Publications by authors named "Shoyo Tanikawa"
Unlabelled: Thoracic deformity affects circulatory dynamics, and postural changes may affect hemodynamics. We report on the case of a 10-year-old girl with straight back syndrome (SBS) and funnel chest in which a right ventricular outflow tract (RVOT) obstruction was demonstrated by dynamic echocardiography. The patient occasionally experienced chest discomfort in the standing and sitting positions.
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- * A review of previous cases shows that the median age of children with paraspinal muscle abscesses was 12 years, with the main cause being methicillin-sensitive bacteria; most improved with antibacterial treatment, though some had severe complications.
- * This case highlights the importance of considering paraspinal muscle abscesses in young children with unexplained fevers and walking difficulties, stressing the need for prompt imaging and treatment.
Child with Kawasaki Disease Complicated by A Single Right Coronary Artery.
Clin Med Insights Cardiol
April 2021
A 3-year-old boy was referred to our hospital for management of Kawasaki disease at 5 days of illness. Echocardiographic examination on admission suggested aneurysmal dilation of the right coronary artery and a possible aorta-left main trunk connection. However, detailed echocardiography at 12 days of illness revealed an abnormal bifurcation of the proximal right coronary artery and no real connection of the aorta-left main trunk, all of which indicated the presence of a single right coronary artery.
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- Home PT-INR monitoring using CoaguChek significantly reduces clinic visits for children with mechanical prosthetic atrioventricular valve replacement (MPAVVR) while maintaining safety.
- In a study of four pediatric patients, the number of outpatient visits dropped by about half within a year of switching to home monitoring.
- Variations in PT-INR correlation between CoaguChek and lab tests suggest the need for individualized assessment to accurately interpret results.