Pub Date : 2021-04-19DOI: 10.21203/RS.3.RS-419072/V1
Luke Laari, Desmond Kuupiel, Christian Makafui Boso
Background: Early detection and intervention of children living with Autism Spectrum Disorders have shown a great improvement of the child's behaviour, predominantly in language and motor skills development. We are proposing to conduct a systematic scoping review that will map all evidence available on children living with Autism Spectrum Disorders in Africa.Methods and analysis: This study will be guided by Arksey and O’Malley’s framework of scoping reviews. A comprehensive literature search will be done in the following electronic databases. Cumulative Index to Nursing and Allied Health Literature (CINAHL), Science Direct, EBSCOhost, MEDLINE, Health Sources, and Google Scholar. Primary studies, published in peer-reviewed journals and grey literature such as unpublished studies, studies in press and Theses that address our research question will be included. To reduce research bias two independent reviewers will perform title, abstract, and full article screening in parallel. Data extraction from the selected studies will be conducted by two independent reviewers. NVivo version 12 software will be used to assist with the extraction of relevant answers to the study questions from selected studies using content thematic analysis. The results for this planned study will be presented following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Review (PRISMA-ScR). Mixed Methods Assessment Tool version 2018 will be used for quality appraisal of included studies.Discussion: We anticipate that the proposed mapped evidence on Children living with Autism Spectrum Disorders in Africa will reveal indicators for early detection that would facilitate strategies for intervention. We are also anticipating that this systematic scoping review will reveal gaps that can be addressed to ensure context-sensitive interventions and identify caregiver burdens of children living with Autism. This will contribute to the reduction of a scarcity of literature on children living with Autism in Africa.
{"title":"Mapping Research Evidence on Children Living With Autism Spectrum Disorders in Africa: a Scoping Review Protocol.","authors":"Luke Laari, Desmond Kuupiel, Christian Makafui Boso","doi":"10.21203/RS.3.RS-419072/V1","DOIUrl":"https://doi.org/10.21203/RS.3.RS-419072/V1","url":null,"abstract":"\u0000 Background: Early detection and intervention of children living with Autism Spectrum Disorders have shown a great improvement of the child's behaviour, predominantly in language and motor skills development. We are proposing to conduct a systematic scoping review that will map all evidence available on children living with Autism Spectrum Disorders in Africa.Methods and analysis: This study will be guided by Arksey and O’Malley’s framework of scoping reviews. A comprehensive literature search will be done in the following electronic databases. Cumulative Index to Nursing and Allied Health Literature (CINAHL), Science Direct, EBSCOhost, MEDLINE, Health Sources, and Google Scholar. Primary studies, published in peer-reviewed journals and grey literature such as unpublished studies, studies in press and Theses that address our research question will be included. To reduce research bias two independent reviewers will perform title, abstract, and full article screening in parallel. Data extraction from the selected studies will be conducted by two independent reviewers. NVivo version 12 software will be used to assist with the extraction of relevant answers to the study questions from selected studies using content thematic analysis. The results for this planned study will be presented following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Review (PRISMA-ScR). Mixed Methods Assessment Tool version 2018 will be used for quality appraisal of included studies.Discussion: We anticipate that the proposed mapped evidence on Children living with Autism Spectrum Disorders in Africa will reveal indicators for early detection that would facilitate strategies for intervention. We are also anticipating that this systematic scoping review will reveal gaps that can be addressed to ensure context-sensitive interventions and identify caregiver burdens of children living with Autism. This will contribute to the reduction of a scarcity of literature on children living with Autism in Africa.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49085441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-08DOI: 10.21203/RS.3.RS-277440/V1
R. López-Benítez, T. Castillo, M. Hodel, Thiago VM Lima, L. Kara, Magdalena Schmidt, J. Roos
BackgroundPlacental implantation abnormalities remain among the major causes of massive postpartum hemorrhage and maternal mortality worldwide. To avoid a hysterectomy, prophylactic management with perioperative internal iliac artery balloon occlusion (IIABO) could minimize blood loss and facilitate surgical performance through reductions in the rate of uterine perfusion. We aimed to evaluate the safety and efficacy of IIABO in patients with placental implantation abnormalities.ResultsThe study group consisted of 13 patients, including three patients with placenta previa totalis, seven patients with placenta increta, and three patients with placenta percreta. Prophylactic IIABO was performed in all patients. The median estimated blood loss was 700 ml ± 598.8 ml, the median number of red blood cell transfusion units was 0 ± 0.75, and only two patients required uterine artery embolization. The uterus was preserved in eight patients (61.5%), with an average intra-hospitalary stay of 6 ± 3.2 days. The average fetal radiation dose was 4.67 mGy. No complications were attributed to IIABO placement.ConclusionsThe prophylactic use of IIABO in placental implantation abnormalities is an effective and safe method of controlling perioperative bleeding during cesarean section and hysterectomy. Indications should be strictly controlled, and interdisciplinary planning and management are mandatory.
{"title":"Perioperative Prophylactic Internal Iliac Artery Balloon Occlusion (Iiabo) in Placental Implantation Abnormalities","authors":"R. López-Benítez, T. Castillo, M. Hodel, Thiago VM Lima, L. Kara, Magdalena Schmidt, J. Roos","doi":"10.21203/RS.3.RS-277440/V1","DOIUrl":"https://doi.org/10.21203/RS.3.RS-277440/V1","url":null,"abstract":"\u0000 BackgroundPlacental implantation abnormalities remain among the major causes of massive postpartum hemorrhage and maternal mortality worldwide. To avoid a hysterectomy, prophylactic management with perioperative internal iliac artery balloon occlusion (IIABO) could minimize blood loss and facilitate surgical performance through reductions in the rate of uterine perfusion. We aimed to evaluate the safety and efficacy of IIABO in patients with placental implantation abnormalities.ResultsThe study group consisted of 13 patients, including three patients with placenta previa totalis, seven patients with placenta increta, and three patients with placenta percreta. Prophylactic IIABO was performed in all patients. The median estimated blood loss was 700 ml ± 598.8 ml, the median number of red blood cell transfusion units was 0 ± 0.75, and only two patients required uterine artery embolization. The uterus was preserved in eight patients (61.5%), with an average intra-hospitalary stay of 6 ± 3.2 days. The average fetal radiation dose was 4.67 mGy. No complications were attributed to IIABO placement.ConclusionsThe prophylactic use of IIABO in placental implantation abnormalities is an effective and safe method of controlling perioperative bleeding during cesarean section and hysterectomy. Indications should be strictly controlled, and interdisciplinary planning and management are mandatory.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67960099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-16DOI: 10.21203/RS.3.RS-334558/V1
E. Kostopoulou, A. Avgeri, S. Skiadopoulos, G. Dimitriou, I. Giannakopoulos
Background: The prevalence of childhood obesity in Greece is among the highest in Europe. Body composition may be used as a screening tool to identify children with excess weight and those at risk for developing metabolic complications. The aim of the study was to provide data on body composition indices from a large Greek pediatric population and investigate the possible association between these indices and obesity.Methods: 1453 schoolchildren, 51.2% males, aged 10-12 years old, were recruited from the third in size city in Greece. Anthropometric and body composition indices (weight, height, body mass index (BMI), fat mass (FM), FM%, fat mass index (FMI), skeletal muscle mass (SMM), SMM%, skeletal muscle mass index (SMI) and muscle-to-fat ratio (MFR)), were assessed.Results: i) The rates of overweight and obesity were 25.9% (Males: 24.4%, females: 27.5%) and 12.6% (males: 13.4%, females: 11.7%), respectively. ii) Males had significantly higher SMM, SMM% and MFR, and lower FM% compared to females. iii) No differences were observed in body composition between younger (10-11-year-old) and older (11-12-year-old) children. iv) Higher FM, FM%, FMI, SMM, SMI and lower SMM% and MFR values were found in children with overweight or obesity.Conclusion: A direct association between excess weight and body composition measurements, such as FM, FM%, FMI, SMM, SMM%, SMI and MFR, was found in a large pediatric school-population. These body composition analysis measurements may potentially serve as a useful screening-tool with both research and clinical applications in assessing obesity, but also for predicting obesity-related complications.
{"title":"The association between excess weight and body composition measurements in a pediatric population","authors":"E. Kostopoulou, A. Avgeri, S. Skiadopoulos, G. Dimitriou, I. Giannakopoulos","doi":"10.21203/RS.3.RS-334558/V1","DOIUrl":"https://doi.org/10.21203/RS.3.RS-334558/V1","url":null,"abstract":"\u0000 Background: The prevalence of childhood obesity in Greece is among the highest in Europe. Body composition may be used as a screening tool to identify children with excess weight and those at risk for developing metabolic complications. The aim of the study was to provide data on body composition indices from a large Greek pediatric population and investigate the possible association between these indices and obesity.Methods: 1453 schoolchildren, 51.2% males, aged 10-12 years old, were recruited from the third in size city in Greece. Anthropometric and body composition indices (weight, height, body mass index (BMI), fat mass (FM), FM%, fat mass index (FMI), skeletal muscle mass (SMM), SMM%, skeletal muscle mass index (SMI) and muscle-to-fat ratio (MFR)), were assessed.Results: i) The rates of overweight and obesity were 25.9% (Males: 24.4%, females: 27.5%) and 12.6% (males: 13.4%, females: 11.7%), respectively. ii) Males had significantly higher SMM, SMM% and MFR, and lower FM% compared to females. iii) No differences were observed in body composition between younger (10-11-year-old) and older (11-12-year-old) children. iv) Higher FM, FM%, FMI, SMM, SMI and lower SMM% and MFR values were found in children with overweight or obesity.Conclusion: A direct association between excess weight and body composition measurements, such as FM, FM%, FMI, SMM, SMM%, SMI and MFR, was found in a large pediatric school-population. These body composition analysis measurements may potentially serve as a useful screening-tool with both research and clinical applications in assessing obesity, but also for predicting obesity-related complications.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44343332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tanmaya Tyagaraj, A. T, M. Patil, B. Badal, Vikram Sindagikar
Here, we report a rare occurrence of intestinal obstruction immediately following insertion of a VP shunt. Obstructive hydrocephalus is often treated by ventriculoperitoneal shunt. Common complications following the procedure are: infection, obstruction of the shunt itself, failure of a valve and over or underdrainage of a ventricle. However, intra-abdominal complications are rare, and intestinal obstruction as a result of the shunt is very rare. Early diagnosis and management in such cases provides good quality of life.
{"title":"Intestinal Obstruction – An Immediate Post-Operative Complication following Ventriculoperitoneal Shunt : A Rare Case","authors":"Tanmaya Tyagaraj, A. T, M. Patil, B. Badal, Vikram Sindagikar","doi":"10.26502/jppch.74050081","DOIUrl":"https://doi.org/10.26502/jppch.74050081","url":null,"abstract":"Here, we report a rare occurrence of intestinal obstruction immediately following insertion of a VP shunt. Obstructive hydrocephalus is often treated by ventriculoperitoneal shunt. Common complications following the procedure are: infection, obstruction of the shunt itself, failure of a valve and over or underdrainage of a ventricle. However, intra-abdominal complications are rare, and intestinal obstruction as a result of the shunt is very rare. Early diagnosis and management in such cases provides good quality of life.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Mahir, R. Elqadiry, H. Nassih, A. Bourahouat, I. Aitsab
HAV is a very common childhood disease. Extrahepatic manifestations are rarely found in Hepatitis A Viral (HAV). In this article, we are going to analyze two cases; the first one is associated to cutaneous vasculitis and cryoglobulinemia, while the second one is more complicated, since the disease comes with a thrombopenia.
{"title":"Atypical Acute Hepatitis A Infection in Children","authors":"N. Mahir, R. Elqadiry, H. Nassih, A. Bourahouat, I. Aitsab","doi":"10.26502/jppch.74050064","DOIUrl":"https://doi.org/10.26502/jppch.74050064","url":null,"abstract":"HAV is a very common childhood disease. Extrahepatic manifestations are rarely found in Hepatitis A Viral (HAV). In this article, we are going to analyze two cases; the first one is associated to cutaneous vasculitis and cryoglobulinemia, while the second one is more complicated, since the disease comes with a thrombopenia.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Encephalocraniocutaneous Lipomatosis (Haberland Syndrome) with Atrial Tachycardia in a Neonate: A Rare Case Report","authors":"Kumar Naina, Aditi Baruah, Bipul Kumar Das","doi":"10.26502/jppch.74050072","DOIUrl":"https://doi.org/10.26502/jppch.74050072","url":null,"abstract":"","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Jenull, Carlotta Mayer, P. Knobel, R. Birnbacher
Introduction: The worldwide obesity pandemic has far reaching consequences for the overweight individual. Overweight itself can lead to impaired physical health, the associated weight stigma to impaired mental health. As weight bias starts as early as in preschool age, it is important to find out what sociodemographic and psychosocial factors promote weight stigma in children and how to prevent them. Methods: Within the DONUT-project 282 children between the age three to seven were interviewed about their preference of different sizes in playmates and the adjectives they attributed to normal and overweight figures. Answers have been correlated with the child’s weight, perceived and ideal body size, gender, and age. Results: Weight stigma is evident throughout the sample, while older children tend to show a higher weight bias than younger children. Girls were found to display a stronger weight bias than boys. A higher children’s weight showed a positive correlation with association of negative adjectives to the overweight target figure. A lower perceived or ideal body size was associated with higher negative correlations towards overweight individuals. There was no body satisfaction effect on expressed weight stigma. Discussion: Our findings provide further evidence about the relationship between different sociodemographic and psychosocial constructs. This relationship is difficult and needs more research. The importance of our results for early prevention programs to reduce weight stigma in children and society is discussed. J Pediatr Perinatol Child Health 2021; 5 (2): 112-125 DOI: 10.26502/jppch.74050069 Journal of Pediatrics, Perinatology and Child Health 113
{"title":"Weight-Stigma and Body Satisfaction among Preschool Children","authors":"B. Jenull, Carlotta Mayer, P. Knobel, R. Birnbacher","doi":"10.26502/jppch.74050069","DOIUrl":"https://doi.org/10.26502/jppch.74050069","url":null,"abstract":"Introduction: The worldwide obesity pandemic has far reaching consequences for the overweight individual. Overweight itself can lead to impaired physical health, the associated weight stigma to impaired mental health. As weight bias starts as early as in preschool age, it is important to find out what sociodemographic and psychosocial factors promote weight stigma in children and how to prevent them. Methods: Within the DONUT-project 282 children between the age three to seven were interviewed about their preference of different sizes in playmates and the adjectives they attributed to normal and overweight figures. Answers have been correlated with the child’s weight, perceived and ideal body size, gender, and age. Results: Weight stigma is evident throughout the sample, while older children tend to show a higher weight bias than younger children. Girls were found to display a stronger weight bias than boys. A higher children’s weight showed a positive correlation with association of negative adjectives to the overweight target figure. A lower perceived or ideal body size was associated with higher negative correlations towards overweight individuals. There was no body satisfaction effect on expressed weight stigma. Discussion: Our findings provide further evidence about the relationship between different sociodemographic and psychosocial constructs. This relationship is difficult and needs more research. The importance of our results for early prevention programs to reduce weight stigma in children and society is discussed. J Pediatr Perinatol Child Health 2021; 5 (2): 112-125 DOI: 10.26502/jppch.74050069 Journal of Pediatrics, Perinatology and Child Health 113","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. T. D. Jacobis, R. Vona, C. Cittadini, A. Marchesi, L. Cursi, A. Campana, L. Gambardella, A. Villani, E. Straface
SARS-CoV-2 is a highly contagious respiratory virus that in December 2019 emerged in Wuhan (Hubei Province, China) and spread rapidly worldwide. Despite the high number of people affected, data on clinical features and prognostic factors in children and adolescents are limited. Children become less ill than adults and most of them contract the infection through close contact with their parents or family members. In this short communication, we commented data of our study on an Italian pediatric population with COVID-19, published on the Italian Journal of Pediatrics.
{"title":"Commentary on Clinical Characteristics of Children Infected with SARS-CoV-2 in Italy","authors":"I. T. D. Jacobis, R. Vona, C. Cittadini, A. Marchesi, L. Cursi, A. Campana, L. Gambardella, A. Villani, E. Straface","doi":"10.26502/jppch.74050075","DOIUrl":"https://doi.org/10.26502/jppch.74050075","url":null,"abstract":"SARS-CoV-2 is a highly contagious respiratory virus that in December 2019 emerged in Wuhan (Hubei Province, China) and spread rapidly worldwide. Despite the high number of people affected, data on clinical features and prognostic factors in children and adolescents are limited. Children become less ill than adults and most of them contract the infection through close contact with their parents or family members. In this short communication, we commented data of our study on an Italian pediatric population with COVID-19, published on the Italian Journal of Pediatrics.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Severe Aplastic Anemia Secondary to SARS CoV-2 Infection- A Case Report","authors":"Ranjima M, Gobbur Rh","doi":"10.26502/jppch.74050083","DOIUrl":"https://doi.org/10.26502/jppch.74050083","url":null,"abstract":"","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ali A. Alakhfash, K. Alhawri, Abdullah Alqwaiee, A. Almesned, Bana Nasser, Marwan Alhawbani, Mohammed Hasab Elnabi
Congenital Flail Tricuspid Valve Leaflet, A Challenging Surgical Decision. Case Report, and Literature Review. Journal of Pediatrics, Perinatology and Child Health 5 (2021): 211-220. Abstract Background: Congenital severe tricuspid valve (TV) insufficiency secondary to ruptured papillary muscle or ruptured chordae tendineae Health of severe Ebstein anomaly of the TV, with severe cyanosis due to reduced pulmonary blood flow. Compared to Ebstein anomaly, there is no apical displacement of the tricuspid valve leaflets. Case presentation: We are presenting a neonate with refractory neonatal cyanosis immediately after birth due to congenital flail TV leaflets. A successful surgical repair of the TV improved the TV function with excellent immediate, short and midterm outcomes. Conclusions: TV repair is the best surgical option for TV dysplasia with ruptured chordae and flail leaflets, with good immediate as well as short and mid-term outcomes.
{"title":"Congenital Flail Tricuspid Valve Leaflet, A Challenging Surgical Decision. Case Report, and Literature Review","authors":"Ali A. Alakhfash, K. Alhawri, Abdullah Alqwaiee, A. Almesned, Bana Nasser, Marwan Alhawbani, Mohammed Hasab Elnabi","doi":"10.26502/jppch.74050080","DOIUrl":"https://doi.org/10.26502/jppch.74050080","url":null,"abstract":"Congenital Flail Tricuspid Valve Leaflet, A Challenging Surgical Decision. Case Report, and Literature Review. Journal of Pediatrics, Perinatology and Child Health 5 (2021): 211-220. Abstract Background: Congenital severe tricuspid valve (TV) insufficiency secondary to ruptured papillary muscle or ruptured chordae tendineae Health of severe Ebstein anomaly of the TV, with severe cyanosis due to reduced pulmonary blood flow. Compared to Ebstein anomaly, there is no apical displacement of the tricuspid valve leaflets. Case presentation: We are presenting a neonate with refractory neonatal cyanosis immediately after birth due to congenital flail TV leaflets. A successful surgical repair of the TV improved the TV function with excellent immediate, short and midterm outcomes. Conclusions: TV repair is the best surgical option for TV dysplasia with ruptured chordae and flail leaflets, with good immediate as well as short and mid-term outcomes.","PeriodicalId":73894,"journal":{"name":"Journal of pediatrics, perinatology and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69350060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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