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Ma K, He Q, Dou Z, Hou X, Li X, Zhao J, Rao C, Feng Z, Sun K, Chen X, He Y, Zhang H, Li S. Current treatment outcomes of congenital heart disease and future perspectives. THE LANCET. CHILD & ADOLESCENT HEALTH 2023; 7:490-501. [PMID: 37301213 DOI: 10.1016/s2352-4642(23)00076-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Revised: 03/04/2023] [Accepted: 03/09/2023] [Indexed: 06/12/2023]
Abstract
China has the largest number of individuals with congenital heart disease (CHD) in the world and a heavy burden of CHD. Therefore, understanding current CHD treatment outcomes and patterns in China will contribute to global progress in CHD treatment and be a valuable experience. Generally, CHD treatment in China has satisfactory outcomes owing to the joint efforts by all relevant stakeholders across the country. However, efforts are needed to overcome the remaining challenges: management of mitral valve disease and paediatric end-stage heart failure needs to be improved; cohesive paediatric cardiology teams should be established and collaboration between hospitals enhanced; CHD-related medical resources need to be more accessible and equitable; and nationwide CHD databases should be enhanced. In the second paper of this Series, we aim to systematically summarise the current CHD treatment outcomes in China, discuss potential solutions, and provide future perspectives.
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Affiliation(s)
- Kai Ma
- Pediatric Cardiac Surgery Center, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - Qiyu He
- Pediatric Cardiac Surgery Center, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China; State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - Zheng Dou
- Pediatric Cardiac Surgery Center, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China; State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - Xiaotong Hou
- Surgical Intensive Care Unit, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
| | - Xi Li
- National Clinical Research Center for Cardiovascular Diseases, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - Ju Zhao
- Surgical Intensive Care Unit, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
| | - Chenfei Rao
- Pediatric Cardiac Surgery Center, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - Zicong Feng
- Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
| | - Kun Sun
- Department of Pediatric Cardiology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xinxin Chen
- Cardiovascular Center, Guangzhou Women and Children's Medical Center, Guangzhou, China
| | - Yihua He
- Maternal-Fetal Medicine Centre in Fetal Heart Disease, Beijing Anzhen Hospital, Capital Medical University, Beijing, China; Beijing Key Laboratory of Maternal-Fetal Medicine in Fetal Heart Disease, Beijing, China; Beijing Laboratory for Cardiovascular Precision Medicine, Beijing, China
| | - Hao Zhang
- Heart Center and Shanghai Institute of Pediatric Congenital Heart Disease and Shanghai Clinical Research Center for Rare Pediatric Diseases, Shanghai Children's Medical Center, National Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Shoujun Li
- Pediatric Cardiac Surgery Center, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China; State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
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Schusterova I, Jakubova M, Vachalcova M, Sieradzka K, Gibarty C, Poruban T, Gasparovic I, Artemiou P. Three-dimensional transesophageal echocardiography in diagnosis of intermediate atrioventricular septal defect in the adult: case report and literature review. J Cardiothorac Surg 2021; 16:209. [PMID: 34330308 PMCID: PMC8325229 DOI: 10.1186/s13019-021-01596-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 07/26/2021] [Indexed: 12/02/2022] Open
Abstract
Background Intermediate type atrioventricular septal defect is less frequent than complete or partial atrioventricular septal defect, and is rarely encountered in the elderly and the utility of three dimensional transesophageal echocardiography in the diagnosis has not been reported to date. Case presentation In this case report, we described a rare case of an intermediate atrioventricular septal defect in an adult patient and we showed the valuable utility of real time 3D transesophageal echocardiography in the diagnosis and future surgical planning. The patient was referred to a tertiary center for an elective surgical repair. Finally, we provided a detailed review of the literature concerning the intermediate type of atrioventricular septal defect. Conclusion Although 2D transthoracic and transesophageal echocardiography enables diagnosis of the intermediate type atrioventricular septal defect, precise assessment of anatomy of atrioventricular septal defects and common atrioventricular valve was enabled only by real time 3D echocardiography.
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Affiliation(s)
- Ingrid Schusterova
- Medical Faculty of University Pavel Jozef Safarik, First Cardiology Clinic, Eastern Slovakian Institute of Cardiovascular Diseases, Kosice, Slovakia
| | - Marta Jakubova
- Medical Faculty of University Pavel Jozef Safarik, First Cardiology Clinic, Eastern Slovakian Institute of Cardiovascular Diseases, Kosice, Slovakia
| | - Marianna Vachalcova
- Medical Faculty of University Pavel Jozef Safarik, First Cardiology Clinic, Eastern Slovakian Institute of Cardiovascular Diseases, Kosice, Slovakia
| | - Karolinska Sieradzka
- Medical Faculty of University Pavel Jozef Safarik, First Cardiology Clinic, Eastern Slovakian Institute of Cardiovascular Diseases, Kosice, Slovakia
| | - Claudia Gibarty
- Medical Faculty of University Pavel Jozef Safarik, First Cardiology Clinic, Eastern Slovakian Institute of Cardiovascular Diseases, Kosice, Slovakia
| | - Tibor Poruban
- Medical Faculty of University Pavel Jozef Safarik, First Cardiology Clinic, Eastern Slovakian Institute of Cardiovascular Diseases, Kosice, Slovakia
| | - Ivo Gasparovic
- Medical Faculty of the Comenious University, Clinic of Cardiac Surgery, National Institute of Cardiovascular Diseases, Pod Krasnou horkou 1, 83101, Bratislava, Slovakia
| | - Panagiotis Artemiou
- Medical Faculty of the Comenious University, Clinic of Cardiac Surgery, National Institute of Cardiovascular Diseases, Pod Krasnou horkou 1, 83101, Bratislava, Slovakia.
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Li Z, Sun H, Li J, Zhu Y. Management of Leukemia and Partial Atrioventricular Septal Defect during Pregnancy. Thorac Cardiovasc Surg Rep 2021; 10:e45-e48. [PMID: 34211821 PMCID: PMC8238532 DOI: 10.1055/s-0041-1722876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 11/16/2020] [Indexed: 11/03/2022] Open
Abstract
Background
Pregnancy-associated acute myeloid leukemia (PA-AML) is rare. Cardiac surgery in the context of AML poses challenges that are seldom encountered.
Case Description
The subject is a 31-year-old woman at 38 weeks' gestational age diagnosed with AML and partial atrioventricular septal defect. After multidisciplinary consulting, an urgent cesarean section was performed, then chemotherapy was initiated, followed by minimally invasive cardiac surgery with an uneventful recovery.
Conclusion
Efficient multidisciplinary approach is essential in the management of PA-AML and cardiac disease. Minimally invasive cardiac surgery may be safe and useful in patients with AML.
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Affiliation(s)
- Zhi Li
- Jiangsu Province Hospital, the First Affiliated Hospital of Nanjing Medical University, Department of Cardiovascular Surgery, Nanjing, China
| | - Haoliang Sun
- Jiangsu Province Hospital, the First Affiliated Hospital of Nanjing Medical University, Department of Cardiovascular Surgery, Nanjing, China
| | - Jinghang Li
- Jiangsu Province Hospital, the First Affiliated Hospital of Nanjing Medical University, Department of Cardiovascular Surgery, Nanjing, China
| | - Yu Zhu
- Jiangsu Province Hospital, the First Affiliated Hospital of Nanjing Medical University, Department of Hematology, Nanjing, China
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Bakir I, Onan B, Kadirogullari E. Robotically Assisted Repair of Partial Atrioventricular Canal Defect. Artif Organs 2016; 40:917-8. [DOI: 10.1111/aor.12800] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Revised: 06/02/2016] [Accepted: 06/08/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Ihsan Bakir
- Department of Cardiovascular Surgery; Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital; Kucukcekmece Istanbul 34510 Turkey
| | - Burak Onan
- Department of Cardiovascular Surgery; Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital; Kucukcekmece Istanbul 34510 Turkey
| | - Ersin Kadirogullari
- Department of Cardiovascular Surgery; Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital; Kucukcekmece Istanbul 34510 Turkey
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