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Esmel-Vilomara R, Riaza L, Costa-Comellas L, Sabaté-Rotés A, Gran F. Asymmetric Myocardial Involvement as an Early Indicator of Cardiac Dysfunction in Pediatric Dystrophinopathies: A Study on Cardiac Magnetic Resonance (CMR) Parametric Mappings. Pediatr Cardiol 2024:10.1007/s00246-024-03488-8. [PMID: 38687374 DOI: 10.1007/s00246-024-03488-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Accepted: 04/01/2024] [Indexed: 05/02/2024]
Abstract
Dystrophinopathies, such as Duchenne and Becker muscular dystrophy, frequently lead to cardiomyopathy, being its primary cause of mortality. Detecting cardiac dysfunction early is crucial, but current imaging methods lack insight into microstructural remodeling. This study aims to assess the potential of cardiac magnetic resonance (CMR) parametric mappings for early detection of myocardial involvement in dystrophinopathies and explores whether distinct involvement patterns may indicate impending dysfunction. In this prospective study, 23 dystrophinopathy patients underwent CMR with tissue mappings. To establish a basis for comparison, a control group of 173 subjects was analyzed. CMR protocols included SSFP, T2-weighted and T1-weighted sequences pre and post gadolinium, and tissue mappings for native T1 (nT1), extracellular volume (ECV), and T2 relaxation times. The difference between the left ventricular posterior wall and the interventricular septum was calculated to reveal asymmetric myocardial involvement. Significant differences in LV ejection fraction (LVEF), myocardial mass, and late gadolinium enhancement confirmed abnormalities in patients. Tissue mappings: nT1 (p < 0.001) and ECV (p = 0.002), but not T2, displayed substantial variations, suggesting sensitivity to myocardial involvement. Asymmetric myocardial involvement in nT1 (p = 0.01) and ECV (p = 0.012) between septal and LV posterior wall regions was significant. While higher mapping values didn't correlate with dysfunction, asymmetric involvement in nT1 (ρ=-0.472, p = 0.023) and ECV (ρ=-0.460, p = 0.049) exhibited a significant negative correlation with LVEF. CMR mappings show promise in early myocardial damage detection in dystrophinopathies. Although mapping values may not directly correspond to dysfunction, the negative correlation between asymmetric involvement in nT1 and ECV with LVEF suggests their potential as early biomarkers. Larger, longitudinal studies are needed for a comprehensive understanding and improved risk stratification in dystrophinopathies.
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Affiliation(s)
- Roger Esmel-Vilomara
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
- Pediatric Cardiology, Vall d'Hebron Hospital Campus, Carrer Sant Quintí 89, Barcelona, 08041, Spain.
- Pediatric Cardiology, Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain.
| | - Lucía Riaza
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
- Pediatric Radiology, Vall d'Hebron Hospital Campus, Barcelona, Spain
| | - Laura Costa-Comellas
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
- Pediatric Neurology, Vall d'Hebron Hospital Campus, Barcelona, Spain
| | - Anna Sabaté-Rotés
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
- Pediatric Cardiology, Vall d'Hebron Hospital Campus, Carrer Sant Quintí 89, Barcelona, 08041, Spain
| | - Ferran Gran
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
- Pediatric Cardiology, Vall d'Hebron Hospital Campus, Carrer Sant Quintí 89, Barcelona, 08041, Spain
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Esmel-Vilomara R, Riaza L, Dolader P, Sabaté-Rotés A, Rosés-Noguer F, Gran F. New-onset heart failure in infants: when the aetiological diagnosis becomes a challenge. Eur J Pediatr 2024; 183:493-498. [PMID: 37843615 DOI: 10.1007/s00431-023-05286-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 10/11/2023] [Accepted: 10/12/2023] [Indexed: 10/17/2023]
Abstract
This study aimed to report the findings of cardiac magnetic resonance imaging (CMR) with quantitative mappings in infants presenting with new-onset heart failure, as well as to assess the capabilities of endomyocardial biopsy (EMB) and CMR in detecting inflammatory cardiomyopathies and determining their etiology. In a prospective analysis of infants who underwent CMR with tissue mappings, EMB, and genetic testing, the sample was categorized into two groups: those with inflammatory cardiomyopathy and negative genetics (indicative of possible myocarditis) and those with positive genetics (indicative of possible dilated cardiomyopathy). All patients exhibited similar clinical presentations, echocardiographic dysfunction, and elevated troponins and NT-proBNP levels. Additionally, they all met the diagnostic criteria for inflammatory cardiomyopathy based on EMB findings (≥14 mononuclear cells, ≥7 T-lymphocytes/mm2). EMB results unveiled significant differences in the presence of inflammation and edema between the two groups, with higher troponin levels correlating with increased inflammation. Notably, when focusing on CMR, neither the classic criteria nor the 2018 Lake Louise criteria (LLC) could effectively differentiate between the two groups. Only late gadolinium enhancement (LGE) appeared to be associated with myocarditis in this cohort, while other LLC and tissue mappings did not exhibit a similar correlation. Importantly, there was no observed correlation between the inflammation detected through EMB and CMR. CONCLUSIONS The onset of heart dysfunction in infants can result from either inherited factors or viral infections, both of which may involve inflammation. However, the precise role of EMB and CMR in determining the etiology of such cases remains poorly defined. While CMR demonstrates high sensitivity in detecting inflammation, our experience suggests that it may not effectively differentiate between these two groups. A comprehensive diagnostic approach is essential when addressing this challenge, which includes considering EMB (with attention to the number of T-lymphocytes and the presence of oedema), specific CMR criteria, notably LGE and tissue mappings, as well as the identification of viral agents in cardiac tissue and troponin levels. Additionally, genetic tests should be conducted when evaluating these patients. WHAT IS KNOWN • EMB is the gold standard diagnostic test for myocarditis but it is not universally accepted. • The diagnostic value of the 2018-LLC in pediatric patients is still undefined. WHAT IS NEW • Both EMB and CMR may show inflammation in infants with new-onset heart failure of any aetiology. • A global approach should be used when facing this diagnostic challenge, including the EMB (number of T-lymphocytes and oedema), some CMR criteria, specially LGE and mappings, the detection of viral agents in cardiac tissue and troponins. Genetic tests should also be performed when studying these patients.
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Affiliation(s)
- Roger Esmel-Vilomara
- Paediatric Cardiology, Vall d'Hebron Hospital Campus, Barcelona, Spain.
- Paediatric Cardiology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
| | - Lucía Riaza
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
- Paediatric Radiology, Vall d'Hebron Hospital Campus, Barcelona, Spain
| | - Paola Dolader
- Paediatric Cardiology, Vall d'Hebron Hospital Campus, Barcelona, Spain
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Anna Sabaté-Rotés
- Paediatric Cardiology, Vall d'Hebron Hospital Campus, Barcelona, Spain
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Ferran Rosés-Noguer
- Paediatric Cardiology, Vall d'Hebron Hospital Campus, Barcelona, Spain
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Ferran Gran
- Paediatric Cardiology, Vall d'Hebron Hospital Campus, Barcelona, Spain
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
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Juzga-Corrales C, Ayerza-Casas A, Figueras-Coll M, Escribà-Bori S, Plata-Izquierdo B, Collell R, González-Marín MA, Siurana JM, Sorlí M, Albert de la Torre L, Teodoro-Marín S, Rodríguez M, Domínguez-García O, Rellán S, Manso B, López-Abel B, Álvarez-Pérez R, Portillo-Márquez M, Rezola E, Centeno-Malfaz F, Solana-Gracia R, Rojo-Sombrero H, Cantero-Tejedor MT, Riaño B, Tejero-Hernández MÁ, Jiménez-Casso M, Pérez-Pardo AM, Moriano-Gutiérrez A, Marrero-Calvo M, Fernández MT, Salido-Peracaula C, Bravo MJ, Gutiérrez-Larraya F, Sabaté-Rotés A. Characteristics and outcomes of the Spanish registry for pediatric patients with bicuspid aortic valve (REVAB). Rev Esp Cardiol (Engl Ed) 2023; 76:961-969. [PMID: 36924830 DOI: 10.1016/j.rec.2023.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 02/16/2023] [Indexed: 03/17/2023]
Abstract
INTRODUCTION AND OBJECTIVES Bicuspid aortic valve (BAV) disorder is the most common congenital heart disease. The aim of this study was to describe the characteristics of 0- to 18-year olds with BAV in a population-based registry. METHODS Data from all pediatric patients were obtained from the Spanish registry for pediatric patients with bicuspid aortic valve (REVAB) (< 18 years). For data analysis, patients with BAV were divided into 2 groups by their features: isolated BAV and BAV with associated congenital heart disease. RESULTS We included 1681 patients from 33 hospitals. Males accounted for 69.6% (n = 1158). Valve morphology was horizontal in 63.4% (n = 1012) and pure (Sievers type 0) in 28.4% (n=469). Isolated BAV was present in 63.7% (n=1060), and concomitant left-sided obstructive lesions in 23.4% (n=390). Interventions were required in 8.6% (n=145). CONCLUSION These data represent the first large, population-based description of the clinical presentations and outcomes of patients enrolled in the Spanish registry for pediatric patients with bicuspid aortic valve.
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Affiliation(s)
- Carolina Juzga-Corrales
- Departamento de Pediatría, Obstetricia, Ginecología, Medicina Preventiva y Salud Pública, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain
| | - Ariadna Ayerza-Casas
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain; Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - Marc Figueras-Coll
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitari Dr. Josep Trueta, Girona, Spain
| | - Silvia Escribà-Bori
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitari Son Espases, Mallorca, Spain
| | - Beatriz Plata-Izquierdo
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Complejo Asistencia Universitario de Salamanca, Salamanca, Spain
| | - Rosa Collell
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, Spain
| | - María Arántzazu González-Marín
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
| | - José Manuel Siurana
- Servicio de Cardiología Pediátrica, Servicio de Cardiología, Hospital HM Nens, Barcelona, Spain
| | - Moisés Sorlí
- Sección de Cardiología Pediátrica, Servicio de Pediatría, Hospital General Universitario Santa Lucía, Cartagena, Murcia, Spain
| | | | - Silvia Teodoro-Marín
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitari Parc Taulí, Sabadell, Barcelona, Spain
| | - Mónica Rodríguez
- Unidad de Cardiopatías Congénitas y Cirugía Cardiaca, Hospital HM Montepríncipe, Madrid, Spain
| | - Olga Domínguez-García
- Unidad de Cardiología Pediátrica, Servicio de Cardiología, Hospital Virgen de la Salud, Toledo, Spain
| | - Sara Rellán
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Clínico Universitario de Valladolid, Valladolid, Spain; Sección de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitario Virgen del Rocío, Sevilla, Spain
| | - Begoña Manso
- Sección de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitario Virgen del Rocío, Sevilla, Spain
| | - Bernardo López-Abel
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Complejo Hospitalario Universitario Santiago de Compostela, Santiago de Compostela, Spain
| | - Roser Álvarez-Pérez
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | | | - Erika Rezola
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitario de Donostia, Donostia, Spain
| | - Fernando Centeno-Malfaz
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitario Río Hortega, Valladolid, Spain
| | - Ruth Solana-Gracia
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitario Infanta Leonor, Madrid, Spain
| | - Henar Rojo-Sombrero
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain
| | - María Teresa Cantero-Tejedor
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Complejo Asistencial Universitario de Palencia, Palencia, Spain
| | - Bibiana Riaño
- Unidad de Cardiología Pediátrica, Servicio de Cardiología, Hospital San Pedro, Logroño, Spain
| | | | - Marisol Jiménez-Casso
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital General de Segovia, Segovia, Spain
| | - Ana María Pérez-Pardo
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitari General de Catalunya, Sant Cugat del Vallès, Barcelona, Spain
| | - Ana Moriano-Gutiérrez
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Lluis Alcanyis de Játiva, Valencia, Spain
| | - Manuel Marrero-Calvo
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Nuestra Señora de Sonsoles, Ávila, Spain
| | - María Teresa Fernández
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitario Infanta Elena, Madrid, Spain
| | - Carlos Salido-Peracaula
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitario de Jerez, Jerez de la Frontera, Spain
| | - María José Bravo
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Costa del Sol, Marbella, Málaga, Spain
| | | | - Anna Sabaté-Rotés
- Departamento de Pediatría, Obstetricia, Ginecología, Medicina Preventiva y Salud Pública, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain.
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Esmel-Vilomara R, Valenzuela I, Riaza L, Rodríguez-Santiago B, Rosés-Noguer F, Boronat S, Sabaté-Rotés A. Arterial tortuosity syndrome: Phenotypic features and cardiovascular manifestations in 4 newly identified patients. Eur J Med Genet 2023; 66:104823. [PMID: 37619836 DOI: 10.1016/j.ejmg.2023.104823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 08/12/2023] [Accepted: 08/22/2023] [Indexed: 08/26/2023]
Abstract
Arterial tortuosity syndrome (ATS) is an autosomal recessive connective tissue disease caused by biallelic variants in the SLC2A10 gene (NG_016284.1) and characterised by tortuosity and elongation of the aorta and medium-sized arteries. It is considered an extremely rare disease; only 106 individuals with genetically confirmed ATS have been identified to date. Four cases of ATS from two families are described, contributing to the clinical delineation of this condition. A patient with microcephaly and a complex uropathy and two cases with diaphragmatic hernia are noticed. Regarding the vascular involvement, a predominant supra-aortic involvement stands out and only 1 patient with significant arterial stenoses was described. All presented severe tortuosity of the intracranial arteries. To reduce hemodynamic stress on the arterial wall, beta-adrenergic blocking treatment was prescribed. A not previously described variant (NM_030777.4:c.899T>G (p.Leu300Trp)) was detected in a proband; it has an allegedly deleterious effect in compound heterozygous state with the pathogenic variant c.417T>A (p.Tyr139Ter). The other 3 patients, siblings born to healthy consanguineous parents, had a variant in homozygous state: c.510G>A (p.Trp170Ter).
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Affiliation(s)
- Roger Esmel-Vilomara
- Department of Paediatric Cardiology, Vall d'Hebron Hospital Campus, Barcelona, Spain; Department of Paediatrics, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
| | - Irene Valenzuela
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain; Department of Genetics, Vall d'Hebron Hospital Campus, Barcelona, Spain
| | - Lucía Riaza
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain; Department of Paediatric Radiology, Vall d'Hebron Hospital Campus, Barcelona, Spain
| | - Benjamín Rodríguez-Santiago
- Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain; Department of Genetics, Hospital de la Santa Creu i Sant Pau and Center for Biomedical Network Research on Rare Diseases (CIBERER) and Sant Pau Biomedical Research Institute (IIB Sant Pau), Barcelona, Spain
| | - Ferran Rosés-Noguer
- Department of Paediatric Cardiology, Vall d'Hebron Hospital Campus, Barcelona, Spain; Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Susana Boronat
- Department of Paediatrics, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Anna Sabaté-Rotés
- Department of Paediatric Cardiology, Vall d'Hebron Hospital Campus, Barcelona, Spain; Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
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Figueras-Coll M, Fernández-Doblas J, Sabaté-Rotés A. Origen anómalo de la arteria pulmonar derecha. Rev Esp Cardiol 2022. [DOI: 10.1016/j.recesp.2021.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Figueras-Coll M, Fernández-Doblas J, Sabaté-Rotés A. Anomalous origin of the right pulmonary artery. Rev Esp Cardiol (Engl Ed) 2022; 75:175-176. [PMID: 34353759 DOI: 10.1016/j.rec.2021.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 07/05/2021] [Indexed: 06/13/2023]
Affiliation(s)
- Marc Figueras-Coll
- Unidad de Hemodinámica Pediátrica, Servicio de Cardiología Pediátrica, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain; Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitario Doctor Josep Trueta, Universidad de Girona, Girona, Spain.
| | - Joaquín Fernández-Doblas
- Servicio de Cirugía Cardíaca Pediátrica, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - Anna Sabaté-Rotés
- Servicio de Cardiología Pediátrica, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain
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Siurana JM, Sabaté-Rotés A, Amigó N, Martínez-Micaelo N, Arciniegas L, Riaza L, Mogas E, Rosés-Noguer F, Ventura PS, Yeste D. Different profiles of lipoprotein particles associate various degrees of cardiac involvement in adolescents with morbid obesity. Front Pediatr 2022; 10:887771. [PMID: 36483472 PMCID: PMC9723388 DOI: 10.3389/fped.2022.887771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 11/02/2022] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION Dyslipidemia secondary to obesity is a risk factor related to cardiovascular disease events, however a pathological conventional lipid profile (CLP) is infrequently found in obese children. The objective is to evaluate the advanced lipoprotein testing (ALT) and its relationship with cardiac changes, metabolic syndrome (MS) and inflammatory markers in a population of morbidly obese adolescents with normal CLP and without type 2 diabetes mellitus, the most common scenario in obese adolescents. METHODS Prospective case-control research of 42 morbidly obese adolescents and 25 normal-weight adolescents, whose left ventricle (LV) morphology and function had been assessed. The ALT was obtained by proton nuclear magnetic resonance spectroscopy, and the results were compared according to the degree of cardiac involvement - normal heart, mild LV changes, and severe LV changes (specifically LV remodeling and systolic dysfunction) - and related to inflammation markers [highly-sensitive C-reactive protein and glycoprotein A (GlycA)] and insulin-resistance [homeostatic model assessment for insulin-resistance (HOMA-IR)]. A second analysis was performed to compare our results with the predominant ALT when only body mass index and metabolic syndrome criteria were considered. RESULTS The three cardiac involvement groups showed significant increases in HOMA-IR, inflammatory markers and ALT ratio LDL-P/HDL-P (40.0 vs. 43.9 vs. 47.1, p 0.012). When only cardiac change groups were considered, differences in small LDL-P (565.0 vs. 625.1 nmol/L, p 0.070), VLDL size and GlycA demonstrated better utility than just traditional risk factors to predict which subjects could present severe LV changes [AUC: 0.79 (95% CI: 0.54-1)]. In the second analysis, an atherosclerotic ALT was detected in morbidly obese subjects, characterized by a significant increase in large VLDL-P, small LDL-P, ratio LDL-P/HDL-P and ratio HDL-TG/HDL-C. Subjects with criteria for MS presented overall worse ALT (specially in triglyceride-enriched particles) and remnant cholesterol values. CONCLUSIONS ALT parameters and GlycA appear to be more reliable indicators of cardiac change severity than traditional CV risk factors. Particularly, the overage of LDL-P compared to HDL-P and the increase in small LDL-P with cholesterol-depleted LDL particles appear to be the key ALT's parameters involved in LV changes. Morbidly obese adolescents show an atherosclerotic ALT and those with MS present worse ALT values.
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Affiliation(s)
- José M Siurana
- Department of Pediatric Cardiology, Hospital HM Nens, HM Hospitales, Barcelona, Spain.,Autonomous University of Barcelona, Barcelona, Spain
| | - Anna Sabaté-Rotés
- Autonomous University of Barcelona, Barcelona, Spain.,Department of Pediatric Cardiology, Vall d'Hebron University Hospital, Barcelona, Spain
| | - Núria Amigó
- Biosfer Teslab, Reus, Spain.,Department of Basic Medical Sciences, Universitat Rovira I Virgili, Institut D'Investigació Sanitària Pere Virgili (IISPV), Tarragona, Spain.,Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Neus Martínez-Micaelo
- Biosfer Teslab, Reus, Spain.,Department of Basic Medical Sciences, Universitat Rovira I Virgili, Institut D'Investigació Sanitària Pere Virgili (IISPV), Tarragona, Spain
| | - Larry Arciniegas
- Department of Pediatric Endocrinology, Vall d'Hebron University Hospital, Barcelona, Spain
| | - Lucia Riaza
- Department of Pediatric Radiology, Vall d'Hebron University Hospital, Barcelona, Spain
| | - Eduard Mogas
- Department of Pediatric Endocrinology, Vall d'Hebron University Hospital, Barcelona, Spain
| | - Ferran Rosés-Noguer
- Autonomous University of Barcelona, Barcelona, Spain.,Department of Pediatric Cardiology, Vall d'Hebron University Hospital, Barcelona, Spain
| | - Paula S Ventura
- Department of Pediatric Endocrinology, Hospital HM Nens, HM Hospitales, Barcelona, Spain.,Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol (IGTP), Badalona, Spain
| | - Diego Yeste
- Autonomous University of Barcelona, Barcelona, Spain.,Department of Pediatric Endocrinology, Vall d'Hebron University Hospital, Barcelona, Spain.,Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
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Gran F, Fidalgo A, Dolader P, Garrido M, Navarro A, Izquierdo-Blasco J, Balcells J, Codina-Sola M, Fernandez-Alvarez P, Sabaté-Rotés A, Betrián P, Fernández-Doblas J, Abella R, Roses-Noguer F. Differences between genetic dilated cardiomyopathy and myocarditis in children presenting with severe cardiac dysfunction. Eur J Pediatr 2022; 181:287-294. [PMID: 34286374 PMCID: PMC8294227 DOI: 10.1007/s00431-021-04175-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 05/18/2021] [Accepted: 06/19/2021] [Indexed: 11/24/2022]
Abstract
Acute myocarditis is an inflammatory disease of the myocardium, and it can present as severe heart failure in children. Differential diagnosis with genetic cardiomyopathy can be difficult. The objective of this study is to identify patterns of clinical presentation and to assess invasive and non-invasive measures to differentiate patients with acute myocarditis from patients with dilated genetic cardiomyopathy. We performed a retrospective descriptive study of all paediatric patients (0-16 years old) that presented with new-onset heart failure with left ventricle ejection fraction < 35% in whom we performed an endomyocardial biopsy (EMB) during the period from April 2007 to December 2020. The patients were classified into two groups: Group 1 included 18 patients with myocarditis. Group 2 included 9 patients with genetic cardiomyopathy. Findings favouring a diagnosis of myocarditis included a fulminant or acute presentation (77.8% vs 33.3%, p = 0.01), higher degree of cardiac enzyme elevation (p = 0.011), lower left ventricular dimension z-score (2.2 vs 5.4, p = 0.03) increase of ventricular wall thickness (88.8% vs 33.3%, p = 0.03) and oedema in the EMB. Seven (77.8%) patients with genetic cardiomyopathy had inflammation in the endomyocardial biopsy fulfilling the diagnostic criteria of inflammatory cardiomyopathy.Conclusion: Differentiating patients with a myocarditis from those with genetic cardiomyopathy can be challenging, even performing an EMB. Some patients with genetic cardiomyopathy fulfil the diagnostic criteria of inflammatory cardiomyopathy. Using invasive and non-invasive measures may be useful to develop a predictive model to differentiate myocarditis from genetic cardiomyopathy. What is Known: • Acute myocarditis could present with cardiogenic shock in paediatric patients. • Parvovirus B19 is the main cause of myocarditis in this population. What is New: • Current diagnostic criteria for myocarditis have limited use in paediatric patients presenting with new-onset heart failure. • Some patients with a genetic cardiomyopathy and a new-onset heart failure fulfill the diagnostic criteria of inflammatory cardiomyopathy.
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Affiliation(s)
- Ferran Gran
- Paediatric Cardiology Unit, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, 08035 Barcelona, Spain
| | - Andrea Fidalgo
- Paediatric Cardiology Unit, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, 08035 Barcelona, Spain
| | - Paola Dolader
- Paediatric Cardiology Unit, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, 08035 Barcelona, Spain
| | - Marta Garrido
- Department of Pathology, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
| | - Alexandra Navarro
- Department of Pathology, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
| | - Jaume Izquierdo-Blasco
- Paediatric Intensive Care Unit, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
| | - Joan Balcells
- Paediatric Intensive Care Unit, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
| | - Marta Codina-Sola
- Department of Clinical and Molecular Genetics, Vall d’Hebron University Hospital and Vall d’Hebron Research Institute, Barcelona, Spain
| | - Paula Fernandez-Alvarez
- Department of Clinical and Molecular Genetics, Vall d’Hebron University Hospital and Vall d’Hebron Research Institute, Barcelona, Spain
| | - Anna Sabaté-Rotés
- Paediatric Cardiology Unit, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, 08035 Barcelona, Spain
| | - Pedro Betrián
- Paediatric Cardiology Unit, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, 08035 Barcelona, Spain
| | - Joaquín Fernández-Doblas
- Department of Paediatric Cardiac Surgery, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
| | - Raúl Abella
- Department of Paediatric Cardiac Surgery, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
| | - Ferran Roses-Noguer
- Paediatric Cardiology Unit, Hospital Universitari Vall d’Hebron, Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, 08035 Barcelona, Spain
- Department of Paediatric Cardiology, Royal Brompton and Harefield NHS Foundation Trust, London, UK
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9
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Figueras-Coll M, Sabaté-Rotés A, Iglesias-Serrano I, Peñas-Aguilera A, Pérez-Lafuente M. Abernethy Malformation: An Unusual Extrathoracic Cause of Chronic Hypoxemia in Pediatrics. Arch Bronconeumol 2021; 57:782-784. [PMID: 35698994 DOI: 10.1016/j.arbr.2021.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Accepted: 02/02/2021] [Indexed: 06/15/2023]
Affiliation(s)
- Marc Figueras-Coll
- Pediatric Cardiology Department, Universitat de Girona, Hospital Doctor Josep Trueta, Girona, Spain; Pediatric Cardiology Department, Universitat Autònoma Barcelona, Hospital Vall d'Hebron, Barcelona, Spain.
| | - Anna Sabaté-Rotés
- Pediatric Cardiology Department, Universitat Autònoma Barcelona, Hospital Vall d'Hebron, Barcelona, Spain
| | - Ignacio Iglesias-Serrano
- Pediatric Pneumology Department, Universitat Autònoma Barcelona, Hospital Vall d'Hebron, Barcelona, Spain
| | - Andreu Peñas-Aguilera
- Pediatric Pneumology Department, Universitat de Girona, Hospital Doctor Josep Trueta, Girona, Spain
| | - Mercedes Pérez-Lafuente
- Interventional Radiology Department, Universitat Autònoma Barcelona, Hospital Vall d'Hebron, Barcelona, Spain
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10
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Figueras-Coll M, Sabaté-Rotés A, Gran-Ipiña F, Rosés-Noguer F. Do we know the limits of the heart? Arch Cardiol Mex 2021; 92:292-294. [PMID: 34161312 PMCID: PMC9005180 DOI: 10.24875/acm.20000562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Affiliation(s)
- Marc Figueras-Coll
- Department of Pediatric Cardiology, Hospital Doctor Josep Trueta, Facultad de Medicina, Universidad de Girona, Girona, Spain; Department of Pediatric Cardiology, Hospital Vall d'Hebron, Facultad de Medicina, Universidad Autònoma Barcelona, Barcelona, Spain
| | - Anna Sabaté-Rotés
- Department of Pediatric Cardiology, Hospital Vall d'Hebron, Facultad de Medicina, Universidad Autònoma Barcelona, Barcelona, Spain
| | - Ferran Gran-Ipiña
- Department of Pediatric Cardiology, Hospital Vall d'Hebron, Facultad de Medicina, Universidad Autònoma Barcelona, Barcelona, Spain
| | - Ferran Rosés-Noguer
- Department of Pediatric Cardiology, Hospital Vall d'Hebron, Facultad de Medicina, Universidad Autònoma Barcelona, Barcelona, Spain; Department of Paediatric Cardiology, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom
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11
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Siurana JM, Sabaté-Rotés A, Ayerza A, Jimenez L, Figueras-Coll M, Gonzalez MA. Adolescents with bicuspid aortic valve: Which criteria should we use for aortic dilatation? Int J Cardiol 2021; 333:90-93. [PMID: 33757790 DOI: 10.1016/j.ijcard.2021.03.041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 03/12/2021] [Accepted: 03/15/2021] [Indexed: 01/16/2023]
Abstract
BACKGROUND Criteria to define aortic dilatation in bicuspid aortic valve (BAV) patients are different for children and adults. The objective of this study was to find the best reference tool to define dilation of the aortic root (AR) and the ascending aorta (AA) in BAV adolescents with an adult body surface area (BSA). METHODS Patients recruited were ≥10-years-old with a BSA ≥1.5 m2. Three measurements of the AR and AA were compared: z-score, the BSA-indexed value (BSA-IV) and the absolute value (AV), with thresholds in +2/+3, 21 mm/m2 and 40 mm, respectively. RESULTS 231 subjects were collected from the Pediatric REVAB database, with a median age and BSA of 14-year-old and 1.67 m2. Significant differences were reported in the AA: 109 (47%) patients had a z-score ≥2 and 67 (29%) a Z ≥ 3, but only 9 (3%) a BSA-IV ≥21 mm/m2 (p < 0.01 and p < 0.01) and 2 (0.9%) an AV ≥40 mm (p = 0.22 and p = 0.08). CONCLUSION Our results indicate that in the AA there are a significant number of patients in which it would be recommendable changing to BSA-IV when children are older than 10-year-old and BSA ≥1.5 m2. Regarding the AR, criteria for dilatation seems not to be influenced by the reference chosen.
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Affiliation(s)
- Jose M Siurana
- Hospital HM Nens. HM Hospitales, Spain; Universitat Autònoma de Barcelona, Spain
| | - Anna Sabaté-Rotés
- Universitat Autònoma de Barcelona, Spain; Hospital Universitari Vall d'Hebron, Barcelona, Spain.
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12
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Figueras-Coll M, Sabaté-Rotés A, Iglesias-Serrano I, Peñas-Aguilera A, Pérez-Lafuente M. Abernethy Malformation: An Unusual Extrathoracic Cause of Chronic Hypoxemia in Pediatrics. Arch Bronconeumol 2021; 57:S0300-2896(21)00062-4. [PMID: 33714659 DOI: 10.1016/j.arbres.2021.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Revised: 01/30/2021] [Accepted: 02/02/2021] [Indexed: 11/21/2022]
Affiliation(s)
- Marc Figueras-Coll
- Pediatric Cardiology Department, Universitat de Girona, Hospital Doctor Josep Trueta, Girona, Spain; Pediatric Cardiology Department, Universitat Autònoma Barcelona, Hospital Vall d'Hebron, Barcelona, Spain.
| | - Anna Sabaté-Rotés
- Pediatric Cardiology Department, Universitat Autònoma Barcelona, Hospital Vall d'Hebron, Barcelona, Spain
| | - Ignacio Iglesias-Serrano
- Pediatric Pneumology Department, Universitat Autònoma Barcelona, Hospital Vall d'Hebron, Barcelona, Spain
| | - Andreu Peñas-Aguilera
- Pediatric Pneumology Department, Universitat de Girona, Hospital Doctor Josep Trueta, Girona, Spain
| | - Mercedes Pérez-Lafuente
- Interventional Radiology Department, Universitat Autònoma Barcelona, Hospital Vall d'Hebron, Barcelona, Spain
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13
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Figueras-Coll M, Sabaté-Rotés A, Roguera-Sopena M, Betrián-Blasco P. Reversible atrioventricular block after atrial septal defect closure with a Gore Cardioform Septal Occluder. Arch Cardiol Mex 2020; 90:90-92. [PMID: 31996855 DOI: 10.24875/acm.m19000214] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Marc Figueras-Coll
- Department of Pediatric and Adult Congenital Interventional Cardiology, Barcelona, Spain
| | - Anna Sabaté-Rotés
- Department of Pediatric Cardiology. Vall d'Hebron Hospital, Barcelona, Spain
| | - Marc Roguera-Sopena
- Department Pediatric Cardiology, Germans Tries i Pujol Hospital. Barcelona, Spain
| | - Pedro Betrián-Blasco
- Department of Pediatric and Adult Congenital Interventional Cardiology, Barcelona, Spain
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Vaquer G, Marfil L, Ortega J, Sabaté-Rotés A, Gran-Ipiña F, Roses-Noguer F. Flecainide intoxication in pediatric patients with supraventricular tachycardia. Ann Pediatr Cardiol 2020; 13:264-266. [PMID: 32863668 PMCID: PMC7437626 DOI: 10.4103/apc.apc_116_19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 10/24/2019] [Accepted: 04/25/2020] [Indexed: 12/04/2022] Open
Abstract
Flecainide is a class IC antiarrhythmic indicated for ventricular and supraventricular arrhythmias in pediatric patients without structural heart disease. Flecainide has a narrow therapeutic window and proarrhythmic effect even in therapeutic doses and could lead to a life-threatening intoxication. Dosage errors, accidental intakes, and drug or food interactions, especially with dairy products, can be the cause of the intoxication. We report three consecutive cases of flecainide intoxication in children with supraventricular tachycardia (SVT) in our hospital from 2017 to 2019. Two cases had complete and spontaneous normalization of electrocardiogram (ECG) after flecainide removal. However, admission to the intensive care was required due to a sustained ventricular tachycardia in one case. Flecainide intoxication can be a life-threatening complication in patients with SVT. We believe all children should have close monitoring with serial ECG and plasma levels of flecainide during the 48–72 h after initiation of treatment, and consider hospitalization for patients <1 year of age.
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Affiliation(s)
- Guiem Vaquer
- Department of Pediatrics, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - Laura Marfil
- Department of Pediatrics, Hospital Universitari de Lleida, Lleida, Spain
| | - Josep Ortega
- Department of Pediatrics, Hospital Universitari de Lleida, Lleida, Spain
| | - Anna Sabaté-Rotés
- Department of Pediatric Cardiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - Ferran Gran-Ipiña
- Department of Pediatric Cardiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - Ferran Roses-Noguer
- Department of Pediatric Cardiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.,Department of Pediatric Cardiology, Royal Brompton Hospital, London, England
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15
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Figueras-Coll M, Sabaté-Rotés A, Martí-Aguasca G, Roguera-Sopena M, Betrián-Blasco P. Percutaneous shunt closure in patients with nickel allergy. Anales de Pediatría (English Edition) 2020. [DOI: 10.1016/j.anpede.2018.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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16
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Figueras-Coll M, Sabaté-Rotés A, Roguera-Sopena M, Betrián-Blasco P. Bloqueo auriculoventricular reversible post cierre de comunicación interauricular con dispositivo Gore Cardioform Septal Occluder. ACM 2020. [DOI: 10.24875/acm.19000214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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17
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Figueras-Coll M, Sabaté-Rotés A, Rosés-Noguer F, Till J. ¿Vía accesoria aturdida o conducción intermitente? An Pediatr (Barc) 2020; 92:57-59. [DOI: 10.1016/j.anpedi.2019.02.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Revised: 02/05/2019] [Accepted: 02/14/2019] [Indexed: 11/17/2022] Open
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18
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Figueras-Coll M, Sabaté-Rotés A, Giralt-Garcia G, Martí-Aguasca G, Betrián-Blasco P. Cierre percutáneo exitoso de comunicación interauricular tipo seno coronario destechado. Rev Esp Cardiol (Engl Ed) 2019. [DOI: 10.1016/j.recesp.2019.03.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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19
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Figueras-Coll M, Sabaté-Rotés A, Giralt-Garcia G, Martí-Aguasca G, Betrián-Blasco P. Successful Percutaneous Closure of a Complete Unroofed Coronary Sinus. ACTA ACUST UNITED AC 2019; 72:970-972. [PMID: 31208855 DOI: 10.1016/j.rec.2019.03.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Accepted: 03/25/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Marc Figueras-Coll
- Unidad de Hemodinámica Pediátrica, Servicio de Cardiología Pediátrica, Hospital Universitario Vall d'Hebron, Barcelona, Spain.
| | - Anna Sabaté-Rotés
- Servicio de Cardiología Pediátrica, Hospital Universitario Vall d'Hebron, Barcelona, Spain
| | - Gemma Giralt-Garcia
- Servicio de Cardiología Pediátrica, Hospital Universitario Vall d'Hebron, Barcelona, Spain
| | - Gerard Martí-Aguasca
- Unidad de Hemodinámica Pediátrica, Servicio de Cardiología Pediátrica, Hospital Universitario Vall d'Hebron, Barcelona, Spain; Unidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario Vall d'Hebron, Barcelona, Spain
| | - Pedro Betrián-Blasco
- Unidad de Hemodinámica Pediátrica, Servicio de Cardiología Pediátrica, Hospital Universitario Vall d'Hebron, Barcelona, Spain
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20
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Figueras-Coll M, Sabaté-Rotés A, Martí-Aguasca G, Roguera-Sopena M, Betrián-Blasco P. [Percutaneous shunt closure in patients with nickel allergy]. An Pediatr (Barc) 2019; 92:102-104. [PMID: 30737106 DOI: 10.1016/j.anpedi.2018.12.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2018] [Revised: 12/03/2018] [Accepted: 12/29/2018] [Indexed: 11/19/2022] Open
Affiliation(s)
- Marc Figueras-Coll
- Unidad de Hemodinámica Pediátrica, Servicio de Pediatría, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España; Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitari Vall d'Hebrón, Universitat Autònoma de Barcelona, Barcelona, España.
| | - Anna Sabaté-Rotés
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitari Vall d'Hebrón, Universitat Autònoma de Barcelona, Barcelona, España
| | - Gerard Martí-Aguasca
- Unidad de Hemodinámica Pediátrica, Servicio de Pediatría, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España
| | - Marc Roguera-Sopena
- Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitario Germans Trias y Pujol, Universitat Autònoma de Barcelona, Badalona, España
| | - Pedro Betrián-Blasco
- Unidad de Hemodinámica Pediátrica, Servicio de Pediatría, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España; Unidad de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitari Vall d'Hebrón, Universitat Autònoma de Barcelona, Barcelona, España
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21
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Manchola-Linero A, Gran Ipiña F, Teixidó-Tura G, López Grondona F, Rosés Noguer F, Sabaté-Rotés A. Síndrome de Marfan y síndrome de Loeys-Dietz en la edad pediátrica: experiencia de un equipo multidisciplinar. Rev Esp Cardiol (Engl Ed) 2018. [DOI: 10.1016/j.recesp.2017.03.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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22
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Manchola-Linero A, Gran Ipiña F, Teixidó-Tura G, López Grondona F, Rosés Noguer F, Sabaté-Rotés A. Marfan Syndrome and Loeys-Dietz Syndrome in Children: A Multidisciplinary Team Experience. Rev Esp Cardiol (Engl Ed) 2018; 71:585-587. [PMID: 28579256 DOI: 10.1016/j.rec.2017.03.031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2017] [Accepted: 03/28/2017] [Indexed: 06/07/2023]
Affiliation(s)
| | - Ferran Gran Ipiña
- Servicio de Cardiología Pediátrica, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - Gisela Teixidó-Tura
- Servicio de Cardiología, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | | | - Ferran Rosés Noguer
- Servicio de Cardiología Pediátrica, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - Anna Sabaté-Rotés
- Servicio de Cardiología Pediátrica, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
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23
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Valenzuela I, Fernández-Alvarez P, Plaja A, Ariceta G, Sabaté-Rotés A, García-Arumí E, Vendrell T, Tizzano E. Further delineation of the SOX18 -related Hypotrichosis, Lymphedema, Telangiectasia syndrome (HTLS). Eur J Med Genet 2018; 61:269-272. [DOI: 10.1016/j.ejmg.2018.01.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Revised: 12/27/2017] [Accepted: 01/01/2018] [Indexed: 11/15/2022]
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24
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Figueras-Coll M, Sabaté-Rotés A, Betrián-Blasco P, Ortuño-Muro P. Stenting Coarctation of the "Fifth Aortic Arch": A Safe and Attractive Therapeutic Alternative to Surgery. World J Pediatr Congenit Heart Surg 2018; 11:NP140-NP143. [PMID: 29614911 DOI: 10.1177/2150135117752895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
"Persistence of the fifth aortic arch" is a rare congenital cardiovascular anomaly that consists of an abnormal vessel arising from the distal ascending aorta connecting with the systemic or pulmonary circulation. We report a case of a type A interruption of the aortic arch and a coarctation of the fifth aortic arch, which connected the ascending with the descending aorta. No cardiac surgery was required because a covered stent was successfully implanted in the fifth aortic arch when the patient was 4 years old. A chromosome 9 q arm duplication of uncertain significance was also found, an anomaly never described before in this clinical context.
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Affiliation(s)
- Marc Figueras-Coll
- Pediatric Cardiology and Pediatric Interventional Cardiology Department, Universitat Autònoma Barcelona, Hospital Vall d'Hebron, Barcelona, Spain.,Pediatric Cardiology Department, Universitat de Girona, Hospital Doctor Josep Trueta, Girona, Spain
| | - Anna Sabaté-Rotés
- Pediatric Cardiology and Pediatric Interventional Cardiology Department, Universitat Autònoma Barcelona, Hospital Vall d'Hebron, Barcelona, Spain
| | - Pedro Betrián-Blasco
- Pediatric Cardiology and Pediatric Interventional Cardiology Department, Universitat Autònoma Barcelona, Hospital Vall d'Hebron, Barcelona, Spain
| | - Pedro Ortuño-Muro
- Radiology Department, Universitat de Girona, Hospital Doctor Josep Trueta, Girona, Spain
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25
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Sabaté-Rotés A, Sabidó Sanchez L, Gran Ipiña F, Albert Brotons D, Abella RF, Rosés Noguer F. Caracterización y factores de riesgo de dilatación aórtica en pacientes pediátricos con válvula aórtica bicúspide. Med Clin (Barc) 2017. [DOI: 10.1016/j.medcli.2017.03.041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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26
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Figueras-Coll M, Sabaté-Rotés A, Cañete-Abajo N, Domènech-Ximenos B. The Chiari Network-Only an Embryonic Remnant or a Confusing Finding? World J Pediatr Congenit Heart Surg 2017; 11:NP47-NP49. [PMID: 28825388 DOI: 10.1177/2150135117704658] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Chiari network is an embryonic remnant of valves of the sinus venosus, which can be observed in several locations in the right atrium. Although it is usually considered a normal anatomic variant, when associated with certain clinical conditions, the Chiari network may become a confusing finding, and a careful differential diagnosis is required. It should be differentiated from a tricuspid valve disruption, vegetation, thrombus, or tumoral mass. In this case report, we describe a singular case of endocarditis over a Chiari network in a seven-year-old boy that was successfully managed in a conservative fashion.
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Affiliation(s)
- Marc Figueras-Coll
- Department of Pediatric Cardiology, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.,Department of Pediatric Cardiology, Hospital Universitari Doctor Josep Trueta, Universitat de Girona, Girona, Spain
| | - Anna Sabaté-Rotés
- Department of Pediatric Cardiology, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Noemí Cañete-Abajo
- Department of Radiology, Hospital Universitari Doctor Josep Trueta, Universitat de Girona, Girona, Spain
| | - Blanca Domènech-Ximenos
- Department of Radiology, Hospital Universitari Doctor Josep Trueta, Universitat de Girona, Girona, Spain
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27
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Figueras-Coll M, Sabaté-Rotés A, Cañete-Abajo N. Conexión anómala parcial de venas pulmonares, un reto diagnóstico en cardiología pediátrica. Archivos de Cardiología de México 2017; 87:246-248. [DOI: 10.1016/j.acmx.2016.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2016] [Revised: 06/08/2016] [Accepted: 06/09/2016] [Indexed: 10/21/2022] Open
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28
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Gran F, Martínez-Villar M, Sabaté-Rotés A, Castellote A, Rosés-Noguer F, Albert DC. Acute Myocarditis Versus Ventricular Noncompaction Cardiomyopathy in Infancy: Role of Magnetic Resonance. ACTA ACUST UNITED AC 2017; 71:503-504. [PMID: 28528884 DOI: 10.1016/j.rec.2017.04.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Ferran Gran
- Unidad de Cardiología Pediátrica, Hospital Universitario Materno-Infantil Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain.
| | | | - Anna Sabaté-Rotés
- Unidad de Cardiología Pediátrica, Hospital Universitario Materno-Infantil Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - Amparo Castellote
- Servicio de Radiología, Hospital Universitario Materno-Infantil Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - Ferran Rosés-Noguer
- Unidad de Cardiología Pediátrica, Hospital Universitario Materno-Infantil Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - Dimpna C Albert
- Unidad de Cardiología Pediátrica, Hospital Universitario Materno-Infantil Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain
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Figueras-Coll M, Sabaté-Rotés A, Cañete-Abajo N, Abella RF. A singular case of non-obstructive supracardiac total anomalous pulmonary venous connection with two vertical veins in a 30weeks preterm neonate. Int J Cardiol 2016; 223:50-51. [PMID: 27529591 DOI: 10.1016/j.ijcard.2016.08.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2016] [Accepted: 08/03/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Marc Figueras-Coll
- Pediatric Cardiology Department, Universitat de Girona, Hospital Universitari Doctor Josep Trueta, Girona, Spain.
| | - Anna Sabaté-Rotés
- Pediatric Cardiology Department, Universitat Autònoma de Barcelona, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - Noemí Cañete-Abajo
- Radiology Department, Universitat de Girona, Hospital Universitari Doctor Josep Trueta, Girona, Spain
| | - Raúl Felipe Abella
- Pediatric Cardiac Surgery Department, Universitat Autònoma de Barcelona, Hospital Universitari Vall d'Hebron, Barcelona, Spain
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Sabaté-Rotés A, Betrián Blasco P, Giralt García G, Abella R. Corrigendum to “Casual diagnosis of anomalous origin of the left coronary artery from the pulmonary artery” [Int. J. Cardiol. 203 (2016 Jan. 15) 120–2]. Int J Cardiol 2016. [DOI: 10.1016/j.ijcard.2016.02.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Martínez-Villar M, Gran F, Ferrer Q, Giralt G, Sabaté-Rotés A, Albert DC. Vena cava superior izquierda persistente con agenesia de la vena cava superior derecha. Rev Esp Cardiol 2016. [DOI: 10.1016/j.recesp.2015.10.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Sabaté-Rotés A, Betrián Blasco P, Betrán Blasco P, Giralt García G, Abella RF. Casual diagnosis of anomalous origin of the left coronary artery from the pulmonary artery. Int J Cardiol 2016; 203:120-2. [PMID: 26512822 DOI: 10.1016/j.ijcard.2015.10.138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2015] [Accepted: 10/18/2015] [Indexed: 10/22/2022]
Affiliation(s)
- Anna Sabaté-Rotés
- Pediatric Cardiology Department, Universitat Autonoma de Barcelona, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
| | | | - Pedro Betrán Blasco
- Pediatric Cardiology Department, Universitat Autonoma de Barcelona, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - Gemma Giralt García
- Pediatric Cardiology Department, Universitat Autonoma de Barcelona, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - Raúl F Abella
- Pediatric Cardiac Surgery Department, Universitat Autonoma de Barcelona, Hospital Universitari Vall d'Hebron, Barcelona, Spain
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Martínez-Villar M, Gran F, Ferrer Q, Giralt G, Sabaté-Rotés A, Albert DC. Persistent Left Superior Vena Cava With Absent Right Superior Vena Cava. ACTA ACUST UNITED AC 2015; 69:220-1. [PMID: 26708343 DOI: 10.1016/j.rec.2015.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2015] [Accepted: 10/09/2015] [Indexed: 11/17/2022]
Affiliation(s)
| | - Ferran Gran
- Unidad de Cardiología, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain.
| | - Queralt Ferrer
- Unidad de Cardiología, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - Gemma Giralt
- Unidad de Cardiología, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - Anna Sabaté-Rotés
- Unidad de Cardiología, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - Dimpna C Albert
- Unidad de Cardiología, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain
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