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Your search keyword '"Venu Amula"' showing total 2 results
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2 results on '"Venu Amula"'

1. Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature

Author

Sunil Saharan, Joseph Vettukattil, Aarti Bhat, Venu Amula, Manish Bansal, Devyani Chowdhury, Umesh Dyamenahalli, Saurabh Kumar Gupta, Bibhuti Das, T K Susheel Kumar, Ashok Muralidaran, Kalyani Trivedi, Sethuraman Swaminathan, Neha Bansal, Unnati Doshi, Arvind Hoskoppal, and Seshadri Balaji

Subjects
children, decompression sickness, management, migraine, patent foramen ovale, platypnea–orthodeoxia syndrome, stroke, Medicine, Pediatrics, RJ1-570, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

A patent foramen ovale (PFO) is a frequent incidental finding during echocardiography in otherwise healthy children. In most healthy children with a diagnosis of isolated incidental PFO, no further follow-up or intervention is necessary. In some children, PFO is associated with certain clinical syndromes such as cryptogenic stroke, decompression sickness, migraine, and platypnea–orthodeoxia syndrome. This review discusses PFO anatomy, diagnostic imaging, PFO-associated clinical situations, management options, and the role of PFO in certain congenital heart disease. This review also highlights the current deficiency of pediatric data guiding management of these uncommon but important PFO-associated conditions. Future multicenter randomized controlled studies are necessary to guide the management of these unique and challenging PFO-associated conditions.

Published
2022
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2. Contemporary Multicenter Outcomes for Truncus Arteriosus With Interrupted Aortic Arch

Author

Jason R. Buckley, John M. Costello, Arthur J. Smerling, Peter Sassalos, Venu Amula, Katherine Cashen, Christine M. Riley, Adnan M. Bakar, Ilias Iliopoulos, Aimee Jennings, Sukumar Suguna Narasimhulu, and Christopher W. Mastropietro

Subjects
Pulmonary and Respiratory Medicine, Truncus Arteriosus, Infant, Aorta, Thoracic, Truncus Arteriosus, Persistent, Aortic Coarctation, Treatment Outcome, Child, Preschool, Humans, Multicenter Studies as Topic, Surgery, Child, Cardiology and Cardiovascular Medicine, Retrospective Studies
Abstract

Truncus arteriosus with interrupted aortic arch (TA-IAA) is a rare congenital heart defect with historically poor outcomes. Contemporary multicenter data are limited.A retrospective cohort study of children who underwent repair of TA-IAA between 2009 and 2016 at 12 tertiary care referral centers within the United States was performed. Major adverse cardiac events (MACE) were defined as postoperative extracorporeal membrane oxygenation, cardiopulmonary resuscitation, or operative mortality. TA-IAA patients were compared with TA patients who underwent repair during the study period from the same institutions.We reviewed 35 patients with TA-IAA. MACE occurred in 12 patients (34%). Improvement over time was observed during the study period with 11 events (92%) occurring in the first half of the study period (P = .03). Factors associated with MACE included moderate or severe truncal valve insufficiency (P.01), concomitant truncal valve repair (P = .04), and longer cardiopulmonary bypass duration (P = .02). In comparison with 216 patients who underwent TA repair, patients with TA-IAA had a higher rate of MACE, but this finding was not statistically significant (34% vs 20%, respectively; P = .07). Additionally no differences between TA-IAA and TA groups were observed for unplanned reoperations (14% vs 22%, respectively; P = .3), hospital length of stay (24 vs 23 days, P = .65), or late deaths (7% vs 7%, P = 1.00).In this contemporary, multicenter cohort the rate of MACE after repair of TA-IAA was high but improved during the study period. Early childhood outcomes of patients with TA-IAA were similar to those with TA.

Published
2023
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