Aim: Despite advances in surgical experience and imaging techniques, resternotomy (RS) pediatrics remains a high-risk procedure due to its potential for heart major vessel injuries. This study aims retrospectively evaluate RS cases our clinic, focusing on patients examining the effectiveness of various cannulation techniques. Methods: retrospective study,included pediatric under 18 years age who underwent between August 2019 December 2023. Exclusion criteria included intervals less than 30...

Abstract Pulmonary arteriovenous malformations are abnormal vascular connections between pulmonary arteries and veins, often causing right-to-left shunting. In this report, a 4-year-old boy with low oxygen saturation was diagnosed large, complex malformation involving four feeding arteries. Percutaneous transcatheter closure performed using devices to occlude the major arteries, resulting in increased arterial from 72 98%. This report depicts successful use of multiple for percutaneous child...

Juvenile dermatomyositis (JDM) is an autoimmune disease characterized by muscle weakness and specific skin lesions, as well non-muscular involvement such interstitial lung (ILD), cardiac arthritis. Anti-melanoma differentiation-associated protein 5 (anti-MDA5)-positive JDM patients are typically the presence of ulcers rapidly progressing ILD (RP-ILD). Although not expected in anti-MDA5-positive cases, it significant because can be fatal. In this report, anti-MDA5 myositis-specific...

Protein-losing enteropathy is a rare complication of the Fontan palliation surgery. Budesonide an effective treatment option for protein-losing enteropathy. We reviewed our retrospective experience in four patients who were treated with oral budesonide.Four refractory after operation started on budesonide 9 mg/daily. After achieving normal serum albumin dose was tapered to 3 mg. Response budesonide, side effects, and levels before at first, fourth, ninth months course recorded. Efficacy...

The aim was to evaluate the role of tissue Doppler imaging (TDI) and speckle tracking echocardiography (STE), identify myocardial dysfunction, segmental deformation in acute viral myocarditis.Twenty-one patients twelve healthy children were studied prospectively. TDI STE performed before after treatment. velocities (Sm , Em Am ) time intervals (isovolumic contraction, isovolumic relaxation, ejection times [ET]) at interventricular septum (IVS), left, right ventricular basal segments examined...

To investigate myocardial deformation and function during treatment for Kawasaki disease (KD) in children.We performed speckle tracking echocardiography (STE) tissue Doppler imaging (TDI) 15 children with KD healthy KD. STE was longitudinal circumferential strain (S) rate (SR) at the left ventricle (LV) S SR right (RV). TDI base of interventricular septum (IVS), LV, RV.Among parameters, Em ejection time (ET) IVS, ET LV RV obtained before were significantly lower patients compared to...

Thyroid hormones have an important role in the regulation of cardiovascular system. The aim this study was to investigate presence subclinical myocardial dysfunction children with euthyroid Hashimoto’s thyroiditis (eHT) without evident heart disease using tissue doppler imaging (TDI) and speckle tracking echocardiography (STE) methods.TDI STE were peformed 50 eHT 35 healthy children. To assess velocities time intervals, including peak systolic velocity (Sm), early diastolic (Em), late (Am),...

Background: Pulmonary valve insufficiency may develop after surgical treatment of tetralogy Fallot (ToF). Severe pulmonary result in right ventricular dysfunction. We aimed to compare cardiac magnetic resonance (CMR), with echocardiography. Methods: Patients who developed severe total correction for ToF, were included the study. CMR was used measure end-diastolic, end-systolic volumes and ejection fraction ventricle before 6 months replacement, echocar­diographic strain imaging obtained...

Abstract A 7-year-old male patient who had abdominal swelling and eyelid oedema was diagnosed with restrictive cardiomyopathy. His serum albumin level 2.3 g/dl. Protein-losing enteropathy due to cardiomyopathy oral budesonide started. began rise ascites peripheric disappeared. The underwent a successful cardiac transplantation stopped. After the heart transplantation, decreased g/dl, therefore it restarted. When increased, dose tapered stopped in 1 month. Budesonide may be an effective drug...

This study aims to evaluate the role of speckle-tracking echocardiography identify myocardial deformation in acute rheumatic fever.Twenty-seven patients and 27 healthy children were prospectively evaluated. The patient group was divided into 2 subgroups based on echocardiographic findings, with or without carditis. left ventricular global longitudinal strain rate, circumferential right lon-gitudinal rate assessed by echocardiography.In phase disease, all values except found be significantly...

Neonatal arterial thrombosis is a very rare entity with clinical findings resembling coarctation of aorta or interrupted aortic arch. A two day-old male newborn was admitted to different hospital difficulty in sucking and sleepiness. On echocardiographic examination, diagnosis arch made he treated prostoglandin E2. When the patient presented our center, physical examination revealed that his feet were bilaterally cold. The pulses not palpable there ecchymotic regions lower extremities....

Abstract Aim The purpose of our study was to evaluate the association between insulin resistance and left ventricular size function in obese children. Material methods A total 79 cases aged 10–16 years diagnosed with obesity healthy non-obese as controls were included study. Patient control groups divided into three terms age group 1 (10–12 years), 2 (12–14 3 (14–16 years). Fasting blood glucose, lipid profile, fasting levels assessed. Mitral valve E waves, ejection fraction, fractional...

Abstract Steroids are used in the treatment of acute rheumatic fever with moderate-to-severe carditis. Corticosteroids have several cardiovascular side affects that more common adults than children. Corticosteroid-related bradycardia is a rarely seen effect. Children following oral corticosteroid use reported previously. We present child who developed after and concurrent Wolff–Parkinson–White pattern.

Kawasaki disease (KD) is a vasculitis in which the most common complication development of coronary aneurysms. Neurological complications rarely occur KD patients such as facial nerve palsy (FNP). FNP associated with may indicate increased risk artery aneurysm. Infants paralysis and unexplained-prolonged febrile period should be evaluated echocardiography. Here in, we present 4-month-old female unexplained fever who was diagnosed due to echocardiographic findings.

Pamuk U, Gürsu HA, Emeksiz S, Özdemir-Sahan Y, Çetin İ. A rare cause of fatal cardiac arrhythmia: Inhalation butane gas. Turk J Pediatr 2018; 60: 755-756. Butane gas, especially available in lighters, is commonly misused among adolescents and its side effects are rarely observed but serious. 14-yearold male was brought to our emergency department. The electrocardiographic (ECG) examination showed biphasic T waves leads V4-V6, long QTc at 481ms. Echocardiographic study left ventricular...

Abstract Although surgery is the standard treatment for native coarctation in neonates, it carries a high risk of complications. Percutaneous balloon angioplasty may be considered as an alternative treatment. The materials used intervention should selected carefully to reduce We recommended use non-compliant balloons risky babies. They are more effective strick stenosis than compliant balloons.

The objective of this study is to investigate the cardiovascular risk factors associated with metabolic syndrome (MetS), which increasingly becoming prevalent in childhood obesity.A total 113 patients, 76 whom were between ages 10 and 17 (mean age: 14.5 ± 1.8 years) diagnosed obesity (30 non-MetS 46 MetS using IDF) 37 constituted control group, participated study. Echocardiographic examination atherogenicity parameters (Atherogenic index plasma [AIP: logTG/HDL], cholesterol/HDL, TG/HDL ratio...

Abstract In this case report, we present a 5-month-old girl diagnosed with unique combination of transposition the great arteries and cor triatriatum sinistra. A 1-day-old female patient presented to our hospital cyanosis since early neonatal period. We confirmed by echocardiography. The underwent arterial switch operation on day 8 was discharged 35. After 5 months operation, had lower respiratory tract infection unable gain weight. Echocardiography revealed mild neopulmonary regurgitation,...

Asymptomatic rejection after heart transplant is difficult to detect by noninvasive methods. The present study investigated the efficacy of echocardiographic strain and rate imaging method in detecting pediatric transplant.Fourteen patients with were examined both endomyocardial biopsy imaging. Patients divided into 2 groups: group 1 included rejection, without rejection. underwent at regular intervals. Regional systolic function was evaluated longitudinal myocardial peak values rate....

Aim: The use of minimally invasive procedures in low-risk congenital heart surgeries has been increasing recently. Compared to traditional median sternotomy, techniques offer better cosmetic results and provide more satisfaction both the patient their parents. Partial anomalous pulmonary venous return (PAPVR) can be safely repaired using these techniques. Material Metods: perioperative data right- sided PAPVR patients who were operated on approaches our clinic between March 2019 January 2023...