Publications by authors named "Danielle Strah"

Article Synopsis
  • A seven-year-old girl presented with chest pain and elevated troponin levels, initially suspected to have myocarditis, but was found to have an infarction caused by a myxoma that embolized to her right coronary artery.
  • The myxoma was successfully surgically removed, while the decision was made to manage the related heart damage medically without performing an embolectomy. *
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Article Synopsis
  • The double kissing (DK) crush technique, used for treating coronary bifurcation lesions, has not been previously applied to children or noncoronary vessels like pulmonary arteries.
  • A 12-year-old girl with Alagille syndrome and a ventricular septal defect underwent six catheterizations for pulmonary artery treatment due to severe right ventricular hypertension.
  • A team effort between congenital and structural specialists allowed her to undergo the DK crush technique, improving blood flow in the pulmonary arteries and enabling successful closure of her ventricular septal defect.
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A full-term infant with an unremarkable prenatal course presented at birth with a large midline facial mass and smaller masses in the head and neck. In addition, multiple diffuse flesh-colored nodules spread along all the upper and lower limbs. An extensive evaluation to cover a broad differential diagnosis of infectious, lymphatic/vascular, and oncologic etiology was undertaken.

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Many of the estimated 1.4 million adults with congenital heart defects (CHDs) in the United States are lost to follow-up (LTF) despite recommendations for ongoing cardiology care. Using 2016 to 2019 CH STRONG (Congenital Heart Survey To Recognize Outcomes, Needs, and well-beinG) data, we describe cardiac care among community-based adults with CHD, born in 1980 to 1997, identified through state birth defects registries.

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Background: Women with congenital heart disease (CHD) are surviving into adulthood, with more undergoing pregnancy.

Methods: Retrospective review of the Vizient database from 2017-2019 for women 15-44 years old with moderate, severe or no CHD and vaginal delivery or caesarean section. Demographics, hospital outcomes and costs were compared.

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Children and adults with congenital heart disease (CHD) are increasingly recognized to be at risk for acute and chronic renal injury. Some of these may progress to the need for renal transplantation. We hypothesized that patients with underlying moderate or severe CHD who undergo renal transplantation will have worse acute hospital outcomes.

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The aim of the current study is to investigate hospitalization outcomes of COVID-19 positive children and adults with moderate or severe congenital heart disease to children and adults without congenital heart disease. Retrospective review using the Vizient Clinical Data Base for admissions of patients with an ICD-10 code for COVID-19 from April 2020 to March 2021. Admissions with COVID-19 and with and without moderate or severe congenital heart disease (CHD) were stratified into pediatric (< 18 years) and adult (≥ 18 years) and hospital outcomes were compared.

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Objective: Pulmonary vein stenosis (PVS) is aggressive, with high morbidity and mortality. Surgical and catheter interventions yield modest success, at best. Refinements in catheter interventions could potentially improve outcomes in this patient population.

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Coronary artery disease and myocardial infarction are known complications of long-standing diabetes mellitus in adults, but coronary artery spasm is far more rare and has not been reported in children. We present a 15-year-old male in diabetic ketoacidosis who developed diffuse ST segment elevations and elevated troponin with normal coronary arteries on coronary angiography and no signs of pericarditis that was due to coronary artery spasm.

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