Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Five clinical pediatric CT cases; the first case has dysnea, respiratory distress, cardiomegaly and gallop. Echocardiography showed dilated left ventricle with impaired contractility EF 20%, FS 10%. CT angiography showed absent left main coronary artery, anomalous origin of the LCX and LAD by separate ostia from the left side of the main pulmonary artery, diffuse dilatation of the RCA, Many dilated inter-coronary collaterals (adult type of ALCAPA). The second case has dysnea, recurrent pneumonia, respiratory distress, cardiomegaly and gallop. Echocardiography demonstrated dilated left ventricle with impaired contractility EF 22%, FS 10%, suspected ALCAPA. CT revealed anomalous origin of the LAD from the left side of the main pulmonary artery, left circumflex arises from the left coronary sinus of Valsalva and runs its normal course, mild diffuse dilatation of the RCA (ALCAPA). Th...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Background:: Patent ductus arteriosus (PDA) is a common congenital cardiac disorder; the treatment of choice is fluoroscopy-guided transcatheter occlusion. Closure of PDA under transesophageal echocardiography (TEE) with Trans aortic imaging guidance was studied in adult patients. In pediatric patients, transthoracic echocardiography (TTE) provides excellent images for PDA and may replace fluoroscopy as an imaging tool to guide PDA closure. Purpose: The goal was to study the feasibility of device closure under TTE guidance in patients who are not candidates for transfer to the cardiac catheterization laboratory or in those with contraindications for contrast and/or radiation applications. Methods: Eighteen patients (7 males, median age 7 months, median weight 8 kg) underwent TTE guidance device closure of PDA from July 2013 to May 2015. Conscious sedation was used in 17...