Cardiology in the Young is devoted to all aspects of paediatric and congenital cardiac care.
Histological analysis after explantation of early-in-life implanted RVOT-Stents revealed little neo-intimal proliferation, no signs of inflammation & no prolapse of muscular tissue trough the stent struts. https://doi.org/10.1017/S1047951123000896
Stenting of native right ventricular outflow tract obstructions in symptomatic infants: histological work-up of explanted specimen
The current study shows that children with cystic fibrosis have subclinical changes in ventricular morphology and function, and major determinants of these changes are hypoxia, proinflammatory markers, and neurohormones. https://doi.org/10.1017/S1047951123001178
Proinflammatory indicators and the relevance of echocardiography in children with cystic fibrosis
The training recommendations of the Association for European Paediatric Cardiology (AEPC) for the Training in Interventional Catheterization for Congenital Heart Disease have been reviewed and updated after more than seven years. https://doi.org/10.1017/S1047951123000823
AEPC recommendations for training in interventional catheterisation for CHD
Providers and families don't always see eye to eye on how rounds work (or don't), but in ways that you might not expect. in ACCUs is common but there is room for improvement to better serve both families and clinicians. https://doi.org/10.1017/S104795112300118X
Caregiver and provider attitudes toward family-centred rounding in paediatric acute care cardiology
Despite the challenges of diagnosing bicuspid aortic valve prenatally, certain features of the valve and aorta on fetal echocardiogram may suggest the diagnosis. https://doi.org/10.1017/S1047951123000744
Fetal echocardiographic features associated with bicuspid aortic valve
This is a case study on male adolescent triplets who presented with myopericarditis within one week following Coronavirus mRNA vaccine administration.
Myopericarditis following COVID-19 vaccination in adolescent triplets
A surgical shadowing program at University of Florida impacted the views of students about surgery. Students with no family member in medicine tend to have less exposure to medicine and could likely benefit more from this type of shadowing program. https://doi.org/10.1017/S1047951123000549
Never too early: the impact of a shadowing programme in paediatric and congenital cardiac surgery for undergraduate college students - Volume 33 Issue 4
Quality improvement science can be used to improve family presence and participation in rounds in acute care cardiology. Changing rounds is also an opportunity to address historic inequity in the inpatient setting
Initiative to increase family presence and participation in daily rounds on a paediatric acute care cardiology unit
We devised a new classification system for the surgical treatment of coarctation of the aorta based on the morphological features of the aortic arch and the isthmic portion, and managed coarctation of the aorta according to this classification. https://doi.org/10.1017/S104795112300104X
Outcomes of surgery for coarctation of the aorta based on a new classification system
Children with MIS-C can have severe cardiac involvement acutely, but their hearts tend to recover in just a few weeks
Six-month cardiac outcomes in children with multisystem inflammatory syndrome in children
A new study from Primary Children's Hospital describes an association between dilated coronary arteries with bicuspid and unicuspid aortic valves in children.
Coronary artery dilation associated with bicuspid and unicuspid aortic valve disease in children: a series of 17 patients
Implementation of the Cardiac Inpatient Neurodevelopmental Care Optimization (CINCO) Program: An interdisciplinary, low-cost, and feasible approach to systematize neurodevelopmental care practices for patients aged 0-2 years with Dr. Kelly Wolfe
Implementation of the Cardiac Inpatient Neurodevelopmental Care Optimization (CINCO) programme: an interdisciplinary, generalisable approach to inpatient neurodevelopmental care
First comprehensive developmental care pathway for hospitalized infants with on behalf of the Cardiac Newborn Neuroprotective Network SIG of CNOC Thrive led by Amy Jo Lisanti
Developmental care pathway for hospitalised infants with CHD: on behalf of the Cardiac Newborn Neuroprotective Network, a Special Interest Group of the Cardiac Neurodevelopmental Outcome Collaborative
We encountered a rare case of KLA in a patient presenting with recurrent pericardial effusion. The effusion was successfully managed in the short-to-medium term with the use of the IndigoTM aspiration System (Penumbra).
The novel use of an advanced thrombectomy system to manage a complex pericardial effusion associated with kaposiform lymphangiomatosis
Bedside nurse retention in the pediatric cardiac ICU affects patient safety and is impacted by all members of the care team. Cardiology in the Young Journal
Qualitative assessment of nurse satisfaction in the paediatric cardiac ICU
Optimizing outcomes and access to congenital cardiac surgical care in the US is critical; collaboration and cooperation through joint programs may provide a framework for restructuring https://doi.org/10.1017/S1047951122001809
Burnout is prevalent in pediatric cardiology fellows with common training related fears. Targeted interventions may help to improve wellness.
Paediatric cardiology training: burnout, fulfilment, and fears
A 10-year-old patient had WPW-related LV dysfunction. The accessory pathway was anteroseptal. He also had SVT. After many unsuccessful approaches, non-coronary aortic cusp mapping and cryoablation were performed. https://doi.org/10.1017/S1047951123000045
A unique case with a long intramural course found on surgical inspection without a slit-like coronary ostium or elliptical shape of the coronary lumen. Surgical unroofing resulted in satisfactory outcomes https://doi.org/10.1017/S104795112300001X
Intramural course of an anomalous left coronary artery is not always associated with a slit-like ostium
Use of 3D volume-rendered Computerized Tomographic imaging in analyzing the anatomy of an unusual type of common arterial trunk https://doi.org/10.1017/S1047951122004231
Use of 3D volume-rendered CT imaging in analysing the anatomy of an unusual type of common arterial trunk
Specialized palliative care consultation occurs rarely & late in children supported on ECMO. There are missed opportunities for palliative care involvement to assist survivors and non-survivors and their families. https://doi.org/10.1017/S1047951122003018
Extracorporeal membrane oxygenation and paediatric palliative care in an ICU
Appropriate evaluation of feeding challenges for infants w cCHD is essential to provide comprehensive treatment. This article aims to describe assessment & management strategies to improve oral feeding outcomes after surgery & upon discharge.
Assessment and management of feeding difficulties for infants with complex CHD
Rare case of chylous pericardial effusion with cardiac tamponade in a pediatric patient associated with tyrosine-kinase inhibitors
Chylous pericardial effusion with cardiac tamponade in a children treated with imatinib
How do lactating parents establish direct breastfeeding with an infant with critical ? New research with participants from 26 US institutions (57% SV CHD) reveals that it is a process of "Wayfinding through the 'ocean of the great unknown'." https://doi.org/10.1017/S1047951122003808
Wayfinding through the “ocean of the great unknown”: how lactating parents establish a direct breastfeeding relationship with an infant with critical CHD
Parental fear and anxiety limit physical activity participation in children with Fontan circulation despite them having no physical limitations to participate. https://doi.org/10.1017/S1047951122003754
Facilitators and barriers of physical activity participation in children with a single ventricle physiology: a mixed-methods study
What is the 'Final Hospital Need' for a child with heart disease? How can understanding that need improve your cardiac acute care unit? A single center shares their experience. Children https://doi.org/10.1017/S1047951122003596
The final hospital need in children discharged from a cardiology acute care unit: a single-centre survey study
A on postop in
-Pain management starts pre-op
-Multidisciplinary care incl. families = key!
-Use opioid sparing approaches
-Treat kids like kids!
-More research is needed!
Management of routine postoperative pain for children undergoing cardiac surgery: a Paediatric Acute Care Cardiology Collaborative Clinical Practice Guideline
Using BASIC definition, severe occurred in 16% of children in first day following CPB. Standard laboratory assays do not predict bleeding.
Epidemiology of severe bleeding in children following cardiac surgery involving cardiopulmonary bypass: use of Bleeding Assessment Scale for critically Ill Children (BASIC)
Cardiac arrest prevention in Maltese Schools - Findings from the BEAT-IT screening program. https://doi.org/10.1017/S1047951122003572
Automated external defibrillators and basic life support practices in secondary schools: A nationwide study
A 3-year-old girl with a giant omphalocele repaired days after birth incidentally found with a celiacomesenteric trunk-to-RA fistula. 3D reconstruction CT image unveiled its anatomical pattern, and the fistula was closed percutaneously.
Successful device closure by Amplatzer vascular plug II of a rare celiacomesenteric trunk-to-right atrium fistula in a repaired giant omphalocele
Infective endocarditis is a rare complication of ASD closure using transcatheter procedure. We report about IE in an 8-year-old boy 3 months after transcatheter closure using a Figulla Flex II ASD occluder.
A case of infective endocarditis in an 8-year-old boy 3 months after transcatheter atrial septal defect closure using Figulla Flex II occluder
Sclerotherapy of varices in children with portal vein thrombosis due to umbilical venous catheter may cause constrictive pericarditis, revealed by refractory ascites. Pericarditis is not yet mentioned in the adverse effects of the sclerosing agent.
Sclerotherapy of oesophageal varices may induce chronic constrictive pericarditis in children
The Editorial Board of Cardiology in the Young has recently authorized the creation of a Bioethics Forum. Herein, we provide the organizational structure and launch process to introduce properly this interesting and timely endeavor.
Bioethics Forum of Cardiology in the Young. Quo Vadis?
An exploration of family centered care in pediatric acute care cardiology--can we do right by families and improve our outcomes by involving them in care?
Family-centered care and acute care cardiology: borrowing lessons from other disciplines
A case of dysplastic aortic valve tissue occluding the LCA os leading to progressive MR and cardiac arrest https://doi.org/10.1017/S104795112200292X
Occlusion of the os of the left coronary artery by dysplastic aortic valve tissue presenting as progressive mitral insufficiency and cardiac arrest
Single Stage Biventricular Repair of Hypoplastic Right Ventricle w/Straddling Tricuspid Valve, presented by . Challenging anatomy that would normally be treated w/SV palliation. https://doi.org/10.1017/S1047951122002463
Single stage biventricular repair of hypoplastic right ventricle with straddling tricuspid valve
AEDs and emergency cardiac arrest plans are essential in schools but may not be available in many. We can work to improve school safety by increased AED availability implementing emergency cardiac arrest plans. https://doi.org/10.1017/S1047951122002815
Pediatric acute care cardiology is rapidly developing to meet increasing patient complexity. Advanced fellowship training can help establish the next generation of leaders.
Learn more about acute care cardiology@PAC3quality
https://doi.org/10.1017/S1047951122002487
Advanced fellowship training for cardiology fellows in acute care cardiology
It’s time to partner with primary care pediatricians to improve referrals and subspecialty consultation in Cardiology https://doi.org/10.1017/S1047951122002578
Subspecialty referrals and consultation: it’s time to partner with primary care paediatricians
UK National survey of fetal and paediatric cardiologists show areas where data is lacking - the future directions are clear.
https://doi.org/10.1017/S1047951122002268
Management of prenatally detected vascular rings: a United Kingdom national survey
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