery between April 2021 and August 2022 were selected. Every case was matched with about 2 pregnant complication-free controls without fetal abnormalities. The proangiogenic and anti-angiogenic factors and pregnancy outcomes were compared. Results: The proangiogenic factors… More > Graphic Abstract

    Maternal Vascular Dysfunction in Congenital Heart Defects

  • Open Access

    CASE REPORT

    Pentalogy of Cantrell with Pentalogy of Fallot and Left Ventricular Diverticulum

    Weimin Zhang, Zheng Liu, Tao Zhu, Qiang Huo*

    Congenital Heart Disease, Vol.18, No.1, pp. 73-78, 2023, DOI:10.32604/chd.2023.026404

    Abstract Pentalogy of Cantrell is a congenital anomaly characterized by a combination of birth defects involving the sternum, diaphragm, pericardium, abdominal wall, and heart. Pentalogy of Cantrell is a rare anomaly with high mortality. This paper describes the treatment of a 9-month-old girl with pentalogy of Cantrell, pentalogy of Fallot, and left ventricular diverticulum. The patient is alive and well 13 years after surgery. More >

  • Open Access

    ARTICLE

    An Effective Machine-Learning Based Feature Extraction/Recognition Model for Fetal Heart Defect Detection from 2D Ultrasonic Imageries

    Bingzheng Wu1, Peizhong Liu1, Huiling Wu2, Shunlan Liu2, Shaozheng He2, Guorong Lv2,3,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.134, No.2, pp. 1069-1089, 2023, DOI:10.32604/cmes.2022.020870

    Abstract Congenital heart defect, accounting for about 30% of congenital defects, is the most common one. Data shows that congenital heart defects have seriously affected the birth rate of healthy newborns. In Fetal and Neonatal Cardiology, medical imaging technology (2D ultrasonic, MRI) has been proved to be helpful to detect congenital defects of the fetal heart and assists sonographers in prenatal diagnosis. It is a highly complex task to recognize 2D fetal heart ultrasonic standard plane (FHUSP) manually. Compared with manual identification, automatic identification through artificial intelligence can save a lot of time, ensure the efficiency of diagnosis, and improve the… More >

  • Open Access

    ARTICLE

    Effectiveness of Bilateral Pulmonary Artery Banding in Patients with Hypoplastic Left Heart Syndrome and Congenital Heart Defects with A Functional Single Ventricle: A Single-Center Retrospective Study

    Vitaliy Suvorov1,*, Vladimir Zaitcev1, Karolina Andrzejczyk2

    Congenital Heart Disease, Vol.17, No.3, pp. 365-374, 2022, DOI:10.32604/chd.2022.019126

    Abstract Background: Bilateral banding of the branches of the pulmonary artery in patients with hypoplastic left heart syndrome (HLHS) and other duct dependent critical neonatal heart malformations can significantly reduce the incidence of severe complications in the postoperative period, especially in severely unstable patients. In our study we compared different surgical techniques of bilateral pulmonary artery banding (PAB) in respect to their success in balancing systemic and pulmonary blood flow. Methods: We included 44 neonates with a HLHS and congenital heart diseases (CHD) with a functional single ventricle underwent a hybrid operation: bilateral PAB and patent ductus arteriosus stenting. The hybrid… More >

  • Open Access

    ARTICLE

    Epicardial Versus Endocardial Pacemakers in the Pediatric Population: A Comparative Inquiry

    Mohammadrafie Khorgami1, Ali Sadeghpour Tabaei2,*, Elio Caruso3,*, Silvia Farruggio3, Negar Omidi4, Maryam Moradian1, Behzad Mohammadpour Ahranjani5, Zahra Khajali6 and Rahele Zamani1

    Congenital Heart Disease, Vol.16, No.6, pp. 573-584, 2021, DOI:10.32604/CHD.2021.016271

    Abstract Background: Most children in need of cardiac pacemakers remain dependent on the function of the permanent from childhood to adulthood. We sought to evaluate and compare the function between epicardial and endocardial pacemakers in pediatric groups with different conditions. Methods: Between 2012 and 2018, this single-canter study evaluated 44 pediatric patients with indications for epicardial or endocardial pacemakers. Results: The 2 groups, at a median age of 5 (0.1–16) years, were compared concerning the characteristics of the leads used (n = 80: bipolar, unipolar, steroid-eluting, and non–steroid-eluting), survival data, and complications. The reason for pacemaker implantation was congenital complete heart… More >

  • Open Access

    ARTICLE

    Hypertension and Heart Failure as Predictors of Mortality in an Adult Congenital Heart Defect Population

    Cheryl Raskind-Hood1,*, Kashaine A. Gray2,3, Jayne Morgan3, Wendy M. Book4,*

    Congenital Heart Disease, Vol.16, No.4, pp. 333-355, 2021, DOI:10.32604/CHD.2021.014384

    Abstract Early intervention to prevent premature mortality is vital for adults with congenital heart defects (CHD). Anatomic complexity and comorbid conditions are thought to contribute to CHD mortality. Since hypertension (HTN) and heart failure (HF) are the comorbid conditions among the most prevalent causes of death in the United States, and commonly accompany CHD, it is crucial to evaluate whether they are reliable predictors of mortality for adults with CHD (ACHD) independent of anatomic CHD complexity. A retrospective cross-sectional analysis of ACHD, aged 18–64, with concomitant HTN and/or HF and at least one health care encounter during 2008–2010 were assessed. Of… More >

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