Abstract：
OBJECTIVE:To describe endovascular stent placement using partially covered stents to preserve flow in head and neck vessels. BACKGROUND:Endovascular stent placement has become established as a first-line therapy for native coarctation of the aorta or re-coarctation in older children and adults. Increasingly covered stents are becoming the preferred option over bare-metal stents because of the perceived lower risk of aneurysm formation. Open-cell bare-metal stents are chosen when there is a high likelihood of jailing a head and neck vessel. Here we describe partial uncovering of a covered stent before implantation to allow flow through the uncovered portion of the stent to the branch vessel but preserve the covering over the majority of the remaining stent. METHODS:We describe two cases with aortic arch hypoplasia and re-coarctation, both of which required two partially uncovered stents for a satisfactory result. CONCLUSIONS:Endovascular stent placement is becoming the preferred option in the management of coarctation of the aorta in older children and adults. Strategies to deal with transverse arch hypoplasia and multiple levels of aortic arch obstruction frequently involving branch vessels or aneurysms need to be considered before these procedures are embarked upon. Partially uncovering stents may afford more protection than using bare-metal stents in the transverse and distal arch while preserving flow in head and neck branches, and is a technically straightforward procedure.
journal_name
Cardiol Youngjournal_title
Cardiology in the youngauthors
Bentham JR,Oswal N,Yates Rdoi
10.1017/S1047951112000236subject
Has Abstractpub_date
2012-10-01 00:00:00pages
610-4issue
5eissn
1047-9511issn
1467-1107pii
S1047951112000236journal_volume
22pub_type
杂志文章abstract：OBJECTIVE:To document the echocardiographic features of tetralogy of Fallot during fetal and postnatal life. Correlation of echocardiographic findings with the requirement for early intervention prior to definitive repair. DESIGN:Retrospective observational study. SETTING:A tertiary fetal cardiology unit. PATIENTS:F...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：
更新日期：2003-06-01 00:00:00
abstract：:Our long-term follow-up has revealed that symmetrical development of the breasts is significantly impaired in pre-pubescent female patients subsequent to an anterolateral thoracotomy. Although standard posterolateral and anterolateral right-sided thoracotomies are used for correction of "simple" cardiac lesions such a...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：
更新日期：2003-12-01 00:00:00
abstract：:We report a case where fetal echocardiography identified both complete heart block and ventricular tachycardia. The mother tested positive for anti-Ro antibodies. Prenatal detection of this unusual combination of arrhythmias prompted early postnatal evaluation, which revealed prolongation of the QT interval. Autoimmun...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951105000673
更新日期：2005-06-01 00:00:00
abstract：:We report an unusual case of a 12-month-old boy diagnosed with anomalous origin of a single coronary artery from the pulmonary artery associated with patent ductus arteriosus. The patient survival was attributed to left-to-right shunt (patent ductus arteriosus) allowing for appropriate myocardial perfusion. Successful...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951120001328
更新日期：2020-07-01 00:00:00
abstract：:The anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva with interarterial, intramural, and/or intraconal course is a rare congenital anomaly that is associated with a high risk of sudden death in children. The Congenital Heart Surgeons' Society established the Registry of Anomalous Aortic Or...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951110001095
更新日期：2010-12-01 00:00:00
abstract：:This brief report describes a case of flail anterior tricuspid valve leaflet in a neonate associated with maternal antiphospholipid syndrome. Fetal echocardiography at 27 weeks of gestation showed competent atrioventricular valves with biventricular echogenic chordae. Fetal distress was noted at delivery, and echocard...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951117000798
更新日期：2017-10-01 00:00:00
abstract：:A 31-year-old patient previously underwent a Mustard operation presented with palpitations. Atrial tachycardia and paroxysmal atrial fibrillation were documented on the surface electrocardiogram. Under the guidance of a three-dimensional electroanatomic mapping system, ablation of the isolated left-sided pulmonary vei...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114001851
更新日期：2015-08-01 00:00:00
abstract：:We present the case studies of two adult patients with tetralogy of Fallot who were scheduled for surgery. After addressing the right ventricular outflow tract obstruction, the aorta was opened and the ventricular septal defect was approached in a straightforward manner as it was located just under the overriding aort...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951112000030
更新日期：2012-10-01 00:00:00
abstract：:Acute myocardial infarction is rarely reported in children. Most of the cases are secondary to congenital anomalies or Kawasaki disease. Coronary artery total occlusion caused by fibromuscular dysplasia has never been reported in young children. Here we report a case of a 12-year-old boy with fibromuscular dysplasia, ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951113002394
更新日期：2015-01-01 00:00:00
abstract：OBJECTIVE:Protocols for the placement of temporary pacing wires vary among institutions. Our current protocol is to selectively place temporary pacing wires in those patients who develop haemodynamically significant intra-operative arrhythmia. We wished to identify how effective our current protocol is at identifying w...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114000043
更新日期：2015-03-01 00:00:00
abstract：:An infant presented with features suggestive of an anomalous left coronary artery was found to have normal origins of both coronary arteries. Echocardiography during episodes of ischaemia showed marked aortic regurgitation with retrograde coronary flow. The left coronary leaflet was mildly hypoplastic. Surgical re-sus...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951115002024
更新日期：2015-12-01 00:00:00
abstract：:Decades ago, mass-scale epidemiologic studies were undertaken to accurately describe the prevalence of congenital heart disease and associated malformations, and to identify inheritance patterns, teratogenic influence and aetiologic underpinnings. Despite phenomenal breakthroughs in molecular diagnosis of congenital h...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951113001698
更新日期：2013-12-01 00:00:00
abstract：:In this report, a unique case of a symptomatic vascular ring formed by right aortic arch, aberrant left subclavian artery, and left ligamentum arteriosus in which there is atresia of the proximal left subclavian artery is described. Imaging modalities were non-diagnostic and the patient was sent to surgery based on st...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951118001737
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVES:To assess the volume and range of diagnosis in new patients referred to paediatric cardiac outpatient clinics. METHODS:Data was collected prospectively, using a proforma completed at all outpatient clinics over a period of three months. RESULTS:There were 526 new referrals, representing an increase of almo...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951105000090
更新日期：2005-02-01 00:00:00
abstract：:The common respiratory syncytial virus has been associated with cardiac involvement, usually tachyarrhythmias and occasionally myocarditis. A child is described who probably developed a complete heart block following respiratory syncytial bronchiolitis. Such an association needs to be considered if the heart is struct...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951109990102
更新日期：2010-02-01 00:00:00
abstract：BACKGROUND:Complete transposition is the most common form of neonatal cyanotic heart disease. The management of this condition has changed markedly in the last decade and there appears to be a significant variation between centres in terms of pre-operative management. OBJECTIVES/METHODS:We surveyed all paediatric card...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/s104795110000812x
更新日期：2000-09-01 00:00:00
abstract：:Conotruncal heart defects are considered to be one of the most common types of birth defect worldwide. Genetic disturbances in folate metabolism such as Thymidylate synthase may increase risk for conotruncal heart defects. We evaluated two common Thymidylate synthase polymorphisms, including the 28 bp tandem repeat in...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951118002184
更新日期：2018-12-21 00:00:00
abstract：BACKGROUND:Anomalous left coronary artery from the pulmonary artery is a rare congenital heart disease (CHD) with diverse clinical presentations despite the same anatomy. Factors determining this heterogeneous presentation are not well understood. METHOD AND RESULTS:We retrospectively investigated 14 patients (12 fema...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951119003299
更新日期：2020-03-01 00:00:00
abstract：:D is an 8-year-old boy brought to his paediatrician for evaluation. His mother is concerned as his teacher has been frequently complaining that he is very restless and often disturbs the rest of the class by getting up on some pretext or the other. He is unable to concentrate on his work and gets distracted very easil...
journal_title：Cardiology in the young
pub_type： 信件
doi：10.1017/S1047951115001274
更新日期：2016-01-01 00:00:00
abstract：:Atrioventricular valve regurgitation is widely known as a risk factor for Fontan completion in patients with univentricular physiology. To date, indications and timing for atrioventricular valve repair remain unclear and different surgical techniques have been advocated. Since 2013, 50 consecutive patients underwent e...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114002352
更新日期：2015-10-01 00:00:00
abstract：:Two paediatric congenital heart disease patients presented with a brief history of low-grade fever without any focal symptoms. Their clinical features and laboratory tests were unremarkable; however, their blood cultures were positive that prompted further work-up. Infective endocarditis should be considered in any pa...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795112000195X
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Few data are available on the neuropsychological, behavioural, or structural brain imaging outcomes in adolescents who underwent corrective surgery in infancy for tetralogy of Fallot. METHODS:In this single-centre cross-sectional study, we enrolled 91 adolescents (13-16 years old) with tetralogy of Fallot a...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114000031
更新日期：2015-02-01 00:00:00
abstract：:We describe 3 siblings with muscular ventricular septal defects, two requiring surgical closure. One of their offspring had a rare congenital aneurysm of the muscular ventricular septum, also requiring surgery. Another had a small muscular ventricular septal defect which closed spontaneously. Their father had echocard...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951107000996
更新日期：2007-10-01 00:00:00
abstract：BACKGROUND:Care of children with functionally univentricular hearts is resource-intensive. OBJECTIVES:To analyse pregnancy and early post-natal outcomes of fetuses with functionally univentricular hearts in the setting of a low-middle-income country. METHODS:A retrospective study was conducted during the period of Ja...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951120002929
更新日期：2020-12-01 00:00:00
abstract：:Although extrarenal manifestations of haemolytic-uraemic syndrome are not frequent, myocardial dysfunction should be given special consideration because of the importance of proper early haemodynamic management and potential complications. We report the case of a 21-month-old child with haemolytic-uraemic syndrome who...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951115002759
更新日期：2016-06-01 00:00:00
abstract：:The Amplatzer septal occluder is an alternative to operative closure of atrial septal defects within the oval fossa. An issue when deploying the device is its distance from the mitral valve. The purpose of this study is to determine how this distance changes with growth of the patient. We identified, through a review ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951104005050
更新日期：2004-10-01 00:00:00
abstract：:Persistent patency of the arterial duct represents one of the most common lesions in the field of congenital cardiac disease. The strategies for management continue to evolve. In this review, we focus on management beyond the neonatal period. We review the temporal evolution of strategies for management, illustrate th...
journal_title：Cardiology in the young
pub_type： 杂志文章,评审
doi：10.1017/S1047951107001175
更新日期：2007-09-01 00:00:00
abstract：:There exists a population of adults with undiagnosed coronary arterial lesions due to Kawasaki disease occurring before 1967. We report the clinical features in 6 adult males with coronary arterial lesions caused by presumed Kawasaki disease, whose dates of birth ranged from 1945 to 1963. The age of the diagnosed coro...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951107000169
更新日期：2007-02-01 00:00:00
abstract：:We present a case of a 31-year-old male with a large atrial septal defect, who was found to have interrupted inferior caval vein with azygous continuation to the superior caval vein, which precluded transcutaneous closure by device. The defect was successfully closed with a 33 mm Occlutech Figula septal occluder using...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795112000092X
更新日期：2020-06-01 00:00:00
abstract：BACKGROUND:Tetralogy of Fallot is a common congenital cardiac malformation. A rare subgroup includes unilateral absence of the pulmonary artery, either the left or the right main branch. The literature lacks an established treatment for these cases, and surgical options carry certain mortality and morbidity. PATIENTS ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951112000911
更新日期：2013-06-01 00:00:00
