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Cardiology Inflamatory Agents, This Patient Is Eventually Proceed to Surgical Treatment Proceeding of the 28th International Congress of Pediatrics – Oct 2016 Cardiology inflamatory agents, this patient is eventually proceed to surgical treatment. Constrictive pericarditis, an uncommon disease in children, is inflammation of the pericardium, which Two case of successful withdrawal of a migrated results in constriction in conjunction with the presence of silicone port catheter fragment pericardial fluid under pressure. When pericardium is constricted it limits the normal distension of the myocardium, 1 1 1 Hassan Zamani , Kazem Babzadeh , Hamidreza Ghaemi , preventing cardiac filling which can turn to cardiac tamponade. Rahman Ghaffari2, Farzad Mokhtari Esbuie3 There are two variants of constrictive pericarditis: a chronic 1. Non-Communicable Pediatric Diseases Research Center, form, which usually occurs following recurrent pericarditis, Babol University of Medical Sciences, Babol, Iran 2. Department of Cardiac Surgery, Mazandaran University of cardiac surgery, or radiation to the mediastinum as a Medical Sciences, Sari, Iran.3. Mazandaran University of treatment for malignancies. And acute pericardial constriction, Medical Sciences, Sari, Iran which is usually a rapidly developing form, following an attack of effusive pericarditis, may be more due to infectious reasons. Background: silicone port catheter has been used widely in Keywords: common cold, Anasara Edema, Restrictive clinics. These catheters are also recommended for children Pericarditis and infants receiving chemotherapy. In this paper, we present two case of with migrated silicone port catheter fragment into the heart. Case report: CASE 1: After one period of chemotherapy in a 2. Evaluation of Left ventricular function in children with 5 year old girl with acute lymphoblastic leukemia during cancer who are treated with Anthracycline by 2dimentional catheter removal one fragment of it embolized to heart. global longitudinal strain with automated functional Catheter Tip snaring performed by long sheet 8 F successfully. imaging (AFI) CASE 2: A 6years old boy with a migrated port catheter to the Ehsan Aghaei Moghadam, Ali-Akbar Zeinaloo, Farzad heart was referred to our clinic. In the cath lab with the guide Kompani, Leili Kuchakzade, Mohammad-Taghi Majnoon, of fluoroscopy catheter tip was snared and then pulled back Maryam Nikoufar, Azin Ghamari, Chehreh Mahdavi into the 9 F long sheet successfully. Children Medical Center, Pediatric Center of Excellence, Conclusion: A rare complication in the use of central catheters Tehran University of Medical Sciences, Tehran, Iran is fraction and cardiac embolization. We offer gentle bringing out of the catheter lines under fluoroscopy guide in all of the Background: Despite high effectiveness of anthracycline as a cases, if this is technically possible and safe. potent antineoplastic agent, its-related cardiothoxicity is the Keywords: common cold, Anasara Edema, Restrictive most notorious complication. The present study thus aimed to Pericarditis assess left ventricular functional status by assessing two- dimensional global longitudinal strain using Automated Function Imaging technique in children with cancers who Anasarca Edema in a 9-year-old boy who experienced received anthracycline. common cold recently Methods: This cross-sectional study was performed on 22 new diagnosed cancer patients aged 18 years or younger who Ghareh Zadeh Shirazi A.; Aghayi Moghaddam E.; Eshaghi H. referred to children medical center in Tehran in 2016 as the Children’s Medical Center, Pediatrics Center of Excellence, cases and also 22 age-matched healthy children who referred Department of Pediatrics, Tehran University of Medical to the center because of any non-cardiac reasons as the Sciences, Tehran, Iran control. All participants were assessed to determine left ventricular functional indices before and also one month after Constrictive pericarditis in children is a very rare and usually starting the therapeutic regimen containing anthracycline. difficult to diagnosis disease, which characterized by the Results: Among all parameters assessed by echocardiography, appearance of signs and symptoms of right heart failure due to only the mitral annular peak systolic velocity (Sm) significantly loss of pericardial compliance and restricting diastolic filling. reduced after administrating anthracycline compared to We are presenting a 9-year-old boy, with a history of recent before that. Compared to healthy subjects, the cancer group common cold, who was brought to our emergency clinic of our had lower E’ (13.83 ± 3.90 versus 17.47 ± 3.14, p = 0.006), center with progressive edema of both lower extremities, higher left ventricular Tei index (0.39 ± 0.07 versus 0.33 ± 0.07, scrotal area and orbits since 1 week ago. The investigations p = 0.01), lower left ventricular ejection fraction (57.61 ± 8.44% revealed a transudative pericardial effusion due to constrictive versus 63.40 ± 4.45%, p = 0.04), and also higher LVIDd (3.72 ± pericarditis compatible to adenovirus infection. Although 0.39 versus 3.29 ± 0.54, p = 0.01) after using anthracycline. acute pericardial constriction is reported to respond to anti 1 Proceeding of the 28th International Congress of Pediatrics – Oct 2016 Regarding segmental strain rates (Table 2), the group received Keywords: Fetus; PR interval; heart block; Doppler anthracycline had significantly higher basal anterior, basal echocardiography inferolateral, basal anterolateral, and also mid anterior strains when compared to the control group after intervention. Conclusion: Alteration in left ventricular functional indices and Metabolic Myopathies strain pattern is potentially predicted following administration of anthracycline in children cancer patients. Ali Talea, Pediatric Endocrinologist Metabolic Disorders Keywords: Cardiovascular Disease, Left Ventricular Function, Research Center, Endocrinology and Metabolism Molecular- Automated Functional Imaging Cellular Sciences Institute, Endocrinology and Metabolism Research Institute,Tehran University of Medical Sciences, Tehran, Iran The assessment of Fetal Doppler mechanical PR interval and The metabolic myopathies result from inborn errors of its main correlates among fetuses metabolism affecting intracellular energy production due to defects in glycogen, lipid, adenine nucleotides, and Ehsan Aghaei Moghadam, Ali Akbar Zeinaoo, Armen mitochondrial metabolism. Metabolic myopathies should be Kocharian, Elahe Malakan Rad, Azin Ghamari, Mohamad considered in the differential diagnosis of patients with Taghi Majnoon, Chehreh Mahdavi, Maryam Nikoufar exercise-induced muscle symptoms, static or progressive Department of Pediatrics, Tehran University of Medical myopathy, isolated neuromuscular respiratory weakness, and Sciences, Thran, Iran muscle disease associated with systemic conditions. Our knowledge of metabolic myopathies has expanded rapidly in Background: Prenatal early diagnosis of congenital heart recent years, providing us with major advances in the diseases is very important to improve care of women and detection of genetic and biochemical defects. New and newborns. Early stillbirth is often the result of complex heart improved diagnostic tools are now available for some of these defects or undetected fetal heart irregularities. There have not disorders, and targeted therapies for specific biochemical been conducted a comprehensive research on heart deficits have been developed. The diagnostic approach for conduction disturbances in the fetus and the possibility of patients with suspected metabolic myopathy should start with preventing stability of these changes. The present study aimed the recognition of a static or dynamic pattern (fixed versus to assess the mechanical PR interval and its main correlates in exercise-induced weakness). Individual presentations vary Iranian neonates using Doppler echocardiography. according to age of onset and the severity of each particular Methods: This cross-sectional study was conducted on 101 biochemical dysfunction. Additional clinical clues include the pregnant women referred to fetal echocardiography center in presence of multisystem disease, family history, and Children Medical Center from 2014 to 2015. The mechanical laboratory characteristics. Doppler PR interval was measured using a pulsed wave of the Keywords: Metabolic Myopathies, glycogen, lipid, fetal heart to obtain the measurements. The two-dimensional mitochondrial directed pulsed Doppler gate was placed distal to the mitral valve at an angle of 20° with respect to the long axis of the left Evaluation of Left Ventricular Function Using Tissue ventricular outflow tract. Doppler Echocardiography in Patients after Renal Results: We evaluated 119 fetuses at 14 to 38 weeks. The Transplant mean ± SD FHR was 148.2 ± 7.2 beats per min (bpm). The PR intervals had a typical Gaussian distribution with a mean± SD Roya Isa Tafreshi, MD. Hsan Otukesh, MD., Nakysa Hooman, of 111.7 ± 8.9 ms (95% Confidence Interval: 11.0 to 113.3). MD., Azar Nikavar, MD., Rozita Hoseni, MD Robust linear regression showed that the PR increased by Iran University of Medical Sciences about 0.73 ms per gestational week (P < 0.001), and this relationship remained after adjustment for FHR, mother age, Background. Despite good outcomes of renal transplantation and fetal sex. Also, similar regression modeling indicated that (RT), Cardiovascular disease is the major cause of death in the PR reduced by about 0.22 ms with each unit increase in adults. These abnormalities become more important because
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