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[Patch Closure of the Ventricular Septal Defect].
Kyobu Geka
September 2024
Department of Pediatric Cardiovascular Surgery, JCHO Kyushu Hospital, Kitakyushu, Japan.
Article Synopsis
- Ventricular septal defect (VSD) is the most common type of congenital heart disease and often requires surgical intervention.
- The VSD patch closure surgery is crucial not only for simple VSDs but also for more complex congenital heart defects like tetralogy of Fallot and complete atrioventricular septal defect.
- To ensure successful closure without complications, surgeons must have a thorough understanding of VSD anatomy and skillfully perform sutures and ligatures.
[Clinical characterization of patients with complete fetal atrioventricular block].
Arch Cardiol Mex
November 2024
Servicio de Cardiología Pediátrica, Instituto Guatemalteco de Seguridad Social, Ciudad de Guatemala, Guatemala.
The following article seeks to describe the clinical characterization of patients with congenital complete atrioventricular block. Information was collected from different sources, among which is the presentation of the pathology and its impact on the fetus, and the main basis was look for an association between the use of medications and its prognosis. Within the treatment to be used in patients with fetal atrioventricular block, the use of steroids, beta-adrenergic stimulators, plasma, etc.
View Article and Find Full Text PDFArrhythmias May Hide a Genetic Cardiomyopathy in Left Ventricular Hypertrabeculation in Children: A Single-Center Experience.
Children (Basel)
October 2024
Pediatric Cardiology and Cardiac Arrhythmias Complex Unit, Bambino Gesù Children's Hospital IRCCS, 00050 Rome, Italy.
Article Synopsis
- Left ventricular hypertrabeculation (LVHT) is a heart condition that can lead to various symptoms, including serious issues like heart failure and arrhythmias, making it difficult to identify which cases are benign versus pathological.
- A study analyzed 140 pediatric patients with LVHT over ten years, and found that 23.6% of them experienced arrhythmias, with various types identified, including supraventricular and ventricular arrhythmias.
- Results indicated a significant relationship between specific genetic variants (class 4 or 5) and the occurrence of arrhythmias, while the patients generally had good outcomes, with no reported sudden cardiac deaths.
New-Onset Left Ventricular Dysfunction After Left Bundle Branch Pacing.
JACC Clin Electrophysiol
November 2024
Geisinger Heart Institute, Geisinger Commonwealth School of Medicine, Wilkes Barre, Pennsylvania, USA.
Background: Left bundle branch pacing (LBBP) provides stable pacing parameters and has been suggested as an alternative for right ventricular pacing and cardiac resynchronization therapy.
Objectives: The aim of the study was to assess the incidence and etiology of new-onset left ventricular dysfunction (NOLVD) following LBBP in patients with baseline normal left ventricular (LV) function and cardiomyopathy patients with normalized LV function.
Methods: Patients undergoing successful LBBP for symptomatic bradyarrhythmia or as an alternative to cardiac resynchronization therapy were included.
Computed tomography to predict pacemaker need after transcatheter aortic valve replacement.
J Cardiovasc Comput Tomogr
November 2024
Department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, the Netherlands. Electronic address:
Transcatheter aortic valve replacement (TAVR) is preferred therapy for elderly patients with severe aortic stenosis (AS) and increasingly used in younger patient populations with good safety and efficacy outcomes. However, cardiac conduction abnormalities remain a frequent complication after TAVR ranging from relative benign interventriculair conduction delays to prognostically relevant left bundle branch block and complete atrio-ventricular (AV) block requiring permanent pacemaker implantation (PPI). Although clinical, procedural and electrocardiographic factors have been identified as predictors of this complication, there is a need for advanced strategies to control the burden of conduction defects particularly as TAVR shifts towards younger populations.
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